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Introduction
Holistic nursing focuses on promoting health and wellness. It is care that is based on the theory of a balance between the body, mind and spirit. Its goal is to heal the body person as a whole. Holistic assessment is a practice that is specialized on nursing knowledge, theories, expertise and intuition to guide nurses in becoming therapeutic partners with their patients. It recognizes and gathers information about the totality of the human being, the interconnectedness of body, mind, emotion, spirit, socio-cultural, relationship, context, and environment. This paper is based on a holistic assessment of a patient from my job. A 72 years old Caucasian.
Developmental
The patient, Mr.N.G, a 72 year old, Caucasian male from Silver
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This stage involves an individual reflecting on themselves and their life in order to determine if they are content with the life they lived or if they have any regrets. If the young adult is unable to establish contentment and peace, then frustration and regret results because the individual becomes saddened they didn’t live a better life (Potter, Perry, et al. 2013). Unfortunately, this patient is experiencing despair because he is currently divorced living alone. Although his children visit him often, they live out of town and are busy with their own lives. Additionally, his present diagnosis of pneumonia and rhonchi facilitate the deterioration of his health as well as his past medical history (cataract and femoral surgery).
The developmental stage of a patient is of importance to nursing care because knowledge of human growth and development is basic to the healthcare of individuals across the life span. Thus, in order for healthcare professionals to properly and appropriately care for their patients, an understanding of the different stages of development and tasks to be accomplished in each stage is necessary.
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These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
In nursing, it is important to understand the difference between the different developmental groups for pediatric patient’s and how these differences affect the care and guidance that patient receives.
...n every step because one mistake can cause someone to lose their life and there are no second chances or third attempts once someone is gone. Sufficient knowledge, skills and critical thinking capabilities are developed through experience and practice. Registered nurses become leaders through professional development. Nurses holding Bachelor Degrees will eventually become placed in leadership roles. We must evaluate the program outcomes now in order to be successful when it is time for us to fulfill these roles. I often refer to the quote that Doctor Tanner provided that states, “Nurses have the power to make decisions to determine how patients are born, live, suffer and die”. Some components of holistic nursing are knowledge of growth and adaptation (Murphy, 1990, p.1). Nursing is holistic in nature and nurses may not realize how much power they truly possess.
Issues of culture are often controversial. LaBorde (2010) has noted that culture is always a factor in conflict. Ironically, conflict can provide nurses with an excellent opportunity for developing compassion that will lead nurses unto a place of meeting in which there is a deep respect for differences and equally intentional openness to the possibility of connection. Healthcare practitioners are confronted in a daily basis with the practical manifestation of these issues. In particular, nurses are more confronted by cultural issues than the other healthcare providers because nurses spend majority of their time with patients. However, some nurses are reluctant to confront and discuss the cultural issues because of lack of knowledge in dealing with patients of diverse cultures (Tjale & Villiers, 2004).
Culture care is grounded within one’s worldview, which is shape by social structure factors such as religion, economics, cultural values, environmental context, ethnohistory, and language (Alligood, 2014; Sitzman & Eichelberger, 2015). Moreover, culture care share similarities and differences related to health and well-being, how individual deal with disability and death, as well as, when to seek relief from illnesses or distress. As culture plays a vital role in health care seeking habits and decision making, it is imperative for nurses to fully understand cultural knowledge. With increase cultural knowledge, nurses are better able to implement care plans that are beneficial to the patient with respect to their beliefs, values, and cultural
My philosophy is based on my personal values and beliefs as it relates to the body of work in nursing. The practice of nursing not only involves applying knowledge but the ability to differentiate the needs of the client and being empathetic to their needs. Hence, the importance of holistic nursing and not only being for the client but for the clients family as well. Holistic nursing is defined as “all nursin...
There are cultures that have very different views on things such as family dynamics and health care than what I’m used to. For example, there are some cultures that do not believe in seeking healthcare when they are ill or receiving medications or blood if needed. However, my family always believed in taking us to the doctor and taking medications when we were ill. There are also some cultures that have very large families that they are very close to however I always had a small close-knit family. I am able to see how these different scenarios could affect the nursing care provided by assuming that other people and families have the same beliefs that my family had growing up. However, this is why it is important to ask questions and do research about a particular culture before making assumptions. I also believe it is very important to avoid assuming that all cultures are the same just because they are of a certain culture or ethnicity. Beliefs and rituals can differ amongst people of the same community. Therefore, it is essential to get to know your patients and have an understanding of their beliefs as an
When someone hears holistic nursing their mind may immediately jump to a form of hippie nursing with little to none scientific background or accuracy in the quality of care. This belief however is extremely inaccurate as to what holistic nursing really is. Holistic care can be defined as to when the nurse honors the patient’s wishes and takes into consideration the social, physical, emotional, and spiritual aspects of the patient’s life (American Holistic Nurses Association, n.d.). Holistic nursing is growing in popularity amongst patients because of its open communication between nurse and patient, its unique approach to health and healing, as well as the comprehensive care it can provide.
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will definite cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts in my nursing practice.
Taking everything in and questioning it gives a more well rounded and in depth knowledge to base each philosophy off of. The main purpose is to care for the individual and I believe holistic approach is a good way to do so. Holistic nursing places emphasis on both the environment and treatment of the patient to include patient’s uniqueness as human beings along with their cultural views, values, and beliefs. (Flagg, 2015). Nursing can be very broad. It is goal oriented to each patient so that his or her individual health needs are met. Some patients could benefit tremendously just by taking them outside to get fresh air or by just sitting down to talk to
As nurses entering the medical field understanding the culture of our patients is crucial to proper care. Each culture has their own set of beliefs and values that are shared among groups of people which influences personality, language, lifestyles, house hold, level modesty, social standings, foods, health treatment and identity. Culture affects how people view health and illness; dictating when, where and what type of medical treatment they will receive and who will be their care provider.
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until
Ethics, culture, and religious beliefs can influence optimal patient due to lack of knowledge on the nurse or medical professionals part. We need a culturally diverse knowledge base so we can provide individualized, patient-centered care; know the patients’ cultural and religious beliefs; and need to understand the rationales supporting those beliefs because they can impact the patient’s care plan (Arritt, 2014).