Holistic Nursing

Holistic judgements in nursing fork over a unpar in alleled quality of attending to the singular patient. Holism in the provision of attending includes assessments obtaining data about the physiological, psychological, sociological, spiritual, developmental, heathen and environmental aspects. It is adjuratory that the hold up conducting these assessments adopts method actings in the nursing process that reflects the standards compendd in Australian nursing and Midwifery Council National Competency Standards for the Registered Nurse to ensure the considerablyness and wellbeing of the patient is maximized and produceed passim the time health cargon is received.Nursing processes are directed at restoring overall harmony for the patient therefore an understanding of the individual as a whole person must be assessed. During the nursing process, the take up impart perform the assessment, diagnose, plan, implement and evaluate the patient in an ongoing process. This essay leave alone outline the importance of a holistic admission in nursing assessment and the importance assessment in the nursing process. ultural, spiritual and psychological aspects of the holistic assessment and the relevance of these components in the provision of sustenance will be discussed and how AMNC standards apply to care in nursing. A holistic approach in nursing assessment establishes the patients physiological, psychological, sociological, spiritual, developmental, ethnic and environmental aspects in their life. Obtaining data holistically is vital in help oneselfing a patients ability to manage their symptoms and aflame billet maximizing quality of life during the stages of illness or health changes (Margereson & Trenoweth 2009 104).The aim of the holistic approach in nursing assessment is to establish the type of support and care required for the individual, developing a quality of care that assists their wellbeing as a whole person (Margereson & Trenoweth 2009 10 4). When assessing the patient it is consequential that the nurse collects data that relates to physiological, psychological, spiritual, socio-economic and cultural variables on an ongoing basis as outlined in ANMC competency 5. 1 (ANMC 2006, p. ). The ANMC competency is supported by, Margereson & Trenoweth (2009104), who describes the assessment process as ongoing and is determined by the changing unavoidably of the patient, their family and their carers. Margereson & Trenoweth (2009 104) further describes that the holistic approach supports the patient to build psychological resilience and wellbeing, to maintain independence as well as developing care and support networks that is better(p) conform to to the individual.The holistic approach in nursing assessment appropriates the patient assistance in decision making, achieving goals, addressing needs and desires and nominate build on strengths (Margereson & Trenoweth 2009 104). Therefore, it is crucial to obtain data holisti cally in assessment to support and maximise the patients health and wellbeing. perspicacity in the nursing process is an important aspect, as the information gathered alters a comprehensive response to the patients health status.It is important for the nurse to adopt an approach following the guidelines outlined in the ANMC, Domain 5, Provision and coordination of care (ANMC 2006, p. 8) to ensure preferences are met an accuracy is maintained when carrying out assessment. The nursing process is a cyclic method that involves assessing, diagnosing, planning, implementing and evaluating (Kozier & Erb 2012 213). Kozier & Erb (2012 p. 212-213) describes the nursing process as an overlapping lapping sequence that focuses on establishing the patients social, cultural, emotional, spiritual as well as physical needs.Assessment will establish this data as well as a patients health history, concerns, health status and their ability to manage their own health care needs (Kozier & Erb 213). Koz ier & Erb (2012 212) also maintain that data collected in the assessment phase enables the patients lifestyle and routines to be incorporated into the care plan. Assessment is about collecting as much information as possible enabling problem resolution throughout the nursing process.Assessment in the nursing process will establish the patients ongoing needs and provide a quality of care best suited to the individual, to achieve a desirable health outcome. pagan aspects of holistic assessment is relevant in the provision of nursing care as it provides the care group with an overview of cultural needs of the patient as well as providing information in which the patients health problems become arisen. Culture is defined as values, beliefs, artifacts, behaviors, attitudes and customs influencing and regulating interactions between members of a social group (Stein-Parbury 2010 91 Johnstone 2006 67).It is the nurses responsibility to adhere to the ANMC, competency 2. 3, accepts indivi duals/groups to whom care is provided regardless of race, culture, religion, age, gender, sexual preference, physical or mental defer (ANMC 2006, p. 4). Kozier & Erb (2012 360) discuss that cultural sensitivity, appropriateness, competency and safety are all factors that are required to be taken into consideration so that the patient can be provided with the best possible health care.Kozier & Erb (2012 360) also explain that conflicts in health care deliver been apparent due to cultural misunderstandings. An example of a cultural misunderstanding is the level of pain. In some cultures, it is normal to dramatically express ones level of pain whereas in other cultures people do not complain when in pain (Stein-Parbury 2010 94). Culture is also an important aspect as it can explain nutrition, environmental and home status and level of education ( Kozier & Erb 360) which all relate to the provision of care to be given.The holistic assessment of a patients cultural aspects enable the best suitable approach in the provision of care, upholding the patients rights, addressing their needs and minimizing misunderstandings. Spiritual needs are often express in times of ill health or other health related crisis therefore it is pressing that spirituality of the patient is understood in order to maximize provision of care. Kozier & Erb (2012 1154) define spirituality as a way in which a person lives their life, bound in beliefs and values and how their own subject matter or perception is viewed.A holistic assessment will determine the spiritual needs of the patient to enable the nurse to respond appropriately to the patient whilst adhering to ANMC, competency 9. 5, Facilitates a physical, psychosocial, cultural and spiritual environment that promotes individual/group safety and security (ANMC 2006, p. 12). Narayanasamy (2009886-890), describes spirituality as a fundamental aspect in holistic assessment as it can promote the patients mind, body and spirit as well as find there state of mind in relation to spiritual distress such as leaving of hope.Spirituality is an important part of the healing process as it can provide comfort, reduce suffering and assist in the physical and mental healing of the patient (Kozier & Erb 2012 1154). Kozier & Erb (2012 1155) state that the nurse who attends to their own spiritual needs is able to assist others and have a better understanding of the patients spiritual needs. Therefore, the provision of care will be heightened and the spiritual needs of the patient can be addressed in a holistic assessment.Psychological aspects of mind-body interactions are of great importance in the holistic assessment process in order to provide provision of care. The nurse is obligated to follow ANMC, competency 5. 1 Uses a relevant evidence-based assessment modelling to collect data and the physical socio-cultural and mental health of the individual/group (ANMC 2006, p. 8). Kozier & Erb (2012345), explain that mind-body inter actions can have a good or ill effect on the body for example, stress can get out to an altered body function such as an increased urinary frequency.Assessment of psychological status is imperative to establish the correct provision of care to be provided. Kozier & Erb (2012 345) maintain that the minds ability to influence health status is receiving more attention and treatments such as relaxation techniques are being more commonly utilise to combat symptoms of stress. Illnesses have the ability to create emotional responses as well such as headache and depression, therefore the nurse must take into consideration these variables when conducting an holistic assessment to provide quality care to the patient.Holism in the provision of care is imperative to maintain in the nursing process. Holistic assessments carried out are unique and individual for each patient. This can be obtained in the nursing process by host data holistically by assessing the physiological, psychological, s ociological, spiritual, developmental, cultural and environmental aspects of the patient. A better understanding of the patients needs and requirements for care can be developed to provide health restoration in the best possible manner suited to the individual.The Australian Nursing and Midwifery Council National Competency Standards for the Registered Nurse outlines the requirements for nurses to follow to ensure health care is delivered at the highest standard. References Australian Nursing & Midwifery Council 2006, National Competency Standards For The Registered Nurse, 4th edn, viewed 2 September 2012, . Berman, A et al. , 2012, Kozier and Erbs fundamentals of nursing, Australian adaptation, 2nd edn, Pearson, Sydney.Ellis, HK & Narayanasamy, A 2009, An Investigation into the Role of Spirituality in Nursing, British Journal of Nursing, Vol. 18, No. 14, pp. 886-890. Johnstone, M 2006, Bioethics a nursing perspective, Elsevier Australia, Marrickville, NSW. Margereson, C & Trenoweth , S 2009, Developing Holistic apportion for Long-term Conditions, Routledge, New York. Stein-Parbury, J 2009, Patient and Person Interpersonal Skills in Nursing, 4th edn, Elsevier, Marrickville.