Unit IV - Holistic Nursing Process, Person-Centered Care/Caring/Self-Care

Apply the holistic nursing process to patient care.

• Holistic care

• The nursing process

→ Holistic Care

• Holistic nursing care is an approach to patient care that focuses on treating the whole person, rather than just the symptoms of their illness. It emphasizes the interconnectedness of the body, mind, spirit, and environment, aiming to promote optimal health and well-being.

• Patient-centered care

• Preventive and wellness-focused

• Interdisciplinary collaboration

→ The nursing process

• The nursing process is a systematic, five-step approach used by nurses to provide care to patients.

• It involves assessment, diagnosis, planning, implementation, and evaluation. (ADPIE)

• This process guides nurses in identifying patient needs, developing individualized care plans, and evaluating the effectiveness of interventions.

• We always need to use logical thinking during the assessment. For example, if you have a patient O2 to drop, first go in the room and try to figure out why before panicking

→ Apply the holistic nursing process to patient care:

Apply the concept of person-centered care in a health-care setting.

→ Patient-centered care:

• An approach to healthcare that prioritizes the patient's needs, values, and preferences

• It involves:

  • Autonomy

  • Collaborating with patients

  • Personalizing care

  • Focusing on the entire person

  • Promoting patient education

*Autonomy – they have their right to choices. i.e. if they want to continue to smoke, you cannot do anything about other than instruct them about the risks

*Patients will be more compliant if the plan of care is more realistic and tailored to them

Describe how the caring behaviors of nurses affect patient care.

→ Definition of caring:

• To display kindness and concern for others

• Nursing embodies the essence of caring

Define self-care.

• Definition: Take care of yourself mentally, physically to avoid burnout

• How to care of yourself? Go to the gym, exercise

• Why should you care for yourself? Your stress level affect the patient directly

• What can you do to encourage your patient to take care of themselves? Through education, talk about their hobbies

Apply self-care techniques to self and professional practice.

Nursing Process/Clinical Judgement

→ Nursing Process

1. Recognize Cues

2. Analyze Cues

3. Prioritize Hypotheses

4. Generate Solutions

5. Take Action

6. Evaluate Outcomes

→ Clinical Judgement

• Vital sign changes, pt comments of discomfort

• Change in VS & pt comments = change in status

• Pt could have an infection

• Check dressing, contact provider

• Give IV antibiotics as ordered, dressing change

• Have VS returned to baseline, do pt comments indicate decrease in discomfort