course materials

1. Recognizing HOLISTIC Care Holistic Care 4
Recognizing HOLISTIC Care Holistic Care 4Recognizing HOLISTIC Care Holistic Care 41.
Integrate caring, empathy, engagement, and presence while providing care. 2. Care for the
entire person (physical-emotional-spiritual). 3. Identify educational and psychosocial needs.
4. Determine psychosocial PRIORITY and plan of care.History of Present Problem: John
Gates is a 59-year-old male with a history of diabetes type II and hypertension who was at
work when he had suddenonset of right-sided weakness, right facial droop, and difficulty
speaking. He was transported to the emergencydepartment (ED) where these symptoms
continue to persist. It has been one hour from the onset of his neurologicsymptoms when he
presents to the ED. You are the nurse responsible for his care.Personal/Social History: John
lives with his wife in their own home in a small rural community. He owns a hardware store
where he remainsactive and involved in the day-to-day operations. His wife insists on being
by his side and talking to John despite John’sfrustration in not being able to answer her
questions. His wife reports that the past week he has been complaining ofepisodes where
his heart felt as if it was beating irregularly and fast but then resolved. His wife also states
that he has beencomplaining of pain in his right foot the past week. John has been trying to
quit smoking the past month and has beenusing a nicotine patch. His wife reports that he
does not regularly check his blood glucose and eats what he wants. He is 6feet tall and
weighs 250 pounds (113.6 kg/BMI of 33.9).What data from the PERSONAL/SOCIAL history
are RELEVANT and must be interpreted as clinically significant bythe nurse?RELEVANT
Data from Social History: Clinical Significance:Put it All Together and CARE Like a Nurse! 1.
Based on your identification of RELEVANT clinical data, is a psychosocial concern
present?2. If a psychosocial concern is present, what is it?3. How does the psychosocial
concern contribute to the primary medical problem or disease progression for this
patient?4. What are your PSYCHOSOCIAL nursing PRIORITY (ies)?© 2016 Keith
Rischer/www.KeithRN.com5. What interventions can you initiate with each holistic
category as well as address these psychosocial priorities?Nursing Interventions: Rationale:
Expected Outcome:CARE/COMFORT:EMOTIONAL:SPIRITUAL:6. What principles of
therapeutic communication will be needed to encourage dialogue between the nurse,
patient, and/or family?his or he7. What educational priorities will be needed to develop a
teaching plan to limit disease progression for this patient and/or family?8. What additional
members of the health care team can be utilized to address psychosocial priorities with this
patient and/or family?9. What is the patient likely experiencing/feeling right now in this
situation?10. What can you do to engage yourself with this patient’s experience, and show

2. that he/she matters to you as a person?ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE
PAPERSYou must proofread your paper. But do not strictly rely on your computer’s spell-
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you can expect your grade to suffer accordingly. Papers with numerous misspelled words
and grammatical mistakes will be penalized. Read over your paper – in silence and then
aloud – before handing it in and make corrections as necessary. Often it is advantageous to
have a friend proofread your paper for obvious errors. Handwritten corrections are
preferable to uncorrected mistakes.Use a standard 10 to 12 point (10 to 12 characters per
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than to try to compress it into fewer pages.Likewise, large type, large margins, large
indentations, triple-spacing, increased leading (space between lines), increased kerning
(space between letters), and any other such attempts at “padding” to increase the length of
a paper are unacceptable, wasteful of trees, and will not fool your professor.The paper must
be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of
each page. When submitting hard copy, be sure to use white paper and print out using dark
ink. If it is hard to read your essay, it will also be hard to follow your argument.