Holistic, Person-Centered Plan of Care

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Keep in mind the interrelationship of individuals and their environment as you work with avatar patient Gordon Brune. You are taking the role of a nurse at Neighborhood Clinic, a community health center. As Mr. Brune explains the purpose of his visit and details of his current living situation, consider the challenge of gaining an understanding of his personality and gauging the impact of what he describes in determining your recommendations for how best to support his health from a holistic perspective.
The aim of this avatar experience is to provide a patient interaction that is as realistic as possible. If Gordon Brune reminds you of patients you have had, draw on that connection. But equally important, make this Competency Assessment, with its requirement to consider more than Gordon Brune’s physical condition, an opportunity to gain context and insight into the multiple dimensions of wellness and the role they play in a patient’s health and overall well-being.
You will begin and end the scenario with the avatar clinic director Asha Gill. Consider her goals for person-centered holistic care at Neighborhood Clinic and the kinds of support you would look for from a supervisor to meet those goals.
To prepare:
• Access the Holistic, Person-Centered Plan of Care template document. You will complete the template to submit for this Competency Assessment. Review what you are required to provide about avatar patient Gordon Brune, your recommendations for him, and other analysis that supports person-centered holistic care.
• View the asynchronous scenario with avatar Gordon Brune as many times as you need to prepare for and complete this Competency Assessment. Consider challenges Mr. Brune describes in one or more of the dimensions of wellness—emotional, physical, intellectual, occupational, spiritual, and/or social.
• Draw on your understanding of a holistic approach to patient care. Identify impacts that Gordon Brune is experiencing in various dimensions of wellness.
• Consider what a holistic care plan would include for this patient. Reflect on ethical principles as a professional nurse in addressing the patient’s health needs.
• Base your plan of care on the specific information that Mr. Brune provides in the media resource, other Learning Resources, and other resources you identify.
To complete the Assignment:
• Use the Holistic, Person-Centered Plan of Care template document to present your analysis from the Mursion experience with avatar patient Gordon Brune. Your document should be 3–4 pages plus a reference page. You should include the following:
• Click each of the items below for more information on this Assessment.
PART 1: IDENTIFYING DIMENTIONS OF WELLNESS
1. Write a brief profile of patient Gordon Brune based on what you know about him from the avatar scenario.
2. Describe the dimensions of wellness that are influencing Mr. Brune’s situation and condition. For those that you do not identify as factors, explain why.
o Emotional
o Physical
o Intellectual
o Occupational
o Spiritual
o Social
PART 2: DEVELOPING A HOLISTIC PLAN OF CARE
1. Summarize Mr. Brune’s issues and needs from a holistic perspective.
2. Explain a plan of care that will address the dimensions of wellness that are having the greatest impact on Mr. Brune’s ability to manage his diabetes. As part of your care plan, identify at least two community resources or other health professionals you would refer Mr. Brune to and explain your reasoning.
3. Explain how your care plan adheres to concepts of person-centered care and a holistic approach to patient care.
4. Explain how your care plan adheres to ethical principles for a professional nurse.
PART 3: REFLECTING ON PERSON-CENTERED HOLISTIC CARE
1. Reflect on the challenges of taking a holistic approach to patient care. Explain your thinking.
2. Reflect on the benefits of person-centered holistic care. Explain your thinking.
3. If Asha Gill, the avatar clinic director, were your clinical supervisor, what kind of support would you want as a professional nurse for taking a person-centered holistic approach to patient care? Explain your reasoning.

Sample Solution

Understanding the Scenario:

Given that you’re taking the role of a nurse at Neighborhood Clinic and interacting with avatar patient Gordon Brune, you’ll likely encounter challenges related to assessing his overall well-being and developing a comprehensive care plan.

Key Considerations:

  • Limited Information: Avatar scenarios often provide limited information about patients. You’ll need to make assumptions and deductions based on the available data.
  • Simulated Interactions: While avatars can provide realistic responses, they may not capture the full complexity of human interaction and behavior.
  • Holistic Perspective: Remember to consider the various dimensions of wellness (emotional, physical, intellectual, occupational, spiritual, and social) when assessing Mr. Brune’s situation.

Completing the Holistic, Person-Centered Plan of Care Template:

PART 1: IDENTIFYING DIMENSIONS OF WELLNESS

  1. Profile of Gordon Brune: Based on the avatar scenario, create a brief profile summarizing Mr. Brune’s demographics, medical history, and presenting concerns.
  2. Dimensions of Wellness: Analyze the information provided and identify the dimensions of wellness that are significantly impacting Mr. Brune. For example, if he expresses concerns about his job security or financial stability, occupational wellness may be a significant factor.

PART 2: DEVELOPING A HOLISTIC PLAN OF CARE

  1. Summarize Issues and Needs: Clearly outline Mr. Brune’s primary health concerns and identify any underlying factors contributing to his condition.
  2. Develop a Care Plan: Create a comprehensive care plan that addresses the identified dimensions of wellness. Include specific interventions, goals, and resources.
  3. Community Resources: Refer Mr. Brune to relevant community resources, such as support groups, counseling services, or financial assistance programs.
  4. Ethical Considerations: Ensure that your care plan adheres to ethical principles, such as autonomy, beneficence, non-maleficence, justice, and fidelity.

PART 3: REFLECTING ON PERSON-CENTERED HOLISTIC CARE

  1. Challenges: Discuss the challenges you encountered in taking a holistic approach to patient care, such as limited information or difficulty assessing certain dimensions of wellness.
  2. Benefits: Highlight the benefits of a holistic approach, such as improved patient outcomes, increased patient satisfaction, and enhanced collaboration with other healthcare providers.
  3. Support from Supervisor: Explain the type of support you would need from Asha Gill to effectively implement a person-centered holistic approach. This might include additional training, resources, or guidance.

Remember: While this is a simulated scenario, try to approach it with the same level of empathy and professionalism that you would use in a real-world clinical setting. Focus on understanding Mr. Brune’s unique needs and developing a personalized care plan that addresses his overall well-being.

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