Holistic Care in Advanced Practice Nursing

 

Holistic care refers to approaches and interventions that address the needs of the whole person: body, mind, emotion, and spirit. Consider the following case study:

You are caring for a first-time mother in a health clinic. While assessing the woman, you notice she is becoming visibly upset. When you ask, she notes that her mother, with whom she was very close, died last year and that she really would have loved to have shared this pregnancy with her. You empathize with the patient, as your own mother just died 6 months ago. She also notes that she and her partner have been bickering a lot lately on top of her feeling generally sore, tired, and overwhelmed.

Define holistic care in your own words. Describe four ways you can implement a holistic nursing approach to care and facilitate healing. In addition, you may consider the intersection of holistic care and caritas principles from Jean Watson’s Theory of Human Caring/Caring Science

Sample Solution

According to the American Holistic Nurses Association , holistic nursing is an  “all nursing practice that has healing the whole person as its goal.” This ideal of caring for the entire person, not just their physical body, is one that dates back to Florence Nightingale herself. Every nurse knows about Florence and her devotion to caring for those who could not care for themselves. Because she emphasized the connection between patients and their environment, she is considered one of the first holistic nurses. Nursing has come a long way since the days of Florence Nightingale and her pioneering actions that define her as

mension of current educational policy drivers focusses around the achievement of equity and equality for all children and young people. Written in response to the OECD report Synergies for Better Learning: An International Perspective on Evaluation and Assessment (2013), it could be said that the National Improvement Framework (2016) arose from political pressures regarding the Scottish education system. The NIF is authoritative in nature but is clear in its goal and strategy in closing the poverty attainment gap whilst achieving excellence in raising attainment. A key priority in the National Improvement Framework (2018) states that ‘every child has the same opportunity to succeed’ (2018, p. 5). Rizvi and Lingard (2010) differentiate policies by the way they are communicated and promoted. They suggest that policies showing commitment to implementation backed up by funding can be seen to be material in nature. By contrast, symbolic policies arise from political pressures. Rizvi and Lingard (2010) also make distinctions between distributive and redistributive policy. Distributive policies by nature, distribute resources, whilst redistributive policies put appropriate interventions in place promoting positive discrimination. Although the NIF could be seen as being idealistic in nature, the introduction and use of Pupil Equity Funding (PEF) implies that the NIF has a material policy element to it as there is strong commitment to its implementation, backed by the Pupil Equity Funding. It is also redistributive as a policy as interventions are put in place by schools promoting positive discriminations, focussing on young people who are eligible to receive the funding and for those in receipt of Free Meal Entitlement (FME). Underpinned by the NIF, Getting It Right for Every Child (GIRFEC) and Curriculum for Excellence (CfE) the Scottish Attainment Challenge (SAC) programme also seeks to put positive interventions in place for children and young people in a bid to help them achieve their full potential. It can be said that the Scottish Attainment Challenge has a more holistic approach in its vision as it seeks to improve activity in literacy, numeracy and health and wellbeing. This is in stark contrast to the National Improvement Framework, as although a key priority in the NIF is to improve children and young people’s health and wellbeing, standardised assessment

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