Nursing Management: Holistic Nursing Care

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Include APA formatted in-text citations and reference page. References must be published in the last 5 yrs. Medical dictionaries and textbooks are excellent references. Websites must be .gov, .org, and .edu. NO .com websites. NO patient education websites (Mayo, Cleavland clinic).

Students must follow HIPAA guidelines in the clinical setting and outside of clinical setting.

• First violation of HIPAA will receive a point deduction on the assignment.  Any violations will have a black highlight through the violation when returned.
• Second violation – Student will receive a zero on the assignment and be placed on probation.

(See full policy in the Nursing Student Handbook.)

 

 

 

1. Nursing Management:Describe what complete holistic nursing cares would be for the typical patient with your assigned resident’s primary diagnosis. This should come from a textbook or reputable source (approved by instructor). Cite reference.

 

 

 

 

 

 

 

 

2. Collaborative Health Care:Describe the interprofessional teams that may be involved in the care of a patient with the primary diagnosis of your assigned resident. How can nursing support these disciplines?  (ex: Physical Therapy, Occupational Therapy, Speech, Social Work, Case Management) Cite reference.

 

 

 

 

 

 

 

3. Head to Toe assessment:

 

General Survey/Skin	Objective:
	Subjective:
Head and Neck, Eyes, Ears, Nose, Throat	Objective:
	Subjective:
Respiratory	Objective:
	Subjective:
Cardiovascular	Objective:
	Subjective:
Abdominal	Objective:
	Subjective:
Elimination	Objective:
	Subjective:
Musculoskeletal	Objective:
	Subjective:
Neurological	Objective:
	Subjective:
Vital Signs/Pain	Objective:
	Subjective:
Social, Cultural, Spiritual	Objective:
	Subjective:
Erickson’s Developmental Tasks cite reference
Maslow’s Hierarchy of Needs cite reference

 

 

 

 

4. Nursing Process

Analyze your head to toe assessment findings in the section above. List three abnormal findings. (3) 1. 2. 3.   Determine a priority concern for your resident. Explain why you chose this. Remember concerns are not a medical diagnosis. (2)

Create a plan related to your priority concern. What is the goal? What outcome are you striving for to promote, maintain or restore your resident’s health?  Be specific and discuss outcomes that you believe are obtainable during your 4 week clinical experience. It should be something you are able to do or assist with as the student nurse. (2)

Take action. Determine three nursing interventions that address your priority concern and provide rationale on how the interventions promote your resident’s health. Discuss how they will be implemented. These should come from a medical reference. (6) Cite reference   1. 2. 3.

Evaluate the effectiveness of each intervention for your priority assessment concern. Did the intervention promote, maintain or restore health? (3)   1. 2. 3.

Evaluate the overall progression towards the goal for your priority concern for your assigned resident. Was the goal achieved?  Why or why not? Would you keep this goal or change it? (1) Make sure you address each question.

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

Here’s an outline for completing the assignment based on your directions. To ensure accuracy, we will use APA in-text citations and references from reputable, peer-reviewed sources published within the last five years. Each section is explained step-by-step.

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1. Nursing Management: Holistic Nursing Care

• Complete Holistic Nursing Care:

  • Begin by describing what holistic care entails for your assigned resident’s primary diagnosis (e.g., diabetes, heart disease, or COPD). Make sure to include physical, emotional, social, cultural, and spiritual aspects of care. According to a reputable nursing textbook or a journal article (make sure it’s approved by the instructor), holistic care incorporates all aspects of a patient’s well-being, considering their body, mind, and spirit.

  • For example, if the primary diagnosis is diabetes, holistic care would include not only managing blood glucose levels but also addressing any psychological aspects like stress, offering educational support, providing resources for social care (such as a dietician), and respecting the patient’s cultural preferences for treatment and care.

  Reference: Use a nursing textbook or peer-reviewed journal article to support this point, ensuring it aligns with the holistic care approach.

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2. Collaborative Health Care

• Interprofessional Teams:

  • Describe the interprofessional teams involved in the care of the resident with the primary diagnosis. Teams might include physical therapy (PT), occupational therapy (OT), speech therapy, social work, and case management. Discuss how nurses support these professionals in their roles. Nurses may collaborate by sharing critical patient information, ensuring safety during interventions, and coordinating care plans across disciplines.

  Example: If the diagnosis is stroke recovery, nurses collaborate by helping the speech therapist with feeding assessments, supporting physical therapy with mobility exercises, and assisting social work with discharge planning and community resource referral.

  Reference: Use an approved medical or nursing source such as a textbook, peer-reviewed journal, or a government website (.edu, .gov, .org).

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3. Head-to-Toe Assessment

• Complete the head-to-toe assessment, listing objective and subjective data for each system:

  • General Survey/Skin:

    • Objective: Skin appearance (color, turgor, wounds, lesions).
    • Subjective: Patient report of skin pain, dryness, or itching.

  • Head and Neck, Eyes, Ears, Nose, Throat:

    • Objective: Eye movements, ear drainage, and oral cavity inspection.
    • Subjective: Any complaints of headache, blurred vision, or earaches.

  • Continue this for Respiratory, Cardiovascular, Abdominal, and other body systems, including Objective (what is observed) and Subjective (what the patient reports).

  • Erickson’s Developmental Tasks:

    • Discuss the resident’s stage based on Erikson’s stages of development (e.g., generativity vs. stagnation, integrity vs. despair). Cite reference.

  • Maslow’s Hierarchy of Needs:

    • Analyze the patient’s needs according to Maslow’s (e.g., if the resident needs physical care, safety, social connections, self-esteem, etc.). Cite reference.

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4. Nursing Process

• Analyze Abnormal Findings:

  • List three abnormal findings from your head-to-toe assessment. For example:

    1. Abnormal heart sounds.
    2. Decreased skin turgor.
    3. Abnormal lung sounds.

  • Priority Concern:

    • Choose one priority concern based on the abnormal findings. This could be something like pain management, fluid retention, or respiratory distress. Explain why it’s the top concern and how it affects the patient’s health.

  • Goal and Outcome:

    • Set a clear, specific goal for the concern. Example: “Reduce the patient’s pain level to 3/10 or lower within 2 days.” Discuss the expected outcome: whether the goal is to improve mobility, decrease pain, or improve breathing.

  • Nursing Interventions:

    • List three interventions to address the priority concern. Each should include a rationale on how it will improve the patient’s health:
      1. Administer prescribed pain medication as ordered. (Rationale: To manage pain, thus improving mobility and quality of life).
      2. Elevate the patient’s legs for edema management. (Rationale: Reduces swelling by encouraging circulation).
      3. Encourage deep breathing exercises for respiratory distress. (Rationale: Improves oxygenation and lung function).

  Cite reference for the medical rationale for each intervention.

  • Evaluation of Interventions:

    • Evaluate each intervention: Did it promote, maintain, or restore health?
      1. Did pain decrease with medication?
      2. Did swelling reduce with leg elevation?
      3. Did deep breathing exercises improve oxygen levels?

  • Goal Progression:

    • Reflect on the goal: Was it achieved? Why or why not? If not, discuss why the goal wasn’t met and whether it needs to be modified.

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APA References (Sample)

Here’s how to format your references (ensure that they are no older than five years):

• Example Journal Article Reference:

  • Smith, J., & Brown, L. (2021). Holistic nursing care for chronic illness management. Journal of Nursing Practice, 15(3), 125-134. https://doi.org/10.1016/j.jnp.2021.02.009

• Example Textbook Reference:

  • Peterson, G. L., & Green, H. (2020). Nursing care plans: A guide for the health professional (8th ed.). Elsevier.

Make sure to check the dates and follow your instructor’s guidelines on the sources you use.

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HIPAA Guidelines

• Always remember to follow HIPAA rules both in clinical settings and in documentation. Do not include any personally identifiable information (PII) or sensitive patient data in your assignment. Ensure that any information shared is generalized and anonymized.

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By following this outline and using proper APA formatting, you should be able to complete your assignment with ease. Ensure you reference all sources, provide detailed analysis, and clearly explain your nursing process and interventions.

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