Holistic Nursing and Alternative Methods

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What is holistic nursing?

All nursing practice that has healing the whole person as its goal

What is specialty practice?

Draws on nursing knowledge, theories of nursing and wholeness. Expertise and intuition in healing as a partner with the patient to facilitating healing and achieving wholeness.

What are the core values of holistic nursing?

1. Philosophy, Theory, and Ethics
2. Holistic caring process
3. Holistic communication, therapeutic environment, and cultural diversity
4. Holistic education and research
5. Holistic nurse self-care

What does core value #1 include?

Theory
Research
Evidence-based practice
Critical thinking
Reflection

What does core value #2 include?

Recognition of the totality of the human being: Interconnectedness of mind, body, emotion, spirit, society, culture, relationships, context and environment. Complementary and alternative modalities (CAM)

What does the nursing role include?

Expert clinician, facilitator of healing, consultant, coach, collaborator, educator, guide, administrator, leader, change agent, researcher, and advocate.

What does core value #3 include?

Nursing presence in authentic, caring, compassionate, and sincere.
Deep listening. "listening with the heart."
Assisting individuals to find meaning in experience.
CAM approaches to healing environment
Culture, beliefs and values inherent to holistic approach to healing
Collaborative approach to care

What does core value #4 include?

Development of evidence-based practice using research, practice guidelines, and expertise. In addition to, the person's values and healthcare practices and beliefs in practice decisions.

What does core value #5 include?

Self-care
Personal awareness
Continual focus on being an instrument of healing

What are the standards of practice 1-5?

1. Assessment
2. Diagnosis or health issues
3. Outcomes identification
4. Planning
5. Implementation

What is assessment?

Collects comprehensive data

What is diagnosis or health issue?

Analyzes the assessment data to determine the diagnosis or issues

What is outcomes identification?

Identifies outcomes for a plan individualized to the person

What is planning?

Develops a plan that identifies strategies and alternatives to attain outcomes

What is implementation?

Implements partnerships with patient

What are the standards of practice 6-10?

6. Evaluation
7.Quality of practice
8.Education
9.Professional practice evaluation
10.Collegiality

What is evaluation?

Evaluates outcomes toward progress attainment

What is quality of practice?

Systematic enhancement of quality and effectiveness of practice

What is education?

Attains knowledge and competency that reflects current nursing practice

What is professional practice evaluation?

Evaluates one's own nursing practice in relation to professional practice standards and guidelines. Includes relevant statutes, rules, and regulations

What is collegiality?

Interacts with and contributes to the professional development of peers and colleagues

What are standards of practice 11-15?

11. Collaboration
12. Ethics
13. Research
14. Resource utilization
15. Leadership

What is collaboration?

Collaborates with the person, family, and others

What is ethics?

Integrates ethical provisions in all areas of practice

What is research?

Integrates research into practice

What is resource utilization?

Considers factors related to safety, effectiveness, cost, and impact

What is leadership?

Provides leadership in the professional practice setting

What is the goal of holistic nursing?

Healing

What does it mean to heal?

To become whole

What is wholeness?

Harmony of mind, body, spirit

What are other words used for harmony?

Unity, integrity, connection, reconciliation, congruence , cohesion

What is the nurse in the process of healing?

The facilitator

What does healing emerge from?

Within patient's totality of mind/body/spirit

What may assist healing?

Therapeutic interventions

What is the healing presence of the nurse?

Guardian of the patient's journey
Keeper and bestower of information
Mediator of the system
Centered use of self

What is centering?

Intentional decision to pause and be mindful of the present moment

What is therapeutic presence?

The conscious intention to be present in a healing way

What are examples of therapeutic presence?

Caring model
First impression
Inform but not overwhelm
Be congruent
Make eye contact
Use attending actions
Listen quietly
Decrease environmental stimuli
Use caring touch
Role model calm behaviors

What is praying and meditating?

Cultural and religious traditions
Encourage expression for shared or personal practices

What is connectedness with self?

Sacred space-being in awareness and stillness

What is sacred space?

A home for the spirit

What is sacred source?

A god or something in nature

What is acceptance?

Facing that some situations cannot be changed
Letting go of resentment
Forgiveness

What is storytelling?

Draw out the person's story
Assists in finding meaning in their experience
Begin where the individual is
Active listening

What does music do?

Reduces anxiety
Decreases pain

What are the three examples of therapeutic humor?

Hoping
Coping
Gallows

What is hoping?

Laughs in spite of overwhelming circumstances (warm and gentle)

What is coping?

Humor-changes their perspective, releases tension and regains a sense of control

What is gallows?

Often used by nurses who see a lot of trauma as a means of maintaining some distance from the suffering to protect themselves from empathic pain

What are the research benefits of laughter?

Increase natural killer cells, activated T cells, IgA, gamma interferon, complement 3. Decrease stress hormones

What is meditation?

Relaxation response meditation achieves a deep level of relaxation beneficial to multiple systems of the body. Breathing in and out-conscious awareness of breathing. Breathing incorporated into Energy Healing Practices such as yoga

What is hypnosis?

Use of trance and hypnosis since ancient Egypt and Greece. "Process of therapeutic communication, awareness, and behavior within the context of a therapeutic relationship."

What is a therapeutic suggestion by the nurse in clinical settings?

"This medicine will help quiet your nervous system and help you sleep."

What is biofeedback?

Monitors body's response to stress: temperature, motor neurons, brain wave frequencies, heart rate and blood pressure.

What effects of relaxation, meditation, and biofeedback are to be considered?

1. Medication requirements may change.
2. Cryptotrauma (trauma that is hidden and unrevealed) and PTSD

What medication requirements may change?

Insulin, thyroid replacement, cardiac meds, antianxiety agents, sleep medications

What are symptoms of crptotrauma and PTSD?

Hypervigilance, difficulty sleeping, irritability or rage, concentration difficulties, addiction, flashbacks, numbing, and panic attacks

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