Assignment 2: Project Part Two—Patterns/Challenges/Needs

Running Head: HOLISTIC CARE PHILOSOPHY 0

Holistic Care Philosophy

Tanyanika McMillian

South University

Holistic care philosophy

To offer holistic nursing care, a nurse should first develop a therapeutic care plan to determine the past and current health status along with the current needs of the patient. This paper presents the past and current health status, current concerns and coping patterns, and the emotional, physical, mental and spiritual needs of a family member whose initials are R.M and aged 55 years old.

Past and present health status

The patient was diagnosed with diabetes type 2 when he was 42 years old. With this types of diabetes, the body cells become resistant to the processes of insulin and the producing organ, does not produce enough insulin to overcome this resistance. Since the sugar is not transferred into the body cells, it accumulates in the blood resulting in increased blood sugars.

The present health status is that the client is living with diabetes and suffering from the loss of vision caused by diabetes. The loss of visions occurs due to the changes of blood vessels in the retina part of the eyes, which is the part that reads images. The patient also suffers general body weakness and loss of weight.

Present concerns

The current concerns of this patient are to identify the best ways to manage the condition and prevent the occurrence of other complications associated with diabetes. Some of these complications include heart diseases and stroke, kidney disease, damage to the body nerves, amputations and skin conditions.

Past and present coping patterns

Coping with the situation has been a challenge for the patient. Although it was tough at first, the client started by coping emotionally and did well to avoid anxiety and depression. However, depression affected him for a very long time, but he was later able to overcome it. Other past coping patterns include seeking treatment for the minor ailments, making lifestyle changes, eating healthy foods and being in a good mental health. The current coping patterns include living a healthy lifestyle, exercising physically on a regular basis, being in a good mental state, foot care, and regular eye tests.

Healing beliefs

The patient understands that diabetes is a lifetime disease and he has accepted his condition. He believes that he cannot be healed, but he can live a comfortable life with the disease without suffering from its complications.

Health values

The patient believes that having good health should be a priority in life and it is important to seek medical attention when one suffers from an illness.

Social support

The patient has been receiving good social support from his family, which made several lifestyle modifications to fit his requirements. The family has helped him in his coping patterns. The patient is also a member of a support group of other people living with diabetes.

Religious/spiritual practices

The patient is a Christian, and he states that he is strong. He also attends church regularly and believes his faith in God have contributed to his being in good health despite living with diabetes for several years.

Patient’s personal health goals

The objective of the patient is to adhere to all the recommendations from his physician in controlling the effects of the disease. He aims at preventing himself from suffering from other complications.

Summary

The physical state of the patient is good because he is coping well with the condition and he has a good mental state due to his acceptance of his condition. The patient also does well emotionally though he has reoccurrences of emotional breakdowns especially when he is weak. He is also doing well spiritual due to his involvement in his faith. However, the patient required continued social support to stabilize his emotions and encourage him to continue with his coping patterns.

References

Baillie, L., & Black, S. (2014). Professional Values in Nursing . Boca Raton: CRC Press.

NSG4065 W1A3 Rubric

	Unsatisfactory	Emerging	Proficient	Exemplary	Score
Assignment Components
Present a case file of a family member, friend, or coworker	Presented a case file but did not discuss it.	Only discussed one part of the case file.	Discussed both all parts of the case file but did not include enough details.	Thoroughly discussed all aspects of the case file.	[Score x 5 = 20 pts] 20/20
Included and discussed the interviewee’s initials, age, past and present health status and present concerns.	Included the interviewee’s initials, age, past and present health status and present concerns, but did not discuss them	Included the interviewee’s initials, age, past and present health status and present concerns but did not include discussion of each element.	Included and discussed the interviewee’s initials, age, past and present health status and present concerns, but did needs more detail.	Included and discussed the interviewee’s initials, age, past and present health status, and present concerns.	[Score x 5 = 20 pts] 20/20
Discussed the coping patterns, health values, social support, spiritual practices and personal health goals.	Listed the coping patterns, health values, social support, spiritual practices and personal health goals but did not discuss them.	Listed the coping patterns, health values, social support, spiritual practices and personal health goals, but did not discuss all elements.	Discussed the coping patterns, health values, social support, spiritual practices and personal health goals but needed more detail.	Thoroughly discussed the coping patterns, health values, social support, spiritual practices and personal health goals.	[Score x 5 = 20 pts] 20/20
Completed a summary regarding all four aspects of the patient (physical, mental, emotional, and spiritual) based on the information gained from the interview.	Completed a summary but included only one of the four aspects of the patient.	Completed a summary but included only two of the four aspects of the patient.	Completed a summary but included only three of the four aspects of the patient.	Completed a summary and included all of the four aspects of the patient.	[Score x 5 = 20 pts] 20/20
Writing Components
Organization Introduction Thesis Transitions Conclusion	Introduction is limited or missing entirely. The paper lacks a thesis statement. Transitions are infrequent, illogical, or missing entirely. Conclusion is limited or missing entirely.	Introduction is present but incomplete or underdeveloped. The paper is loosely organized around a thesis that may have to be inferred. Transitions are sporadic. Conclusion is present, but incomplete or underdeveloped.	Introduction has a clear opening, provides background information, and states the topic. The paper is organized around an arguable, clearly stated thesis statement. Transitions are appropriate and help the flow of ideas. Conclusion summarizes main argument and has a clear ending.	Introduction catches the reader’s attention, provides compelling and appropriate background info, and clearly states the topic. The paper is well organized around an arguable, focused thesis. Thoughtful transitions clearly show how ideas relate. Conclusion leaves the reader with a sense of closure and provides concluding insights.	[Score x 2 = 8 pts] 8/8
Usage and Mechanics Grammar Spelling Sentence structure	Writing contains numerous errors in spelling, grammar, and/or sentence structure that severely interferes with readability and comprehension.	Errors in spelling and grammar exist that somewhat interfere with readability and/or comprehension.	Writing follows conventions of spelling and grammar throughout. Errors are infrequent and do not interfere with readability or comprehension.	The paper is basically error free in terms of mechanics. Grammar and mechanics help establish a clear idea and aid the reader in following the writer’s logic.	[Score x 2 =8 pts] 8/8
APA Elements Attribution Paraphrasing Quotations	No attempt at APA format.	APA format is attempted to paraphrase, quote, and cite, but errors are significant.	Using APA format, accurately paraphrased, quoted, and cited in many spots throughout when appropriate or called for. Errors present are somewhat minor.	Using APA format, accurately paraphrased, quoted, and cited throughout the presentation when appropriate or called for. Only a few minor errors present.	[Score x 1 = 4 pts] 2/4
				Subtotal
Timeliness					Late Work penalty: Waived during Week 1.
				Total Score	98 / 100