It would be very hard to find a nurse who saw only the physical aspect of care as that which defines nursing. We all know that when a person is hurting emotionally, all sorts of physical ailments crop up. On the other hand, physical conditions can affect the mind and spirit. The nursing profession has traditionally viewed the person as holistic, though the term itself was only introduced into the nursing literature in the 1980s by Rogers, Parse, Newman and others. Today we speak of a person as a Bio Psycho Social unit.
Restoring wholeness is a legitimate goal of nursing, and so the term 'holistic' from the Greek ‘ Holos ' meaning whole or complete, is a very appropriate way to describe what we aim to do. Yet we may not always stop to consider the full implications of that concept. Holism has been defined as "concerned with the interrelationship of body, mind and spirit in an ever changing environment". See Slide.1 The American Holistic Nurses Association define wellness (health) as “That state of harmony between body, mind and spirit". The essence of holistic care is to help a person attain or maintain wholeness in all dimensions of their being. Consequently nurses need to be prepared to provide care in each of these areas. In this Presentation I wish to consider the spiritual dimension - the nature of Spirituality (Sanctity), the needs of the spirit, and the role of the nurse in caring for the Spirit (Life force).
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject Foundation of Nursing and topic is Professional Nursing Concept And Practice. This slide is presented by Mohammed Haroon Rashid Basic B.Sc Nusing 4th Year In Florence College of Nursing
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject Foundation of Nursing and topic is Professional Nursing Concept And Practice. This slide is presented by Mohammed Haroon Rashid Basic B.Sc Nusing 4th Year In Florence College of Nursing
gud evening guys
this is descrive you that this ppt is making very simple way and i hope this will help you to understand lightky about nursing theories
Few would disagree that nursing is one of the most underrated professions in modern times. Being a nurse isn’t easy. In fact, it is a field that can be extremely demanding and even unforgiving to those who pursue it. Being around the ailing and the frazzled for long hours and dealing with them patiently day after day can be challenging, to say the least.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
Nurse-patient relationship is a supportive interaction that moves a patient toward wellness. It's based on trust, respect, interest, and empathy. Learn how to use these components to move patients through each phase of the relationship.
Holistic nurses believe that healing leads to restoring, discovering and/or recognizing one’s inherent wholeness even within the face of sickness, and death. Holistic ideas and values support nursing practice. They embody, however aren't restricted to: care, presence, intuition, comfort, deliberation, love, and compassion in addition as religious recovery and quality of life. These ideas and values want exploration so as to know, refine and clarify however they support the healing method. Holistic Nursing analysis develops data and assists in providing the follow primarily based proof that's required to rework health care into holistic care. This needs dedication to developing and fostering resources that assist in making, deciphering and conducting holistic analysis. We have a tendency to believe that each one holistic nurse will participate in analysis by move queries, consistently grouping data to answer those queries, and implementing the results.
gud evening guys
this is descrive you that this ppt is making very simple way and i hope this will help you to understand lightky about nursing theories
Few would disagree that nursing is one of the most underrated professions in modern times. Being a nurse isn’t easy. In fact, it is a field that can be extremely demanding and even unforgiving to those who pursue it. Being around the ailing and the frazzled for long hours and dealing with them patiently day after day can be challenging, to say the least.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
Nurse-patient relationship is a supportive interaction that moves a patient toward wellness. It's based on trust, respect, interest, and empathy. Learn how to use these components to move patients through each phase of the relationship.
Holistic nurses believe that healing leads to restoring, discovering and/or recognizing one’s inherent wholeness even within the face of sickness, and death. Holistic ideas and values support nursing practice. They embody, however aren't restricted to: care, presence, intuition, comfort, deliberation, love, and compassion in addition as religious recovery and quality of life. These ideas and values want exploration so as to know, refine and clarify however they support the healing method. Holistic Nursing analysis develops data and assists in providing the follow primarily based proof that's required to rework health care into holistic care. This needs dedication to developing and fostering resources that assist in making, deciphering and conducting holistic analysis. We have a tendency to believe that each one holistic nurse will participate in analysis by move queries, consistently grouping data to answer those queries, and implementing the results.
Running Head PERSONAL PHILOSOPHY OF NURSINGPERSONAL PHILOSOPHY .docxgemaherd
Running Head: PERSONAL PHILOSOPHY OF NURSING
PERSONAL PHILOSOPHY OF NURSING
Personal Philosophy of Nursing
Personal Philosophy of Nursing
Keeping in mind the end goal to compose a philosophy of nursing, I trust that initial one must choose what philosophy intends to nurse practitioners. I think Meehan, (2012) expressed it best when she stated that philosophy is an approach toward life and realism that advances from every nurse practitioner convictions. This explanation gives me the opportunity to apply my own convictions. I don't need to acknowledge what another person has chosen. Scientists have been debating for quite a long time whether nursing is an art or a science. For what reason would it be able to not be both? I trust that to be a successful nurse practitioner someone must have the capacity to give the "art" of caring, and have the ambition to proceed to achieve and use the knowledge of "science" all through nursing profession. According to Jasmine (2009), nursing can be recognized as both science and art, in which caring formulates the nursing’s theoretical framework. Nursing and caring are based on a relational unity, understanding, and association between the patient and professional nursing. This idea is also echoed by Rose and Whitman (2003) in their article Using Art to Express a Personal Philosophy of Nursing. Whitman and Rose (2003) argue that one approach of isolating the influential and sensitive parts of nursing is to manage caring as the art of nursing. Without caring, the nurses and nurse practitioners can't unite with the patient. On the off chance that the practitioner can't unite, confidence won't develop. Without this faith in connection, helpful nursing won't occur. In this manner caring is at the focal point of all-effective nursing experiences. This isn't to make light of the worth of science. A proficient medical practitioner must have the capacity to utilize technical means accessible. The nursing practitioner ought to know about the life structures and physiology of the human body, pathology and recent rules for pharmacological treatment. This is a consistently changing body on learning. Science likewise incorporates the ability required to perform specialized undertakings. Nurse Educator model clarifies the science behind proficiency achievement. As medical practitioners we are all on a field to accomplish "expertise" in to each of the seven domains of skills.
As a nurse, I should first consider the idea of individuals. A man is substantially more than a person made through genomic technology and environmental impacts. They are considerably more prominent than the whole of his or her parts. They are a portion of the family, philosophy and society. I trust that adopting a patient focused strategy enables all people to be tended to, regarded and urged to achieve their maximum capacity. It is fundamental that the nurse practitioner perceive culture assorted range and racial variations, endeavoring to tre ...
Nursing as a profession
Philosophy, nursing practice
Aims and objectives
Characteristics of a professional nurse
Current trends and issues in Nursing.
Regulatory bodies; INC,SNC acts: constitution, functions
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Most people make the mistake of thinking that the surya namaskar is just one pose of yoga. Some people even have this misconception that sun salutation is merely for spiritual purposes. But in reality, surya namaskar has different poses and is a complete workout for your entire body. All the different poses of the surya namaskar have their own benefits.
Success is goals and all else is commentary
Success is goals and all else is commentary. This is the great discovery throughout all of human history.
Your life only begins to become a great life when you
1. Clearly identify what it is that you want,
2. Make a plan to achieve it and then
3. Work on that plan every single day.
“The primary reason for failure is that people do not develop new plans to replace those plans that didn’t work.”
The three turning points in my life were these:
First
Discover Self.
I discovered that I was responsible for my life, and for everything that happened to me.
I learned that this life is not a rehearsal for something else. This is the real thing.
In every study of successful people, the acceptance of personal responsibility seems to be the starting point.
Before that, nothing happens. After you accept complete responsibility, your whole life begins to change.
Second
Discovery of goals.
The second turning point for me, which came when I was 24 years old, was my discovery of goals.
Without really knowing what I was doing, I sat down and made a list of 10 things I wanted to accomplish in the foreseeable future. I promptly lost the list. But 30 days later, my whole life had changed. Almost every goal on my list had already been achieved or partially achieved. The third turning point in my life came when I discovered that
“You can learn anything you need to learn to accomplish any goal you can set for yourself.”
Third
No one is smarter than you and no one is better than you.
All business skills, sales skills and moneymaking skills are learnable. Everyone who is good in any area today was once poor in that area. The top people in every field were at one time not even in that field and didn’t even know that that field existed. And what hundreds of thousands of other people have done, you can do as well.
The Goal-Setting Process 1.
Decide exactly what you want in every key area of your life.
Start off by Idealizing. Imagine that there are no limitations on what you can be, have or do. Imagine that you have all the time and money, all the friends and contacts, all the education and experience that you need to accomplish any goal you can set for yourself. Imagine that you could wave a magic wand and make your life perfect in each of the four key areas of life. If your life was perfect in each area, what would it look like?
1. INCOME – how much do you want to earn this year, next year and five years from today?
2. FAMILY – what kind of a lifestyle do you want to create for yourself and your family?
3. HEALTH – how would your health be different if it was perfect in every way?
4. NET WORTH – how much do you want to save and accumulate in the course of your working lifetime?
Three Goal Method – in less than 30 seconds, write down your three most important goals in life, right now.
Write quickly. Whatever your answer to this “Quick List Method
The five that Peter Senge identifies are said to be converging to innovate learning organizations. They are:
1. Systems thinking
2. Personal mastery
3. Mental models
4. Building shared vision
5. Team learning
He adds to this recognition that people are agents, able to act upon the structures and systems of which they are a part. All the disciplines are, in this way, ‘concerned with a shift of mind from seeing parts to seeing wholes, from seeing people as helpless reactors to seeing them as active participants in shaping their reality, from reacting to the present to creating the future’ (Senge 1990: 69). It is to the disciplines that we will now turn.
Systems thinking – the cornerstone of the learning organization
A great virtue of Peter Senge’s work is the way in which he puts systems theory to work. The Fifth Discipline provides a good introduction to the basics and uses of such theory – and the way in which it can be brought together with other theoretical devices in order to make sense of organizational questions and issues. Systemic thinking is the conceptual cornerstone (‘The Fifth Discipline’) of his approach.
Learning Organization.
Where people continually expand their capacity to create the results they truly desire
Where new patterns of thinking are nurtured
Where collective aspiration is set free
Where people are continually learning to see the whole together
“When you ask people about what it is like being part of a great team, what is most striking is the meaningfulness of the experience. People talk about being part of something larger than themselves, of being connected, of being generative.”
Softskill training Connecting Classroom to careersVasudevan BK
Soft Skills Are:
Skills, abilities and traits that pertain to personality, attitude, and behavior
Soft Skills Are Not:
Formal or technical knowledge
Soft skill is the ability
required and expected
from persons for finding
a suitable job, its
maintenance and
promotion
Esteem is a simple word. It is worth and value that we apply to people, places, and situations. It is the amount of respect we assess. We have esteem for our world leaders. We have esteem for places like church and synagogue. We have esteem for an exemplary performance whether it is in sports, acting, or simply doing the right thing.
But the most important place we need to apply esteem is within ourselves. We must maintain our self-esteem in order to place value on ourselves as a worthy individual in the world.
Self-esteem can affect every single part of our lives. If our esteem is low, our lives will be dull and gray. Elevating esteem for ourselves is a crucial key to happiness in life.
Most people's feelings and thoughts about themselves fluctuate somewhat based on their daily experiences. The grade you get on an exam, how your friends treat you, ups and downs in a romantic relationship – all can have a temporary impact on your well-being.
Your own self-esteem, however, is something more fundamental than the normal "ups and downs" associated with situational changes. For people with healthy basic self- esteem, normal "ups and downs" may lead to temporary fluctuations in how they feel about themselves, but only to a limited extent. In contrast, for people with poor basic self-esteem, these "ups and downs" may make all the difference in the world.
People with poor self-esteem often rely on how they are doing in the present to determine how they feel about themselves. They need positive external experiences to counteract the negative feelings and thoughts that constantly plague them. Even then, the good feeling (from a good grade, compliment from a boss, loving words from a family member or friend, etc.) can be temporary.
Healthy self-esteem is based on our ability to assess ourselves accurately (know ourselves) and still be able to accept and to value ourselves unconditionally. This means being able to realistically acknowledge our strengths and limitations (which is part of being human) and at the same time accepting ourselves as worthy and worthwhile without conditions or reservations.
What we want to do is help you raise your self-esteem to levels that will enhance your life and the way you view life. It can make a tremendous difference in your quality of life. Learning techniques to raise self-esteem can be taught and put into practice in just a few days. However, it will take commitment and consistent practice to keep your healthy self-worth nurtured and nourished in your daily life.
We can show you how to improve your self-esteem in just one weekend! Three short days applying the information in this book and you will be on your way to healthy self-esteem as your life becomes the bright place it is meant to be.
Personalities is the sum total of individual’s Psychological traits, characteristics, motives, habits, attitudes, beliefs and outlooks.
Personality is generally defined as the deeply ingrained and relatively enduring patterns of thought, feeling and behavior. In fact, when one refers to personality, it generally implies to all what is unique about an individual, the characteristics that makes one stand out in a crowd.
Systems Thinking is a way of seeing and talking about reality that helps us better understand and work with organization and communities to influx the quality of our lives.
10 things you must give up to move forwardVasudevan BK
Succes is essential for all in this world.To know more see this ppt., if followed you can be rest assured to be successful.No one can stop you from achieving success.
Visualize every point while you go through.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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1. Holistic Nursing
1
• Holistic nurses believe that the human
being, composed of a Mind, Body and
Soul integrated into an inseparable
whole that is greater than the sum of the
parts, is in constant interaction with the
universe and all that it contains.
• Health and well-being depend on
attaining harmony in these relationships.
• Healing is the journey toward Holism.
Using Presence, Intent, Unconditional
Acceptance, Love, and Compassion
(Consideration), holistic nurses can
facilitate growth and healing and help
their clients to find meaning in their life
experiences, life purpose, and reason for
being.
6. Holism and health
• Come from the root as Heal,
Whole and Holy.
• Health is the state or
process in which the
individual experiences as a
sense of well-being,
harmony, and unity, where
subjective experiences
about health, health beliefs,
and value are honored.
(Dossey & Guzzetta, 2005)
Holistic Nursing: A Handbook
for Practice Barbara
Montgomery Dossey,Lynn
Keegan,Cathie E. Guzzetta
Snippet view - 2005 ...
Cathie Guzzetta & Barbara
Dossey:
Guiding critical care nurses on
the body-mind-spirit journey.
7. 1. Traditional model:
Natural System Theory
• Provide a way of
comprehending
Interconnectednes
s of Natural
structures in the
universe.
• The goal of health
care is to decrease
the many different
disturbances and
stressors caused
by person’s illness.
8. Pattern of Natural Systems
Components
• System
• Organs
• Cells
• Organelles
• Molecules
• Atoms
• Subatomic particles
9. 2. Holistic model:
Bio-Psycho-Social-Spiritual Model
This model, all disease has a
• Psychosomatic (Mentally induced)component, and
• Spiritual (relating to the Soul or Spirit),
usually in contrast to material things or factors always contribute to
patient’s symptoms,disease,or illness (Dossey, 1997)
• Each component is interdependent and interrelated
• It is necessary to address all these components to achieve optimal
therapeutic results
• Diagrammatic representation in next slide
11. Traditional paradigm
The emergent paradigm of health
New paradigm (Holistic)
Treatment of symptoms
Emphasis on efficiency
Professional should be
emotionally neutral
Pain and disease are wholly negative
Primary intervention with drugs, surgery
Disease or disability seen as entity
Emphasis on eliminating
symptoms and disease
Patient is dependent
Professional is authority
Mind is secondary factor in organic
illness etc
Search for patterns and cause plus treatment of symptom
Emphasis of human values
Professional’s caring is a component of healing
Pain and disease may be valuable signals of internal
conflicts
Minimal intervention with appropriate technology,
complemented, noninvasive
Disease or disability seen as process
Emphasis on achieving maximum body- mind health
Patient is autonomous
Professional is therapeutic partner
Mind is primary factor in all illness etc
12. What is Holistic Nursing?
Florence Nightingale
Florence
Nightingale, byname
Lady with the Lamp,
(born May 12,
1820, Florence [Italy]—died
August 13, 1910, London,
England), British nurse,
statistician, and social
reformer who was the
foundational philosopher of
modern nursing.
Who believed in care that
focused on unity, wellness,
and the interrelationship of
human beings and their
environment, is considered to
be one of the first holistic
nurses.
13. • Holistic nursing is generally
defined as all nursing
practice that has healing the
whole person as its goal.
• A holistic nurse is a licensed
nurse who takes a “mind-
body-spirit-emotion-
environment” approach to the
practice of traditional
nursing.
• Holistic nursing is based on a
philosophy of living and being
that is grounded in caring,
relationship, and
interconnectedness.
• A holistic nurse recognizes
and integrates the principles
and modalities of holistic
healing into daily life and
clinical practice.
• Holistic nursing encourages
nurses to integrate self-care,
self-responsibility, spirituality,
and reflection in their lives.
What is Holistic Nursing? …Contd.
14. What is the history of holistic nursing?
Present-day holistic nursing is based on the work of Florence Nightingale. It
was not until the mid-20th century that nursing began to emerge as a
profession and became linked to developments in western medicine. Since
1970, many nurse scholars have described nursing as being concerned with
the whole person. Dossey developed a theory of nursing that includes an
integral worldview that builds upon a solid holistic, integrated, and
multidimensional theoretical nursing foundation. Unlike previous theories of
nursing, this theory serves to explain the function of the inner world of the
nurse as a vital component of nursing practice.
These and other influences, such as research linking the mind and body and
an emphasis on patient-centered care, have affected the development of
holistic nursing. The American Holistic Nurses Association (AHNA) was
founded in 1980 to serve as a voice for holistic nurses and to promote the
education of nurses and others in the philosophy, practice, and research of
holistic caring and healing. The American Holistic Nurses Certification
Corporation (AHNCC) was founded in 1997 to credential holistic nurses.
AHNCC has a collaborative relationship with AHNA to advance the role of
holistic nursing and to provide educational opportunities in holistic nursing.
15. Is holistic nursing a specialty practice?
The American Nurses Association (ANA) officially recognized holistic
nursing as a specialty area of nursing practice in 2006. Specialty
status provides holistic nurses with a foundation for practice. It
provides a clear depiction of who we are to the rest of the world of
nursing, other healthcare professionals, and the public.
• Holistic nursing is a specialty practice that draws on nursing
knowledge, theories, expertise and intuition to guide nurses in
becoming therapeutic partners with people in their care.
• This practice recognizes the totality of the human being – the
interconnectedness of body, mind, emotion, spirit, social / cultural,
relationship, context, and environment.
What is Holistic Nursing? Contd.
16. Holistic Nursing
• All help with nursing practice the goal is to help recovery of
someone thoroughly
• Nurses see patients as humans in total
where there is a connection between
body, mind, emotion, social / culture,
spirit, relations, context and environment
(American Holistic Nurses’ association)
• The holistic nurse is an instrument of healing and a facilitator in
the healing process.
• Holistic nurses honor each individual's
subjective experience about health,
health beliefs, and values.
17. • Holistic nurses may
integrate:
Complementary/Alternati
ve Therapy (CAT) into
clinical practice to treat
people’s physiological,
psychological, and
spiritual needs.
Holistic Nursing
18. Holistic Nursing
Nurse as Instrument of Healing
The objective is to help clients call forth
their inner resources for healing
The nurse must develop the following
attributes.
*Knowledge base
*Intentionality
*Respect for differences
*Ability to model wellness.
19. Holistic Nursing
Doing so does not negate
• The validity of conventional medical therapies, but
Serves to complement, broaden, and enrich the scope
of nursing practice and
• To help individuals access their greatest healing
potential.
20. Complementary and Alternative Therapy
• The terms Complementary and Alternative are often
used interchangeably , but they are equivalent in
meaning.
• Complementary implies a therapy used in conjunction
with a conventional one.
• Alternative therapy refers to one that is utilized
instead of conventional treatment
21. Complementary and Alternative
Therapy (CAT)
Many Americans use Complementary and
Alternative Therapy (CAT) in pursuit of health
and well-being.
The 2007 National Health Interview Survey
(NHIS), which included a comprehensive survey
of CAT use by Americans, showed that
approximately 38 percent of adults use CAT
22. Defining CAT
Defining CAT is difficult, because the field is very broad
and constantly changing.
CAT is defined as a group of diverse medical and
health care systems, practices, and products that are
not generally considered part of conventional medicine.
23. Conventional medicine
Conventional medicine (also called Western or
allopathic medicine) is medicine as practiced by
holders of M.D. (Medical Doctor) and D.O. (Doctor of
Osteopathic Medicine) degrees and by allied health
professionals, such as physical therapists,
psychologists, and registered nurses.
24. Complementary medicine
"Complementary medicine" refers to use of CAT together
with conventional medicine, such as using accupuncture
in addition to usual care to help lessen pain.
Most use of CAT by Americans is complementary.
"Alternative medicine" refers to use of CAT in place of
conventional medicine.
25. Integrative medicine
"Integrative medicine" combines treatments from
conventional medicine and CAT for which there is
some high-quality evidence of safety and
effectiveness.
It is also called integrated medicine
26. Types of Complementary Alternative Therapy
Alternative Therapies are organized in 7 categories:
1.Natural products
2.Mind-body intervention
3.Manipulative and Body-Based Practices
4.Energy therapy
5.Alternative system of medical practice
6.Pharmacologic and biological treatment
7.Diet and nutrition
27. Natural products
Includes use of a variety of
Herbal medicines (also
known as botanicals),
vitamins, minerals, and
other "natural products”.
Many are sold over the
counter as dietary
supplements e.g., taking
a multivitamin to
meet minimum daily
nutritional requirements or
taking calcium to promote
bone health.
Also include probiotics
that available in foods
(e.g., yogurts)
28. Mind-body intervention
Mind and body practices focus on the
interactions among the brain, mind, body,
and behavior, with the intent to use the
mind to affect physical functioning and
promote health.
For example meditation, guided imagery,
hypnotherapy, deep-breathing exercise,
relaxation, tai chi, etc
29. Manipulative and Body-
Based Practices
Manipulative and body-based practices focus
primarily on the structures and systems of the
body, including the bones and joints, soft
tissues, and circulatory and lymphatic systems.
Commonly used therapies
1.Spinal manipulation
2.Massage therapy
30. Energy therapy
Involve the use of energy fields
Two types:
• Bio field therapies and
• penetrate the human body.
Practices based on putative energy fields (also
called biofields) generally reflect the concept that
human beings are infused with subtle forms of
energy; Reiki, and healing touch/Therapeutic
touch are examples of such practices
31. Alternative system of medical
practice
They are built upon complete system of theory and
practice.
These system have evolved apart from and earlier
than the conventional medical approach used in
the United States.
For example:
1.Acupuncture,
2. Indian Ayurveda
3.Chinese medicine, etc
32. Pharmacologic and biological treatment
These include substance that are used like
certain pharmaceuticals.
For example shark cartilage therapy for cancer
and chelation therapy for coronary artery
disease , etc
33. Diet and nutrition
Hippocrates said that food should be used
as medicine.
This category include research on the effects of
diet and dietary supplements on the treatment
and prevention disease.
34. Standard of holistic nursing
practice
The AHNA (American Holistic Nurses' Association)
standards of holistic nursing practice (AHNA, 2003),
reflects the five core values of holistic nursing.
Each of core values has an accompanying description
and standard of practice action statements.
35. Standard of holistic nursing
practice
The standard describe a diversity of nursing
activities in which holistic nurses are engaged.
They are based on the philosophy that
nursing is an art and a science for which the
primary purpose is to provide services that
enable individuals, families, and communities to
achieve their inherent wholeness.
36. The Five Core Values of AHNA
1 Holistic philosophy, theories and ethics
2 Holistic education and research
3 Holistic nurse self care
4 Holistic communication, therapeutic environment,
and cultural
5 Holistic caring process
37. Core 1:
Holistic philosophy, theories and ethicsEmphasizes that care holistic based on a
Framework Philosophy and Commitment
to
Education, Reflection and
Knowledge
38. Core 2:Holistic education and research
Emphasizes that care
professionalism is
based on theory,
informed by research
and based on ethical
principles
as
competent practice
instructions.
39. Core 3: Holistic nurse self care
The belief
that nurses
must be
involved in
self care for
improved
health and
awareness
personal so
the nurse
can serve
others as a
tool for one's
healing
process
40. Core 4: Holistic communication, therapeutic
environment and cultural competency
Nurses need to work
together with client to
determine goals for
healing health
41. Core 5: Holistic caring process
Emphasize development to utilize the assessment
and therapeutic care that refers to patterns,
problems and needs of clients and a supportive
environment the healing process of the patient
42. 1.1 Standard of Practice: Holistic philosophy
Recognize the person’s capacity for self-healing
and the importance of supporting the natural
development and unfolding of that capacity.
Support, share, and recognize expertise and
competency in holistic nursing practice that is
used in many diverse clinical and community
settings.
Participate in person-centered care by being a
partner, coach, and mentor who actively listens
and supports others in reaching personal goals.
43. Standard cont..
Focus on strategies to bring harmony, unity,
and healing to the nursing profession.
Communicate with traditional health care
practitioners about appropriate referrals to
other holistic practitioners when needed.
Interact with professional organizations in a
leadership or membership capacity at local,
state , national, and international levels to
further expand the knowledge and practice of
holistic nursing and awareness of holistic
health issues.
44. 1.2 Standard of practice holistic theory
Strive to use nursing theories to develop holistic
nursing practice and transformational
leadership.
Interpret, use, and document information
relevant to a person’s care according to a
theoretical framework.
45. 1.3 Standard of practice holistic ethics
Identify the ethics of caring and its
contribution to unity of self, others, nature,
and God/Life Force/Absolute/Transcendent as
central to holistic nursing practice.
Integrate the standards of holistic nursing
practice with applicable state laws and
regulations governing nursing practice.
46. Standard cont.
Engage in activities that respect, nurture, and
enhance the integral relationship with the
earth, and advocate for the well-being of
the
global community’s economy, education, and
social justice.
Advocate for the rights of patients to have
educated choices in their plan of care.
47. Standard cont.
Participate in peer evaluation to ensure
knowledge and competency in holistic
nursing practice.
Protect the personal privacy and
confidentiality of individuals, especially
with health care agencies and managed care
organizations.
48. 2.1 Standard of practice holistic education
Participate in activities of continuing
education and related fields that have
relevance to holistic nursing practice.
Identify areas of knowledge from
nursing and various fields such as
biomedical, epidemiology, behavioral
medicine, cultural and social theories.
49. Standard of practice holistic education cont…
Continually develop and standardize
holistic
nursing guidelines, protocols and practice
to
promote competency in holistic nursing
practice and assure quality of care to
individuals.
Use the results of quality care activities to
initiate change in holistic nursing practice.
May seek certification in holistic nursing as one
means of advancing the philosophy and practice
of holistic nursing.
50. 2.2 Standard of practice Holistic
Nursing and Related Research
Use available research and evidence from
different explanatory models to mutually create a
plan of care with a person.
Use expert clinical judgment to select
appropriate interventions.
Discuss holistic application to
clinical
situations where rigorous research
has not been done.
51. Standard of practice Holistic Nursing
and Related Research cont…
Create an environment conducive to
systematic
inquiry into healing and health issues by
engaging in research or supporting and utilizing
the research of others.
Disseminate research findings at meetings
and
through publications to further develop the
foundation and practice of holistic nursing.
Provide consultation services on holistic
nursing interventions to persons and
communities based on research.
52. 3.1 Standards of Practice Holistic Nurse Self-care
Recognize that a person’s body mind-spirit
has healing capacities that can be
enhanced and supported through self-care
practices.
Identify and integrate self-care strategies
to
enhance their physical, psychological,
sociological, and spiritual well-being.
Recognize and address at-risk health
patterns
and begin the process of change.
53. Holistic Nurse Self-Care Standards of Practice cont…
Consciously cultivate awareness and
understanding about the deeper meaning,
purpose, inner strengths, and connections with self,
others, nature, and God/Life Force/Absolute/Transcendent.
use clear intention to care for self and to seek a
sense of balance, harmony, and joy in daily life.
participate in the evolutionary holistic process
with the understanding that crisis creates
opportunity in any setting.
54. 4.1 Holistic Communication Standards of Practice
Develop an awareness of the most
frequently
encountered challenges to holistic
communication.
Increase therapeutic and cultural
competence
skills to enhance their effectiveness through
listening to themselves and others.
Explore with each person those strategies
that
can assist her/him, as desired, to understand the
deeper meaning, purpose
55. Holistic communication standard cont…
Recognize that holistic communication
and awareness of individuals is a
continuously evolving multilevel Exchange
Respect the person’s health trajectory which
may be incongruent with conventional
wisdom.
56. 4.2 Therapeutic Environment Standards of Practice
Promote environments conducive to
experiencing healing, wholeness and
harmony, and care for the person in as healthy an
environment as possible.
Work toward creating organizations that
value
sacred space and environments that enhance
healing.
Integrate holistic principles, standards,
policies
and procedures in relation to
environmental
safety
57. Therapeutic Environment Standards of Practice cont…
Recognize that the well-being of the
ecosystem of the planet is a prior determining
condition for the wellbeing of the human.
Promote social networks and social
environments where healing can take place.
58. 4.3 Cultural Diversity Standards of Practice
Assess and incorporate the person’s
cultural practices, values, beliefs, meanings
of health, illness, and risk behaviors in care and
health education.
Use appropriate community resources and
experts to extend their understanding of
different cultures.
59. Cultural diversity standard cont…
Assess for discriminatory practices and
change as necessary
Identify discriminatory health care
practices as they impact the person and
engage in effective non-discriminatory
practices.
60. 5.1 Assessment Standards of Practice
Use an assessment process including
appropriate traditional and holistic methods
to systematically gather information.
5.2 Patterns/need
5.3 Outcomes
61. 5.4 Standards of Practice therapeutic care plan
Partner with the person in a mutual
decision process to create a health care plan
for each pattern/challenge/need or opportunity
to enhance health and well-being.
Use skills of cultural competence and
communicate acceptance of the person’s
values, belief, culture, religion, and socioeconomic
background.
62. 5.5 Implementation Standards of Practice
Implement the mutually created plan of
care within the context of assisting the
person towards the higher potential of
health and well-being.
Use holistic nursing skills in
implementing care including cultural
competency and all ways of knowing.
63. 5.6 Evaluation Standards of Practice
Collaborate with the person and with other
health care team members when appropriate in
evaluating holistic outcomes.
Explore with the person her/his
understanding
of the cause of any significant deviation
between the responses and the expected
outcomes.
Mutually create with the person and other
team
members a revised plan if needed.
Editor's Notes
It would be very hard to find a nurse who saw only the physical aspect of care as that which defines nursing. We all know that when a person is hurting emotionally, all sorts of physical ailments crop up. On the other hand, physical conditions can affect the mind and spirit. The nursing profession has traditionally viewed the person as holistic, though the term itself was only introduced into the nursing literature in the 1980s by Rogers, Parse, Newman and others. Today we speak of a person as a Bio Psycho Social unit.
Restoring wholeness is a legitimate goal of nursing, and so the term 'holistic' from the Greek ‘ Holos ' meaning whole or complete, is a very appropriate way to describe what we aim to do. Yet we may not always stop to consider the full implications of that concept. Holism has been defined as "concerned with the interrelationship of body, mind and spirit in an ever changing environment". See Slide.1 The American Holistic Nurses Association define wellness (health) as “That state of harmony between body, mind and spirit". The essence of holistic care is to help a person attain or maintain wholeness in all dimensions of their being. Consequently nurses need to be prepared to provide care in each of these areas. In this Presentation I wish to consider the spiritual dimension - the nature of Spirituality (Sanctity), the needs of the spirit, and the role of the nurse in caring for the Spirit (Life force).
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The term “psychosomatic disorder” is mainly used to mean “a physical disease that is thought to be caused, or made worse, by mental factors.” ... Some physical diseases are thought to be prone to be made worse by mental factors such as stress and anxiety.
Some people also use the term, 'psychosomatic disorder,' when mental factors cause physical symptoms, but where there is no physical disease. A chest pain; for example, might be caused by stress and no physical disease is found.
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Realms-----*an area of interest or activity
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Narcotics (Tranquilizers) https://news.nationalgeographic.com/news/2010/04/100426-natural-morphine-drugs-humans-mice/
Serotonin (a chemical derived from the amino acid tryptophan and widely distributed in tissues. It acts as a neurotransmitter, constricts blood vessels at injury sites, and may affect emotional states. Formula: C10H12N2O)
Adrenalin (Adrenaline is released into the body of someone feeling extreme emotions, which causes the person to have more energy. Hormone Health Network explains it here!)
(An adrenaline rush is an extremely intense feeling. Adrenaline is a natural hormone that is produced by the body and secreted throughout the body when you undergo some type of traumatic experience.
Norepinephrine (A hormone, secreted by the adrenal gland and similar to epinephrine, that is the principal neurotransmitter of sympathetic nerve endings supplying the major organs and skin. It increases blood pressure and rate and depth of breathing, raises the level of blood sugar, and decreases the activity of the intestines.)
Stored Blood Sugar (The blood sugar level, blood sugar concentration, or blood glucose level is the amount of glucose present in the blood of humans and other animals. Glucose is a simple sugar and approximately 4 grams of glucose are present in the blood of a 70-kilogram (150 lb) human at all times. The body tightly regulates blood glucose levels as a part of metabolic homeostasis.)
Insulin (a hormone produced in the pancreas that regulates the level of glucose in the blood)
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Organelles (A specialized part of a cell that has its own function, e.g. the nucleus or the mitochondrion)
Molecules (The smallest physical unit of a substance that can exist independently, consisting of one or more atoms held together by chemical forces)
Atoms (the smallest portion into which an element can be divided and still retain its properties, made up of a dense, positively charged nucleus surrounded by a system of electrons. Atoms usually do not divide in chemical reactions except for some removal, transfer, or exchange of specific electrons)
Subatomic particles (Occurring as part of an atom, or smaller than an atom)
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Transcendence…. (In religion, transcendence refers to the aspect of a god's nature and power which is wholly independent of the material universe, beyond all physical laws. This is contrasted with immanence, where a god is said to be fully present in the physical world and thus accessible to creatures in various ways. In religious experience transcendence is a state of being that has overcome the limitations of ...)
Trauma…. (an extremely distressing experience that causes severe emotional shock and may have long-lasting psychological effects)
Ethics……(a system of moral principles governing the appropriate conduct for a person or group)
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Holistic…….(Taking into account all of somebody's physical, mental, and social conditions in the treatment of illness)
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Sea of Tranquility : the motion and disturbance of a large body of water such as the ocean, or the waves themselves
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