The document discusses a holistic care philosophy for a diabetic patient, focusing on their health status, coping patterns, and support systems. It highlights the patient's acceptance of their condition, their emotional and spiritual well-being, and the importance of social support in managing diabetes. The paper emphasizes that maintaining a healthy lifestyle and adhering to medical recommendations are crucial for preventing complications.

1. Running Head: HOLISTIC CARE PHILOSOPHY
1
HOLISTIC CARE PHILOSOPHY
5
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

2. 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

3. 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. Comment by Kristy Carlisle:

4. Professional values in nursing. Comment by Kristy
Carlisle: I do not see this reference mentioned in the content of
your paper. Please give this source credit for items in your
paper in order to list t here on your references page.
NSG4065 W1A3 Rubric
Unsatisfactory
1
Emerging
2
Proficient
3
Exemplary
4
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

5. 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.

6. 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.

7. 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

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

9. 98 / 100
Rubric
Unsatisfactory
1
Emerging
2
Proficient
3
Exemplary
4
Score
Assignment Components
Summarize and discuss the Case Study interview in a short 1-2
paragraph introduction.
Mentioned the Case Study interview, but did not discuss it.
Only discussed one part of the Case Study interview.
Discussed the Case Study interview, but did not include enough
details.
Thoroughly discussed all aspects of the Case Study Interview.
[Score x 5 = 20 pts]
Identified one pattern, need, or challenge for all four parameters
of the person interviewed.
Identified a pattern, need or challenge for only one parameter of
the person interviewed.
Identified a pattern, need or challenge for only two parameters
of the person interviewed.
Identified a pattern, need or challenge for only three parameters
of the person interviewed.

10. Thoroughly identified one pattern, need, or challenge for all
four parameters of the person interviewed.
[Score x 7 = 28 pts]
Compared and contrasted the Nursing Process and the Holistic
Care Process in identifying the rationales of the diagnoses.
Included five aspects of comparison.
Compared and contrasted the Nursing Process and the Holistic
Care Process in identifying the rationales, but did not include
any of the aspects of comparison.
Compared and contrasted the Nursing Process and the Holistic
Care Process in identifying the rationales, only included limited
discussion of the aspects of comparison.
Compared and contrasted the Nursing Process and the Holistic
Care Process in identifying the rationales, but did not include
enough details of the aspects of comparison.
Thoroughly compared and contrasted the Nursing Process and
the Holistic Care Process in identifying the rationales of the
diagnoses.
[Score x 8 = 32 pts]
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.

11. 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]
Usage and Mechanics
Grammar
Spelling
Sentence structure
Writing contains numerous errors in spelling, grammar, and/or

12. 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 =8pts]
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]

13. Subtotal
Timeliness
Late Work penalty:
Total Score
/ 100