2. • Nursing profession emerge as a healing
act which offer comfort, compassion
(sympathy or understanding), support,
and caring
• Nurse a actively engage in the patient’s
dance of healing by touching, guiding,
coaching, and helping through various
steps.
3. • The characteristics of nurse that
involve healing are: presence,
availability, connections and models of
holism
• Presence: nurse should be present and
available with patient despite the busy
working environment, s/he is with them
giving full attention, use sense to detect
what they say and not to say,
4. • Availability: nurse healer provide time and
space for client to express their concern
• Connection: the nurse engage with the
patient’s by openness, respect, acceptance, and
non judgmental attitudes. Nurse learn about the
client’s uniqueness, by knowing their life stories,
which makes the nurse to share his or her
experience sometimes.
5. • Models of holism: it is by considering the
emotional and spiritual needs of client in
addition to physical needs
6. Self care and nurturing
• Some nurses compromise their ability to
care for others when they do not care for
themselves.
• They know the positive health care
practices e.g: rest, comfort,
safety,,,,,,,,,,,,,,,,but they do not apply their
knowledge to their personal life.
7. • Periodic checkup is needed to know the
presence of any problems the might affect
the care of clients or threaten personal
problems.
• Then corrective action to improve the
health is needed.
9. • Relationship: nurse should remember the
value of personal relationship by giving
attention to significant other relationships.
It is by putting schedule for dining out with
family or blocking afternoon for to visits
family is very important.
10. • Spirituality: nurse enhance spiritual
connection through praying, fasting, holy
Quran, practicing days of silence,,,,,,,,,,,,,,
• Connection with self: it is self care which
start with self appraisal. It is by journaling,
meditations, and taking retreats,,,,,,,
11. • Sharing life experiences: how it is important
• Journaling: is writing present personal notes of
thoughts, feeling to encourage others to reflect
on it and learn from it.
• Meditations: is relaxation in quite area and
comfortable position,
• Taking retreats: is taking off days to do nothing,
just to care about self by praying or journaling,
unplugging phones, turning of computers, it
helps in refreshments to give others the needed
care,
13. • More than 80 % of elderly has chronic
disease
• Major chronic disease is illustrated in box
34-1 p
14. Living in a harmony with
chronic
• conditions p 457 e.g: arthritis, HTN, visual,
• Goals of chronic care: see the given
exercise
15. Assessment of chronic care needs:
• Nurse should review:
1. the individuals capacity to fulfill each health
related requirement, and
2. person capacity to meet the demands
imposed by illness and
3. assessment of family member to help in
providing care,
• Then a plan should be written after identifying
the long and short term goals to ensure that all
are going to same direction of care.
16. Alternative therapies or
complementary therapies for
chronic disease
• It helps the body to heal itself it could
replace the conventional therapy i.e:
acupuncture can replace the analgesics
• Nurse should help in validating the therapy
to use the only sound one, and to
encourage discussing it with physicians
• sometimes clients needs to find
supporting literature for the therapy he or
she is asking for.
17. • How to maximize the benefits of chronic
care of the elderly? See the given table,
18. Factors affecting the course of
chronic care
• These are factors which affect the
flow of care for the elderly:
1. Psychological Defense mechanisms:
factors:
2. Impact of ongoing care on the family:
3. The need for institutional care