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NUR 181 Recognizing Holistic Care Template
- Course
- NUR 181
- Institution
- Delaware Technical And Community College
This is a comprehensive and detailed template on; Recognizing Holistic Care for NUR 181. *Essential Study Material!!
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STEP #3: Recognizing HOLISITIC CareHolistic Care:
1. Integrate caring, empathy, engagement, and presence while providing care.
2. Care for the entire person (physical-emotional-spiritual).
3. Identify educational and psychosocial needs.
4. Determine psychosocial PRIORITY and plan of care.
History of Present Problem:
Joan Walker is an 84-year-old female who has had a productive cough of green phlegm that started four days ago that
persists. She was started three days ago on prednisone 40 mg PO daily and azithromycin (Zithromax) 250 mg PO x5 days
by her clinic physician. Though she has had intermittent chills, she had a fever last night of 102.0 F/38.9 C. She has had
more difficulty breathing during the night and has been using her albuterol inhaler every 1-2 hours with no improvement
so she called 9-1-1 and was brought to the emergency department (ED) where you are the nurse who will be responsible
for her care.
Personal/Social History:
Joan was widowed six months ago after 64 years of marriage and resides in assisted living. She is a retired elementary
school teacher. She called her pastor before coming to the ED and he has now arrived and came back with the patient. The
nurse walked in the room when the pastor asked Joan if she would like to pray. The patient said to her pastor, “Yes please,
I feel that this may the beginning of the end for me!”
What data from the PERSONAL/SOCIAL history are RELEVANT and must be interpreted as clinically significant by
the nurse?
RELEVANT Data from Social History: Clinical Significance:
Put it All Together and CARE Like a Nurse!
1. Based on your identification of RELEVANT clinical data, is a psychosocial concern present?
2. If a psychosocial concern is present, what is it?
3. How does the psychosocial concern contribute to the primary medical problem or disease progression for this
patient?
4. What are your PSYCHOSOCIAL nursing PRIORITY (ies)?
© 2016 Keith Rischer/www.KeithRN.com
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