Holistic Perspective: Elevate Your Nursing Practice

USE OF A HOLISTIC PERSPECTIVE

Understanding Holism in Healthcare

Holism in healthcare refers to the understanding of each patient as a complex and unique individual, whose health is influenced by multiple dimensions such as physiological, social, psychological, emotional, cognitive, functional, quality of life, personal happiness, well-being, and spiritual aspects. This approach emphasizes that the whole is greater than the sum of its parts, recognizing the intricate relationships between these dimensions that contribute to the overall health and well-being of the individual (National Academies of Science, Engineering, and Medicine [NASEM], 2021).

The Importance of a Holistic Perspective in Patient Care

Adopting a holistic perspective in patient care is essential, as it allows healthcare providers to consider all aspects of a patient’s life that contribute to their health. This perspective acknowledges that people are in constant interaction with themselves, others, the environment, and the universe. Optimal well-being is achieved when all parts of the person are balanced and in harmony, a state that can be maintained even in the presence of physical disorders (Erickson, 2007).

The Role of APRNs in Promoting Holistic Care

Advanced Practice Registered Nurses (APRNs) play a crucial role in promoting holistic care, particularly in high-tech care environments where multiple healthcare providers focus on specific aspects of a patient’s condition. APRNs are often seen as coordinators who have a comprehensive and integrated appreciation of the patient and their care experience as a whole. Their ability to keep the various aspects of care together and ensure continuity of care while focusing on the unique individual is a key reason why many clinical programs include an APRN as a member or coordinator.

Holistic Care in Palliative Practice

APRNs practicing in palliative care demonstrate advanced practice by combining holistic care with treatment interventions aimed at alleviating symptoms. They evaluate care within a system context, considering the appropriate use of resources while ensuring that patient care remains centered on the holistic needs of the individual (George, 2016).

The Shuler Nurse Practitioner Practice Model

The Shuler Nurse Practitioner Practice Model is a prime example of a holistic approach to understanding human health and illness. This model integrates both medical and nursing perspectives, particularly in the care of older adults, and underscores the importance of a holistic understanding in achieving effective healthcare outcomes (Shuler et al., 2001).

Factors to Consider in Holistic Patient Care

When helping a patient holistically, several factors must be taken into account:

• Patient’s View of Their Health or Illness: Understanding how the patient perceives their health condition is fundamental to providing care that aligns with their beliefs and values.
• Patterns of Physical Symptoms: Identifying patterns in physical symptoms and the distress they cause helps in managing these symptoms effectively.
• Impact on Daily Functioning: The effect of physical symptoms on the patient’s daily functioning and quality of life should be a primary consideration in care planning.
• Symptom Management: Approaches to symptom management that are acceptable to the patient are crucial for ensuring adherence to treatment plans.
• Life Changes: Significant life changes, such as relationship or job changes, can impact a patient’s physical or psychological well-being and should be considered in holistic care planning.
• Social Determinants of Health: The social context of the patient’s life, including their family, social support, financial situation, and responsibilities, plays a significant role in their overall health.
• Spiritual and Life Values: The patient’s spiritual beliefs and life values, such as independence or acceptance of fate, are integral to their health and should be respected in the care process.

The Integration of Holistic Perspective in Healthcare

Integrating a holistic perspective into healthcare requires a shift from treating isolated symptoms to understanding the patient as a whole. This approach ensures that care is tailored to the individual’s unique needs, leading to better patient outcomes and satisfaction.

Challenges in Implementing a Holistic Perspective

Despite its benefits, implementing a holistic perspective in healthcare comes with challenges. These include the need for time and resources to fully understand the patient’s context and the potential for conflicts between the patient’s values and standard medical practices. However, these challenges can be overcome with proper training, collaboration among healthcare providers, and a commitment to patient-centered care.

The Future of Holistic Care in Healthcare

The future of healthcare lies in the widespread adoption of a holistic perspective. As the healthcare industry moves towards more patient-centered care models, the use of a holistic perspective will become increasingly important in ensuring that all aspects of a patient’s health are considered in their treatment plan.

FAQs

What is a holistic perspective in healthcare?
A holistic perspective in healthcare involves understanding the patient as a whole, considering all dimensions of their life, including physical, psychological, social, and spiritual aspects, in their care.

Why is a holistic perspective important in nursing?
A holistic perspective is important in nursing because it ensures that care is patient-centered, addressing not just the physical symptoms but also the emotional, social, and spiritual needs of the patient.

How do APRNs use a holistic perspective in their practice?
APRNs use a holistic perspective by integrating all aspects of a patient’s health into their care plan, coordinating care among various providers, and ensuring that the patient’s overall well-being is prioritized.

What are the challenges of adopting a holistic perspective in healthcare?
Challenges include the need for additional time and resources, potential conflicts between patient values and medical practices, and the need for collaboration among healthcare providers.

Can a holistic perspective be applied to all areas of healthcare?
Yes, a holistic perspective can be applied to all areas of healthcare, although the specific approach may vary depending on the patient’s condition and context.