Case Study of Holistic Nursing Practices in Context

Case Study of Holistic Nursing Practices in Context Introduction The nursing profession has been defined as a very personal and interactive profession (Yura and Walsh, 1998) and to deliver and provide good patient care many authors have suggested that individualised care ensures that the patient is viewed as a person and as an individual within a set of certain circumstances (Meleis, 1991). To ensure patients are viewed as an individual within a set of circumstances (Meleis, 1991) it is useful for nursing practitioners to adopt a holistic approach to care. Holistic nursing is defined as a process where the patients are not simply treated due to the physical symptoms of a disease or condition, but are considered as a whole and the the totality of the person being treated is explored to include: mental, emotional, spiritual, social, cultural, relational, contextual and environmental aspects (Mueller, 2010). This assignment will focus on a patient case study and will explore the nursing intervention, assessment and individualised care t he patient received. When presenting a patient case study it is essential to acknowledge the issues surrounding confidentiality. The Nursing and Midwifery Council state in the code of standards of conduct, performance and ethics for nurses and midwives (NMC, 2008a) that it is essential to ‘make the care of people your first concern, treating them as individuals and respecting their dignity’ and this is an important consideration when writing an essay based on a case study. To ensure that this assignment complies with the Code of Professional Practice (NMC, 2008a) the author will ensure that client confidentiality will be maintained and respected throughout. To ensure that client confidentiality is upheld, the client selected for this assignment will only be referred to as Mrs P so that no personal identification or features of their care is highlighted; furthermore to ensure confidentiality is upheld, although this assignment case study has been selected from a client e ncountered by the author in clinical practice from their training and student development, no identifying hospital details, places of reference, names of service providers or dates of intervention will be supplied. Mrs P – A Clinical Case Study Mrs P is a 78 year old lady who currently lives alone in a centrally located council owned property in a town in the West Midlands. Mrs P was married in the 1950’s and her husband worked in an engineering factory until he had to retire due to ill health and he then unfortunately passed away in the mid 1990’s. Mrs P has lived alone since this time, moving in 2001 from their family home to a smaller council owned first floor flat. Mrs P was born in the West Midlands to an Irish father and English mother and she is the only surviving sibling of a family of six. Mrs P has two sons and a daughter, who unfortunately died from breast cancer, aged 56. Mrs P’s two sons who live locally. Mrs P left school age 14 and went to work as a cleaner in a factory; she left employment to raise her children but prior to this she worked in a munitions factory during the war. Mrs P did not work again once she was married and has had financial support through the governments benefit system and through a small private pension obtained through her husband’s company.

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Qualitative Research Critique - Essay Example I noticed that the problem statement was quite implicit, or not stated directly in this paper, which is why I used the verb "would" and put in parenthesis the word "elder" as this was not stated directly, too. But since this is an article in a journal publication, it is understood that non-detailed information that are established clearly are an accepted norm. The Purpose of the research was clearly defined in this paper. In fact, besides the already stated Problem Statement which I have supposed as the problem and the purpose in one, there is a presented secondary purpose which was "to sensitize health care professionals and other caregivers to the chronic wound experience." The Literature Review defined and detailed "phenomenological" research as well as presented at least 13 related studies on ulcer wounds, both qualitative and quantitative in approach. There is the 2000 study of Langemo, Melland, Hanson, Olson and Hunter on eight persons with pressure ulcer, Charles (1995) study of four subjects with chronic venous leg ulcers, Walshe's 1995 study of 13 participants with venous ulcers, Chase et al's 2000 study of 21 subjects with chronic venous leg ulcer, Pieper, Szczepaniak and Templin's 2000 investigation on psy-chosocial adjustment, coping, and quality of life in persons with venous ulcers from intravenous drug abuse of undisclosed number of participants or subjects, Flanagan, Rotchell, Fletcher, and Schofield's 2001 study on a focus group of health caregivers and professionals, Krasner's 1997-98 investigation on painful venous ulcers of eight participants, Chase et al's 1997 study of seven persons with venous leg ulcers, Neil's 2000 investigation using Stigma Scale, a 24-item instrument of 150 subjects with chronic wound or serious skin problem, Neil and Munja's 2000 interview of 10 participants with chronic wounds, Ribu and Wahl's 2004 study of persons with chronic wounds, Orsted, Campbell, Keast, Coutts, and Sterling's 2001 in-depth study of several people with chronic wounds, and Hodges, Keeley, and Grier's 2001 investigation on the experience of chronic illness in older adults. Most of the mentioned studies' previous findings were all present in the