Health Assessment

XH3001: Person-Centered Holistic Care

Competency Assessment:
Holistic, Person-Centered Plan of Care

Student Name: Date: 26^st-March-2025

Part One: Identifying Dimensions of Wellness

1. Write a brief profile of patient Gordon Brune based on what you know about him from the avatar scenario.

Gordon Brune an elderly male patient came in with concerns. He’s been hard on himself about his diabetes and having a rough time. managing his diabetes. He also said that he does not eat regular. The meals are mainly due to his occupation, where he works swing. The junk food at home which he said he tends to eat, shifts. when he is tired (Bowen et al., 2020). But what Mr. Brune has seen at his home environment: His is expressed in the situation, chaotic and hectic. She’s staying with him, he and his daughter and her kids. He mentioned that his daughter takes rides to in his car, which he uses and contributes to his eating habits The only regular meal that he gets, along with the hours he works work, is what he uses to train his body (Bowen et al., 2020). He eats during lunch and he does so at the same time every day. The patient has also I mentioned to him that he has a reading problem, so it is They should be able to comprehend most things such as pamphlets and booklets. Lastly, the patient’s The doctor checked his blood pressure and took blood for testing.

2. Describe the dimensions of wellness that are influencing Mr. Brune’s situation and condition. For those that you do not identify as factors, explain your thinking.

• Emotional: The stress and frustration are related to his health condition and lifestyle. He is struggling to cope with this diabetes; his inability to manage this diabetes is being adversely affected by these emotional challenges (Asmat et al., 2022).

• Physical: His diabetes directly affects and must be specially managed by diet, exercise, and medication. That could also be because of his fatiguing and difficult to keep a healthy lifestyle because of his physically demanding job (Bowen et al., 2020).

• Intellectual: Mr. Brune does not have the necessary knowledge about diabetes management and must learn to make learned decisions on his care.

• Occupational: Not to mention when you add that to his job, which is physically demanding and does not give him much time for self-care. It’s likely his overall health problems are exacerbated by this occupational stress (He et al., 2023).

• Spiritual: Although spiritual factors don’t seem to have a direct role in Mr. Brune’s situation, if he is worried in any spiritual way, they should be addressed.

• Social: Since Mr. Brune lives alone and has limited social support, he may experience isolation and find it more difficult to handle his diabetes.

Part Two: Developing a Holistic Plan of Care

1. Summarize Mr. Brune’s health issues and needs from a holistic perspective.

Type 2 diabetes is Mr. Brune’s primary health issue; it must be managed by eating right, exercising and taking medicine to regulate blood sugar. However, from a larger perspective, his health condition is more than physical (He et al., 2023). He is stressed and frustrated both emotionally because of his condition and the lifestyle he is living due to this. He lives alone socially, which can make him isolated and unable to adhere to his diabetes management plan. His being job holds very physically demanding intake that gives him not any time or energy for self-care and financially he struggles to afford healthy food and ones who treat his sickness (Bowen et al., 2020). He may not have adequate knowledge in terms of intellectualism regarding what diabetes management is, and thus not able to decide intelligently. These overlapping aspects of wellness must therefore be confluent into Mr. Brune’s overall well-being and help him better tackle diabetes.

2. Explain a plan of care that will address the dimensions of wellness that are having the greatest impact on Mr. Brune’s ability to manage his diabetes. As part of your care plan, identify at least two community resources or other health professionals to whom you would refer Mr. Brune. Explain your reasoning.

Mr. Brune’s care plan will be to treat the psychological, physical, social, and occupational dimensions of wellness that directly impact his capacity to deal with his diabetes. In the first place, Mr. Brune will be referred to a diabetes support group where he can meet others and overcome together by overcoming differently. Moving into a shared team house will give him a network of emotional support and practical advice which will decrease feelings of isolation and stress (He et al., 2023). Second, a dietitian will be consulted in order to create a personalized meal plan the is affordable and is tailored to his diabetes management needs. In addition, the physical therapist will create a low impact exercise routine based on his limited activities and physical abilities that fit his busy schedule.

Mr. Brune will be connected to a local senior center or community organization in the area that can provide him social activities along with the support for being alone. It will aid him in forming a support network and lessening loneliness. Finally, he will seek help from a social worker or vocational counselor to advise on the ways he can cut down on his working hours and look for a job that is less physically demanding.

Two specific community resources that would benefit Mr. Brune are:

• Diabetes Support Group: This resource will provide emotional support and practical tips for managing diabetes, helping Mr. Brune feel less overwhelmed and more empowered (Hsu et al., 2023).

• Local Food Bank or Meal Delivery Service: This will help Mr. Brune access healthy, affordable food options, ensuring he can follow his dietitian’s recommendations without financial strain.

3. Explain how your care plan adheres to concepts of person-centered care and a holistic approach to patient care.

The person-centered care plan addresses Mr. Brune’s needs, preferences and circumstances and their uniqueness. It puts him at the center of decision making such that his voice is heard and his priorities are taken account of. For instance, it follows his lifestyle and budget limits, and, therefore, the meals’ plan and the exercise routine are more achievable and sustainable. It also takes a holistic pitch in addressing several aspects of wellness that include emotional, physical, social, and occupational wellness. Because Mr. Brune’s diabetes care isn’t just a physical health issue, the care plan takes into consideration everything, including his physical health. A more thorough approach makes for the increased potential to get positive results as well as enhancing Mr. Brune’s quality of life.

4. Explain how your care plan adheres to the four ethical principles for a professional nurse.

Autonomy: According to Mr. Brune’s plan, his right to make decisions with regard to his care is respected. He is participating in the development of what his meal plan, exercise routine and other interventions look like as well, to make sure that his preferences and values are prioritized.

Beneficence: The idea is specifically aimed at improving Mr. Brune’s physical, social, occupational and emotional needs. Such as referral to a diabetes support group and the individual meal plan are made to enhance his state of wellness as well as quality of life.

Non-maleficence: The care plan aims to prevent Mr. Brune any harm since all interventions are carried out in a safe manner and in relation to Mr. Brune’s condition. The exercise routine is low impact, in order to prevent injury, and the meal plan is tailored so very part of it is restricted.

Justice: The plan will give Mr. Brune equitable access to resources and support, whatever his or her financial situation, at the time. The plan connects him with a food bank, and affordable community services that will help tackle financial barriers to his managing his diabetes prudently (Chen et al., 2024).

Part Three: Reflecting on Person-Centered Holistic Care

1. Reflect on the challenges of taking a holistic approach to patient care. Explain your thinking.

A holistic approach poses one of the main challenges in addressing all the multiple dimensions of wellness at once. Such a process demands a fundamental knowledge of the patient’s life circumstances that could take time and even may include cooperation with other health care professionals (Chen et al., 2024). Patients also may have conflicting needs or priorities, which could make it difficult to create a care plan that pays attention to their entire well-being.

2. Reflect on the benefits of person-centered holistic care. Explain your thinking.

Benefits of person-centered holistic care are improved patient outcomes for all aspects of the patient’s well-being are addressed. However, this approach also increases a nurse patient relationship because the patient will get the feeling of being heard and understood (Asmat et al., 2022). In recognition of the patient’s circumstances, holistic care can better meet the needs of the patient as they are met, and lead to more effective and sustainable health interventions.

3. If avatar clinic director Asha Gill were your clinical supervisor, what kind of support would you want as a professional nurse for taking a person-centered holistic approach to patient care? Explain your reasoning.

In my role as a professional nurse, support from Asha Gill would take the form of access to these resources like educational material, community referrals and interdisciplinary collaboration. I would also like to know how one is supposed to reconcile the expectations of a holistic care approach with the realities of a clinical environment. In addition to that, I would get regular feedback and mentorship from which I can hone my skill in person centered care.

References

Asmat, K., Dhamani, K., Gul, R., & Froelicher, E. S. (2022). The effectiveness of patient-centered care vs. usual care in type 2 diabetes self-management: a systematic review and meta-analysis. Frontiers in public health, 10, 994766.

Bowen, C., Draper, L., & Moore, H. (20202). 6.1 Patient-Centered and Holistic Health Care - Fundamentals of Nursing | OpenStax. Openstax.org; OpenStax. https://openstax.org/books/fundamentals-nursing/pages/6-1-patient-centered-and-holistic-health-care

Chen, T. T., Su, W. C., & Liu, M. I. (2024). Patient-centered care in diabetes care-concepts, relationships and practice. World Journal of Diabetes, 15(7), 1417.

Hsu, H. C., Lee, Y. J., & Wang, R. H. (2023). Holistic Person-Centered Care for Individuals With Type 2 Diabetes Mellitus. Hu Li Za Zhi, 70(6), 82-91.

He, Q., Chen, X., & Zeh, P. (2023). Promoting self-care and management for patients with type 2 diabetes based on lifestyle changes under the concept of person-centered care: a review. Altern Ther Health Med, 29(5), 302-7.