6.docx - Running Head THE HOLISTIC PATIENT ASSESSMENT The Holistic Patient Assessment Name Instructor Course Date 1 THE HOLISTIC PATIENT ASSESSMENT 2

6.docx - Running Head THE HOLISTIC PATIENT ASSESSMENT The...

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Running Head: THE HOLISTIC PATIENT ASSESSMENT 1 The Holistic Patient Assessment Name Instructor Course Date
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THE HOLISTIC PATIENT ASSESSMENT 2 The aim of holistic nursing is to ensure the patients’ wellness of body, mind and spirit. The focus on the interrelationship between the patients and the environment can be traced back to the 19 th century when Florence Nightingale revolutionized nursing by introducing the concept of holistic care. In this regard, holistic patient assessment not only focuses on the patients’ physical health, but also incorporates mental, social, developmental, spiritual and cultural aspects of the patients’ needs (Potter & Frisch, 2007). Holistic patient assessment, therefore, helps nurses to make informed decisions and forms the basis of better patient care. Part 1: Holistic Health Assessment Patient Data Health History Ms. Julia Knowles is 65-year-old retired nurse with a long history of hypertension that was previously well managed through diuretic therapy. She was admitted to the California Pacific Medical Center in 2004 when she complained of intermittent midsternal chest pain. At the time, her electrocardiogram indicated first degree atrioventricular block. Furthermore, a chest X-ray showed mild pulmonary congestion with cardiomegaly. Due to the lack of electrocardiographic and cardiac enzyme abnormalities Myocardial infarction was ruled out. The patient was discharged after a brief stay under a treatment of enalapril, digoxin, and Lasix for presumed congestive heart failure. Since then, her cardiologist has closely monitored her progress. Apart form hypertension, the patient denies other risk factors connected to coronary artery disease including diabetes, cigarette smoking, hypercholesterolemia or family history for cardiovascular diseases. On the night prior to admission, the patient was okay until 11pm when she experienced severe, sharp pain under her breast one while sitting, reading a magazine. The were no signs of nausea, vomiting, dizziness, palpitations or loss of consciousness. She took a tale spoon of antacid but felt no relief but she managed some sleep. She woke up with no pain in
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THE HOLISTIC PATIENT ASSESSMENT 3 the morning but it started again as she was headed to the bathroom and this time, the pain was more intense. Ms. Knowles called her son who took her to the emergency room. The patient received thrombolytic therapy and cardiac medications and was transferred to the intensive care unit. The patient’s current regimen included Digoxin, Enalapril, Kcl, Tylenol, ad Lasix.
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  • Spring '19
  • john

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