NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps – Step-by-Step Guide With Example Answer
The first step before starting to write the NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps is to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment.
It is also important to identify the paper’s audience and purpose, as this will help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Capella University.
How to Research and Prepare for NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps
The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Capella University library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from the Capella University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can save time when creating the final reference list.
You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.
How to Write the Introduction for NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps
The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.
How to Write the Body for NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps
The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.
How to Write the In-text Citations for NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps
In-text citations help readers give credit to the authors of the references they have used in their work. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:
“The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.”
How to Write the Conclusion for NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps
When writing the conclusion of the paper, start by restating your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper by restating them. Discuss the implications of your findings and your arguments. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.
How to Format the Reference List for NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps
The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically, and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication.
Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:
References
Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319
Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.
NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps Instructions
Create a 3–5 page double-spaced paper that examines how holistic nursing care and pathophysiology, pharmacology, and physical assessment intersect to help nurses provide safe and quality care.
Introduction
Holistic nursing care is crucial for driving positive health outcomes because it considers the whole person, including their physical, emotional, social, and spiritual needs. This comprehensive approach allows for more personalized care, leading to better patient satisfaction and improved health outcomes. For Bachelor of Science in Nursing (BSN) nurses, understanding holistic nursing care is vital as it equips nurses with the skills to provide comprehensive care, enhancing their ability to promote health and wellness effectively.
Furthermore, a solid understanding of pathophysiology, pharmacology, and physical assessment is essential in providing evidence-based holistic nursing care. Together, these elements enable nurses to develop a comprehensive care plan that addresses all aspects of a patient’s health, thereby promoting holistic care and improving patient outcomes.
Instructions
For this assessment you will be creating a paper that explores holistic nursing care and how pathophysiology, pharmacology, and physical assessment play a role in delivering holistic care. Your paper should be 3–5 double spaced pages, not counting the title or reference page. You should also be prepared to support your paper with evidence from the literature and professional best practices.
Your assessment submission will be assessed on the following criteria:
- Define holistic nursing care.
- Definition of Holistic Nursing Care and its Benefits for Patients and Nurses: The section should provide a clear definition of holistic nursing care and explain its benefits for both patients and nurses. The definition should be accurate and comprehensive, and the benefits should be supported by evidence-based research.
- Explain how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person.
- Explanation of Pathophysiology and Its Role in Nursing Practice: This section should explain how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person. The explanation should be detailed and supported by relevant examples.
- Discuss how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patient’s physical, psychological, and social needs.
- Discussion of Pharmacology and Its Role in Nursing Practice: This section should discuss how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patient’s physical, psychological, and social needs. The discussion should be comprehensive and supported by relevant examples.
- Describe how nurses can use physical assessment to collect, analyze, and interpret data about the patient’s health status, and how they can use this information to plan, implement, and evaluate care.
- Description of Physical Assessment and Its Role in Nursing Practice: This section should describe how physical assessment can help nurses collect, analyze, and interpret data about the patient’s health status, and how they can use this information to plan, implement, and evaluate care. The description should be detailed and supported by relevant examples.
- Identify two examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings.
- Examples of Integration and Application of Knowledge in Clinical Scenarios: This section should provide examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings. The examples should be relevant and supported by evidence-based research.
- Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Additional Requirements
- Length of submission: 3–5 pages of content plus title and reference pages.
- Number of references: Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old. Use the Capella University Library and BSN Program Library Research Guide as needed.
- APA formatting: References and citations are formatted according to current APA style. See the APA Module.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
- Competency 1: Explain how pathophysiology, pharmacology, and physical assessment comprise a holistic approach to nursing care.
- Define holistic nursing care.
- Explain how pathophysiology can help nurses understand the underlying causes and mechanisms of diseases and disorders, and how they affect the whole person.
- Discuss how pharmacology can help nurses select, administer, and monitor the effects of medications, and how they interact with the patient’s physical, psychological, and social needs.
- Identify two examples of how these three domains of knowledge (pathophysiology, pharmacology, and physical assessment) can be integrated and applied in different clinical scenarios and settings.
- Competency 2: Create evidence based interventions to address the health needs, risks, and resources of individuals from diverse backgrounds and cultures.
- Describe how nurses can use physical assessment to collect, analyze, and interpret data about the patient’s health status, and how they can use this information to plan, implement, and evaluate care.
- Competency 5: Apply scholarly writing standards to communicate evidence based strategies that support safe and effective patient care.
- Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
NURS-FPX4015 Assessment 2 Enhancing Holistic Nursing Care With the 3Ps Example
Enhancing Holistic Nursing Care With the 3Ps
Nurses focus on managing the whole patient, ensuring they manage factors affecting care interventions’ effectiveness, and also consider the impact of care interventions on the patient as a whole. The shift from the traditional disease-centered approach aims to ensure patient-centered care that respects and values patients, treating them as unique entities with unique needs, values, and preferences. The physical assessment, pathophysiology, and pharmacologic knowledge domains significantly influence hospice care delivery success and improve care outcomes. This assessment explores holistic nursing and its benefits and the integration of physical assessment, pathophysiology, and pharmacology knowledge domains in holistic care.
Holistic Nursing
Holistic nursing is a professional practice that focuses on the whole person and addresses social, emotional, physiological/physical, psychological, and spiritual health. Holistic nursing the whole and treats an individual as a whole, considering the interaction between the care interventions and the physical, emotional, spiritual, and mental health needs (Ambushe et al., 2023). For example, when a patient presents with diabetes to the facility, holistic nursing focuses on the patient’s management and addressing their social determinants of health, levels of knowledge, and emotional impact of the disease. It also leverages social and spiritual resources in the patient’s management. Holistic nursing is a care approach that has been gaining familiarity due to its magnitude of benefits to patients and nurses.
Holistic care benefits patients and nurses in various ways. According to Kumari et al. (2021), holistic care leads to patient-centered care, better health outcomes, reduced morbidity and mortality, improved patient healthcare experiences, and improved satisfaction with care services. Holistic addresses the underlying causes of illnesses, not just the symptoms, leverages factors facilitating health achievement, and addresses barriers to quality and safe care delivery, hence the various benefits. Holistic care allows nurses to connect with patients by addressing their holistic needs, strengthening nurse-patient relationships (Lukovsky et al., 2021). Holistic care also encourages continuous learning and professional growth in counseling, alternative therapies, and cultural competence to deliver effective care interventions. Nurses are more actively involved in assessing and managing holistic needs, promoting autonomy, and improving decision-making. Improved relationships, professional development, and achieving the desired outcomes in holistic care improve job satisfaction and fulfillment among nurses.
Pathophysiology Knowledge
Pathophysiology refers to the study of the impact of medical conditions on body function. Cook et al. (2022) note that pathophysiology provides insights into disease development and progress, and understanding these mechanisms helps nurses identify root causes and recognize underlying factors contributing to the patient’s condition. For example, understanding the pathophysiology of type 2 diabetes can help a nurse identify factors such as poor diet, inactivity, and obesity that are key to type 2 DM development, facilitating appropriate management (Ruze et al., 2023). Understanding pathophysiology also helps a nurse understand a disease’s current stage and anticipate its evolution/progression, thus allowing for timely interventions and disease management. Pathophysiology knowledge also facilitates holistic assessment. Nurses can assess the patient beyond the primary symptoms to include other body symptoms and overall well-being. For example, understanding type 2 DM’s impact on blood sugar, cardiovascular health, renal function, infection prevention, retinal function, wound healing, and mental health will impact the assessment of patients with type 2 DM. The knowledge also helps nurses select and implement appropriate interventions that address the root causes of diseases and prevent potential complications, improving outcomes (Peate, 2021). The comprehensive assessment and improved decision-making facilitated by the pathophysiology knowledge promote the development of personalized care plans that address each patient’s specific needs, considering their health status, lifestyle, and preferences.
Pathophysiology helps nurses appreciate diseases’ impact on an individual’s holistic health. For example, Bayani et al. (2022) note that type 2 diabetes affects physical health, leads to financial constraints, reduces productivity, leads to mental health issues such as depression, and causes a poor overall quality of life. The knowledge of pathophysiology thus helps nurses offer holistic healthcare that addresses patients’ emotional, psychological, spiritual, social, and physical aspects of health, improving the overall quality of life by addressing medical and non-medical needs (Peate, 2021).
Pharmacology Knowledge
Pharmacology is the study of drug and their interactions with body systems. It is crucial for nursing professionals as it facilitates safe medication administration, medication monitoring, patient education, and swift pharmacologic actions within the confines of the law (White et al., 2021). Pharmacology knowledge also involves understanding recommended interventions for various conditions, including combination medications and first-line interventions. For example, a nurse caring for a type 2 DM patient utilizes their pharmacologic knowledge to select an appropriate medication for type 2 DM (metformin-first line and insulin), administer the medication (including patient education on proper administration), monitor effects (blood glucose and HbA1c monitoring, and side effects monitoring).
Nurses also utilize pharmacologic knowledge to select interventions that adequately address physical, psychological, and social needs. They consider the interactions of medications with underlying morbidities such as renal impairments, psychological health such as stigma and depression, and the patient’s lifestyle, financial situation, and access to healthcare resources. For example, the metformin dose for type 2 DM patients is adjusted when the estimated glomerular filtration rate (eGFR) is between 30-45ml/min and generally contraindicated in eGFR below 30ml/min (Kuan et al., 2021). Nurses utilize pharmacology knowledge to ensure the interventions align with patients’ holistic needs while meeting their physiologic needs. Nurses understand the potential implications of medications and how factors such as depression and anxiety can affect adherence and thus ensure patients have social and psychological support to ensure quality care delivery.
Nurses also utilize their pharmacological knowledge to appropriately educate patients to enhance treatment outcomes (McCuistion et al., 2021). For example, nurses utilize their pharmacological knowledge to educate patients on insulin rotation injection and injection sites and the significance of lifestyle modifications on metformin efficacy to enhance treatment effectiveness. Nurses also use pharmacology to monitor the effects and side effects of medications. Nurses with advanced pharmacology knowledge can detect and address medication complications early (McCuistion et al., 2021). For example, a nurse can monitor side effects such as hypoglycemia in patients receiving insulin, preventing complications such as death that arise from undetected hypoglycemia in DM patients. Thus, pharmacology is crucial for nurses and helps them select, administer, and monitor the effects of medications and their interactions with patient’s psychological and social needs.
Physical Assessment in Nursing
Nurses can use physical assessment to collect, analyze, and interpret data on a patient’s health status and use the information to plan, implement, and evaluate care. Nurses are the professionals closest to patients and collect data through observation, measuring vital signs, and performing physical exams. They analyze the data to determine a presumptive diagnosis and interpret it, utilizing clinical judgment to determine the patient’s overall health status (Fontenot et al., 2022). The presumptive diagnosis and assessment cues influence the nursing care interventions. Advanced practice nurses can use the information collected to order laboratory diagnosis for definitive diagnosis. Nurses then utilize the information collected to set care goals and develop personalized patient care plans. Other data sources include imaging studies and laboratory test results, which nurses use to adjust care interventions to meet holistic patient needs.
Nurses use assessment data to prioritize care needs and ensure optimal outcomes, as some needs require immediacy while some interventions can be delayed (Fontenot et al., 2020). A nurse caring for type 2 DM patients observes them for general health, presenting symptoms, health history, and laboratory findings and uses the information to determine the appropriate care interventions and priority. For example, if a nurse finds that the patient has a fresh wound lower extremity wound and a blood glucose level of 12mg/dl (mildly elevated), the priority intervention in the care plan would be education on infection prevention as opposed to a fresh wound and a blood glucose level of 3omg/dl where the priority intervention would be to stabilize the blood glucose level. Nurses use physical assessment to determine the effectiveness of interventions targeting to improve them (Fontenot et al., 2022). For example, they can measure blood pressure and assess edema to determine interventions addressing hypertension and edema related to HTN. Thus, physical assessment is crucial to success in nursing roles.
Pathophysiology, Pharmacology, and Physical Assessment Integration into Clinical Scenarios
The pathophysiology, pharmacology, and physical assessments can be integrated and applied to different clinical scenarios in care settings. The first example is managing hypertension (HTN) in the emergency department. Rapid and comprehensive physical assessment in the emergency department on vital signs (BP, HR, and SpO2) and neurological and cardiovascular assessments can help gather information necessary for decision-making, such as diagnosis and management (Harrison et al., 2021). Understanding the pathophysiology of HTN can help the nurse recognize the clinical manifestations of hypertension (such as high Bp, jugular vein distension, edema, abnormal breath sounds, and retinal hemorrhages) from the physical assessment, determine its potential complications, and facilitate diagnosis and management. Pharmacology knowledge can help the nurse manage the HTN using recommended first-line interventions such as labetalol and hydrochlorothiazide to reduce blood pressure, especially in hypertensive emergencies.
The second example is the management of a type 2 DM patient in the ward. Physical assessment is a continuous practice, and for a patient in the ward, the nurse can assess the patient’s health, including progress in wound healing, body mass index, general health, psychological health, neurological health, and patient vital signs affected in type 2 DM. The knowledge of pathophysiology can help determine the disease’s impact on the patient’s holistic health, drawing from the physical assessment findings, lab results, and health history. Pathophysiology knowledge can also be used to determine the effectiveness of care interventions (and the potential need for change), identify potential and actual complications (such as foot ulcers and peripheral neuropathies), and determine disease prognosis (stable or unstable), forming a basis for care improvement (Butt, 2022). The knowledge of pharmacology can then be used to select, administer, and monitor the effects of medications (metformin or insulin). For example, persistently high blood sugar and poor wound healing findings (physical assessment) can indicate poor disease prognosis (physiology knowledge), and the advanced practice nurse would adjust the medications (pharmacology knowledge) for the patients for optimal care outcomes. These two examples show the significance of integrating physical assessment, pathophysiology, and pharmacological knowledge in ensuring holistic care for optimal outcomes.
Conclusion
Holistic nursing is an approach to care that focuses on managing the patient as a whole, addressing all their needs, and ensuring that care interventions positively interact with other care aspects. It ensures patient-centered care and improves and benefits both patients and nurses. Pathophysiology, physical assessment, and pharmacology are interrelated domains of knowledge crucial for every nurse. They help thoroughly assess patients, make clinical decisions, including diagnoses, and select and implement effective interventions that ensure optimal health outcomes in varied scenarios and clinical settings. A nurse must possess knowledge in these three areas to succeed in their care delivery roles.
References
Ambushe, S. A., Awoke, N., Demissie, B. W., & Tekalign, T. (2023). Holistic nursing care practice and associated factors among nurses in public hospitals of Wolaita zone, South Ethiopia. BMC Nursing, 22(1), 390. https://doi.org/10.1186/s12912-023-01517-0
Bayani, M. A., Shakiba, N., Bijani, A., & Moudi, S. (2022). Depression and quality of life in patients with type 2 diabetes mellitus. Caspian Journal of Internal Medicine, 13(2), 335. https://doi.org/10.22088/cjim.13.2.3
Butt, S. M. (2022). Management and treatment of type 2 diabetes. International Journal of Computations, Information and Manufacturing (IJCIM), 2(1). https://doi.org/10.54489/ijcim.v2i1.71
Cook, N., McCauley, C., Dunleavy, S., & Shepherd, A. (2022). Essentials of pathophysiology for nursing practice. (2nd ed.). Sage Publications
Fontenot, N. M., Hamlin, S. K., Hooker, S. J., Vazquez, T., & Chen, H. M. (2022, July). Physical assessment competencies for nurses: A quality improvement initiative. Nursing Forum, 57(4), 710-716. https://doi.org/10.1111/nuf.12725
Harrison, D. G., Coffman, T. M., & Wilcox, C. S. (2021). Pathophysiology of hypertension: The mosaic theory and beyond. Circulation Research, 128(7), 847–863. https://doi.org/10.1161/CIRCRESAHA.121.318082
Kuan, I. H., Wilson, L. C., Leishman, J. C., Cosgrove, S., Walker, R. J., Putt, T. L., Schollum, J. B. W., & Wright, D. F. (2021). Metformin doses to ensure efficacy and safety in patients with reduced kidney function. Plos One, 16(2), e0246247. https://doi.org/10.1371/journal.pone.0246247
Kumari, G., Singh, V., Chhajer, B., & Jhingan, A. K. (2021). Effect of lifestyle intervention holistic approach on blood glucose levels, health-related quality of life and medical treatment cost in type 2 diabetes mellitus patients. Acta Scientiarum. Health Sciences, 43. https://doi.org/10.4025/actascihealthsci.v43i1.53729
Lukovsky, J., McGrath, E., Sun, C., Frankl, D., & Beauchesne, M. A. (2021). A survey of hospice and palliative care nurses’ and holistic nurses’ perceptions of spirituality and spiritual care. Journal of Hospice & Palliative Nursing, 23(1), 28–37. https://doi.org/10.1097/NJH.0000000000000711
McCuistion, L. E., DiMaggio, K. V., Winton, M. B., & Yeager, J. J. (2021). Pharmacology E-Book: A Patient-Centered Nursing Process Approach. (11th ed.). Elsevier Health Sciences.
Peate, I. (2021). Fundamentals of applied pathophysiology: an essential guide for nursing and healthcare students. (Ed.). John Wiley & Sons.
Ruze, R., Liu, T., Zou, X., Song, J., Chen, Y., Xu, R., Yin, X., & Xu, Q. (2023). Obesity and type 2 diabetes mellitus: connections in epidemiology, pathogenesis, and treatments. Frontiers in Endocrinology, 14, 1161521. https://doi.org/10.3389/fendo.2023.1161521
White, P. J., Davis, E. A., Santiago, M., Angelo, T., Shield, A., Babey, A. M., Kemp-Harper, B., Maynard, G., Al-Sallami, H. S,, Musgrave, I. F., Fernandes, L. B., Ngo, S. N. T., & Hinton, T. (2021). Identifying the core concepts of pharmacology education. Pharmacology Research & Perspectives, 9(4), e00836. https://doi.org/10.1002/prp2.836