Holistic approach to patient care in COVID-19: Need of an hour

Abstract Background Homelessness has increased dramatically in the last decade, with an estimated 165% increase in rough sleeping alone in England since 2010. People experiencing homelessness can often have what is referred to as the tri-morbidity; mental health, substance and or alcohol misuse and physical health problems. Hospital admission presents a potential point of intervention to address the health problems people have been experiencing, to link them in with services and as a bridge to housing. This service evaluation explored the role of a Hospital In-reach Service team for safer hospital discharge. Methods A qualitative in-depth interview study was conducted with six participants related to a Hospital In-reach Service team in South England. The interviews were transcribed, and analysed following Burnard's fourteen stage method. The ethical approval was obtained from Brighton and Sussex Medical School Research Governance and Ethics Committee (ER/BSMS4284/2). Results Three key themes were identified; the role of the Hospital In-reach Service team, barriers to, and facilitators for advocating patients' needs. The results indicate that the service team works incredibly well, building strong and trusting relationships with patients, community and hospital teams, taking a holistic approach to patient care. However, the structural discrimination against this patient group is reiterated in this study. Despite progress, there are still problems with non-specialist staff understanding this patient group's needs. Conclusions There is a need for clarification within Adult Social Care regarding the distribution of responsibility between hospital and community social work teams. There also appears to be a need for expansion of training for non-specialist service staff, including ward staff, discharge teams and social workers. In-reach housing services and expansion of the service team would be invaluable Key messages Hospital In-reach Service team in South England works incredibly well taking a holistic approach to patient care. Clarification in role of hospital and community social work teams is required for better management of this issue.

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Self-care as an ethical obligation for nurses

Nursing Ethics ◽

10.1177/0969733020940371 ◽

2020 ◽

Vol 27 (8) ◽

pp. 1694-1702

Author(s):

Mary Linton ◽

Jamie Koonmen

Keyword(s):

Patient Care ◽

Role Models ◽

Code Of Ethics ◽

Self Care ◽

Holistic Approach ◽

Codes Of Ethics ◽

Safe Patient Care ◽

Health Risk Appraisal ◽

Loving Kindness ◽

American Nurses Association

As members of the largest and most trusted healthcare profession, nurses are role models and critical partners in the ongoing quest for the health of their patients. Findings from the American Nurses Association Health Risk Appraisal suggested that nurses give the best patient care when they are operating at the peak of their own wellness. They also revealed that 68% of the surveyed nurses place their patients’ health, safety, and wellness before their own. Globally, several nursing codes of ethics include the requirement of self-care. Often, these codes embed the responsibility to protect and promote one’s own health within the clearly described obligation to provide safe patient care. The American Nurses Association Code of Ethics for Nurses is unique in that it states explicitly that nurses must adopt self-care as a duty to self in addition to their duty to provide care to patients. One of the basic assumptions of Watson’s Philosophy and Science of Caring is that caring science is the essence of nursing and the foundational disciplinary core of the profession. Watson’s theory of human caring provides support for the engagement in self-care. Two important value assumptions of Watson’s Caritas are that “we have to learn how to offer caring, love, forgiveness, compassion, and mercy to ourselves before we can offer authentic caring and love to others” and we also must “treat ourselves with loving-kindness and equanimity, gentleness, and dignity before we can accept, respect, and care for others within a professional caring-healing model.” Embedded within several caritas processes is an outline for a holistic approach to caring for self and others that can guide nurses to improve their mental, physical, emotional, and spiritual health.

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Psychiatrists' use of formulation

BJPsych Bulletin ◽

10.1192/pb.bp.115.052746 ◽

2016 ◽

Vol 40 (4) ◽

pp. 217-219 ◽

Cited By ~ 2

Author(s):

Patricia M. Hughes

Keyword(s):

Patient Care ◽

Time Pressure ◽

Holistic Approach ◽

Management Plan ◽

Psychological Understanding ◽

Clinical Standards ◽

Important Barrier ◽

A Priority ◽

Medical Role

SummaryBoth psychologists and psychiatrists are trained to write formulations of their patients' illnesses, with some differences in how they do this. Psychologists focus on psychological understanding, while psychiatrists' formulation brings together aetiology, functioning and a management plan. Mohtashemi et al's study records how some psychiatrists understand formulation and its usefulness. Time pressure was an important barrier to making a full formulation, and some believed the medical role of the psychiatrist was a priority. The study illustrates some of the challenges facing psychiatrists working in the NHS in terms of maintaining high clinical standards and a holistic approach to patient care.

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Patient care in chronic diseases: The need for a holistic approach

Patient Counselling and Health Education ◽

10.1016/s0738-3991(78)80069-x ◽

1978 ◽

Vol 1 (1) ◽

pp. 43

Keyword(s):

Patient Care ◽

Chronic Diseases ◽

Holistic Approach

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“…holistic approach to patient care…”

AJN American Journal of Nursing ◽

10.1097/00000446-197910000-00021 ◽

1979 ◽

Vol 79 (10) ◽

pp. 1720-1721

Author(s):

Ann David Strohminger

Keyword(s):

Patient Care ◽

Holistic Approach

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The Interdisciplinary Spiritual Care Model – A holistic Approach to Patient Care

HORIZONTE - Revista de Estudos de Teologia e Ciências da Religião ◽

10.5752/p.2175-5841.2016v14n41p13 ◽

2016 ◽

Vol 14 (41) ◽

pp. 13 ◽

Cited By ~ 7

Author(s):

René Hefti ◽

Mary Rute Gomes Esperandio

Keyword(s):

Patient Care ◽

Spiritual Care ◽

Holistic Approach ◽

Care Model

<p>Nas duas últimas décadas, os estudos sobre a relação entre espiritualidade e saúde tem crescido significativamente no cenário internacional. No Brasil, as pesquisas nesse campo ganharam maior visibilidade a partir de 2009, sobretudo nas Ciências da Saúde, onde começou a aparecer o termo “cuidado espiritual”. Na Teologia, estudos sobre cuidado espiritual dentro do contexto da saúde são escassos. Este artigo pretende contribuir com a ampliação desta reflexão. Primeiramente, o cuidado espiritual é abordado a partir da produção científica em língua portuguesa. Em seguida, o modelo interdisciplinar de cuidado espiritual é apresentado como uma abordagem holística de cuidado ao paciente e também são delineadas as consequências da aplicação de um modelo de cuidado espiritual. Discute-se ainda, o papel novo e recém definido dos capelães hospitalares, conselheiros pastorais e cuidadores espirituais. O texto conclui mencionando os principais desafios que acompanham o cuidado espiritual interdisciplinar, especialmente aqueles que dizem respeito ao treinamento dos profissionais do cuidado em saúde.</p>

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Management of Bladder Pain Syndrome (BPS): A Practical Guide

Advances in Urology ◽

10.1155/2022/7149467 ◽

2022 ◽

Vol 2022 ◽

pp. 1-9

Author(s):

Patrick Juliebø-Jones ◽

Karin M. Hjelle ◽

Jannike Mohn ◽

Gigja Gudbrandsdottir ◽

Ingunn Roth ◽

...

Keyword(s):

Patient Care ◽

Treatment Options ◽

Pain Syndrome ◽

Holistic Approach ◽

Bladder Pain Syndrome ◽

Refractory Disease ◽

Bladder Pain ◽

Bladder Instillation ◽

Real Challenge ◽

Test Finding

Bladder pain syndrome (BPS) is a prevalent and pervasive disease. The physical and psychological sequelae can be very burdensome for the patient, and the condition represents a real challenge for the clinician as well. With no simple pathognomonic test, finding harmony in navigating patient care can be demanding. Diagnosis and management rely upon a multidisciplinary and holistic approach. Treatment options include conservative measures and pharmacotherapies as well as bladder instillation therapies. Ultimately, surgery may be offered but only in cases of refractory disease. This article offers a pragmatic guide for clinicians managing this challenging disease.

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Implications of Ethnicity in the Care of the Terminally Ill

Social Casework ◽

10.1177/104438948206300404 ◽

1982 ◽

Vol 63 (4) ◽

pp. 215-219

Author(s):

Alicia S. Cook ◽

Lowell E. Jenkins

Keyword(s):

Health Care ◽

Patient Care ◽

Health Care Delivery ◽

Care Delivery ◽

Terminally Ill ◽

Holistic Approach ◽

Direct Patient Care ◽

Cultural Traditions

A holistic approach to the care of the terminally ill must include considerations of ethnic variables and cultural traditions influencing views of death. The implications of ethnicity for health care delivery, direct patient care, and interpretation of patient and family responses are discussed.

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