© Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Chapter 2 Holistic Nursing: Scope © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTIONand Standards ofNOT Practice FOR SALE OR DISTRIBUTION Carla Mariano © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE ORNurse DISTRIBUTION Healer NOTDEFINITIONS* FOR SALE OR DISTRIBUTION OBJECTIVES Allopathic/conventional therapies: Medi- cal, surgical, pharmacological, and invasive Theoretical and noninvasive diagnostic procedures; n Describe© Jonesthe scope &of holisticBartlett nursing. Learning, LLCthose interventions most© commonly Jones &used Bartlett Learning, LLC n Describe the standards of holistic nursing. in allopathic, Western medicine. n DiscussNOT the five FOR core values SALE of holistic OR DISTRIBUTION nursing. Complementary/alternativeNOT modalities FOR SALE OR DISTRIBUTION (CAM): A broad set of healthcare prac- Clinical tices, therapies, and modalities that n Integrate the principles of holistic nursing address the whole person—body, mind, © Jones into& Bartlett practice. Learning, LLC emotion,© spirit,Jones and & environment, Bartlett Learning, not just LLC n Identify how you implement the standards signs and symptoms—and that can replace NOT FORof SALEholistic nursingOR DISTRIBUTION in your practice. or mayNOT be used FOR as complements SALE OR toDISTRIBUTION con- n Discuss Holistic Nursing: Scope and Standards ventional Western medical, surgical, and of Practice with colleagues. pharmacological treatments. Critical thinking: An active, purposeful, Personal organized cognitive process involving cre- © Jones & Bartlett Learning,n Reflect on LLCyour worldview and how it is© Jonesativity, & Bartlett reflection, Learning, problem solving, LLC both NOT FOR SALE OR DISTRIBUTIONsimilar to or different from the philosophyNOT FORrational SALE and OR intuitive DISTRIBUTION judgment, an atti- of holism. tude of inquiry, and a philosophical orien- n Explore how the concepts of holistic nurs- tation toward thinking about thinking. ing apply to your personal life. Cultural competence: The ability to deliver health care with knowledge of and sensi- © Jones & Bartlett Learning, LLCtivity to cultural factors that© Jones influence & the Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTIONhealth behavior and theNOT curing, FOR healing, SALE OR DISTRIBUTION dying, and grieving processes of the person. This chapter is derived from the Holistic Nursing: Scope and Standards of Practice (2007), C. Mariano, primary © Jonescontributor. & Bartlett Printed with Learning, permission ofLLC the American * Many of the© definitions Jones in & this Bartlett chapter were Learning, adapted LLC Holistic Nurses Association (AHNA) and American from Holistic Nursing: Scope and Standards of Practice, 2007 NOT NursesFOR AssociationSALE OR (ANA). DISTRIBUTION and from DosseyNOT & Keegan, FOR 2009, SALE with permission. OR DISTRIBUTION 59 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC © Jones and Bartlett Publishers. NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 45632_CH02_Pass1.indd 59 1/2/12 4:31 PM © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR60 DISTRIBUTION Chapter 2 Holistic Nursing: Scope NOTand Standards FOR SALE of Practice OR DISTRIBUTION Environment: The context of habitat within taining wellness and healing for body, which all living systems participate and mind, emotion, and spirit, together with interact,© Jones including & the Bartlett physical bodyLearning, and its LLC the most sophisticated,© aggressive Jones curing& Bartlett Learning, LLC physicalNOT habitat FOR along SALE with the OR cultural, DISTRIBUTION psy- technologies available. NOT FOR SALE OR DISTRIBUTION chological, social, and historical influences; Health: An individually defined state or pro- includes both the external physical space cess in which the individual (nurse, client, and the person’s internal physical, mental, family, group, or community) experiences emotional, social, and spiritual experience. a sense of well-being, harmony, and unity © JonesEvidence-based & Bartlett practice:Learning, The process LLC by which such ©that Jones subjective & Bartlett experiences Learning, about LLC NOT FOR integrativeSALE OR healthcare DISTRIBUTION practitioners make health,NOT health FOR beliefs, SALE and values OR areDISTRIBUTION hon- clinical decisions using the best integrative ored; a process of becoming an expanding philosophy and theories, research evidence, consciousness. clinical expertise, and patient preferences Health promotion: Activities and preventive within the context of available resources. measures to promote health, increase well- © Jones & Bartlett Learning,Healing: A lifelongLLC journey into wholeness,© Jones being,& Bartlett and actualize Learning, the human LLC potential NOT FOR SALE OR DISTRIBUTIONseeking harmony and balance in one’s ownNOT FORof SALE people, ORfamilies, DISTRIBUTION communities, society, life and in family, community, and global and ecology; such activities and measures relations. Healing involves those physi- include immunizations, fitness and exer- cal, mental, social, and spiritual processes cise programs, breast self-exam, appropriate of recovery, repair, renewal, and transfor- nutrition, relaxation, stress management, mation© Jonesthat increase & Bartlett wholeness Learning, and often LLC social support, prayer, meditation,© Jones healing & Bartlett Learning, LLC (thoughNOT not FOR invariably) SALE order OR and DISTRIBUTION coher- rituals, cultural practices,NOT and FORpromoting SALE OR DISTRIBUTION ence. Healing is an emergent process of the environmental health and safety. whole system bringing together aspects of Holistic communication: A free flow of ver- one’s self and the body, mind, emotion, bal and nonverbal interchange between spirit, and environment at deeper levels of and among people and significant beings © Jones &inner Bartlett knowing, Learning, leading toward LLC integration such as© pets,Jones nature, & Bartlettand God/Life Learning, Force/ LLC NOT FOR andSALE balance, OR with DISTRIBUTION each aspect having equal Absolute/TranscendentNOT FOR SALE that OR exploresDISTRIBUTION importance and value. Healing can lead meaning and ideas leading to mutual to more complex levels of personal under- understanding and growth. standing and meaning and may be synchro- Holistic ethics: The basic underlying con- nous but not synonymous with curing. cept of the unity and integral wholeness © Jones & Bartlett Learning,Healing process: LLC A continual journey ©of Jones of& allBartlett people andLearning, of all nature, LLC identified NOT FOR SALE OR DISTRIBUTIONchange and the evolving of one’s selfNOT FORand SALE pursued OR by DISTRIBUTIONfinding unity and whole- through life that is characterized by the ness within the self and within humanity. awareness of patterns that support or that In this framework, acts are not performed are challenges or barriers to health and for the sake of law, precedent, or social healing and that may be done alone or in a norms, but rather from a desire to do good healing© Jonescommunity. & Bartlett Learning, LLC freely to witness, identify,© Jonesand contribute & Bartlett Learning, LLC HealingNOT relationships: FOR SALE The quality OR DISTRIBUTIONand char- to unity. NOT FOR SALE OR DISTRIBUTION acteristics of interactions between one who Holistic healing: A form of healing based on facilitates healing and the person in the attention to all aspects of an individual— process of healing. Characteristics of such physical, mental, emotional, sexual, cul- interactions involve empathy, caring, love, tural, social, and spiritual. © Jones &warmth, Bartlett trust, Learning, confidence, credibility,LLC com- Holistic© nurse: Jones A nurse & Bartlett who recognizes Learning, and LLC NOT FOR petence,SALE honesty,OR DISTRIBUTION courtesy, respect, sharing integratesNOT FORbody-mind-emotion-spirit- SALE OR DISTRIBUTION expectations, and good communication. environment principles and modalities in Healing system: A true healthcare system in daily life and clinical practice, creates a car- which people can receive adequate, non- ing healing space within herself or himself toxic, and noninvasive assistance in main- that allows the nurse to be an instrument © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC © Jones and Bartlett Publishers. NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 45632_CH02_Pass1.indd 60 1/2/12 4:31 PM © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTIONDefinitions 61 of healing, shares authenticity of uncon- cally: Philosophical meaning is meaning ditional presence that helps to remove the that depends on the symbolic connections barriers© toJones the healing & Bartlett process, Learning,facilitates LLCthat are grasped by reason.© Jones Psychologi & Bartlett- Learning, LLC anotherNOT person’s FOR growthSALE OR(body-mind- DISTRIBUTIONcal meaning is meaning NOTthat depends FOR SALEon OR DISTRIBUTION emotion-spirit-energetic-environment con- connections that are experienced through nections), and assists with recovery from intuition or insight. illness or transition to peaceful