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Discuss holistic assessment using Fawcett’s metaparadigm as a framework. Consider the different aspects of Jackson’s nursing labours used in this process.
include learning outcomes
LO1 Identify and discuss the principles of holistic assessment as supported by a metaparadigm of nursing and an exploration of the role and work of the nurse in assessing a person.
LO2 Recognise the importance of equality and diversity when conducting a holistic assessment of a person’s needs.
LO3 Discuss the use of skilled communication with the person and all involved in assessment of their care needs.
LO4 Reflect on the emotional labour of nursing and understand the importance of self-care.
Holistic assessment is a comprehensive evaluation of a person that considers all aspects of their physical, emotional, social, spiritual and psychological wellbeing. Fawcett’s metaparadigm of nursing provides a framework for this type of assessment, including the person (patient), health, environment and nursing. The role and work of the nurse in assessing a person involves gathering information about the person’s needs, assessing their health status, and developing a care plan that addresses all aspects of their wellbeing.
Equality and diversity are important considerations when conducting a holistic assessment. The nurse must understand and respect the cultural, spiritual and religious beliefs of the person, and ensure that they are involved in the assessment process. The use of skilled communication is also essential to ensure that the person feels heard and valued, and that their views and opinions are taken into account.
The emotional labour of nursing can be demanding and it is important for nurses to engage in self-care activities to maintain their own wellbeing. Reflecting on their own emotional state and understanding the importance of self-care can help nurses provide better care to their patients.
Holistic assessment using Fawcett’s metaparadigm provides a framework for a comprehensive evaluation of a person that considers all aspects of their wellbeing. The nurse must be aware of equality and diversity considerations, engage in skilled communication and be mindful of the emotional labour involved in nursing. The learning outcomes for this type of assessment are to identify the principles of holistic assessment, recognize the importance of equality and diversity, discuss the use of skilled communication and reflect on the emotional labour of nursing.
