The nursing diagnosis is based on assessment data where it becomes the prerogative of the nurse to identify the major medical, social, psychological and physical issues facing the patient. Diagnosis constitutes identifying the patient’ s problem and in most cases, the diagnosis should be actually based on readily signs and symptoms that can be identified (Gardner, 2002). The therapeutic regime for the patient is generally attached to the identified patient’ s diagnosis results (Gardner, 2002). Holistic health perceives and attaches great importance to physical, intellectual, socio-cultural, psychological, and spiritual aspects of a client life that should be integrated with health care planning of the individual (Thresyamma, 2005).
As a result, nurses should regard to undertake holistic nursing diagnosis that gives rise to a comprehensive approach to health care. Attaining comprehensive holistic health care involves six critical steps that in most cases occur simultaneously: assessment; diagnosis; outcomes, therapeutic care plan, implementation, and evaluation (Dossey, Keegan, and American Holistic Nurses, 2009). John lacks self-care abilities, which are demonstrated through an inability to take care of self, a situation that forces John to receive care from other people.
John cannot carry out basic self-care activities like eating, toileting, buttoning shirt, bathing, holding objects, sitting, and many more. This has led to the patient to depend upon other people especially his wife and a younger daughter who have had to sacrifice their live pleasures and opportunities to take care of John. John manifests emotional distress due to his condition, subsequently developing low self-esteem moods. John is just a representative of many physically impaired patients who become depressed, dejected and discouraged by their overall impaired condition. Identifying the patient’ s psycho-social position especially low-esteem status is necessary for holistic nursing care.
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