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Holistic Approach

This document discusses holism and the holistic approach to patient care. It defines holism as the idea that the properties of a system cannot be fully determined by its parts alone, and that the system as a whole influences how the parts behave. The holistic approach considers the physical, emotional, social, economic, and spiritual needs of the whole person, as well as their response to illness. This includes biopsychosocial factors like family, environment, and culture that impact health. The document contrasts disease-centered diagnosis and management with patient-centered diagnosis and management, which takes into account psychosocial factors about the person and lifestyle recommendations.

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Rhomizal Mazali
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1K views

Holistic Approach

This document discusses holism and the holistic approach to patient care. It defines holism as the idea that the properties of a system cannot be fully determined by its parts alone, and that the system as a whole influences how the parts behave. The holistic approach considers the physical, emotional, social, economic, and spiritual needs of the whole person, as well as their response to illness. This includes biopsychosocial factors like family, environment, and culture that impact health. The document contrasts disease-centered diagnosis and management with patient-centered diagnosis and management, which takes into account psychosocial factors about the person and lifestyle recommendations.

Uploaded by

Rhomizal Mazali
Copyright
© © All Rights Reserved
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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PBL 13

HOLISM
from holos, a Greek word meaning all, entire, total

the idea that all the properties of a givens system (physical, biological, chemical, social, economic, mental, linguistic, etc.) cannot be determined or explained by its component parts alone. Instead, the system as a whole determines in an important way how the parts behave.

Never forget that it is not a pneumonia, but a pneumonic man who is your patient. sir William Gull (1816-90)

DEFINITION
Holistic approach is a system of comprehensive or total patient care that considers the physical, emotional, social, economic, and spiritual needs of the person; his or her response to illness; and the effect of the illness on the ability to meet self-care needs.

Holistic approach
The holistic approach to health includes holistic nutrition: nourishing the body, the mind and the spirit. If you neglect the health of any one component, it would be detrimental to the health of the other two, and to your overall health

CONCEPT
wellness envelopes most every aspect of a persons being.
In order to become totally healthy, one must be healthy physically, mentally, emotionally and spiritually.

BIOPSYCHOSOCIAL MODEL
"biopsychosocial sphere" of a patient means that a person's health includes the mind, body, and spirit, as well as the surrounding culture and environment. This can include family situation, housing, employment, insurance, and more, since these all impact the patient and her or his health. If all these factors are taken into account when a person is treated for cancer, it make treatment easier and improve chances of success.

The management of the whole person, or the holistic approach, is an important approach to patient care and modern medicine. Whole person diagnosis is based on two components: the disease-centred diagnosis. the patient-centred diagnosis.

DISEASE-CENTERED
is the traditional medical model based on history, examination and special investigation, with the emphasis on making a diagnosis and treating the disease. The disease-centred diagnosis, which is typical of hospital-based medicine, is defined in terms of pathology and does not focus significantly on the feelings of the person suffering from the disease.

Disease-centered management
rest drugs intervention surgery other invasive techniques

PATIENT-CENTERED
not only takes into account the diagnosed disease and its management but also adds another dimension That of the psychosocial hallmarks of the patient, including details about: the patient as a person emotional reaction towards the illness the family support effect on work and income Effect on sexuality Effect on attitudes and spirituality psychological effects -stress and anxiety -abnormal illness/behaviour -sleep/insomnia - depression

Patient-centered management
psychological support appropriate reassurance patient education empowering self-responsibility anticipatory guidance/special hazard prevention health promotion lifestyle recommendation/modifications Diet/nutrition exercise alcohol smoking stress management family and social supports self-help groups alternative options consultation and referral follow-up

Explanation, basic counseling and patient education


One of the most important feature of management is careful and appropriate explanation, meanwhile educate the patient regarding the disease and symptoms for example, the reasons for the chronic back pain and why it is self-continuous.

Psychological support

Factors that make patients feel supported and generate their confidence in the doctor include: Showing an interest in all aspects Examine the problematic area Performing a more thorough examination Picking up cues and drawing attention to them

It is noteworthy just how impressed some patients are when they are physically examined by doctor with good skills and caring. It is appreciated particularly by those who say: the doctor did not get me to take off my clothes nor examine me.

Support includes acting as the patients advocate during the complex process of coping with the red tape of workers compensation formalities, examination by other doctors and any medico legal issues.

SITUATION
Mrs Johnnson is being seen at the diabetes clinic at her local hospital. A special diet has been recommended because of her diabetes. It has been one month since she was last in, and she has reduce 4 pounds. Her blood sugar level can be controlled. She stated that she control her diet and has been walking like she was advised to do. She told her doctor, Im 75 years old and Ive been eating so much ice cream and candy before and now Im going to change my life for a better health.

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