Holistic Assessment of Patient

This article discusses the holistic assessment of a patient, including lifestyle factors, financial stress, and patterns of healthcare. It also explores the implementation and evaluation of a social justice framework in nursing practice.

Nursing

Table of Contents
Holistic Assessment of Patient........................................................................................................3
Implementation and Evaluation.......................................................................................................4

Holistic Assessment of Patient
Lifestyle
factors
Skipping Meals
Having regular meal in required quantity is very important for health of
individual. Case of Nur outlines that she skips meal to save on cost of groceries.
This is a very important lifestyle factor that contribute to disease of Nur and she
collapsed at work. Skipping meal can create imbalance between intake of food
and production of insulin, which ultimately leads to drop in level of blood sugar
and because of this one can collapse. Along with this, skipping meal is also a
factor of lifestyle because of which one might experience low energy and
working in low energy can lead to fainting and collapsing. This can also affect
healthcare of Nur as in order to improve her health and become free of disease,
having regular meal is very important. In case she continues to skip her meal, it
will affect her healthcare (Zeballos and Todd, (2020).
Psychosocial
factors
Financial Stress
Nur has considerable financial stress and this is a psychological factor that
contributes to her admission in hospital. Financial stress of Nur is very strong
that in order to avoid cost of groceries she skips her meal. Nur is required to send
money to her siblings in refugee camp and this is why she is also overworking so
that she can send money for her siblings in refugee camp. Stress is a very
important psychological factor that can lead Nur to collapse at chest pain,
because getting collapse in involuntary reaction of brain when it is put into
pressure or distress. In case of Nur she is constantly under stress and because of
this she collapsed and got admitted to hospital (O'Connor, Thayer and Vedhara,
(2021).
Patterns of
Healthcare
Never attended Hospital and was vaccinated when entered into Australia
Pattern of healthcare that contributed in admission of Nur is hospital is that she
never attended hospital and also she does not have a GP (General Practitioners)
and this suggests that she never had health assessment. This is the reason that she
was not taking any kind of medication even when she experienced small faints at
work. These are collective factors because of which she was admitted to hospital.
Regular health assessment help individuals in identifying any potential risk
related to their health, however as Nur never had health assessment and

healthcare, which led her to collapse with chest pain (Morone, (2017).
Implementation and Evaluation
Social justice framework involves certain principles and these includes-
 Access- This involves greater equality in which everyone can access goods and services
 Equity- This includes overcoming unfairness that is caused because of unequal access to
power and economic resources
 Rights- This involves equality in effective rights in legal, industrial and political contexts
 Participation- This involves expansion of opportunities for real participation in decision
related to governance of life (Brooks, Normore and Wilkinson, (2017).
Considering this it is very important that nurses ensure Nur receives adequate and
healthcare like all other patients in hospital. Nur should be treated fairly and in context of
nursing practice for preparing Nur for discharge from hospital. Nurses should also ensure that all
legal rights of Nur are considered during preparing her for discharge and in case she is not aware
of her legal rights, they should not be violated. In addition to all above consideration, Nur should
be allowed to participate in decisions regarding her discharge and also about further treatment
and healthcare services to be given to her. Nur should be advised about how she can access
healthcare by nurses while discharging her.
Social Determinants of Health includes socioeconomic position, early life, social
exclusion, unemployment, social support, addiction, food and transportation. Other than this,
commonly accepted social determinants of health include living environment and housing, health
services and disability of the individuals (Palmer and et.al., (2019). To address these
determinants of health and the way they impede access to and participation in healthcare
professional codes and standards includes-
Practicing legally- This involves that all practices of nurses should be legal.
Practicing safely, effectively and collaboratively- In this nurses are required to provide safe,
person-centred and evidenced based practice and nurses are required to promote shared decision-
making in collaboration.

Acting with professional integrity- This involves that nurses work whilst behaving
professionally. Teach, supervise and assess other nurses and students and identify their role in
health related research (Professional standards, (2020).
Standard of nursing because through which they can address social determinants of health, are-
 Thinking critically and analysing nursing practice
 Engaging in therapeutic and professional relationships
 Maintaining capability for nursing practice
 Conducting assessment comprehensively
 Developing plan for practice of nursing (Nursing and Midwifery Board of Australia,
(2016)
 Providing safe, appropriate and responsive and quality practices of nursing
 Evaluating outcomes to informing practices of nursing
It is required that actions that nurses take are according to these standards while discharging Nur
from the hospital.

REFERENCES
Books and Journals
Brooks, J. S., Normore, A. H., & Wilkinson, J. (2017). School leadership, social justice and
immigration. International Journal of Educational Management.
Morone, J. (2017). An integrative review of social determinants of health assessment and
screening tools used in pediatrics. Journal of pediatric nursing. 37. 22-28.
Nursing and Midwifery Board of Australia. (2016). Registered nurse standards for
practice. Australia. 4.
O'Connor, D. B., Thayer, J. F., & Vedhara, K. (2021). Stress and health: A review of
psychobiological processes. Annual review of psychology. 72. 663-688.
Palmer, R. C., Ismond, D., Rodriquez, E. J., & Kaufman, J. S. (2019). Social determinants of
health: future directions for health disparities research.
Zeballos, E., & Todd, J. E. (2020). The effects of skipping a meal on daily energy intake and diet
quality. Public health nutrition. 23(18). 3346-3355.
Online
Professional standards. (2020). [Online]. Available Through: <
https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-
standards.aspx#:~:text=Nurses%20and%20midwives%20must%20be,standards%20for
%20practice%2C%20and >.
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