Holistic Assessment

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Culture, ethnicity, and class are all aspects that must be considered when caring for a patient. They are all components that help outline the plan of care for the patient in their own unique way, but the need to assess culture supersedes the others. As the patient’s culture defines their thoughts, how they feel, and the way they behave, this consequently determines how they will choose to live their life (Freidman, Bowden, & Jones, 2003, p. 217). Therefore making the assessment of culture imperative. The lack of assessment of culture by the nurse can result in a breech in communication. One of the problems that might result is a language barrier, the nurse may overlook this problem if she assumes the family can speak English or that English …show more content…
Although a nurse might think that by focusing on assessing the individual she will be able to gather all the data necessary to develop an appropriate plan of care this is not the case as through the involvement of the family the nurse might discover that there are other symptoms or issues that might have not been discovered or even addressed to that matter (Denham, Eggenberger, Young, & Krumwiede, 2015, …show more content…
(2015) genograms and ecomaps are tools that the nurse utilizes to gain a visual diagram to evaluate the family’s present situation and their family story, this enables the nurse to integrate a suitable family plan and select interventions that are tailored for the family’s needs. This also enables the healthcare provider to become more aware of cultural and spiritual aspects of the family (p.116).
The genogram must follow certain rules and symbols to enable everyone to gain the same understanding and not misinterpret information. It consists of a family tree, which includes family members of at least three generations, and includes information in regards to their relationship, and is organized into family systems by generation, age, sex, or other similar features. It also incorporates other pertinent information such as health status, comorbidities, obesity, mental health comorbidities, and history of smoking or substance abuse. This model is an important tool, as it can be used to evaluate the family’s history of psychosocial, physical, and mental illness, which are pertinent as family patterns can be repeated from one generation to the next. The use of this assessment tool can impact the family’s plan of care, as through this visual tool the nurse is able to gather a quick overview of the family’s complications and furthermore assess the family (Kaakinen, et al., 2015,

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