Quality Care
Holistic Care
Professional nurses caregiver provides to clients the following
1- physical support.
2- emotional support.
3-Teach to take an active role in maintaining health.
Holistic health is a term derived from the Greek word (holos)meaning
(whole).
Holistic health views the:
 Wellness includes physical, intellectual, sociocultural,
psychological, and spiritual health
 Wellness is aspect of a person s life as an integrated
 holistic health care: is a comprehensive approach to health care.
Nurses work with people throughout life to promote wellness and
prevent illness.
 Wellness: is a responsibility, choice, a lifestyle design that
helps maintain that highest potential for personal health.
Maslow’s Hierarchy of Needs
Abraham Maslow developed a theory of behavioral motivation basedon
needs.
Levels of hierarchy:
1- physiological needs. (needs of oxygen, water, food, elimination,
rest(sleep)/ activity(exercise), and sex.
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2- Safety and security needs.(safety needs include both physical and
emotional aspect.
 Illness is often a threat to safety because the stability of life is
disrupted.
3- love and Belonging needs.
 Having friends and participating with others in groups and
organizations are two ways to meet these needs.
 Meeting these needs is extremely important for mental
health.
4- Self-Esteem needs.(self-esteem met by achieving success in work
and other activities).
5- Self-Actualization needs.(is the highest level of the Maslow
hierarchy)
 Maslow contends that because most people are so busy meeting the
physiological and safety and security needs, Little time or energy
is left to meet the love and belonging, self-esteem, and selfactualization needs.
 Most people are less than satisfied at higher levels of the hierarchy.
Providing quality care:
1- first step in providing quality client care is to be aware of
yourself.
2- the next step is taking care of your own needs.
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Self-Awareness: is consciously knowing how the self thinks, feel,
believes, and behaves at any specific time.
 Self-awareness is extremely important for nurses.
 Nurses must understand themselves so that their personal
feelings, attitudes, and needs do not interfere with providing
quality client care.
 All decisions about client care must be made in response to
the clients needs, not the nurses needs.
Development of self-concept:
 Self-concept is how a person thinks or feels about himself, thses
come from the experiences the person has with others and reflect
how the person thinks others view him.
 Self-concept begins forming in infancy
 Experiences both positive and negative, influence a persons selfconcept.
 Interactions with significant others, such as parents, extended
family, and friends, have great impact on self-concept.
 Self-concept develops through feedback from others.
 The nurse is responsible for providing feedback that will not
negatively affect the clients self-concept.
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Self-Care as a prerequisite to client care:
 The nurse helping clients how to recognize their own action can
prevent many of the conditions that cause illness.
Exp: choosing exercise regularly, to eat balanced diet, to eat
breakfast each day, to control fat content, and to select from basic
food groups are good rules for wellness, choosing to not smoke, to
practice moderation in the use of alcohol, and practices safe sex
can help prevent many of the condition that cause disease and
death.
 The nurse emphasizing health promotion and client education.
 The nurse is not enough to tell a client what can be done to
improve health, the nurse must also be prepared to explain why.
 Components of self-awareness for a person
1. Physical wellness: refer to a healthy body functions at an
optimal level.
 How to achieve physical wellness
1- grooming: the nurse communicates a message of health
and well-being by being clean and neatly dressed ( daily bath,
use deodorant form, hair clean, regular dental checkups,
mouth care, dry skin, nail not harbor dirt, jewelry can harbor
bacteria.
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2- body Mechanics: using the body in the safest and most
efficient way to move or lift objects.
3- posture: good posture means the ability to carry oneself
well and in correct body alignment.
- posture can also send messages about a person
4- smoking: smoking contributes to many health hazards
and illness.
- the oder of smoke, on clothes or breath may participate
allergic reaction or lead felling of nausea in some clients.
5- Drugs and Alcohol: drug abuse has become so
widespread within the health professions.
- A nurse should never give or make a drug available to
anyone without written order of physician.
6- Nutrition: nurses must be able to think clearly and work
efficiently
- A balance diets, includes fruite, vegetables, grain, cereals,
milk meat, and other protein food is required for optimal
body function.
- avoid skipping meals, specially breakfast.
- drink plenty of water(proximately 60% of the adult body I
water.
- Adult needs for 6-8 glasses.
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7- sleep, rest, relaxation, and exercise: wellness means
taking time to enjoy yourself. It means making time for sleep,
rest, relaxation, and exercise.
2- Intellectual Wellness: is the ability to function as
independent person capable of making decision based on the
individual needs, clear thinking, problem-solving skills, good
judgments.
3- Sociocultural Wellness: is the ability to appreciate the
needs of others and to care about ones environment and the
inhabitants of it.
-nurse will be care for clients of all age, race, who speak
different languages and come from various cultural groups.
4- Psychological Wellness:
- emotions are an integral part of the balance sought in life
and are important factors in the way a person relates to
others, they are measures of inner thoughts and feelings and
are apparent in actions or behaviors.
- another aspect of emotional wellness is a positive attitude
- attitude is a felling about people, places, or things that is
evident in the way one behaves, it can be positive or
negative.
5- Spiritual Wellness: it manifests as meaningful work,
creative expression, familiar rituals, religious practices
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