Individual Nurse’s Holistic Preparedness

Individual Nurse’s Holistic Preparedness

By listening actively and openly to client

communication about the pain experience,

caregivers build trust with clients,

demonstrate caring and “other-

centeredness,” and actively work to

encourage clients to disclose more about

their experience of pain. In so doing,

caregivers demonstrate their willingness to

validate the client’s experience of pain and

open the door for teaching the client about

reasonable pain evaluations, safe pain

management strategies, and the benefits

and limitations of pharmacological and non-

pharmacological pain management options.

Without these caring relationships,

teaching seems inconsequential to clients

(i.e., just another task the nurse has to

complete) and its benefits often wither after

discharge. Throughout the care experience,

the use of caregiver intuition expands

opportunities for nursing investigation of

aspects of pain management care that may

not initially be apparent. Practice expertise

fosters the development of intuition. As a

part of pain management, nurses’ use of

intuition may help clients identify and

reveal potential blocks to healing, thereby

promoting active, collaborative engagement

in the design and development of solutions

that advance healing. The power of holistic

communication cannot be overemphasized

as a critical activity for promoting healing.

Clients must be open to accepting the

knowledge and expertise of caregivers

regarding the efficacy of various treatments

for pain relief but also have the

responsibility for learning more about pain

management and taking an active role in

decision making that fosters healing. At

the same time, clinicians must remain open

to hearing the client’s “story,” inviting

clients to partner in designing pain relief

interventions, and trusting in the value

of the client’s experiences of pain. Client

openness to describing the meaning of the

pain experience may foster their ability to

address issues that have previously blocked

healing. Such breakthroughs contribute

to deeper integral dialogues between client

and nurse, and aid the clinician in seeking

the expertise of other members of the

healthcare team in the restructuring of

transpersonal care.

To be sure, application of the dimensions

of reality within quadrants does not end with

the individual nurse’s holistic preparedness.

Table 1 also describes the importance of

applying integral knowledge within group

contexts so as to transform pain

management practice through integral

dialogues that promote engagement with

shared interdisciplinary, sociocultural, and

leadership worldviews about the meaning

and value of efforts to collectively address

and enhance pain management care.

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