You were recently asked to create a holistic patient intake form that will transform current nursing practice in your facility and enhance the holistic healing environment. Instructions Create a holistic patient intake form

Competency Apply holistic philosophical, theoretical, and ethical principles to professional nursing practice. Appraise integrative nutrition from a nursing perspective as a foundation of holistic practice. Utilize the holistic caring process. Apply therapeutic communication to holistic nursing actions. Create integrative, holistic, caring environments supported by evidence-based strategies. Analyze the impact of self-reflective practice in relation to self-care. Student Success Criteria View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane. Scenario You are the chair of a newly formed Holistic Nursing Committee at the healthcare setting where you are currently employed (if not currently employed, base it on previous clinical experience). You were recently asked to create a holistic patient intake form that will transform current nursing practice in your facility and enhance the holistic healing environment. Instructions Create a holistic patient intake form and a resource handout for nursing staff that attends to the items below: Create a resource handout for nursing staff that provides background knowledge about holistic nursing practices. Your handout should address the following: Describe at least 1 holistic philosophical, theoretical, and ethical principle in professional nursing practice. Define integrative nutrition and explain why it is the foundation for holistic practice. Provide at least 1 holistic caring strategy that nurses could incorporate in their daily practice. Provide at least 1 therapeutic communication strategy nurses can use in their daily practice. Explain how creating evidence-based integrative, holistic, caring environments will enhance nursing practice in your facility. Explain how self-reflective practice influences an individual’s self-care and professional practice. Create an intake form for patient care that documents a holistic assessment of your patients. You have the freedom to design the intake form in a traditional way (questions that assess your patients), or you may want to develop an alternate approach (using a visual graphic for patients to circle areas of wellness/concern). Whatever approach you choose, your intake form must be clearly organized, well designed, and assess all of the following domains of care: Nutritional Assessment Physiological Assessment Emotional Assessment Sociological Assessment Developmental Assessment Spiritual Assessment Cultural Assessment Family Assessment Environmental Assessment Practical Assessment Prevention Assessment Community Assessment Patient Treatment Plan Conventional Treatment Preferences Complementary Treatment Preferences Health Goals Resources Consult the resource(s) below for help developing your submission. Perform an internet search for “patient intake form” and you will find a variety of examples.