Cedar Crest College Curing and Healing Reflective Journaling Discussion

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Cedar Crest College

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Reflective Journaling Guidelines and Rubric

Look at the PowerPoint And watch this TED video: And answer these two question:

And answer these two question:

Q#1: In regard to the topics covered this week, what surprised, interested, or challenged you the most, and why?

Q#2: Reflect on the following statement and discuss what you believe it means:

"The discipline of Medicine is primarily a curing process; the discipline of nursing transcends curing to become a healing process."


Purpose:
Reflective journaling is an evidence-based practice that assists students with strengthening personal knowledge of self as well as assimilating course concepts into their existing base of knowledge, skills, and attitudes.

Process:
Students will be provided with weekly reflective journaling prompts that address course topics, readings, and classroom exercises. Reflective journals will be submitted online to the learning management system (Canvas) via a text entry box provided on the journal submission link.

Respond to the specific questions assigned each week as the primary focus of your reflection.
You may also reflect on additional topics, thoughts, or experiences as desired.

NOTE: This assignment is set up to automatically award full points to students upon submission of their reflective journals to the online system; however, the instructor will review submissions and may deduct or adjust points if submissions do not meet the expected criteria as outlined in the rubric shown below and in the course syllabus.

Exemplary
20-19 points

Acceptable
18-17 points

Unsatisfactory
16-0 points

Evidence of deep, insightful, reflection and personal learning associated with the classroom topics, readings, and journal questions. Reflective statements incorporate material explored in that week’s specific class.
Reflection responses total at least 150 words in length.

Evidence of adequate reflective thought and personal learning associated with the classroom topics, readings, and journal questions.
Reflection responses total at least 150 words in length.

Provides minimal reflective thought, does not clearly demonstrate personal learning that occurred or did not complete weekly journal. Reflection responses total less than the required length.

Total Possible Points = 20 per each journal

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Holistic Nursing – Caring, Curing, Healing, and Ethics Holly L. Nerone, MSN, RN Learning Goals • Explore the concepts of caring, curing, and healing • Explore ethical concepts related to holistic nursing • Make connections between the two items listed above Let’s Review: The Basics of Holistic Nursing Nursing practice that has healing the whole person as its goal Honors relationship-centered care and the human experience Recognizes the interconnectedness of self and others Recognizes the connection between body-mind-soul Healing, defined • A multidimensional process of being or becoming whole • Emerging pattern of relationships between body-mind-soul that results in greater integrity, connection, and cohesion within the whole system Curing, defined • Elimination of signs and symptoms of disease Pause and Consider… • Can a person be cured but not healed? • Can a person be healed but not cured? • Does curing a patient fulfill our healing purpose? • Does curing a patient fulfill our ethical duty? TED Talk: Fred Lee on the Patient Experience • Watch the TED Talk (linked to the Module) • Identify connections to the holistic health care concepts that we have begun to learn about in the course. • TIP: jot down a few key takeaways to help you write your reflective journal later this week! Holistic Healing Systems • Healing systems focus on balancing the “right relationships” among a person’s body, mind, and spirit – which may also incorporate curative interventions • The process of caring serves as a bridge between the nurse and the patient, allowing the nurse to understand the patient’s needs and experiences related to healing The Concept of Caring • Generally defined as showing concern or having empathy toward others • Nursing literature emphasizes caring as a human trait, a moral imperative, and a therapeutic intervention • Transpersonal caring describes the interconnected relationship between the nurse and the patient The Interconnected Nature of Transpersonal Human Caring The Nurse’s Whole Self The Patient’s Whole Self Caring Doesn’t Happen in a Bubble • Transpersonal caring is not a solitary event that first develops around the nurse, then transfers onto the patient. • It starts from the premise that the nurse and patient exist in an interconnected world. How does transpersonal caring relate to healing? • Transpersonal caring shifts the nurse’s consciousness to healing intentions versus curing intentions • Transpersonal caring leads to healing effects that endure even after the patient is no longer in the nurse’s direct care • Transpersonal caring provides benefits to the nurse by improving role satisfaction and reducing burnout • Ethics – a discipline related to moral choices and the concept of right and wrong • Nursing ethics – a code of values that guides the way nurses work within their profession and the community • Holistic ethics – an ethical framework that adds the dimension of acting from the desire to do good, not just to follow protocol or law Concepts Related to Ethics Curing, Healing, and Ethics • When the goal of the hospital and doctor is to CURE the patient, the patient’s need to HEAL may be overlooked in a flurry of treatments designed to fix a medical problem; this can actually prevent holistic healing. • It may also create an ethical dilemma: • Should curative treatments always be given, even if they violate a patient’s dignity or personhood? • Should curative treatments ever be withheld, to preserve the patient’s dignity – but potentially costing them their life? Curing vs. Healing • Medical treatments are often evaluated in concrete terms that do not take the patient’s whole person into consideration • In medical terms: • If a seizure medication prevents the patient from having seizures, the patient’s problem has been cured • If a surgery removes a diseased body part, the patient’s problem has been cured • If a blood transfusion saves a patient’s life, the patient’s problem has been cured • But… has the patient also been healed…? Curing vs. Healing • Healing considers the interconnectedness of the whole patient and defines treatment success holistically • For example: • A patient’s seizures may resolve with meds, but they may have significant mental and spiritual anguish at no longer being able to drive or work • A surgery may remove a diseased uterus, but the patient’s dreams of carrying a pregnancy are shattered • A blood transfusion may save a patient’s life, but the patient’s religion might condemn them for agreeing to receive that treatment • So… if we prioritize curing over healing – are we acting ethically? • This is very contextual – There are complex decisionmaking methods and full ethical teams to help address situations that arise in health care settings. How do ethics connect to the curing/healing equation? A Case Study for Discussion (Posted in the Module!) • A pregnant patient arrived to a Labor and Delivery unit with an emergency situation: she was in an advanced stage of labor, but the fetus was in a breech presentation. • The typical response to this emergency is to perform an immediate C-section (surgical birth) to prevent the infant from getting stuck in the birth canal – a potentially deadly complication. • The mother was from a culture that did not believe in surgical intervention. Through an interpreter, the situation and risks were explained to her; however, she declined surgery, stating that if the baby died it was meant to be. Discussion Questions What are the ethical challenges with this situation? What “cure” was the medical team hoping to implement? What does the patient’s resistance to surgery tell you about her (body-mind-spirit)? What is the nurse’s role in regard to helping the patient heal after this encounter? Final Reminders – Assignments This Week! • Engage in the discussion frequently throughout the week! First post due by WEDNESDAY! • Submit your self-assessment essay by the end of this week; see instructions in the syllabus or online in Canvas. • Your weekly Reflective Journal is also due by midnight, Sunday.
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Explanation & Answer

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Curing and Healing Reflective Journaling

Student’s name
Instructor’s name
Course code and title
Date

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Q#1: In regard to the topics covered this week, what surprised, interested, or challenged
you the most, and why?
From this week’s readings, it’s interesting how a patient can be cured and not healed.
When the hospital is more concerned about medical treatment to cure the...


Anonymous
Just what I was looking for! Super helpful.

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