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Holistic symptom management: modelling the interaction phase.

S K Haworth¹, N M Dluhy

¹Internal Medicine, Wareham, Massachusetts, USA. shaworth@mediaone.net

Journal of Advanced Nursing

|October 3, 2001

Summary

Nurses

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Area of Science:

Nursing Science
Symptom Science
Chronic Illness Care

Background:

Symptom management in nursing requires understanding the client's experience and the meaning of symptoms.
Advanced practice nursing in the USA encompasses comprehensive symptom management, including client involvement.
A holistic nursing approach is crucial for managing symptoms in the growing population with chronic illnesses.

Purpose of the Study:

To detail an interaction model linking nurse participation in symptom description to symptom management outcomes.
To analyze the complexities of the interaction phase within the Negotiated Symptom Management model.
To highlight the importance of the nurse-client interaction in achieving effective symptom management.

Main Methods:

Analysis of the interaction phase of the Negotiated Symptom Management model.
Examination of participants, process, and context within nurse-client encounters.
Focus on the complexities and variables influencing the interaction.

Main Results:

Interaction variables can negatively impact desired nurse and client outcomes.
Effective symptom management prioritizes the individual client over the symptom itself.
Acknowledging and addressing the client's 'lifeworld' is essential for successful symptom management.

Conclusions:

Focusing on key interactional influences improves symptom management outcomes like accurate diagnosis and relief.
Understanding the nurse-client interaction is vital for effective symptom management, especially in chronic illness.
Sensitizing nurses to these interactional dynamics enhances their ability to manage symptoms effectively.

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