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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
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Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
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Wonder and the patient.

H M Evans1

  • 1Centre for Medical Humanities, Durham University, Durham, UK, h.m.evans@durham.ac.uk.

The Journal of Medical Humanities
|December 9, 2014
PubMed
Summary

Exploring the

Area of Science:

  • Philosophy of Medicine
  • Medical Sociology
  • Health Geography

Background:

  • Sociologist Arthur Frank proposes an 'ideal of wonder' for individuals experiencing illness.
  • This concept suggests regaining a sense of life and flourishing despite health constraints.
  • The study examines potential health and well-being benefits of cultivating wonder.

Purpose of the Study:

  • To philosophically support and define an 'ideal of wonder' in the context of illness.
  • To explore the challenges and limitations of this 'ideal of wonder'.
  • To investigate broader benefits of wonder, particularly regarding embodied human agency, within and beyond clinical settings.

Main Methods:

  • Philosophical analysis and argumentation.
  • Conceptual exploration of 'wonder' and its relation to illness and flourishing.

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  • Interdisciplinary review, connecting with health geography and theories of embodied agency.

    • Main Results:

    • A philosophical framework for an 'ideal of wonder' is presented, linking it to medical treatment experiences.
    • The normative force and practical challenges of the 'ideal of wonder' are critically assessed.
    • Wider benefits of mindful engagement with embodied human agency are conjectured.

    Conclusions:

    • Cultivating an 'ideal of wonder' may offer a pathway to enhanced well-being for ill persons.
    • Mindfulness of embodied agency can yield benefits beyond the clinical encounter.
    • The concept of 'body-as-territory' and imagination are relevant to experiencing wonder.