Académique Documents
Professionnel Documents
Culture Documents
Laurie Schmiesing
Eira I. Klich-Heartt
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Meeting
the person
Reflection
Reflection
With the Which gesture
person / the arises?
team
Implementa- Objectifica-
tion tion
Living the What are the
gesture in
working with
thoughts of
pt the team?
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Being Being
in with
relation self
Being present
Being Being
in social in
context place
McCormack (2016)
McCormack (2016)
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Awakening
Challenging Affirming
Enveloping Nurturing
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Awakening
Challenging Affirming
Enveloping Nurturing
Virgo - Virgin
Power to heal objectively
In soul life
Not unrestricted sympathy, but measured
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Pisces - Fishes
Interest in something and able to let go again
Conscious touching of another
Return to ourselves in order to be able to take
up the next patient
Prevent burnout
Libra – Scales
Finding a new middle
Balancing between extremes
Conscious positioning
Balancing out burdens during extreme times in
a biography
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Aries – Ram
Allowing the new to emerge –
Not simply scrubbing the old away
Pushing up – springing forth with something
new
A new insight –
A change in action
Scorpio - Scorpion
Slightly provocative
Only justified when the individual has the
forces to meet it.
Mustard compress or footbath
Mildly stinging
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Taurus – Bull
Vision of cow – taking in physical substance to
transform
Metabolic process
Turning substance into action
Sagittarius – Centaur
Strength and aim
Reason and clarity
To give direction
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Gemini – twins
Taking into account one’s own strength in
order to help the other
Groundedness
Capricorn – goat
Consciousness
Presence of mind
Patience
From the darkness to the light
Lifting heaviness to the light airy element
Thinking, feeling, willing
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Cancer – crab
Summer –
Awareness outside of one’s self
Warmth
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Leo – Lion
Reaching out into the periphery
Coming back to center
Centrifugal and centripetal forces
Creating space for healing to occur
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5/18/2017
An 84 year old female with a femur fracture/ left total hip arthroplasty.
History of CVA, Parkinson’s and dementia. She received Norco for pain,
perioperative IV abx and Sinemet for Parkinson’s symptoms. The family
was constantly at the bedside and extremely concerned about her
receiving the Sinemet.
The RNs on the floor were administering the hospital and her home doses
around the clock, one twenty minutes before the other, every 3 hours.
This patient was at risk for aspiration because of her history of
CVA/swallowing issues. The family insisted on feeding her.
They had initially wanted to feed her when she was too sleepy, this raised
concerns.
With this in mind, teaching and demonstration became the priority.
It is such a blessing to have family wanting to care for their loved one, but
at the same time this creates a huge educational burden for the RN and
staff sending the patient home.
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This 70 y/o male patient was being difficult with staff, disrespectful and yelling at a
CNA to get out because he couldn't understand her. He was having loose stool due to
antibiotic therapy. Pain in his left foot. Diminished lung sounds at the bases. Due to
chronic kidney disease the patient may need dialysis in the future requiring a port to
be placed, this is causing concern for the PICC line placement.
Patient was educated on respectful behavior towards all staff and set boundaries on
inappropriate behavior.
Patient was receptive and cooperative with boundary setting .
Patient responded to one on one attention.
Patients pain was managed throughout the shift.
Patient had a hard time remembering to use the Incentive Spirometer.
Patient seemed to be indifferent to the PICC and Port decision, although did
understand why it was being discussed.
The nurse who gave report in the morning mentioned the patient was difficult and
that it was a good idea to set boundaries while establishing the relationship.
“I appreciated the suggestion as I was ready to be kind and firm and the day ended
up going well. He was receptive to my education, respectful and had good humor. “
Chinn, P. L. & Kramer, M. K. (2014). Knowledge Development in Nursing Theory and Process, 9th Ed. Mobsy,
St. Louis
Fawcett, J. (2012). Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories.
F. A. Davis, Philadelphia, PA.
Heine, R. (2015). Anthroposophische Pflegepraxis: Grundlage und Anregungen für alltägliches Handeln. Salumed
Verlag, Berlin, Germany.
Heine, R. (2009). The Twelve Nursing Gestures and the Zodiac. Anthroposophic Nursing Association, Kent,
Great Britain.
Helming, M., Barrere, C., Avino, K., Shields, D. (2014). Core Curriculum for Holistic Nursing, 2nd Ed. Jones
& Bartlett, Burlington MA.
McCormack, B., Karlsson, B., Dewing, J., Lerdal, A. (2010). Exploring person centeredness: a qualitative
metasynthesis of four studies. Scandinavian Journal of Nursing Sciences, 24,3, p 620-634.
McCormack, B., and McCance, T. (2016). Person-Centred Practice in Nursing and Health Care: Theory and
Practice, 2nd Ed. Wiley and Blackwell, Oxford, England.
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