Assignment: Client-provider Relationship
and wholeness in the delivery
of care. Sample pain management questions
for each dimension focus on the internal
self-assessment carried out by nurses as
they prepare to deliver personalized pain
management care anchored in the
dimensions of reality within quadrants.
Central to success in the holistic caring
process approach is a trusting client-
nurse/client-provider relationship. Openness
of each member of the integral partnership to
perceptions about pain and pain management
that may be foreign to them is critical.
When coupled with a determination to find
a mutually beneficial approach to managing
the client’s pain, this non-judgmental
approach invites clients to engage in self-
care initiatives that help free them from
issues and concerns that block healing.
Caregivers must be willing to see the pain
experience through the client’s eyes and
frame solutions in such a way as to obtain
outcomes that work to relieve client pain.
For example, in Table 1, one of the sample
questions in the Individual Interior
dimension asks clinicians to reflect on their
openness to believing the client’s assessment
of their own pain. Another question in this
same dimension asks clinicians to reflect
on their moral responsibility to be open
to considering various pain relief options.
This reflective approach requires nursing
decisions about the moral and ethical
delivery of care, as well as decisions
about the safe and responsible use of
complementary and/or alternative methods
desired by clients, even if they do not
possess the strength of evidence so often
sought by allopathic practitioners.
Caregivers and clients alike must be
willing to not only talk about, but also
engage in partnerships that foster healing.
Before caring for others, caregivers must
spend time on self-assessment and self-
healing in order to be prepared to engage
clients fully in the delivery of holistic care.
By listening actively and openly to client
communication about the pain experience,
caregivers build trust with clients,
demonstrate caring and “other-
centeredness,” and actively work to
encourage clients to disclose more about
their experience of pain. In so doing,
caregivers demonstrate their willingness to
validate the client’s experience of pain and
open the door for teaching the client about
reasonable pain evaluations, safe pain
management strategies, and the benefits
and limitations of pharmacological and non-
pharmacological pain management options.
Without these caring relationships,
teaching seems inconsequential to clients
(i.e., just another task the nurse has to
complete) and its benefits often wither after
discharge. Throughout the care experience,
the use of caregiver intuition expands
opportunities for nursing investigation of
aspects of pain management care that may
not initially be apparent. Practice expertise
fosters the development of intuition. As a
part of pain management, nurses’ use of
intuition may help clients identify and
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