Pathophysiology1. What type of Anemia causes fatigue, numbness, and tingling sensation in hands and feet with unsteady gait?


Apply therapeutic communication to holistic nursing actions.


Suppose that you were provided a scholarship to attend the National Holistic Nursing Conference. During this conference, you participated in a workshop that introduced the therapeutic communication techniques listed below and discussed how to apply them in nursing practice:

  • Setting an intention
  • Centering
  • Grounding
  • Caring
  • Healing
  • Transcendent presence
  • Intuition

When concluding the day’s activities, the presenters asked you to reflect on the professional experiences you have had with patients and to document that reflection in a one-to-two page journal entry.



Write a one to two page journal entry that addresses the following:

  1. Using your own words, define therapeutic communication in relationship-centered, holistic nursing care.
  2. Describe at least one nurse-patient encounter where you could apply effective therapeutic communication skills in your role as a student nurse. Identify which of the therapeutic communication techniques you would use and explain how you would employ them.
  3. Describe at least one nurse-patient encounter where you could have communicated more effectively in your role as a student nurse through the application of therapeutic communication techniques. Identify which of the therapeutic communication techniques you would use and explain how you would employ them.

 Discuss how an organization’s mission and vision can affect strategic planning and the implementation of change? 


You are a nursing manager of the education and innovations department at a large nonprofit academic medical center. You do work at the flagship hospital, but there are three additional campuses and several affiliated facilities throughout three additional states. Therefore, technology is heavily relied upon for consistent and reliable communication for interdisciplinary care. Recently, the CNO sent you a patient satisfaction survey highlighting how impressed this patient was with their nurse’s timeliness of answering their questions. The patient continued to share that the nurse used their personal cell phone to reach out to the patient’s provider to get clarification of the patient’s discharge instructions. The patient loved their quick response and wanted to highlight this as a best practice for all healthcare professionals.


You have just completed a technology usage assessment of the healthcare staff across departments, and it has come to your attention that several nurses occasionally communicate with medical providers through text on their personal cell phones, using their phone’s messaging service. The nurses found that they are able to meet their patient needs more quickly. Your assessment also discovered that a nurse used their personal cell phone to take a picture of a patient’s foot ulcer. The picture was posted on social media as a reminder to diabetics the importance of managing their blood sugars. As the nursing education manager it is your responsibility to ensure staff are following the hospital polices and your technology assessment has highlighted that the staff is in urgent need of HIPAA training and Smart Phone use.

Using the scenario above create a mandatory training for all staff using PowerPoint with voice over including the following:

  • Examine personal Smart Phone use and its implications in Healthcare
  • Identify and explain a minimum of 3 unethical uses of Smartphones in healthcare (including text messaging and pictures)
  • Discuss potential benefits to appropriate Smartphone use in healthcare
  • Examine judicious use of Social Media and its implications in Healthcare
  • Potential benefits to appropriate use of Social Media in healthcare
  • Identify a minimum of 3 unethical uses of Social Media (as reviewed by NCSBN)
  • Describe regulatory bodies and Ethical Frameworks used to protect Personal Health Information (PHI)
  • Investigate the role of HIPAA, HITECH, and Nursing Code of Ethics
  • Determine the legal consequences associated with unethical or illegal Smart Phone and Social Media use.

How do you see yourself contributing to the nursing profession? 

Discuss how the patient care that you have provided has influenced your career and your decision to continue your education.

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

APA style is not required, but solid academic writing is expected.