Assignment: Client-provider Relationship

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Assignment: Client-provider Relationship

Assignment: Client-provider Relationship

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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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