XH3001 Assignment Person Centered Communication

Competency Assessment:

Holistic, Person-Centered Plan of Care

Student Name:

Date: April 29, 2026

Use this template to develop and reflect on a holistic, person-centered plan of care for Gordon Brune, your avatar patient at Neighborhood Clinic, the fictional community health center. Base your responses on information in the interactive media resource, other Learning Resources, and any resources you identify to support your responses to the following questions. All responses should have evidence cited to support statements made in your document. Your document should be 3 – 4 pages plus a reference page.

Part One: Identifying Dimensions of Wellness

1. Write a brief profile of patient Gordon Brune based on what you know about him from the avatar scenario.

Mr. Gordon Brune is a middle-aged man with a history of diabetes and has been having trouble maintaining a stable blood sugar level. Even though he checks his blood sugar regularly, he says it’s “all over the place” (Walden University, 2024). He has night work hours and is nearing the age of retirement (Walden University, 2024). Mr. Brune is divorced and resides with his daughter and grandchildren (Walden University, 2024). His daughter set up an appointment for him, which meant she was concerned about his health (Walden University, 2024).

 Describe the dimensions of wellness that are influencing Mr. Brune’s situation and condition. For those that you do not identify as factors, explain your thinking.

• Emotional

In this case, emotional wellness is an important factor. Due to his divorce experience, he feels frustrated, lonely, and unsure about where he will be living (Walden University, 2024). He conveys ambivalent thoughts about his family, sometimes wishing they would leave, but also feeling lonely (Walden University, 2024). Emotional stress could have a detrimental impact on blood glucose levels and lower diabetes self-management adherence (Ibrahim et al., 2024).

• Physical

All of these factors are known to have a negative impact on glucose control and complications (ElSayed et al., 2024). He has irregular eating patterns and tiredness because of his shift work (Walden University, 2024). All of these are associated with poor glucose control and a higher likelihood of complications (ElSayed et al., 2024).

• Intellectual

I think Mr. Brune is somewhat competent mentally; he knows what he has got, what he has to do in order to be able to take care of himself, but his lifestyle is not helping him, I think. He is able to check his glucose periodically, but has not been consistently following diet recommendations (Walden University, 2024). The lack of knowledge application may compromise their self-management skills and affect their health status (Xian et al., 2025).

• Occupational

Due to his swing shift, his eating schedule, sleeping schedule, and diabetes care are significantly impacted (Walden University, 2024).

• Spiritual

This dimension does not seem to play a significant role in his condition, because, in this instance, no data is given regarding beliefs or practices that would impact his health decision-making, as there is no mention of a belief that impacts his health decision-making (Walden University, 2024).

• Social

Social wellness has both positive and negative effects for Mr. Brune as he lives with his family members and benefits from their companionship, but it has a negative effect because they engage in unhealthy habits (Walden University, 2024)

Part Two: Developing a Holistic Plan of Care

1. Summarize Mr. Brune’s health issues and needs from a holistic perspective.

Only a few interrelated components can enable Mr. Brune to manage his diabetes. Physically, the patient is eating irregularly as well as working irregular hours, which negatively impacts the regulation of glucose. He experiences isolation, stressful situations unemotional frustratingly and is not willing to take care of himself (Walden University, 2024). On a social level, his family is a support and/or a hindrance (depending on the situation) (Walden University, 2024). From an occupational point of view, his work interferes with maintaining a schedule. Overall, Mr. Brune needs to stabilize his lifestyle, have some guidance regarding diabetes management, and receive some support.

2. Explain a plan of care that will address the dimensions of wellness that are having the greatest impact on Mr. Brune’s ability to manage his diabetes. As part of your care plan, identify at least two community resources or other health professionals to whom you would refer Mr. Brune. Explain your reasoning.

In developing a care plan, with the help of Mr. Brune, his lifestyle can be stabilized and his diabetes controlled. A dietary plan for shift working will help glucose to be more regulated. Medication taking and self-monitoring education will help adherence to the medication regimen (Ibrahim et al., 2024). Emotional stress reduction and relaxation will help eliminate emotional stress. Referral to a diabetes educator should be useful, along with a dietitian’s help.

3. Explain how your care plan adheres to concepts of person-centered care and a holistic approach to patient care.

For this care plan the person-centered approach has been used, as the care plan has been created based on the individual lifestyle of Mr. Brune, his preferences, and challenges and not the standard approaches. His work schedule, emotions, and family circumstances were taken into account while creating interventions for him, making sure that they were realistic and possible for Mr. Brune. This care plan is designed to encourage the patient to be involved and empowered in what they can do to enhance their health status. A holistic approach is evident, as the inter-relation of several factors that affect the patient’s health can be seen, including physical, emotional, social and occupational.

4. Explain how your care plan adheres to the four ethical principles for a professional nurse.

The caring plan is based on the four ethical principles that are essential in the nursing profession. Autonomy was considered first of all when working with Mr. Brune, as his own opinion was taken when creating his care plans. The interventions that may be helpful to Mr. Brune have been offered to him and are referred to as beneficence (Nieves, RN* & DPM, 2026). Non-maleficence is achieved by excluding recommendations that cannot do any good or cause harm due to their inapplicability or too radicalism. Lastly, equity is achieved if patients have equal access to healthcare opportunities.

Part Three: Reflecting on Person-Centered Holistic Care

1. Reflect on the challenges of taking a holistic approach to patient care. Explain your thinking.

The use of a holistic approach in patient care entails certain problems. Firstly, it takes longer to discuss all aspects of wellness – this may be an issue in clinical settings. Like Mr. Brune, patients can be reluctant to make lifestyle changes due to entrenched habits or emotional barriers. The coordination of care from several specialists might entail communication issues (Loveness Makoni et al., 2024). Finally, resources, which may be difficult to access, may be needed to address social and emotional concerns (Xian et al., 2025). But, with all these disadvantages, it is essential to render comprehensive care that will produce positive results.

2. Reflect on the benefits of person-centered holistic care. Explain your thinking.

Holistic person-centered care is particularly beneficial as it deals with the core issues underlying health-related problems. With Mr. Brune, this means that he can be treated more effectively for diabetes because his lifestyle, emotional health, and social surroundings are taken into consideration. Moreover, a person-centered approach increases the level of cooperation as the patient will feel taken into consideration and respected (Ibrahim et al., 2024). Holistic care helps to achieve long-lasting health improvement without any negative consequences.

3. If Avatar Clinic Director Asha Gill were your clinical supervisor, what kind of support would you want as a professional nurse for taking a person-centered, holistic approach to patient care? Explain your reasoning.

If I were to have Asha Gill as my clinical supervisor, I would request support, guidance, resources, CES, and collaboration. Including holistic person-centered practice, I would be able to build my practice further. There would be a need for support in multidisciplinary care and referral to other specialists (Chen et al., 2024). Furthermore, an adequate amount of time for patient evaluation and follow-up could have a positive impact on the provision of care (ElSayed et al., 2024). Moreover, mentorship and constructive feedback would also be helpful for better clinical decision-making. Their career would be less stressful if they could get emotional and psychological assistance from a supervisor.