Brain storm with me.

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    I have been interested in Holistic Nursing for a long time. The American Holistic Nurses Asso touts themselves as the only "official" certifying entity, and in the past, you had to have a bachelor degree and be a RN to even apply. I went to their site and they now have a path for associate degree RN's.

    I have a book "Holistic Nursing" :A Handbook for Practice by Barbara Montgomery Dossey that is endorsed by the American Holistic Nurses Asso on the practice of holistic nursing. I have the 3rd edition, but Amazon has a new 5th edition. I can't tell you how wonderful this book is. It is worth every penny it costs.

    After reading this book and understanding what Holistic Nurse Practice really is, I contacted my State Board of Nursing. As long as I stay within the parameters of my scope of practice as outlined by my BON, not only is it legal for me to be an independent RN with my own practice, but when you read the above handbook, you realize that everything in that book is nothing more than our scope of practice applied. Most all is patient teaching and empowerment: helping people set health goals r/t nutrition, weight loss, smoking cessation, stress reduction, exercise etc. Where you will get into trouble is if you recommend ANY type of "medication" including herbs and vitamins in a pill form. However, if you encourage eating more veggies high in vit B and help a person identify what those veggies are, or if you encourage them to use a wide variety of herbs to flavor their foods, then you are accomplishing the same, but in a holistic way and within our nursing scope of practice. (I hope this ramble makes sense.)

    Now, go to the new draft for Healthy People 2020 and see that health literacy for people will be the main objective for the coming years. Patient teaching! Even Healthy People 2010 has education and community based programs as one of the objectives, but Healthy People 2020 takes it further and proposes that physicians refer patients to a healthcare provider that does patient teaching. "Increase the proportion of people whose doctor recommends personalized health information resources to help them manage their health." and "Personalized health information resources to increase health literacy levels" and "Connect to health outcomes so interventions could be tested for effectiveness." These are just some of the points being worked on for the Healthy People 2020.

    So, getting back to my reason for posting. Let's brainstorm. If we want to have a Holistic Nursing Practice, what do we need to do------and I don't see where we MUST be a APN to do this. I have been a nurse for 16 yrs. I am working on goals of reading and studying over the next year. I can see where I could have business cards and contact physicians about my services. Patients would have to pay for my services out of pocket, but I think there would be patients that would/could do that if my fees were reasonable. Holistic nursing seems to be sort of like a Health coach. I also realized that if I'm going to coach/teach someone on weight loss, I can't need to lose 20 lbs myself. I can't coach/teach nutrition if I'm still eating fries and drinking sodas myself. So, I see that this journey for me will start with ME.

    What are your thoughts????

    Charlee
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    I love you guys! You really have that entrepreneurial spirit. It never occurred to me that I could be independent as an RN. HerbalNurse, I'll be sending you an email as well.

    Now, Mudwoman, it's interesting what you say about the 'pill form'. I'm assuming we can still recommend loose herbs and teas.
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    I think you suggest they research some of the benefits of "X" herb or "X" tea such as green tea. You might even have some info that you can give them, but you are not necessarily recommending that they should take "X", just that they should look into it and determine "along with your primary physician whether you can benefit from it". You are focused on teaching and supporting.
    twopeeps04 likes this.
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    Quote from Mudwoman
    I think you suggest they research some of the benefits of "X" herb or "X" tea such as green tea. You might even have some info that you can give them, but you are not necessarily recommending that they should take "X", just that they should look into it and determine "along with your primary physician whether you can benefit from it". You are focused on teaching and supporting.
    Geez, its such a tightrope. The reality is that the average physician is not going to be familiar with the herbs that you have the client "look up". They may dismiss it due to lack of knowledge or preconceived ideas of 'alternative' medicines.
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    can i ask a question? For you, what are the benefits of patient teaching? Thanks!
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    I would love to get more information from you. Can you please e-mail me at brushfire5@verizon.net?
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    I could not agree more. I am also looking at using my license for health coaching; to help me specialize I am also getting Integrative Health Coach certified with Duke Intergrative. I will be working collaboratively, even with doctors, to decrease secondary risk and work on secondary prevention and into primary prevention. I hope to have some qualitative studies from this. Latter down the road I will be looking at specializing in stress management and perhaps bio feedback. I would like to discus what you are doing and where. I also have a pilot website for posting on prevention (nipp.pro) There are no post yet but this is the first time I have released the web site publicly.
    njoceangirl41 likes this.
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    So, getting back to my reason for posting. Let's brainstorm. If we want to have a Holistic Nursing Practice, what do we need to do------and I don't see where we MUST be a APN to do this. I have been a nurse for 16 yrs. I am working on goals of reading and studying over the next year. I can see where I could have business cards and contact physicians about my services. Patients would have to pay for my services out of pocket, but I think there would be patients that would/could do that if my fees were reasonable. Holistic nursing seems to be sort of like a Health coach. I also realized that if I'm going to coach/teach someone on weight loss, I can't need to lose 20 lbs myself. I can't coach/teach nutrition if I'm still eating fries and drinking sodas myself. So, I see that this journey for me will start with ME.

    What are your thoughts????

    Charlee[/quote]
    Hi there Charlee.

    yes I know, I do love that book but I haven't read it all.
    I am a BS nurse (don't understand what it means to be a RN nurse), graduated 3 years ago and am working in a small rehabilitation hospital in Akureyri, Iceland.
    Yes you could have your private clinic (I want that) and have patient pay you. I do find my rehabilitation nursing like holistic nursing at least the way I do it. And yes we do health teach/coach and guide people into healthier lifestyle and to be more responsible for their health. So we do have to be responsible for our own health so we can help others.
    I usually follow my instinct with my patients and guide them into complimentary therapies if I feel they need to even if it is reiki, bowen or homopatic remedies or diet guidelines.
    I am also using my personal experience more and more to guide my patients and common sence more. patients need it simple and manageble.
    bella201 likes this.
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    Check out ahncc.org for information about certification as a holistic nurse, and vote for nurse coaching. They are interested in your comments.
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    Quote from zahryia
    I love you guys! You really have that entrepreneurial spirit. It never occurred to me that I could be independent as an RN. HerbalNurse, I'll be sending you an email as well.

    Now, Mudwoman, it's interesting what you say about the 'pill form'. I'm assuming we can still recommend loose herbs and teas.


    Although herbs are "natural", they need to be treated with respect. Certain herbs interact with certain "medications" and can intensify or decrease their effects. There is a PDR for Herbal Medicine that addresses herb/drug interactions. Although the physicians probably don't refer to it, it is available as a resource that can be used to educate them; and any nurses interested in holistic nursing.
    bella201 and chwcbesteph like this.


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