Brain storm with me.

Specialties Holistic

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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

So, I encourage any of you to start looking into this if it appeals to you. You do not need to have a BSN or Masters or be a nurse practitioner. Start with finding the American Association of Diabetes Educators web site. I started with my own state BON, which lead me to the AADE web site. The AADE membership is a little pricy, but the information and support I have gotten has been more than worth the price. I spent a day contacting people in my state that were listed members of AADE and 2 people contacted me and they were active in the state's Department of Health as well.

If any of you already have a program going, I would LOVE to hear from you and if any of you know that I'm not understanding all this clearly, please let me know. I am trying to learn all I can about this. If any of the rest of you are like me and would like to start down this road, you can contact me. We can start a support group on here.

Thanks for all the info Mudwoman. I am very interested in more discussions about this. The getting started part of this type of work may actually have more participants in the Nursing entrepreneur section. Nurses who do direct billing might chime in. Let me know if you get a thread started because I would love to participate.

I love the way you think Mudwoman! We should for sure form a mastermind group and see where we can take the concept of holistic nursing/education. I would love to brainstorm and chat with you more--perhaps we can email? Feel free to drop me a line: [email protected] :) I am really looking forward to getting to know you--I just love meeting my kinda people! :)

I am in the final months of an accelerated nursing degree, and need to find a nurse researcher to ask a few questions of, and would love to find someone who has done some research regarding EBP and holistic medicine. I'd appreciate any help! Thanks!

I love this forum and have the same aspirations and goals as you! I really am looking into this idea of being a nursing health coach, and for expanding into my own practice without having to be an APN. Why? Simple, I am fed up with the education "machine" and the enormous cost associated with higher education that I could achieve through my own intiative and learning. Also, many of the schools teach the same system that I have grown tired of, the system of medicine that ignores the whole person and instead "fixes" one aspect of a dynamic being through "medicine" that often leads to more side effects.

There is a LOT that doctors and nurse practitioners can achieve and help patients with. However, how cool would it be to have a coach to assist you with your illness? I am going to get my Oncology Nursing Certification and then my massage liscense. I dream of having my own practice and simple HELPING people with all aspects of care. How does this sound to any of you? Have any of you heard of anything like this? Does anyone else feel, like me, that over certifications and over regulation have lead to a dearth of actual human caring and people that can help each other without worrying about liability and all of that?

Nurses know a tremendous amount of information and yet are often tired out by running around the hospital taking care of stuff that does not involve health or education.

Specializes in CCU, Neurosurgery, M/S, Home Health,.

Ok. "If we want to have a holistic nursing practice, what do we do?" Well...I agree with others who are saying there is no need to be an APN to have a holistic practice. This is an idea that I have been struggling with over the last few years, when thinking about how to proceed with my interest in the holistic field, as an RN.

There is just one program out there for a Holistic Nurse Practitioner, which is in New York. All others are online programs, which I don't really see how that can be a quality education, with no hands on experience.

I'm starting to believe that everyone just needs to follow what interests them in the field of holistic nursing. There are so many different specialties to choose from, as previous posts have shown (ex: reiki, bach flower essences, yoga, aromatherapy, accupressure). Say I'm interested in Aromatherapy, then maybe my first step is to obtain a certificate in Aromatherapy through one of the programs AHNA offers. That way I can individualize my skills, determining the services that I want to offer patients.

I've also thought about going to get my massage license so I could combine massage with aromatherapy, and potentially other holistic nursing services (that I'd get education for along the way). This type of practice could be accomplished without getting an APN degree.

So what it comes down to is that I feel we can practice as Holistic Nurses with an RN degree and additional certifications/training in specialty areas. Then I think it might be best to have your own practice or maybe team up with a few other holistic RNs to open a practice. It's a long road ahead, but I can't wait. Good luck to everyone else out there! Any ideas/responses are welcome.

I am very interested in Diabetic Education as well and would love the opportunity to work in this field and leave the hospital setting. I addressed my interest while in nursing school and was told that I had to have a BSN to become certified in Arkansas.

I would love to hear any helpful information you are able to share and how this is working for you.

Melissa

Specializes in Certified Diabetes Educator.

So, as an update on what is going on......

On Oct 29, I started a part time position in the hospital that I work in as Inpatient Diabetes and Wound Clinician. I had to resign my full time position in ICU and go PRN there and that is scary because I need the full time hours. Sometimes you have to want something bad enough to just go for it.

I do not have a BSN, but I am working on my BSN with Excelsior. I joined AADE (American Asso of Diabetic Educators), attended some meetings in Little Rock with the Department of Health Diabetes Advisory Council, and did my CEU renewals on diabetes for my license. I read everything I can on diabetes and behavior modification, health coaching, and nutrition. There were 9 applicants for this part time position and I think all this was instrumental in me getting this job.

I still have aspirations of doing health coaching/holistic nursing in addition to this. This position gives me an opportunity to become a CDE.......in fact part of my job description is to become CDE within a year.

Melissa, I hope this helps you. I live in Arkansas and you do not have to have a BSN to become certified. You just have to have a certain number of hours that can be verified in diabetes education to qualify to take the exam. That is hard to do if you are not working in diabetes education. I was told by someone in the department of health to start documenting the education I did as a nurse on the floor (please be careful r/t HIPPA), but you can keep a journal/log of the date and number of minutes and what you taught and then be sure to record something in the patient record. That can end up counting towards the hours, I'm told. Take any position you can. Contact pharmacies as many have diabetes education programs too. Let people know that you are really interested in this type of nursing. Wound care and diabetes tend to go hand in hand at hospitals. If you can get a position in wound care, you may be able to be cross-trained in diabetes education. Apply with companies that provide health supplies and equipment r/t diabetes and wound care. Some nursing homes now have specialty wound care nurses.

I may end up with several "part time" positions to end up with the income I need to survive while still staying focused on my end goals. I never gave up. I just believed that if I just kept doing what I was doing, something would come along. It did. I spent a few nights worried about the money. I'm still a little nervous. PRN doesn't guarantee me any hours. My income could be cut in half. If you want something really bad, you have to be willing to take the risk if the opportunity door opens.

Charlee

I live in Conway, Arkansas. I would love to talk about things with you. I'm in a different place as a pre-nursing student with quite a lot more experience behind me (nearly 20 years) and the intent to practice as an FNP here in Central Arkansas. I want to go into family practice and have a very strong desire to combine holistic nursing and traditional medicine in treating my patients. I have every opportunity to direct my nursing career and I know very well where I want to go (as an adult student with a strong background in allied health, research, etc.) but I am still carving out my path. I would relish an opportunity to meet and swap information with you.

Specializes in Certified Diabetes Educator.

I would be glad to meet and swap info with you. Send me a private message with your info and I will reply with mine. How awesome that you are so clear on the path you want to take. How exciting.

Ok. "If we want to have a holistic nursing practice, what do we do?" Well...I agree with others who are saying there is no need to be an APN to have a holistic practice. This is an idea that I have been struggling with over the last few years, when thinking about how to proceed with my interest in the holistic field, as an RN.

There is just one program out there for a Holistic Nurse Practitioner, which is in New York. All others are online programs, which I don't really see how that can be a quality education, with no hands on experience.

I'm starting to believe that everyone just needs to follow what interests them in the field of holistic nursing. There are so many different specialties to choose from, as previous posts have shown (ex: reiki, bach flower essences, yoga, aromatherapy, accupressure). Say I'm interested in Aromatherapy, then maybe my first step is to obtain a certificate in Aromatherapy through one of the programs AHNA offers. That way I can individualize my skills, determining the services that I want to offer patients.

I've also thought about going to get my massage license so I could combine massage with aromatherapy, and potentially other holistic nursing services (that I'd get education for along the way). This type of practice could be accomplished without getting an APN degree.

So what it comes down to is that I feel we can practice as Holistic Nurses with an RN degree and additional certifications/training in specialty areas. Then I think it might be best to have your own practice or maybe team up with a few other holistic RNs to open a practice. It's a long road ahead, but I can't wait. Good luck to everyone else out there! Any ideas/responses are welcome.

I assume you're an RN & a yogi? I am an RN & yoga instructor. I would loooove to move out of the acute care setting 7 into something more holistic. I'm happy I found these threads. They make me feel as though I'm not so off as in the setting where I work now, people are so glued to the medical model which is just not realistic today.

I would be open to a bit more education if it is in an area that interests me. I'm torn these days between where the positions are offered & where my heart is...

Specializes in Certified Diabetes Educator.

The real issue sometimes is how do we get paid for the work we do. Sometimes, I think you just have to follow what in your heart you are meant to do and charge a fee that is fair and reasonable and expect that there are people out there that will pay you. The average co-pay to a physician is about $25 to $35 and you maybe get 15-20 minutes of the physicians time. I would guess that most of us make about that amount for an hour of work in the hospital or clinic. I also think that people want something other than what medical science can give them. They are probably just as frustrated in not being able to find us as we are in trying to figure out how to find them.

Think outside the box.

Specializes in Med-Surg.

Awesome! Thanks for recommending the book. I just bought it and am looking forward to learning more about this type of practice. As an RN just starting my journey in hopes of being a holistic nurse, I completely agree with everything you said and I am excited for you as you start this journey. You are right: it definitely starts with you. You will be helping yourself while you help others, and isn't that what nursing is all about? I have an appointment with a holistic MD in our area and I am looking forward to seeing if she has any advice on how to begin practice in holistic care. I wonder if you can find an MD as well that may give you some guidance? Good luck! I'll be happy to see other postings from you about this journey.

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