NURS FPX 4015 Assessment 2
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NURS FPX 4015 Assessment 2 Holistic Nursing Care with 3Ps
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Capella University
NURS-FPX4015 Pathophysiology, Pharmacology, and Physical Assessment: A Holistic Approach to Patient-Centered Care
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Holistic Nursing Care with 3Ps
The holistic nursing care framework is person-centered care that takes into consideration the physical, emotional, social, and spiritual issues of the patients. This act will assist the nurses to consider the entire person and not just the illness, hence ensuring maximum health rates and patient satisfaction. With the help of the Bachelor of Science in Nursing (BSN) model, I would integrate the information in pathophysiology, pharmacology, and physical assessment to deliver holistic, evidence-based, and caring care (Karthi R. et al., 2025).
The three domains, combined, are improved, and improve the abilities of nurses to provide safe, quality, and personalized interventions to various groups of patients. The paper will also discuss how holistic nursing care is connected to the three fundamental nursing sciences, such as pathophysiology, pharmacology, and physical assessment, and how integrating them improves the efficiency of care delivery in the case involving adult patients.
Holistic Nursing Care and Its Benefits
Holistic nursing care is a method of health care practice that culminates in consideration of physical, emotional, social, and spiritual components of health. It views patients as real persons, whose wellness depends on the balance of these interconnected systems in comparison with the nonexistence of disease (Yildiz and Ciftci, 2025). In this model, emotional well-being, family dynamics, and spiritual support are integrated in the treatment, encouraging person-centred care. Holistic nursing encourages a therapeutic relationship between the patient and the nurse in which empathy, trust, and decision jointness are encouraged to produce the best results.
Holistic nursing has a great benefit to both the patient and health practitioners. Patients receiving holistic treatment feel more satisfied, are more psychologically healthy, and are more compliant with therapy (Zhang, 2025). The warmth and positive communication remove anxiety and stimulate recovery, and the involvement in providing care leads to greater self-efficacy and empowerment to handle chronic illnesses, including diabetes and high blood pressure (Flaubert et al., 2021). Stress, emotional exhaustion, and social isolation, which are the factors that can be lowered by holistic nurses, will contribute to the long-term health outcomes.
The advantages of holistic care are also transferred to the nurses, which increases professional satisfaction and resilience. The close rapport with patients generates meaningful amounts of interactions that reduce amounts of stress and burnout (Yildiz and Ciftci, 2025). The holistic practice allows self-awareness, empathy, and cultural competence that allow nurses to provide personalized care to various groups of people. The technology enhances the quality of care and saves the emotional equilibrium and professionalism of the nurses. In this way, holistic nursing promotes wellbeing of patients and the personal accomplishment of nurses with an empathetic and collaborative healthcare culture.
Pathophysiology and Its Role in Nursing Practice
Nursing practice is anchored on the pathophysiology because it explains the impact of diseases on the normal functioning of the body. The information on such mechanisms can help nurses to identify the origins of illnesses as well as predict the complications and apply evidence-based interventions (O’Brien et al., 2020). Examples of how insulin resistance knowledge can be implemented to educate patients with diabetes on taking diet and medication are carbohydrate counting and the use of metformin (ElSayed et al., 2022).
Equally, reduced cardiac output is among the conditions in heart failure that warrant care interventions, such as measuring weight daily, restricting fluid intake, taking furosemide or carvedilol (Suri and Pamboukian, 2021). This scientific knowledge will definitely enable high-quality, proactive, and safe care for the patients.
Integrating pathophysiological knowledge will enhance critical thinking and clinical decision-making by nurses. It enables the correspondence of lab information, symptoms, and treatment reactions to create personal-level care plans (Davoodi et al., 2022). The ability of the nurses to know how diseases operate and assist the patients in self-management in chronic diseases like diabetes and heart failure will enable them to educate the patients. This approach empowers the role of the nurse as an educator and an advocate and facilitates holistic and patient-centered care.
Pharmacology and Its Role in Nursing Practice
The pharmacology provides a background in the nursing practice because it assists the nurses in understanding the mechanism of action of drugs in the body to treat the disease and help the body recover. Pharmacological knowledge about pharmacodynamics and pharmacokinetics helps a nurse to determine the correct decision in the selection, dosage, and mode of administration of drugs to achieve safe therapy.
An example of this is that the knowledge of the effect of insulin or oral hypoglycemics can be used to control diabetes, but the knowledge of the effect of diuretics and beta-blockers can be used to manage heart failure (Widiarti et al., 2024). This knowledge may help nurses decrease the potential side effects and improve therapeutic outcomes.
The integration of the pharmacological experiences will help the nurses provide safe and holistic medication care. It enables them to contrast the effects of drugs on the physical, emotional, and social status of a patient. Indeed, the discovery of these side effects of opioids, including sedation or dependence, results in the adoption of adequate actions in pain management (Hyland et al., 2021).
Likewise, in the case of selective serotonin reuptake inhibitors (SSRIs) such as sertraline, the mood and behavioral changes should be mentioned to ensure the overall stability (Edinoff et al., 2021). By incorporating pharmacology and measurement, nurses would offer effective patient-centered care to enhance safety and recovery.
Physical Assessment and Its Role in Nursing Practice
Physical assessment is a crucial aspect of nursing practice that allows nurses to obtain the necessary data to investigate the general condition of the health of a patient. Nurses are the ones to identify disease development, assess the stage of disease, and even to monitor the disease development of the patients using techniques of inspection, palpation, percussion, and even the process of listening to patients. In the case of lung sounds, it is possible to investigate the signs of respiratory problems, and in the case of peripheral edema, one can assess the signs of heart failure (Pirrotta et al., 2021). Competent assessment assists in the timely interventions and evidence-based safe and safe care planning.
Physical examination has to be implemented in the daily routine to enhance clinical judgment and help in the overall management of a patient. By comparing the outcomes of the assessments with the medical history and lab data, a nurse can identify minor shifts in the health and implement the interventions depending on the change (Kinyon et al., 2021).
Constant assessment allows discovering complications in the initial stages and guides nurses in their assessment of treatment. Using the example of blood pressure and blood sugar trends, one could control such chronic diseases as diabetes and hypertension (Trento et al., 2020). Treatment is personalized, and it makes patients safer and results in better clinical outcomes when properly evaluated.
Examples of Integration and Application of Knowledge in Clinical Scenarios
An effective nursing practice requires a combination of pathophysiology, pharmacology, and physical assessment with an intention to give a holistic care. Nurses rely on their pathophysiology training to study the lowered cardiac output, fluid retention, and dyspnoea (Suri and Pamboukian, 2021).
The pharmacological experience gives the safe dosage of the diuretics, ACE inhibitors, and beta-blockers, and the physical examination technique, such as noting of edema, listening to the lungs, and checking the vital parameters, is the means of responding to treatment. Care integration will ensure personalized care delivery, lessen complications, and ensure optimal patient outcomes.
Nurses use their knowledge of insulin resistance and glucose metabolism with their pharmacological knowledge and evaluative information in dealing with diabetes. The knowledge about disease mechanisms guides the selection of medication, e.g., metformin, and the physical examination detects complications, e.g., neuropathy, retards wound healing, and fluctuating blood glucose levels (Parveen et al., 2025).
The presence of early symptoms, including the tingling or slowness of wound healing, can be observed to take action in time. Integration of these areas will enable nurses to develop holistic care plans that address the immediate needs of the patient as well as the long term health-maintenance provision of the patients, which is patient-centered, safe, and effective.
Conclusion
Holistic nursing practice is a totality of physical, emotional, social, and spiritual health, and the provision of comprehensive and patient-centered care. Pathophysiology that is combined with pharmacology and physical assessment can assist the nurses to understand the diseases, offer safe actions, and determine the reaction of the patients effectively. It has been demonstrated to provide customized care, empower patients, and improve outcomes in the conditions of diabetes and heart failure. The 3Ps will support the evidence-based practice and enhance patient satisfaction and professional growth. Overall, the 3Ps of holistic care have the potential to result in quality and safe nursing practices.
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Reference for
NURS FPX 4015 Assessment 2
Alotaibi, N. M. A., Alharbi, S. H. S., Al-Harbi, Z. B., & Alotaysh, H. S. (2023). Integrating laboratory findings into pharmacological pain management and nursing care plans. International Journal of Health Sciences, 7(S1), 3763–3778. https://doi.org/10.53730/ijhs.v7ns1.15365
Davoodi, A., Zamanzadeh, V., Ghahramanian, A., Onyeka, T. C., & Jabbarzadeh, F. (2022). Impact of integrated teaching-learning method on oncology clinical decision-making ability and cognitive learning of nursing students. BioMed Central Medical Education, 22(1). https://doi.org/10.1186/s12909-022-03168-2
Edinoff, A. N., Akuly, H. A., Hanna, T. A., Ochoa, C. O., Patti, S. J., Ghaffar, Y. A., Kaye, A. D., Viswanath, O., Urits, I., Boyer, A. G., Cornett, E. M., & Kaye, A. M. (2021). Selective serotonin reuptake inhibitors and adverse effects: A narrative review. Neurology International, 13(3), 387–401. https://doi.org/10.3390/neurolint13030038
ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Hilliard, M. E., Isaacs, D., Johnson, E. L., Kahan, S., Khunti, K., Leon, J., Lyons, S. K., Perry, M. L., Prahalad, P., Pratley, R. E., Seley, J. J., Stanton, R. C., & Gabbay, R. A. (2022). Pharmacologic approaches to glycemic treatment: Standards of care in diabetes—2023. Diabetes Care, 46(1), 140–157. https://doi.org/10.2337/dc23-s009
NURS FPX 4015 Assessment 2 Holistic Nursing Care with 3Ps
Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021). Supporting the health and professional well-being of nurses. In www.ncbi.nlm.nih.gov. National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK573902/
Hyland, S. J., Brockhaus, K. K., Vincent, W. R., Spence, N. Z., Lucki, M. M., Howkins, M. J., & Cleary, R. K. (2021). Perioperative pain management and opioid stewardship: A practical guide. Healthcare, 9(3), 333. https://doi.org/10.3390/healthcare9030333
Karthi R., Mary, Valan P., A., Tamilmozhi, T. D., Arthi, R., & Malathi, A. S. (2025). Advances in clinical practices: A cross-disciplinary review of nursing, pharmacy, and medical science contributions. Cureus, 17(6). https://doi.org/10.7759/cureus.86408
Kinyon, K., D’Alton, S., Poston, K., & Navarrete, S. (2021). Improving physical assessment and clinical judgment skills without increasing content in a prelicensure nursing health assessment course. Nursing Reports, 11(3), 600–607. https://doi.org/10.3390/nursrep11030057
O’Brien, J., Taylor, J. P., Ballard, C., Barker, R. A., Bradley, C., Burns, A., Collerton, D., Dave, S., Dudley, R., Francis, P., Gibbons, A., Harris, K., Lawrence, V., Leroi, I., McKeith, I., Michaelides, M., Naik, C., O’Callaghan, C., Olsen, K., & Onofrj, M. (2020). Visual hallucinations in neurological and ophthalmological disease: Pathophysiology and management. Journal of Neurology, Neurosurgery & Psychiatry, 91(5), 512–519. https://doi.org/10.1136/jnnp-2019-322702
Parveen, K., Hussain, M. A., Anwar, S., Elagib, H. M., & Kausar, M. A. (2025). Comprehensive review on diabetic foot ulcers and neuropathy: Treatment, prevention, and management. World Journal of Diabetes, 16(3). https://doi.org/10.4239/wjd.v16.i3.100329
Pirrotta, F., Mazza, B., Gennari, L., & Palazzuoli, A. (2021). Pulmonary congestion assessment in heart failure: Traditional and new tools. Diagnostics, 11(8), 1306. https://doi.org/10.3390/diagnostics11081306
Stevenson, L. W., Ross, H. J., Rathman, L. D., & Boehmer, J. P. (2023). Remote monitoring for heart failure management at home. Journal of the American College of Cardiology, 81(23), 2272–2291. https://doi.org/10.1016/j.jacc.2023.04.010
NURS FPX 4015 Assessment 2 Holistic Nursing Care with 3Ps
Suri, S. S., & Pamboukian, S. V. (2021). Optimal diuretic strategies in heart failure. Annals of Translational Medicine, 9(6), 517–517. https://doi.org/10.21037/atm-20-4600
Trento, M., Fornengo, P., Amione, C., Salassa, M., Barutta, F., Gruden, G., Mazzeo, A., Merlo, S., Chiesa, M., Cavallo, F., Charrier, L., & Porta, M. (2020). Self-management education may improve blood pressure in people with type 2 diabetes. A randomized controlled clinical trial. Nutrition, Metabolism and Cardiovascular Diseases, 30(11). https://doi.org/10.1016/j.numecd.2020.06.023
Widiarti, W., Pandit, Savitri, C. G., Putranto, J. N. E., & Alkaff, F. F. (2024). The Impact of cardiovascular drugs in hyperglycemia and diabetes: A review of “unspoken side” effects. Hellenic Journal of Cardiology, 83. https://doi.org/10.1016/j.hjc.2024.09.007
Yıldız, G. N., & Çiftçi, B. (2025). Narrative nursing as a holistic approach in modern healthcare: Integrating emotional and physical care. World Journal of Psychiatry, 15(3). https://doi.org/10.5498/wjp.v15.i3.102956
Zhang, X. (2025). Effect of comprehensive nursing interventions on psychological well-being and treatment adherence in dementia patients. American Journal of Translational Research, 17(5), 3445–3453. https://doi.org/10.62347/hotg2720
Capella Professors For
NURS FPX 4015 Assessment 2
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Thomas Dalesandro, PhD
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Elsie Crowninshield, DNP, MSN
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Renanda Dear, DNP, MSN
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Shannon Decker, DHA, MHA, MSN, BSN
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Heidi DeSota, DNP, MSN, BSN
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NURS FPX 4015 Assessment 2
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Answer 2: NURS FPX 4015 Assessment 2 is holistic nursing care integrating pathophysiology, pharmacology, and physical assessment.
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