How to Pass XH3001: Holistic Person-Centered Plan of Care

Assignment XH3001: Holistic Person-Centered Plan of Care

Keep in mind the interrelationship of individuals and their environment as you work with avatar patient Gordon Brune. You are taking the role of a nurse at Neighborhood Clinic, a community health center. As Mr. Brune explains the purpose of his visit and details of his current living situation, consider the challenge of gaining an understanding of his personality and gauging the impact of what he describes in determining your recommendations for how best to support his health from a holistic perspective.

The aim of this avatar experience is to provide a patient interaction that is as realistic as possible. If Gordon Brune reminds you of patients you have had, draw on that connection. But equally important, make this Competency Assessment, with its requirement to consider more than Gordon Brune’s physical condition, an opportunity to gain context and insight into the multiple dimensions of wellness and the role they play in a patient’s health and overall well-being.

You will begin and end the scenario with the avatar clinic director Asha Gill. Consider her goals for person-centered holistic care at Neighborhood Clinic and the kinds of support you would look for from a supervisor to meet those goals.

To prepare:

• Access the Holistic, Person-Centered Plan of Care template document. You will complete the template to submit for this Competency Assessment. Review what you are required to provide about avatar patient Gordon Brune, your recommendations for him, and other analysis that supports person-centered holistic care.
• View the asynchronous scenario with avatar Gordon Brune as many times as you need to prepare for and complete this Competency Assessment. Consider challenges Mr. Brune describes in one or more of the dimensions of wellness—emotional, physical, intellectual, occupational, spiritual, and/or social.
• Draw on your understanding of a holistic approach to patient care. Identify impacts that Gordon Brune is experiencing in various dimensions of wellness.
• Consider what a holistic care plan would include for this patient. Reflect on ethical principles as a professional nurse in addressing the patient’s health needs.
• Base your plan of care on the specific information that Mr. Brune provides in the media resource, other Learning Resources, and other resources you identify.

To complete the Assignment:

• Use the Holistic, Person-Centered Plan of Care template document to present your analysis from the Mursion experience with avatar patient Gordon Brune. Your document should be 3–4 pages plus a reference page. You should include the following:
• Click each of the items below for more information on this Assessment.

PART 1: IDENTIFYING DIMENTIONS OF WELLNESS

1. Write a brief profile of patient Gordon Brune based on what you know about him from the avatar scenario.
2. Describe the dimensions of wellness that are influencing Mr. Brune’s situation and condition. For those that you do not identify as factors, explain why.
   • Emotional
   • Physical
   • Intellectual
   • Occupational
   • Spiritual
   • Social

PART 2: DEVELOPING A HOLISTIC PLAN OF CARE

1. Summarize Mr. Brune’s issues and needs from a holistic perspective.
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 you would refer Mr. Brune to and explain your reasoning.
3. Explain how your care plan adheres to concepts of person-centered care and a holistic approach to patient care.
4. Explain how your care plan adheres to ethical principles for a professional nurse.

PART 3: REFLECTING ON PERSON-CENTERED HOLISTIC CARE

1. Reflect on the challenges of taking a holistic approach to patient care. Explain your thinking.
2. Reflect on the benefits of person-centered holistic care. Explain your thinking.
3. If Asha Gill, the avatar clinic director, 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.

XH3001 Holistic Person-Centered Plan of Care: Guide

If you are a Walden University nursing student enrolled in XH3001: Person-Centered Holistic Care, you already know that this competency assessment is one of the most multi-dimensional assignments in the program. It requires you to step beyond textbook theory and apply holistic, person-centered thinking to a real patient simulation: Gordon Brune: encountered through the Mursion avatar experience. Many students feel overwhelmed not because they lack nursing knowledge, but because the assignment demands simultaneous mastery of patient profiling, wellness dimension analysis, ethical reasoning, holistic care planning, reflective writing, and APA formatting.

This guide is designed to walk you through every section of the assignment clearly and thoroughly: giving you the academic framework, clinical language, and structural guidance you need to not just meet expectations, but exceed them.

Understanding the XH3001 Assignment

The XH3001 Competency Assessment is structured around three core parts, each building on the previous. You are required to submit a completed Holistic, Person-Centered Plan of Care template document of 3-to-4 pages plus a reference page. The three parts are:

• Part 1: Identifying Dimensions of Wellness
• Part 2: Developing a Holistic Plan of Care
• Part 3: Reflecting on Person-Centered Holistic Care

The Mursion simulation places you in the role of a nurse at Neighborhood Clinic, a community health center. You interact with Gordon Brune as he describes the purpose of his visit and his current living situation. You also begin and end the scenario with the avatar clinic director, Asha Gill, who frames the clinic’s commitment to person-centered holistic care. Understanding both characters deeply is essential to writing a strong assessment.

Understanding Gordon Brune: Patient Profile

The first task in Part 1 is to write a brief patient profile of Gordon Brune. This is not just a demographic summary: the rubric expects you to accurately and thoroughly profile Mr. Brune based on information presented in the avatar scenario. A strong profile will include details from multiple life domains:

• Medical background: Gordon Brune is an adult patient managing Type 2 diabetes. His diabetes self-management is compromised by multiple intersecting factors that go beyond the physical.
• Living situation: Mr. Brune describes challenges in his current living environment that affect his ability to access healthy food, maintain consistent routines, and manage stress effectively.
• Social context: Isolation, limited social support, and occupational stressors emerge during the interaction. These social determinants of health play a significant role in his overall wellness.
• Emotional state: Mr. Brune presents with signs of emotional distress, including frustration and signs of low motivation: both of which are clinically relevant to diabetes self-management.

Pro tip for exceeding expectations: Do not just list facts. Connect each piece of information to its broader clinical significance. For example, rather than stating that Mr. Brune lives alone, explain how social isolation can increase cortisol levels and worsen glycemic control in patients with Type 2 diabetes (American Diabetes Association [ADA], 2023).

How to Analyze the Six Dimensions of Wellness

This is the section where most students lose marks: either by addressing dimensions too superficially or by failing to explain dimensions they do not identify as factors. The rubric requires you to address all six dimensions, whether they apply to Mr. Brune or not. For those that are not factors, you must explain why.

1. Emotional Wellness

Emotional wellness is a significant factor in Gordon Brune’s situation. Patients with chronic conditions like diabetes frequently experience diabetes distress: a state of ongoing worry, frustration, and burnout related to disease management (Polonsky et al., 2005). Mr. Brune’s emotional state, as revealed during the avatar interaction, reflects this pattern. Emotional wellness directly impacts adherence to medication regimens, dietary habits, and follow-through on care recommendations. In your analysis, connect his emotional presentation to specific self-management behaviors and use clinical terminology such as “diabetes distress,” “motivational readiness,” and “self-efficacy” to demonstrate nursing expertise.

2. Physical Wellness

Physical wellness is the most clinically apparent dimension in Mr. Brune’s case. His Type 2 diabetes diagnosis requires ongoing physical monitoring, medication management, dietary adherence, and regular physical activity. Barriers to physical wellness: such as limited access to nutritious food, sedentary lifestyle, or comorbidities: should be discussed with specificity. Reference current evidence-based diabetes management guidelines, such as those from the American Diabetes Association Standards of Medical Care in Diabetes, to add scholarly authority to your analysis.

3. Intellectual Wellness

Intellectual wellness relates to a patient’s health literacy, engagement with learning about their condition, and capacity to process and apply medical information. For Mr. Brune, assess whether the avatar interaction provides evidence of gaps in diabetes education or health literacy. If intellectual wellness does not emerge as a strong factor based on the scenario, explain this clearly: for example, by noting that Mr. Brune demonstrated adequate understanding of his diagnosis, though barriers in other dimensions prevent him from applying that knowledge effectively.

4. Occupational Wellness

Occupational wellness concerns the relationship between a patient’s work or daily productive activities and their overall health. Occupational stressors: such as job insecurity, physically demanding work, irregular schedules, or lack of employer support for health management: can profoundly worsen diabetes outcomes. If Mr. Brune describes work-related challenges in the avatar scenario, analyze these through the lens of workplace stress, work-life balance, and access to health benefits. If occupational wellness is not a dominant factor, provide a brief, evidence-informed explanation of why.

5. Spiritual Wellness

Spiritual wellness in holistic nursing does not require formal religious affiliation. It encompasses a patient’s sense of meaning, purpose, values, and inner peace. Research suggests that patients with strong spiritual well-being often exhibit greater resilience and better health outcomes in chronic disease management (Phelps et al., 2012). Assess whether Mr. Brune expresses a sense of purpose, hope, or spiritual conflict in the avatar scenario. If spiritual wellness is not directly addressed in the simulation, explain how it remains a consideration in holistic assessment: particularly given the psychological burdens of chronic illness.

6. Social Wellness

Social wellness is likely one of the most impactful dimensions for Gordon Brune. The social determinants of health: including housing stability, social support networks, food security, and access to transportation: are well-documented predictors of diabetes outcomes. Analyze Mr. Brune’s social environment with specificity: Who supports him? Does he have reliable access to healthy food? Are there structural barriers in his community affecting his care? Reference the social determinants of health framework from Healthy People 2030 or similar authoritative sources to ground your analysis in evidence.

Part 2: Developing a Holistic Plan of Care

Summarizing Mr. Brune’s Issues and Needs from a Holistic Perspective

A holistic summary goes beyond listing diagnoses. It integrates all six dimensions of wellness into a unified narrative of the patient’s situation. For Mr. Brune, your summary should weave together his physical health challenges, emotional distress, social barriers, and any occupational or spiritual dimensions identified: showing how these factors interact and compound one another in their impact on his diabetes management.

Sample framing for an exceeds-expectations response: “Mr. Brune’s ability to manage his Type 2 diabetes is significantly undermined by the intersection of emotional distress, limited social support, and barriers related to [specific social determinants identified in the scenario]. While his physical understanding of his condition is present, his self-management capacity is constrained by factors operating across multiple wellness dimensions, requiring a holistic, interprofessional care response.”

The Care Plan: Addressing Dimensions with Greatest Impact

Your care plan must specifically target the wellness dimensions having the greatest impact on Mr. Brune’s ability to manage diabetes. This means prioritizing, not just listing, interventions. Structure your plan around the following components:

• Nursing interventions: Evidence-based actions the nurse will take: such as motivational interviewing to address emotional barriers, diabetes self-management education (DSME), or coordination of care.
• Patient-centered goals: Goals developed collaboratively with Mr. Brune that respect his values, preferences, and capacity: a core principle of person-centered care.
• Measurable outcomes: Specific, time-bound outcomes that allow evaluation of care plan effectiveness.

Community Resources and Referrals: What to Include

The assignment requires at least two community resources or health professional referrals, with reasoning. This is one of the gaps most evident in existing online resources: few explain this section with the specificity needed to score well. Here are strong referral options with their clinical rationale:

• Certified Diabetes Care and Education Specialist (CDCES): Referral to a CDCES is evidence-based best practice for patients like Mr. Brune who require structured diabetes self-management education and support (DSMES). The CDCES can address nutritional guidance, glucose monitoring, medication management, and behavioral strategies in a way that complements nursing care.
• Licensed Clinical Social Worker (LCSW) or Community Mental Health Services: Given the emotional distress and potential social determinants affecting Mr. Brune, referral to a social worker addresses both the psychosocial barriers to self-management and practical support needs such as food access, housing stability, or financial assistance programs.
• Community Nutritionist or Food Access Programs: If food insecurity is a factor, referral to a community nutritionist or connection to local food banks, community-supported agriculture (CSA) programs, or SNAP enrollment support directly addresses a social determinant that impacts glycemic control.

Person-Centered Care Principles and Ethical Nursing Practice

How to Explain Person-Centered Care in Your Care Plan

Person-centered care is not a vague concept: it is a measurable framework. When explaining how your care plan adheres to person-centered principles, reference the specific characteristics that make it person-centered:

• Respect for the patient’s values, preferences, and expressed needs: Demonstrate that Mr. Brune’s own goals and concerns have been incorporated into the plan.
• Coordination and integration of care: Show how the care plan connects nursing interventions with community referrals and interprofessional collaboration.
• Emotional support: Address how the plan acknowledges and responds to Mr. Brune’s psychological and emotional needs.
• Access to care: Address structural barriers and how the plan helps remove or reduce them.

Ethical Principles for a Professional Nurse

This section requires you to explicitly connect your care plan to the ethical principles that guide professional nursing practice. The ANA Code of Ethics for Nurses (2015) provides the foundational framework. Address each applicable principle as it relates specifically to Mr. Brune’s care:

• Autonomy: Explain how the care plan respects and promotes Mr. Brune’s right to make informed decisions about his own health. Discuss shared decision-making and how you would present options rather than directives.
• Beneficence: Describe the specific nursing actions and referrals in the plan that are designed to actively promote Mr. Brune’s well-being across all wellness dimensions.
• Nonmaleficence: Identify how the plan avoids interventions that could cause harm: including physical, psychological, or social harm: and how the nurse monitors for unintended adverse effects.
• Justice: Discuss how the care plan addresses health equity: ensuring that Mr. Brune receives fair, unbiased care regardless of his social or economic circumstances.
• Patient Advocacy: Articulate the nurse’s role in advocating for Mr. Brune’s access to resources, appropriate referrals, and dignified, compassionate care within the healthcare system.

Part 3: How to Write the Reflection Section

The reflection section is where most students lose marks: not because they lack ideas, but because they write descriptively rather than analytically. The rubric rewards responses that accurately and thoroughly explain your thinking. This means moving beyond what happened to why it matters and what it reveals about your professional development.

Reflecting on the Challenges of Holistic Patient Care

Strong reflection on challenges should be honest, specific, and grounded in nursing literature. Some genuine challenges to explore include:

• Time constraints: In real clinical settings, time pressure often limits the depth of holistic assessment. Reflect on how this tension can compromise the quality of person-centered care and what strategies nurses can use to mitigate it.
• Systemic barriers: Healthcare systems are often organized around episodic, biomedical care models that do not incentivize holistic approaches. Critically analyzing these systemic factors demonstrates advanced nursing insight.
• Personal bias and cultural competence: Holistic care requires nurses to recognize and manage their own assumptions and biases. Reflecting on how personal perspectives can inadvertently narrow holistic assessment demonstrates clinical maturity.

Reflecting on the Benefits of Person-Centered Holistic Care

Benefits should be tied to evidence wherever possible. Avoid generic statements like “holistic care is better for patients.” Instead, demonstrate analytical depth:

• Improved patient outcomes: Research consistently shows that person-centered, holistic approaches improve adherence, patient satisfaction, and long-term health outcomes in chronic disease management (Epstein & Street, 2011).
• Therapeutic relationship: A holistic approach deepens the nurse-patient relationship, creating the trust necessary for patients to disclose sensitive information that might otherwise remain hidden: information that is critical to effective care.
• Reduction of health disparities: By addressing social determinants of health within the care plan, holistic nursing actively contributes to health equity: a moral and professional imperative in contemporary practice.

What Support Would You Want from Clinical Supervisor Asha Gill?

This question invites you to reflect on your own professional needs as a nurse practicing holistic, person-centered care. Strong responses demonstrate self-awareness and an understanding of what organizational and supervisory structures enable holistic nursing. Consider articulating the following:

• Protected time for holistic assessments: Advocacy for scheduling and workflow structures that allow nurses adequate time to conduct thorough, multi-dimensional patient assessments without being penalized for efficiency metrics.
• Interprofessional collaboration structures: Support in building and maintaining referral pathways to community resources, social workers, and specialists: enabling the integrated care that holistic nursing demands.
• Continuing education and reflective practice: Opportunities for ongoing professional development in areas such as motivational interviewing, trauma-informed care, and cultural humility: all of which are essential to high-quality holistic practice.
• Clinical supervision and debriefing: Regular supervision sessions where nurses can process complex patient cases, reflect on ethical dilemmas, and receive guidance on holistic care challenges without fear of judgment.

XH3001 Rubric Breakdown: How to Exceed Expectations

The rubric for this assessment has three performance levels: Does Not Meet Expectations, Meets Expectations, and Exceeds Expectations. The distinction between the top two levels is critical: and it comes down to two words: accurately and thoroughly. A response that meets expectations adequately explains or summarizes. A response that exceeds expectations accurately and thoroughly explains or summarizes, with depth, specificity, and clinical precision.

To consistently exceed expectations across all rubric criteria, apply the following principles:

• Specificity over generality: Every claim should be tied to specific details from the Gordon Brune scenario or from credible evidence. Avoid generic statements about diabetes or holistic care that could apply to any patient.
• Clinical language: Use professional nursing and medical terminology consistently. Terms like “glycemic control,” “diabetes distress,” “health literacy,” “social determinants of health,” “interprofessional collaboration,” and “evidence-based practice” signal nursing expertise.
• Evidence integration: Support your analysis with references to credible sources: ADA guidelines, peer-reviewed nursing journals, the ANA Code of Ethics, and Healthy People 2030.
• Address all parts: The rubric has multiple distinct criteria within each part. Ensure every sub-component is addressed. Missing even one criterion risks a lower score on that rubric element.
• Reflective depth: In Part 3, go beyond description. Analyze why holistic care is challenging, what it means for professional nursing practice, and what systemic or personal factors shape the difficulty.

APA 7 Formatting Guidance for XH3001

Walden University assessments require APA 7th edition formatting. For this assignment, key considerations include:

• In-text citations: Every claim that draws on an external source: guidelines, research, or frameworks: must be cited in APA 7 format: (Author, Year) or (Author, Year, p. X) for direct quotations.
• Reference page: All sources cited in the body of the document must appear on a separate reference page, formatted in APA 7 hanging indent style.
• Scholarly tone: Write in third person where appropriate for academic sections. Reserve first person for the reflection section (Part 3) where personal perspective is explicitly invited.
• Credible sources: Prioritize peer-reviewed journal articles (published within the last five years), professional nursing organizations (ANA, ADA, WHO), and authoritative frameworks (Healthy People 2030, IOM reports).

References

American Diabetes Association. (2023). Standards of medical care in diabetes—2023. Diabetes Care, 46(Suppl. 1), S1S291. https://doi.org/10.2337/dc23-Sint

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. American Nurses Association.

Epstein, R. M., & Street, R. L. (2011). The values and value of patient-centered care. Annals of Family Medicine, 9(2), 100103. https://doi.org/10.1370/afm.1239

Phelps, A. C., Maciejewski, P. K., Nilsson, M., Balboni, T. A., Wright, A. A., Paulk, M. E., Trice, E., Schrag, D., Peteet, J. R., Block, S. D., & Prigerson, H. G. (2012). Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer. JAMA, 301(11), 11401147. https://doi.org/10.1001/jama.2009.341

Polonsky, W. H., Fisher, L., Earles, J., Dudl, R. J., Lees, J., Mullan, J., & Jackson, R. A. (2005). Assessing psychosocial distress in diabetes: Development of the diabetes distress scale. Diabetes Care, 28(3), 626631. https://doi.org/10.2337/diacare.28.3.626

U.S. Department of Health and Human Services. (2020). Healthy People 2030: Social determinants of health. Office of Disease Prevention and Health Promotion. https://health.gov/healthypeople/objectives-and-data/social-determinants-health