Assignment: Potential Healing Blocks
Assignment: Potential Healing Blocks

reveal potential blocks to healing, thereby

promoting active, collaborative engagement

in the design and development of solutions

that advance healing. The power of holistic

communication cannot be overemphasized

as a critical activity for promoting healing.

Clients must be open to accepting the

knowledge and expertise of caregivers

regarding the efficacy of various treatments

for pain relief but also have the

responsibility for learning more about pain

management and taking an active role in

decision making that fosters healing. At

the same time, clinicians must remain open

to hearing the client’s “story,” inviting

clients to partner in designing pain relief

interventions, and trusting in the value

of the client’s experiences of pain. Client

openness to describing the meaning of the

pain experience may foster their ability to

address issues that have previously blocked

healing. Such breakthroughs contribute

to deeper integral dialogues between client

and nurse, and aid the clinician in seeking

the expertise of other members of the

healthcare team in the restructuring of

transpersonal care.

To be sure, application of the dimensions

of reality within quadrants does not end with

the individual nurse’s holistic preparedness.

Table 1 also describes the importance of

applying integral knowledge within group

contexts so as to transform pain

management practice through integral

dialogues that promote engagement with

shared interdisciplinary, sociocultural, and

leadership worldviews about the meaning

and value of efforts to collectively address

and enhance pain management care. Finally,

application of the dimensions of reality

within quadrants requires nurses to tap into

their social consciousness about regulatory

issues that may influence pain management

care. Through the collective exterior

dimension, nurses are compelled to

work toward systematic changes in

pain management policy and practice

by assessing the current status of pain

management structures and policies,

both locally and nationally, and working

to become more active in addressing

identified gaps; gaps that fail to provide

clients with the highest level of evidence-

based pain care available.

Implications for research

The newness of the theory means many

nurses have not yet had an opportunity to

fully understand its meaning and test its

integrity. Nurses must engage in a certain

level of trial and error as understanding

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