Sonja Kuipers

15 General introduction progress was made from then until the 1900s. The basis of current nursing practices can be traced to the 19th century when Florence Nightingale characterized the profession of nursing as follows: “Medicine, so far as we know, assists nature to remove the obstruction but does nothing more. What nursing must do is to put the patient in the best condition for nature to act upon him” [23]. This principle has been crucial in contemporary nursing. Subsequent perspectives, such as those of Virginia Henderson [24], Dorothea Orem [25], and Mieke Grypdonck [26], adopted an emancipatory and integrated viewpoint in their approach to nursing, centring on the human aspect and focusing on the repercussions of illnesses or conditions. Moreover, these perspectives address the impact of illnesses or conditions on daily functioning and an individual’s self-perception. The professional profile of nurses is based on a holistic view of care, which includes the utilization of knowledge in anatomy, physiology, (psycho)pathology, and psychosocial processes. This holistic process entails also considering prevention. Nurses must make every effort to improve the quality of care and quality of life of patients [27]. The Bachelor of Nursing 2030 educational profile can be found on the Professional Profile for Nurses [28]. In the new BN2030 educational profile, there is a shift in the focus of nursing work from predominantly curative tasks to distinctly recognizable preventive tasks. Lifestyle interventions are a part of prevention, and they are not new to nursing [23]. A healthy lifestyle also includes good oral health; oral health plays a pivotal role in advancing positive overall health outcomes [10]. However, it is not clear how MHNs think about oral health and what MHNs need in interventions to support patients with psychotic disorders in maintaining their oral health. Another important part of prevention is risk assessment. Although risk assessment and early detection are part of clinical reasoning, the case of Joshua demonstrates that the integration of physical health issues within psychiatry has not yet become standard practice. Here, the NANDA (North American Nursing Diagnosis Association) risk diagnosis can be used (such as risk for impaired oral mucous membranes (domain 11, class 2, code 00247))[28]. Risk diagnoses are clinical judgments that conclude that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop over time unless nurses intervene [28]. Readiness diagnoses are diagnoses referring to a specific category of nursing diagnoses employed when an individual or group demonstrates motivation and willingness to enhance their health status, reduce risk factors, or optimize wellness (such as readiness for enhanced self-care (domain 4, class 5, code 00182)). To effectively 1

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