Assignment: Dimensions of Reality
Assignment: Dimensions of Reality
Dimensions of Reality within Quadrants in Pain Management
Dimension or perspective
Focus of the dimension Aspects included in the dimension Sample pain management questions by dimension
The “I” space—the individual’s internal sense of reality
Feelings, beliefs, values
Personal communication styles
Am I feeling stressed? Thinking clearly?
Am I open to the client’s assessment of their own pain?
Am I ethically assessing the client’s pain and making moral decisions about options for pain management?
Am I communicating clearly and compassionately?
The “IT” space—objective or tangible aspects of the individual that influence reality
Brain and organisms
Chemistry and biochemistry
Behaviors and skill development
Am I able to envision by bodily presence changing?
Can I fully describe the sensations I feel?
Can I feel my open presence changing my client’s responses to my pain management efforts?
Do I feel more able to do my pain management work skillfully?
The “WE” space—the collective sense of engagement within the individual’s reality
Relationships to others’ cultures and worldviews
How am I relating to others involved in pain management efforts?
What is the meaning of my pain management relationships with my clients? My peers? My supervisors? Other healthcare professionals?
Am I fully engaged in using integral dialogues to enhance my pain management relationships with others?
The “ITS” space—the broader sense of being part of an external reality whose systems and structures govern practice
Relations to social systems and the environment
Organ structures and systems
Regulatory structures and systems
How do pain management policies and procedures influence my connection with my clients?
What is my group role in meeting or changing pain management regulatory guidelines?
How do I use systems and structures to improve pain management practice?
Do I allow technology to help me deliver better pain relief care or does it interfere?
Adapted from Dossey, B., & Keegan, L. (2009). Holistic nursing: A handbook for practice (5th ed.). Sudbury, MA: Jones & Bartlett.
30 International Journal for Human Caring
of quadrants are terms used in everyday
language to convey the direction of our
communication and the direction of one’s
experiences in the world. Each quadrant
helps provide a framework for interpreting
the theory and is guided by four main
principles: (a) Nursing requires the
development of the “I,” (b) the discipline of
nursing is built upon the “We,” (c) “It” is
about behavior and skill development, and
(d) systems and structures are embedded in
and frame the understanding of “Its.” Each
principle continues to remind us that being
an integral nurse is first, more than being a
holistic nurse, and, secondly, an evolving
process that becomes clearer and more
meaningful over time through ongoing
practice and reflection.
All Quadrants, All Levels (AQUAL)
The final concept in the theory of
integral nursing is all quadrants, all levels
(AQUAL). Wilber (2000) recognized that
the quadrants of reality are connected to
levels, lines, states, and types that help
the individual create a comprehensive map
of reality. Levels refer to aspects of the
self that change over time and become
permanent as one moves through stages
of growth and development.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.