Chapter 35 Spiritual Health Flashcards
Spirituality:
an awareness of one’s inner self and a sense of connection to a higher being, nature, or some purpose greater than oneself
Spirituality has different
meanings for different people
Current Concepts in Spiritual Health:
Spirituality Spiritual well-being Faith Religion Hope
Self-transcendence:
sense of authentically connecting to one’s inner self
Transcendence:
the belief that a force outside of and greater than the person exists beyond the material world
ex. looking at sunsets, feeling of awe when holding a baby
Connectedness:
Intrapersonally (w/ one’s self)
Interpersonally (w/ others and env.)
Transpersonally (w/ higher power, god)
Through connectedness, people are able to move beyond
stressors of everyday life and find comfort
Agnostic:
believe there is no known ultimate reality
atheist:
do not believe in the existence of God
Spiritual well-being:
having two dimensions
- Vertical
- Horizontal
Spiritual well-being: Vertical dimension=
supports transcendent relationship between a person and God or some other higher power
Spiritual well-being: Horizontal dimension=
positive relationships and connections that people have with others
Faith:
cultural or institutional religion that has a relationship with a higher power or spirit that incorporates a reasoning
-manner in which someone chooses to live
Religion:
associated with a specific system pf practices associated with a particular denomination, sect, or form of worship
-organized beliefs
Hope:
When a person has the attitude of something to live for and look forward to
Spiritual Health:
finding a balance between their values, goals, and beliefs and their relationships w/in themselves and others
Factors Influencing Spirituality:
Acute and Chronic Illness
Terminal Illness
Near Death Experiences (NDE)
Spiritual distress:
the impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a power greater than yourself
Terminal illness commonly causes
fears of physical pain, isolation, the unknown, and dying
Chronic illnesses commonly threatens the person’s
independence
What role is important in nursing?
helping role
Assessment:
Assess faiths and beliefs
Review their view of life
Assess the extent of the patient’s fellowship and community
Review if the patient practices religion and rituals
BELIEF:
B-Belief system E-Ethics and values L-Lifestyle I-Involvement in a spiritual community E-Education F-Future events
SWB:
Spiritual Well Being scale has 20 items that assess the individual’s view of life
Fellowship:
type of relationship that an individual has with other persons
Potential nursing diagnosis for spiritual health=
Anxiety Ineffective coping Fear Complicated grieving Hopelessness Powerlessness Readiness for enhanced spiritual well being Spiritual distress Risk for spiritual distress
Planning:
Collaborate w/ patient and family on choice pf interventions
Consult w/ pastoral care or other clergy as appropriate
Incorporate spiritual rituals and observations
Goals and Outcomes:
The patient will express an acceptance of illness
The patient will report the ability to rely on family members for support
The patient will initiate social interactions w/ family and friends
Health Promotion:
Establishing presence
Supporting a healing relationship
3 Factors are evident when healing relationship develops
- Mobilize hope for nurse and patient
- Finding an interpretation or understanding of the illness, pain, etc
- Helping patient use social, env., spiritual resources
Acute Care:
Support Systems
Diet Therapies
Supporting Rituals
Restorative and Continuing Care:
Prayer
Meditation
Supporting Grief Work
Evaluation:
Review patient’s perceptions
Review patient’s view of life
Discuss w/ family the patient’s connectedness
Ask if patient’s expectations are met
