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Nursing 120 - Fundamentals of Nursing - Taylor > Chapter 46 - Spirituality > Flashcards

Chapter 46 - Spirituality Flashcards

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1
Q

3 Spiritual Needs (Shelly & Fish)

A
  • Need for meaning and purpose
  • Need for love and relatedness
  • Need for forgiveness
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2
Q

Meeting spiritual needs

A
  • Offering a compassionate presence
  • Assisting in the struggle to find meaning and purpose in face of suffering, illness, & death
  • Fostering relationships that nurture the spirit
  • Facilitating patient’s express of religious or spiritual beliefs and practices
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3
Q

Concepts Related to Spirituality

A
  • spirituality
  • faith
  • hope
  • love
  • spiritual health or well-being
  • religion
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4
Q

Spirituality

A

Anything that pertains to the person’s relationship with nonmaterial life force or higher power

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5
Q

Faith

A

A confident belief in something for which there is no proof or material evidence

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6
Q

Hope

A

Ingredient in life responsible for a positive outlook. Enables individuals to consider a future and find ways to move towards it

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7
Q

Love

A

Develops from basic human need (Maslow’s)

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8
Q

Spiritual health or well-being

A

State of meaning, purpose, love and belonging and forgiveness are met

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9
Q

Religion

A

An organized system of beliefs about a higher power

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10
Q

Elements of Spirituality (Berghardt & Nagai-Jacobson)

A
  • Experienced as a unifying force, life principle, and an essence of being
  • Expressed and experienced in and through connectedness with nature, the earth, the environment, and the cosmos
  • Expressed and experienced in and through connectedness with other people
  • Shapes the self-becoming and is reflected in one’s being, knowing, and doing
  • Permeates life, provides purpose, meaning, strength, and guidance and shaping the journey
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11
Q

Faith

A
  • A confident belief in something for which there is no proof or material evidence
  • Term used to describe a cultural or institutional religion
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12
Q

Agnostic

A

One who holds that nothing can be known about the existence of a God

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13
Q

Atheist

A

Person who denies the existence of a God

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14
Q

Life affirming religious influences

A

enhance life, give meaning and purpose to existence, strengthen self, health giving and life sustaining

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15
Q

Life denying/affirming religious influences

A

on life patterns, experiences and associations, burdens of guilt on individuals, health and life

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16
Q

Factors affecting spirituality

A

The most important are:

  • Developmental considerations
  • Family - teachings and beliefs
  • Ethnic background - Native Americans vs. Western
  • Formal religion - Religious classes (next, next, slide)
  • Life events - “I’ve found a faith”
  • Both positive and negative
17
Q

Spirituality, Health and Illness

A

Spiritual beliefs are of special importance to nurses because of the many ways they can influence a patient’s level of health and self-care behaviors

18
Q

Spiritual well-being in illness

A
  • Personal faith: belief in God;s existence, peace in spiritual beliefs, confidence in God’s power, strength from faith beliefs, trust in God’s providence
  • Spiritual Contentment: satisfaction with faith, feelings of closeness to God, lack of fear, reconciliation, security in God’s love, faithfulness
  • Religious Practice: support of faith community, affirmation in worship, encouragement of spiritual companions, consolation from prayer, communication with God through religious practices
  • Severity of Illness: degree of functional impairment
  • Stressful Life Events: emotional, sociocultural, financial
  • Social Support: family, friends, caregivers
19
Q

Seven Principles of Theosomatic Medicine (Levin)

A
  1. religious affiliation and membership benefit health by promoting healthy behavior and lifestyles
  2. regular religious fellowship benefits health by offering support that buffers the effects of stress and isolation
  3. participation in worship and prayer benefits health through the physiologic effect of positive emotions
  4. religious beliefs benefit health by their similarity to health-promoting beliefs and personality style
  5. simple faith benefits health by leading to thoughts of hope, optimism, and positive expectations
  6. mystical experiences benefit health by activating a healing bioenergy or life force or altered state of consciousness
  7. absent prayer for others is capable of healing by paranormal means or divine intervention
20
Q

Assessment

A
  • Spiritual belief system (formal dimensions, often overtly religious)
  • Personal spirituality (informal dimensions, often very personal and individualized)
  • Integration and involvement in a community (supportive environment)
  • Ritualized practices and restrictions (personally meaningful activities, including dietary/treatment restrictions)
  • Implications for medical care
  • Terminal events planning (advance directives, funeral arrangements, etc.)
21
Q

Nursing Diagnoses

A
  • Readiness for enhances spiritual well-being
  • Spiritual distress
  • Spiritual Guilt
  • Impaired Religiosity
  • Fear
  • Hopelessness
  • Self-Esteem Disturbance
  • Ineffective Individual Coping
22
Q

Expected Goals / Outcomes

A
  • Identify spiritual beliefs that meet needs for meaning and purpose, love and relatedness, and forgiveness
  • Derive from these beliefs, strength, hope, and comfort when facing life crisis
  • Develop spiritual practices that nurture communion with inner self, God, and the world
  • Express satisfaction with compatibility of spiritual beliefs and everyday living
  • Explore the origin of spiritual beliefs and practices
  • Identify factors in life that challenge spiritual beliefs
  • Explore alternatives to these challenges
  • Identify spiritual supports
  • Report or demonstrate decreased spiritual distress after intervention
23
Q

Implementing Spiritual Care

A
  • Offering supportive presence
  • Facilitating patient’s practice of religion
  • Nurturing spirituality
  • Praying with a patient
  • Praying for a patient
  • Counseling the patient spiritually
  • Contacting a spiritual counselor
  • Resolving conflicts between spiritual beliefs and treatments
24
Q

Facilitating the Practice of Religion

A
  • Familiarize patient with religious services within institution
  • Respect patient’s need for privacy during prayer, unless safety is an issue
  • Assist patient to obtain devotional objects and protect them from loss or damage
  • Arrange for patient to receive sacraments if desired, but assess for other warning signs (I.e. suicidal cues)
  • Attempt to meet dietary restrictions
  • Arrange for priest, minister, or rabbi to visit if patient wishes
25
Q

Counseling Patients Spiritually

A
  • Articulate spiritual beliefs
  • Explore origin of patient’s spiritual beliefs and practices
  • Identify life factors that challenge patient’s spiritual beliefs
  • Explore alternatives when given these challenges
  • Develop spiritual beliefs that meet the need for meaning and purpose, care and relatedness, and forgiveness
26
Q

Room Preparation for Spiritual Visit

A
  • Make sure room is orderly and free of unnecessary equipment
  • Provide a seat for the counselor near patient’s bed
  • Clear the top of bedside table and cover with clean white cloth for sacraments
  • Draw bed curtains if patient cannot be moved to private setting
27
Q

Evaluating Expected Outcomes

A 
-Sources of Conflict
\+Attempt to understand and assess their degree of “religiousness”
\+Religious and health practices
\+Jehovah’s Witnesses
\+Blood donations/transfusions
\+Religion and money
\+Donations of portions/ratios of your salaries
\+Religion and life living
\+Extravagances

-Sources of Support, Strength, & Healing
+Support - Praying, reading, and “speaking” to “God” may assist in times of stress
+Strength - People have been known to undergo tremendous physical stress due to faith
+Healing - Emotional healing and stress relief for health considerations. These can come from ill patients, their families, or through the people in contact with them

Nursing 120 - Fundamentals of Nursing - Taylor (15 decks)

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