Spiritual Care Flashcards
1
Q
Definition of Spirituality vs Religion
A
- Spirituality:
- essence of what it means to be human and connected to transcendant domain
- connection between essence of one’s self, another or Other
- relating to human meaning and relationships
- Religion:
- organized system of faith, beliefs, worship, rituals and relationship with divine being
2
Q
Why would you take a spiritual history/ screen for distress?
A
- WHO palliative care: addressing spiritual care - central component of EOL care
- importance increases at EOL, as important as pain and sx management
- patient vital sign that should be screened for.
- can be over time or at time of admission to hospital
3
Q
FICA Spiritual Assessment / history
A
-
F (Faith, belief, meaning)
- Do you consider yourself spiritual or religious?
- What gives your life meaning?
-
I (importance)
- What importance does your faith or belief have in your life?
-
C (Community)
- Are you part of a religious or spiritual community?
-
A (Address/Action)
- How would you like me to address these issues in your healthcare?
J Palliat Med, 3, 129-137.
4
Q
List Spiritual Needs at EOL
A
- Finding meaning in life
- overcoming fears of death
- finding hope
- finding spiritual resources
- COncern for family members
- cultivating connection
- someone to be there, listen
- talk about finding peace
- someone to talk about death and dying
- experiencing love
- sense of belonging
- spiritual practices
- unresolved spiritual issues
- living in the present
- finding meaning in illness
5
Q
How to respond to patient beliefs when they differ from own beliefs?
A
- spiritual/religious beliefs can lead to demand for medical interventions or refusing palliative care
- preferences for heroic measures…
- moral distress for healthcare providers
- need trusting relationship, non judgmental listening
- spiritual care professional
6
Q
What is spiritual care?
A
- lack of specificity
- fundamental spiritual issues of belief, connection, wholeness, meaning and purpose.
- Spiritual pain : experience of disconnection, alienation from deepest most fundamental aspects of him/herself.
- Being present
- Recognition of shared humanity of practitioner and patient
- Co-creating care plan with aspects of spirituality.
7
Q
Who provides spiritual care?
A
- Spiritual care profressionals:
- advanced training in multifaith spiritual care, masters degrees
- accredited by prof organization
- Role overlap with interprofessional team
- all practitioners capable
- Faith communities
- Family and friends
8
Q
What healthcare provider qualities promote healing?
A
- Healing; process that allows people to transcend and integrate experiences of suffering
- acceptance and wholeness despite disease and symptoms
- Compassion, caring, authenticity, unconditional positive regard, empathy
- clinician personhood, own spirituality
- PRESENCE
- COMPASSION
- INTUITIVE LISTENING
9
Q
What qualities can hinder healing?
A
- disregard
- apathy
- emotional detachment
- judgment
- spirituality of pracitioner
10
Q
Role of Chaplain in palliative care
A
- Assessment of patient spiritual distress
- provide spiritual history
- support staff
- facilitating goals of care discussions
- facilitating palliative care meetings
- facilitation communication when bad news is delivered
- Being present after death
11
Q
What aspects of EOL care are most important to patients?
A
- Receiving symptom relief
- avoiding prolonging of dying
- achieving sense of spiritual peace
- relieving burden
- strengthening relationships
12
Q
How do spiritual beliefs influence medical care decisions?
A
- Spiritual beliefs can be cited as reasons to refuse or demand care
- can result in moral distress for care team
- approach with curiosity and non judgment
13
Q
Definition of Spiritual Pain
A
- experience of being disconnected and alienated from deepest and most fundamental aspects of oneself
- can be compounded by or intertwined with physical pain
