Spiritual care

Question 1

Assessment tools

Answer 1

FICA (faith and belief, Importance, Community, Address care issues)
Functional assessment of chronic illness therapy- spiritual well being (FACIT-Sp)
Brief multidimensional measure of religiousness/spirituality (BMMRS)
Systems of belief inventory

Question 2

FICA

Answer 2

Use regardless of pt system of beliefs
Faith and belief, Importance, Community, Address care issues

Question 3

Functional assessment of chronic illness therapy- spiritual well being (FACIT-Sp)

Answer 3

12 item scale
**good for pts who describe no religious or spiritual affiliation or beliefs

Question 4

Brief multidimensional measure of religiousness/spirituality (BMMRS)

Answer 4

12 dimensions of general spirituality and religious practices

Question 5

Systems belief inventory

Answer 5

15 item scale
measures religious behaviors and spiritual aspects of coping with life threatening illness
**can be used for atheists or people with strong religious orientation

Question 6

Type/sacred text/leaders: Judaism

Answer 6

Monotheistic
Torah
Job, Rabbi

Question 7

Type/sacred text/leaders: Christianity, catholicism

Answer 7

Monotheistic
Bible
Jesus, priests, clergy

Question 8

Type/sacred text/leaders: Islam

Answer 8

Monotheistic
Quran
Allah, Muhammed, Imam

Question 9

Type/sacred text/leaders: Hinduism

Answer 9

Polythiestic
Brahman: the ultimate reality in universe
Vedas: four main sacred texts
Yogis

Question 10

Type/sacred text/leaders: Buddhism

Answer 10

Nontheistic
Mahayana
sutras
Bodhisattva, spiritual teachers

Question 11

Core principle: Judaism

Answer 11

One omnipresent god
Hebrews are God’s chosen people
Sanctity of life and body

Question 12

Core principle: Christianity/Catholicism

Answer 12

Jesus Christ is Savior
Salvation through faith or good deeds
Humans are sinful
Sanctity of life

Question 13

Core principle: Islam

Answer 13

Submission to the will of God
5 pillars: confession, prayer, almsgiving, fasting, pilgrimage
Sanctity of life

Question 14

Core principle: Hinduism

Answer 14

Samsara: reincarnation until one reaches nirvana
Karma: deeds of prior lives affect future
Dukkha: suffering/pain are part of life
Moksha: release from samsara resulting in enlightenment

Question 15

Core principle: Buddhism

Answer 15

Goal is to end the cycle of suffering
Three marks of existence: pain, impermanence, egolessness
Four noble truths and eightfold path provide framework to live and end suffering

Question 16

Potential treatment issues: Judaism

Answer 16

Possible aggressive care (sanctity of life)
May avoid interventions that scar body (sanctity of body)

Question 17

Potential treatment issues: Christianity/Catholicism

Answer 17

belief in miracles and sanctity of life may prolong aggressive care

Question 18

Potential treatment issues: Islam

Answer 18

Belief in sanctity of life may prolong aggressive care
Preference for same gender clinicians
Keep patient body covered as much as possible

Question 19

Potential treatment issues: Hinduism

Answer 19

Face death with a clear mind to focus on Brahman and advance to higher state
Possible concerns about use of opioids, benzos and disease states such as delirium and dementia that may cloud the mind at death

Question 20

Potential treatment issues: Buddhism

Answer 20

Face death with clarity of mind to stay present and aware for the transition to next life
Possible concerns about opioids, benzos, and disease states such as delirium and dementia that may cloud the mind

Question 21

Afterlife/Rituals/Burial: Judaism

Answer 21

Rabbinical debate about afterlife
Guilt, sin, absolution, forgiveness impact afterlife
Olam Ha-Ba (world to come), Sheol (bottomless pit)
Prayers/psalms important
Cremation for Reform only

Question 22

Afterlife/Rituals/Burial: Christianity/Catholicism

Answer 22

Heaven and hell
Sacraments, rituals and prayer important at death
Burial or cremation allowed

Question 23

Afterlife/Rituals/Burial: Islam

Answer 23

Heaven and hell
Only same gender can wash or shroud body
Prayers from Quran important WHILE dying
Head turned towards Mecca
No cremation or internment- Burial soon after death

Question 24

Afterlife/Rituals/Burial: Hinduism

Answer 24

Reincarnation- possible fear of rebirth to lower order due to bad karma or altered mental state at death
Prayers, sacred hymns, chants and family/friend support important while dying
Turn head to face south at death
Cremation of body

Question 25

Afterlife/Rituals/Burial: Buddhism

Answer 25

Reincarnation: possible fear of soul getting lost in transition from present life to next esp if delirium or dementia present
Prayers, rituals and chants while dying
Cremation of body

Question 26

Five functions of spirituality for coping with life limiting illness

Answer 26

Meaning
Control
Comfort and security
Social support
Transformation

Question 27

Which culture tends to not want to discuss death and dying

Answer 27

Chinese