Spiritual Health Flashcards
religion is
an organized, structured method of practicing faith and faith tradition that expresses one’s spirituality.
Spirituality focuses on
the search for meaning in life, death, and existence, whereas
Research has demonstrated that higher levels of spiritual health are associated with
better coping with chronic disease, addiction prevention, better psychological functioning, positive health behaviors, and a better quality of life as well as decreased pain levels, lower anxiety, and less depression
the expression of the spirit is
spirituality
Spirituality involves movement toward
growing as a human being throughout life
Transcendence is
the process of moving beyond one’s current self
Spirituality requires
faith
belief beyond self that is based on
trust and life experience rather than scientific data.
The ability to have faith allows people to demonstrate
hope
Both faith and hope are related to how people practice
spirituality
People search for meaning and purpose by engaging in activities to promote their spirituality these activities are called
spiritual practices
spiritual practices promote three types of activities
connecting with oneself through reflection, connecting with others through relationships, and connecting with a higher power through faith rituals
Reflection is the
process of contemplating experiences, sometimes even life-changing experiences, and searching for meaning in those events
Many people use methods such as _______, _________, and __________practices as well as communing with _______to facilitate the process of reflection
intellectual, artistic, and meditative
nature
prayer is
spoken or unspoken communication with a higher power
The specific mode of praying often is influenced by the person’s
religious or faith belief system
Religion provides
a structure for understanding spirituality and involves rites and rituals within a faith community.
Most religions celebrate life events such as
birth, marriage, and death with rituals
Spiritual care in nursing practice is
mutual, purposeful, interactive process between a nurse and a patient, which may include family, to promote the patient’s spiritual health
spiritual interventions include
being with a person holistically determining the spiritual needs through
active listening probing, performing actions to address that need
The two different types of Buddhism
Mahayana and Theravada.
denominations of Christianity
Catholic
- Orthodox
- Anglican
- Episcopal
- Lutheran
- Presbyterian
- United Methodist
- Baptist
- United Church of Christ
- Nondenominational
judaism most common are identified by their beliefs and practices. They are:
Orthodox
- Conservative
- Reform (Progressive)
Registered nurses may provide spiritual care through
faith community nursing
Spiritual assessment is
process of determining spiritual needs
Health Assessment Questions
Spiritual Health
- Do you have family in the area? (Assess for family importance, relationships, and meaningful experiences at this time.)
- Is there anyone you would like to call?
- How are you handling this hospitalization or illness?
- What faith practices or beliefs will help you cope with this illness or hospitalization?
- Do you have any dietary or treatment guidelines/restrictions related to your spiritual/religious beliefs?
- Do you belong to a faith community? Do you want the community to be notified? Would you like a chaplain to visit?
Responsibilities Associated With Spiritual Care
*Because of privacy and Health Insurance Portability and Accountability Act (HIPAA) requirements, health care providers cannot contact a faith community without the consent of the patient. Therefore, most health care institutions ask, as part of the admission process, whether a faith community should be notified.
* The Joint Commission (2018) requires a spiritual assessment be conducted with patients receiving care in a variety of settings, including hospitals, long-term care facilities, or homes. The health care facility or organization determines the exact content of the spiritual assessment.
Assessment Data Accessibility in Electronic Health Records
Most electronic health records (EHRs) incorporate spiritual assessment and intervention flowsheets for documentation of spiritual care. Health care agencies integrate spiritual assessment tools such as the FICA Spiritual History Tool, HOPE Questions for Spiritual Assessment, or organization-specific flow sheets to monitor progress and ensure evidence-based care.
* Because spiritual care is multidisciplinary, spiritual documentation must be viewed by all health care providers—including physicians, nurses, chaplains, and social workers—to ensure integrated, patient-centered care.
spiritual distress
disruption of a belief or value system
FICA stand for
F: Faith and belief
I: Importance of faith
C: Faith community involvement
A: Address spirituality or spiritual practices in care
SPIRITual stands for
S: Spiritual belief system
P: Personal spirituality
I: Integration and involvement in a spiritual community
R: Ritualized practices and restrictions
I: Implications for medical care
T: Terminal events planning (advance directives)
HOPE stand for
H: Sources of hope, meaning, comfort, strength, peace, love, and connection
O: Organized religion
P: Personal spirituality and practice
E: Effects on medical care and end-of-life issues
Patients exhibit spiritual needs using both
verbal and nonverbal cues
spiritual distress may be expressed as
anger, depression, neediness, or crying
holy books, religion-oriented jewelry, or prayer objects—may indicate
religious orientation to spirituality
nursing diagnoses that may be identified for patients exhibiting spiritual needs include the following:
Spiritual Distress
Moral Distress
Decisional Conflict
Spiritual Distress could be
Chronic illness, expressions of hopelessness, statements indicating concern over the recent inability to pray
Moral Distress is
Cultural conflict between medical treatment and religious beliefs, expressions of concern about rejection by religious community, hesitation in accepting blood transfusion
Decisional Conflict is
Unclear personal beliefs, questioning of personal beliefs while making decisions, delayed decision-making
Spiritual Assessment Cues could be
Verbal
Nonverbal
Environmental
Situational
Verbal cues are
- Asks for prayer or chaplain
- Asks whether the nurse has time to talk
- Talks about topics related to life, death, or purpose
- Talks about faith
- Uses religious words in conversation
- Asks frequent questions about diagnosis; needs to talk
- Expresses concerns about family
Nonverbal cues are
- Exhibits neediness
- Is angry or noncompliant
- Seems depressed or withdrawn
- Has emotional outbursts and cries quietly
Environmental cues are
- Has religious books, jewelry, or symbols and/or has prayer objects
- Displays family pictures
Situational cues are
- Has a life-threatening diagnosis or life-changing condition
- Is facing death
- Faces treatment decisions
The nurse may initiate reflective interventions by stating
This must be a difficult time for you. Much has changed. What are your thoughts (or feelings)?
To initiate connections with others, the nurse may ask
Is there someone with whom you would like to talk? Can I call family or friends?
A variety of nursing interventions can be implemented for patients experiencing spiritual concerns including:
- Allow time and opportunity for self-disclosure by the patient.
- Be physically present and actively listen when the patient speaks.
- Support avenues to spiritual growth that are meaningful to the patient, such as praying, meditating, listening to music, viewing or creating art, or reading or writing poetry.
- Arrange for regular visits from religious advisers.
- Monitor and promote supportive social contacts.
- Integrate the family into spiritual practices as appropriate.
- Avoid sharing personal beliefs that are in direct conflict with those of the patient.
- Refer the patient to a support group or arrange for the patient to receive counseling, as appropriate.
Nurses should be attentive to physical indications of patient
improvement, nonverbal cues, and statements regarding patients’ spiritual well-being
Karma is
the result of past behaviors
agnostics believe
that the god existence cannot be known
the sacrament of anoiting of the sick is for which religion
catholics
connectedness refers to
feelings about relationships with self others and god
