Spirtiuality Flashcards
How does spirituality affect the patient?
A patient’s quality of life, meaning, purpose, health and sense of wholeness is affected by spirituality
Spirituality is unique for each individual
What is religion?
Religion is an outward expression of a person’s spiritual beliefs
How does illness impact spirituality?
Some patients will draw closer to God. Others may blame and feel anger towards that higher power for any illness
How will the patient cope?
How will this healthcare crisis impact sense of purpose or meaning of life?
What accommodation need to be made for current health problem?
What difficult choices the patient and family will face?
NANDA-I Diagnosis
Spiritual Distress
Risk for spiritual distress
Readiness for enhance spiritual being
Risk for impaired religiosity
FICA Spiritual History Tool
F: Faith and belief -Do you consider yourself spiritual or religious?
Is spirituality important to you? Do you have spiritual beliefs that help you cope? What gives your life meaning?
I: Importance- What importance does spirituality have in your life? Does spirituality influence how you take care of yourself and health?
Does it influence your healthcare decision making?
C: Community- Are you apart of a spiritual community? (Churches, temple, mosques) Do they support you and how? Is there a group of people you love or important to you?
A: Action- How would you like me, your healthcare provider to address these issues in your healthcare?
Positive Communication for Spiritual Assessment
Be an ACTIVE listener! open eyes ear & mind
Spiritual Nursing Interventions?
Giving verbal support and encouragement of spiritual beliefs
Making a referral to a chaplain or religious leader affiliate with the patient
Using religious literature that is meaningful to the patient and the patient family
Using prayer with the patients or family’s consent
Cool hand might soothe a fevered brow
PRESCENSE! both physically and spiritually
Barriers To Avoid During Spiritual Assessment
Distractions and not being an active listener
Failure to identify verbal and nonverbal cue which means failing to identify the message from the patient
Interjecting personal feelings and reactions
Formulating a response before the patient is done
Aspect of Spirituality
Faith
Hope
Transcendence
Forgiveness
What Does Spiritual Distress Look Like?
Crying, pacing, lost faith in God, upset
What does Spiritual Strength Look Like?
Reading sacred writing
Watching religious TV
Praying
What are Holy Days?
Days set aside for religious observance (Christmas, easter, good Friday)
May require fasting and extended prayer
Sabbath- Judaism’s Day of rest on the seventh day of the week (Saturday)
Muslim- Prayers several times a day, bow hands and knee on the ground, facing mecca
What are Sacred Writings?
Bible - Christan Torah - Jewish Talmud-Jewish Koran - Islam Vedas - Hinduism
What are Sacred Symbols?
Worn to pronounce faith, provide protectionz Jewlery Medals Amulets Icons Totems
Judaism
Participate actively in care Seek treatment from western doctors Kosher Diet Use all care necessary to extend life Bury dead as soon as possible (within 24 hr.)
Islam
2nd Largest religion in the world Muslims View events as direct results from God Pray 5 times a day Cleanliness and modesty Nurse of same gender
Roman Catholics
Use western medicine
Avoid abortion
Anointing of the sick (last rites)
Hinduism
Typically embrace western medicine Alternative therapies Do not eat meat Reincarnation (more than one life) Ceremonial rights after dying (bury immediately after death)
Buddhism
Eastern Medicine
cure through mind, herbs, acupuncture
Jehovah’s Witness
Do Not allow blood transfusions, organ donation and transplant
What are religious practices?
Diet/ nutrition
Praying/ praying times
Sacred object or text used during prayer
Prohibitions regarding medical procedures
Patient Goals
Client will
Be able to participate in religious observances, including communion
Be able to participate in prayer WITHOUT interruption
Receive meals in accordance with dietary restrictions
Have access to religious resources
How can the nurse support religious practices?
Obtain information about client religious preferences and practices
Consider how practices may affect nursing care
Help client continue spiritual practices
How can the nurse assist the clients with prayer?
Group and or private prayer
Adjust nursing care to accommodate prayer time
Quiet environment and privacy as needed
Praying with client (if mutually agreed)
How can the nurse assist the clients with prayer?
Group and or private prayer
Adjust nursing care to accomadate prayer time
Evaluation
Was the client able to practice religious rituals?
Was the client able to get appropriate dietary nutrition in accordance with restrictions?
Did the client maintain connection with religious practices, community of faith?
