The Nature of Spirituality Flashcards
-Is recognized as a factor that contributes to health in many persons.
Spirituality
It includes the beliefs and value system that give people strength and hope
Spirituality
An organized and public belief system of worship and practices that generally has a focus on a God or supernatural power.
Religion
Spirituality fulfills
- Meaning to life, illness, crises, and death
- Guides daily habits
- Elicits acceptance or rejection of other people
- Provides psychological support in a group of like-minded people
- Gives strength when facing life’s crises
- Sense of security for present and future
- Healing strength and support
Focuses on the whole person in terms of physical and social
Spiritual Care
How a person responds to and deals with feelings of joy, anger, sorrow, guilt, remorse and love
Emotional
Relationship of a person to a higher power and gives insight into the meaning of life, suffering and death
Spiritual
Importance of Spiritual Care
Develop awareness of and maintain the following:
-Inner strength
-Self-awareness
-Life’s meaning and purpose
-Relationship to others
-Relationship to a higher power
Spiritual is done through
-Practice compassionate presence
-Listen to patient’s fears, hopes, pain, dreams
-Obtain a spiritual history
-Attentiveness to all dimensions of the patient and patient’s family: body, mind and spirit
-Incorporate spiritual practices as appropriate
-Involve chaplains as members of the interdisciplinary healthcare team
What are the five basic spiritual needs?
-A meaningful philosophy of life
-A sense of the transcendent
-A trusting relationship with God
-A relatedness to nature and people
-A sense of life meaning
When a person comes to a place where his or her life makes no sense or no meaning or purpose, depression and indifference sets in.
The Need for Meaning and Purpose
If the person can find no help for meaning and purpose in the future, he or she longs for death.
The Need for Meaning and Purpose
External circumstances in life situation are beyond one’s control.
Reasons for Man’s Search for Meaning in Life
The attitude a person choose to take toward life situation is within his/her control.
Reasons for Man’s Search for Meaning in Life
The spiritual journey relates to one’s inner struggle to shape attitude toward illness and even death itself
Reasons for Man’s Search for Meaning in Life
A relationship with God gives meaning to life
Reasons for Man’s Search for Meaning in Life
Where Do We Find Hope?
-Ultimately from our faith or understanding of our relationship to a higher power.
-The belief that a higher eternal power is in control provides meaning and purpose to any situation.
The spiritual need for love and fellowship is met only through a personal relationship with God.
The Need for Love and Relationships
3 Kinds of Love
- Eros
- Phileo
- Agape
Means physical love
Eros
A brotherly love, a friendship love. May be conditional love because things might change.
Phileo
God’s kind of love. Freely given. and unconditional
Agape
Important for the dying person because he or she is no longer in a position to earn love.
Unconditional love
A sense of forgiveness within the context of one’s faith, often brings a sense of inner peace for that person in their relationship with God, self, and others.
The Need for Forgiveness
Forgiveness result in
- Less anxiety and depression
- Better health outcomes
- Increased coping with stress
- Closeness to God and others
- Resolves guilt
- Restored relationships
Nursing View on Spiritual Care is by
Sharing the patient’s faith just by asking questions..
Allow people to discover the truth for themselves by stimulating their thinking through questions, which is much more powerful than having them simply listen to their thoughts.
Asking question
What are the 9 dimensions of patient assessment?
- Illness/ treatment summary
- Physical
- Psychological
- Decision making
- Communication
- Social
- Spiritual
- Practical
- Anticipatory planning for death
Determine the patient’s denomination, beliefs, and what spiritual practices are important to the patient.
Spiritual Assessment
This information assists in determining the impact of spirituality, on the care and services being provide, and will identify if further assessment or services are needed.
Spiritual Assessment
Spiritual Assessment Involves:
- Meaning, value of the illness, burden, independence, dignity
-faith
-religious/spiritual life
-areas of spiritual crises
Approaches to Spiritual Assessment
- Establish a conducive atmosphere
- Express interest, ask specific questions
-Listen for broader meanings
-Suspect spiritual pain
-Be aware of own beliefs and biases
Taken at initial visit as part of the social history, and at follow-up visits as appropriate
Spiritual History
Recognition of cases to refer to chaplains
Spiritual History
Opens the door to conversation about values and beliefs
Spiritual History
Uncovers coping mechanism and support systems
Spiritual History
Reveals positive and negative spiritual coping
Spiritual History
Opportunity for compassionate care
Spiritual History
The spiritual assessment tools
S Spiritual Belief System
P Personal Spirituality
I Integration in a Spiritual Community
R Ritualized Practices and Restrictions
I Implications for Health Care
T Terminal Events Planning (advance directives, DNR, wishes etc..)
The HOPE Questions
H: Sources of hope, meaning, comfort, strength, peace, love, and connection
O: Organized religion
P: Personal spirituality and practices
E: Effects on medical care and end-of-life issues
LET GO Assessment Tool
L-istening to the patient’s story
E-ncouraging the search for meaning
T-elling of your concern and acknowledging the pain of loss
G-enerating hope whenever possible
O-wning limitations
Ritualized Restrictions and Practices
-Patients may especially value the rituals of their faith community
-Anointing (last rites) of a dying person
-Scripture
-Prayer
-Communion
Encompasses both cognitive function and emotional health
Psychosocial
What are the Symptoms associated with emotional and spiritual suffering:
-Anxiety
- Depression
- Helplessness
- Aloneness
- Financial distress
-Meaninglessness
According to WHO this kind of care is the active total care of patients whose disease is not responsive to curative treatment. Control of pain, of other symptoms, and psychological, social, and spiritual problems is paramount.”
Palliative Care
What are the types of hope?
-Physical healing
-Comfort
-Personal growth
- Love
-Reconciliation
- Courage
- Self-forgiveness
- Fulfillment of one’s afterlife belief
