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What is "spirituality"?
individual’s relationship with a nonmaterial life force or higher power
What word did Goldberg choose as all encompassing: physical, emotional, meaning, being present, giving, hope, love, religion, transcendence, touch & healing?
What is "faith"?
self-assured belief in something for which there is not proof or material evidence.
- *Patients/clients who believe in a loving
- and all powerful being who knows them and cares for them are often better able
- to cope with the suffering related to injury and illness
What is the difference between an "atheist" and an "agnostic"?
Ath: person who denies the existence of a higher power.
Ag: a person who embraces the belief that nothing can be known about the existence of a higher power
What is "religion"?
an organized system of beliefs about a higher power.
Cultural beliefs - diet & nutrition
Which group of ppl DO NOT eat shellfish, pork, and ONLY kosher foods?
Which group DOES NOT drink alcohol or eat pork?
Which group DOES NOT drink caffeine/alcohol?
Orthodox Jews do not eat shellfish or pork and only eat kosher foods
Muslims DO NOT drink alcohol or eat pork
Latter-day Saints (Mormons) DO NOT drink caffeine or alcohol
Orthodox/conservative Jewish men keep their heads covered with yarmulkes.
Orthodox/conservative Jewish women keep their heads covered with a wig or scarf as a sign of respect for God.
Muslim women cover their heads with what is called a Hijab.
Mormons wear temple garments under their cloths.
Culture beliefs - Death
(Tibet-Tiben book of the dead)
JEWISH bury their dead within 24H of the death except on Sabbath. They sit Shiva to pay their respects to the dead
Tibetan Buddhists read the Tibetan Book of Dead within 7 days of the death to release the soul from the Bardos or nether world.
Hindus CREMATE deceased within 24h to release the soul from any earthly attachment
Conducting a spiritual assessment.
•Sit down with the individual and plan a time for the assessment
•Create a sacred space an environment that promotes safety for the individual
•Bring positive intent to the encounter
•Be nonjudgmental about the individual’s beliefs and practices
Nursing and Spiritual Assessment.
–Assess spirituality including beliefs and practices
- –The effect of these beliefs on everyday
- living, spiritual DISTRESS, & spiritual NEEDS should be included in each comprehensive nursing Hx.
–What environmental or observational cues are you able to discover?
- –What resources they have (or don’t) have
- for discussion and/or reflection of spiritual matters.
What is the HOPE spiritual assessment tool?
- H = Sources of hope, meaning, comfort,
- strength, peace, love and connection
O = Organized religion
P = Personal spirituality/practices (PP)
- E = Effects on medical care and end of
- life issues
What is "spiritual hope"?
- Readiness for Enhanced Hope:
- A pattern of expectations and desires that is sufficient for mobilizing energy on one’s own
- behalf and can be strengthened
What is "spiritual distress"?
IMPAIRED ability to experience and integrate MEANING & PURPOSE in life through one’s connectedness with self, others, art, music, literature, nature, or power greater than oneself.
•Quality of Faith
•Quality of Hope
•Meaning and purpose to life
•Ability to Love
•Ability to Forgive
•Ability to Worship
Types of Spiritual Interventions
(what you can do as a nurse to promote spirituality)
•Use of Arts
The nurse working w/ the Pt/family to achieve specified goals/outcomes to meet spiritual needs can use each Pt interaction to evaluate the plan of care.
It is important for the nurse to be sensitive to what the Pt is saying or not saying and observation of the Pt when alone as well as when interacting w/ the family and nurses.
- •Regardless of country, race, cultural
- beliefs or sexual orientation we all have the same spiritual hungers.
•We often have the same questions:
–Why am I here?
–What is the true meaning?
–Why am I/Other suffering?
–Is there hope?
What is "spiritual alienation"?
when one is "unfamiliar" of the religious character of a care setting.
What is indicative of "spiritual pain" or "spiritual despair"?
having questions of SUFFERING
What is "spiritual guilt"?
having REGRETS over previous religious or spiritual apathy.
What is "spiritual anxiety"?
When one WORRIES about one's spiritual condition.
Which group of people deal with "laying of the hands" (associated w/ healing)?