Chapter 28 Spiritual Health Mosby items and derived

Chapter 28 Spiritual Health Mosby items and derived items © 2005 by Mosby, Inc.

Spirituality § Act of connecting to systems such as God, nature, or other people to find meaning through relationships § Helps individuals to – Maintain health and well-being – Cope with illness Mosby items and derived items © 2005 by Mosby, Inc.

Spiritual Health § Caring for spiritual health needs encompasses – Caring for the whole person – Accepting beliefs and experiences – Helping with issues surrounding meaning and hope Mosby items and derived items © 2005 by Mosby, Inc.

Spiritual Health § Research has demonstrated an individual's beliefs and expectations can do and do have effects on the person’s physical well-being § Placebo phenomenon – Healing can take place because of believing Mosby items and derived items © 2005 by Mosby, Inc.

Framework of Systemic Organization § Maintenance – Using self-care to nurture the body and mind and meet his or her physical, psychological and social needs § Change – Seeking medical care Mosby items and derived items © 2005 by Mosby, Inc.

Framework of Systemic Organization § Coherence – Results in a sense of unity within – Gained through activities that nurture the mind and spirit § § Prayer Religious practices Meaning relationships with others Enjoyment or arts or music § Individuation – Striving to connect/become a part of something outside of oneself Mosby items and derived items © 2005 by Mosby, Inc.

Traditional Concepts § Spirituality – Unique to each individual – Dependent upon § Culture § Development § Life experiences § Beliefs and ideas about life – Does not need to encompass religion Mosby items and derived items © 2005 by Mosby, Inc.

Traditional Concepts § Faith – Cultural or institutional religion § Christianity § Judaism § Islam – A relationship with a divinity, higher power, authority or spirit that incorporates § Reasoning faith (belief) § Trusting faith (action) Mosby items and derived items © 2005 by Mosby, Inc.

Traditional Concepts § Religion – Specific system of practices associated with a particular denomination, sect or form of worship – Framework for beliefs and rituals – Encompasses spirituality § Hope – Multidimensional concept that provides comfort while enduring life threats and personal challenges – Attitude of something to live for or look forward to Mosby items and derived items © 2005 by Mosby, Inc.

Spiritual Distress § Disruption of an individual’s “life principle” or spiritual well-being may cause – Doubt and loss of faith – Feeling of abandoned or aloneness – Questioning of spiritual values – Conflict between beliefs and prescribed health regimen Mosby items and derived items © 2005 by Mosby, Inc.

Problems—Spiritual Distress § Acute illness – Sudden, unexpected illness § Chronic illness – Suffer debilitating symptoms that change ability to continue current lifestyle § Terminal illness – Fear of physical pain, isolation, the unknown and death § Near-death experience – May experience feelings depression and isolation if unable to discuss event Mosby items and derived items © 2005 by Mosby, Inc.

Assessment § JAREL spiritual well-being scale (p. 551) – Created for Christian, non-Christian, atheist – Faith/belief § Inner source authority or guidance § Conflict b/w inner source of guidance and medical regimen – Life and self-responsibility § How illness affected life responsibilities Mosby items and derived items © 2005 by Mosby, Inc.

Assessment § § § Life satisfaction/self actualization Culture Fellowship and community – Sources of support § Ritual and practice – – Prayer Meditation Sacraments Burial of dead Mosby items and derived items © 2005 by Mosby, Inc.

Assessment (cont’d) § Vocation – Ability to express spirituality may be altered § Client expectations Mosby items and derived items © 2005 by Mosby, Inc.

Nursing Diagnoses § Spiritual distress § Readiness for enhanced spiritual wellbeing § Fear § Hopelessness Mosby items and derived items © 2005 by Mosby, Inc.

Planning § Goals and outcomes (see p. 559, 1 st paragraph) § Setting priorities – Acute distress § Focus care on relief of symptoms to provide client a sense of control § Then support client’s efforts to express the emotional intellectual aspects of his/her spirituality § Continuity of care – Significant others need to be involved in client’s care as appropriate Mosby items and derived items © 2005 by Mosby, Inc.

Implementation § Establishing presence – Presence of nurses and their care giving activities § Supporting a healing relationship – Holistic view § Recognize broader picture § Support systems – Encourage visits by family, friends, clergy § Diet therapies Mosby items and derived items © 2005 by Mosby, Inc.

Implementation – Integrate client’s dietary preferences into daily care § Consult with dietician § § Supporting rituals Prayer Meditation Supporting grief work Mosby items and derived items © 2005 by Mosby, Inc.

Evaluation § Client care – Compare client’s level of spiritual health with the behavior and perceptions noted in nursing assessment – Evaluate how client is accepting his or her illness § Client expectations – Were client’s spiritual practices respected – Nurse-client relationship supportive one Mosby items and derived items © 2005 by Mosby, Inc.