NUR 300: Chapter 36: Spiritual Health

Critical thinking model for spiritual Health Assessment

Assess the patients faith and beliefs Review the patients view of life, self responsibility and life satisfaction Assess the extent of the patients fellowship and community Review if the patient practices religion and rituals

Critical thinking model for spiritual health planning

Collaborate with the patient and family on choice of interventions Consult with pastoral care or other clergy or spiritual leaders as appropriate Incorporate spiritual rituals and observations

Religious Dietary regulations Affecting Health Care: Islam

Dietary Practice: Consumption of pork and alcohol is prohibited, Followers fast during the month of Ramadan

Religious Dietary regulations Affecting Health Care: Native Americans

Dietary Practice: Individual tribal beliefs influence food practices

Religious Dietary regulations Affecting Health Care: Russian Orthodox Church

Dietary Practice: Observe fast days and no meat rule on Wednesday and Fridays. During lent all animal products are forbidden

Religious Dietary regulations Affecting Health Care: Chistianity

Dietary Practice: Some Roman Catholics fast on Ash Wednesday and Good Friday, some do not eat meat on Fridays during lent

Religious Dietary regulations Affecting Health Care: Buddhism

Dietary Practice: Some are Vegetarians and do not consume alcohol, many fast on holy days

Religious Dietary regulations Affecting Health Care: Hinduism

Dietary Practice: Some are vegetarians belief is not to kill any living creature

Religious Dietary regulations Affecting Health Care: Judaism

Dietary Practice: Some observe the Kosher dietary restrictions (avoid pork, shellfish, do not prepare and eat milk and meats at the same time)

Religious Dietary regulations Affecting Health Care: Mormanism

Dietary Practice: abstain from alcohol and caffeine

Religious Dietary regulations Affecting Health Care: Jehovah's Witness

Dietary Practice: avoid food containing or prepared with blood

Religious beliefs about health: Sikhism

Health Care beliefs: Accepts modern medical science Response to illness: Females are to be examined by females Removing undergarments causes great distress Implications for Health and Nursing: Provide time for devotional prayer, Allow use of religious symbols

Religious beliefs about health: Buddhism

Health Care beliefs: Accepts modern medical science Response to illness: Followers sometimes refuse treatment on holy days, nonhuman spirits invading the body cause illness, May want a Buddhist priest, usually accept death as last stage of life and permit the removal of life support, do not practice euthanasia, often do not take time off of work or family activities when sick Implications for Health and Nursing

Religious beliefs about health: Hinduism

Health Care beliefs: Accepts modern medical science Response to illness: Past sins cause illness, Prolonging life is discouraged Implications for Health and Nursing: Allow time for prayer and purity rituals, Allow use of religious symbols

Religious beliefs about health: Judaism

Health Care beliefs: Believes in sanctity of life, balance between God and Medicine, Observance of the sabbath is important, Treatments sometimes refused on the sabbath Response to illness: Visiting sick is an obligation, Obligation to seek care, exercise, sleep, eat well, and avoid drugs, and alcohol abuse, Euthanasia is forbidden, Life support is discouraged Implications for Health and Nursing: Important to stay healthy, expectation that the nurse will provide competent care, allow patients to express their feeling, Allow family to stay with dying patient

Religious beliefs about health: Appalachians

Health Care beliefs: External locus of control, nature controls life and death, Accept folk healers Response to illness: dislike hospitals, tend to not follow medical regimens but expect to be helped directly when seeking episodic treatment Implications for Health and Nursing: They become anxious in unfamiliar settings, encourage communication with family and friends when ill

Religious beliefs about health: Islam

Health Care beliefs: Must be able to practice the five pillars of Islam, sometimes has fatalistic views of health Response to illness: use faith healing, family members are a source of comfort, group prayer is strengthening, often permit withdrawal of life support, do not practice euthanasia, believe that time of death is predetermined and cannot be changed, maintain a sense of hope and often avoid discussions of death. Implications for Health and Nursing: Women prefer female healthcare providers, During month of Ramadan muslims do not eat until the sun goes down, health and spirituality are connected, family and friends visit during time of illness, Usually do not consider organ transplantation or donation or postmortem exams

Religious beliefs about health: Christianity

Health Care beliefs: Accepts modern medical science, Complementary or alternative medicine often followed Response to illness: Followers use prayer, faith healing, They appreciate visit from clergy, some use laying on of hands, Holy communion is sometimes practiced, Anointing of the sick is given when patient is ill or near death (catholic) Implications for Health and Nursing: Christians usually in favor of organ donation, Health is important to maintain, Allow time for patients to pray by themselves or with family or friends

Religious beliefs about health: Navajos

Health Care beliefs: Concepts of health have fundamental place in their concept of humans and their place in the universe Response to illness: Blessingway is practice that attempts to remove ill health by means of stories, songs, rituals, prayers, symbols, and snd paintings Implications for Health and Nursing: Prefer a holistic approach, often not on time too appointments, promote physical, mental, spiritual, and social health of people, families, and communities, allow family members to visit, provide teachings about wellness, not disease prevention when possible.

Critical thinking model for spiritual health Evaluation

Review the patient self perceptions regarding spiritual health Review the patients view of his or her purpose in life Discuss with family and close associates the patients connectedness Ask if the patient expectations are being met

Nursing Assessment Question topics

Spirituality and spiritual health Faith, belief, fellowship and community Life and self responsibility Life satisfaction Connectedness Vocation

Hope refers to

an energizing source that is oriented toward future goals and outcomes. Faith allows people to have firm beliefs despite the lack of physical evidence; in this situation, the patient is energized by the future and has hope that it will be positive despite her heart failure.

Faith is

confidence about something without firm physical evidence. The patient saying, "My husband loves me," indicates positive faith. Hope is a sense of motivation, which helps the patient to live for and look to the future during difficult times. Transcendence is a state of existence above and beyond the limits of material experience. Transcendence affects the spirituality and spiritual health of a person. Connectedness is described as a connection within oneself, with others, and with the environment. The patient's affirmation of his or her partner's love does not indicate hope, transcendence, or connectedness.

Connectedness refers to

feelings about relationships with the self, others, and God; this question asks about connectedness with others.

Atheists do not believe in the

the existence of God.