ACV Death and Dying, ACV Exam 3, ACV Exam 2, ACV Exam 1

What are some secular values?

Financial security Appearance and performance If it feels good, it's right Youth Longevity New Notoriety Look out for yourself. Physical fitness. Animals Weekends, vacation, and holidays

What are some physiological needs of the dying patient?

Fluids and nutrition. Mouth, eyes, and nose. Mobility. Skin care. Elimination. Comfort. Physical environment.

What is the Nuremberg Code of 1947?

Focuses on informed consent Can opt out at any point Avoid unnecessary physical and mental harm

What to expect with the dying patient...

Appetite - decrease • Listen to what the body is saying it wants or what it does not want. The body keeps itself more comfortable and the digestion of food takes work. • Fluids - may also decrease • CAREGIVER RESPONSE: DO NOT FORCE FOOD OR LIQUID • People do not die because they stop eating, they stop eating because they are dying. Bowels - decrease • Less intake • Pain medication • May need a laxative, but normal during dying process is much less frequent than it was while the patient was healthy and active. • As death draws near, total bowel shutdown may be expected Circulation • Slows, becomes more centralized. • Hands and feet become cool and perhaps discolored. • Fevers may come and go, unexplained sweating, swelling of the limbs (signs of fluid imbalance) Urine output falls as kidney's receive less circulation. (for some, however, urine output may be high) CAREGIVER: In most cases, some degree of dehydration will help keep the patient more comfortable. Bedsores • Repositioning every two hours • Skin clean and dry • Good lotion • Despite best effort - may still occur Respiratory • Pulmonary congestion (being fully hydrated while dying often leads to lung congestion and SOB) • Airway rattling - "death rattle". Quite loud and disturbing for caregivers • Breathing patterns: - Cheyne-Stokes (regularly irregular) - Panting - regular and fairly deep - Agonal - "fish out of water" • Final breaths are sometimes deep sighs Sleeping • Sleep/dream pattern are important parts of the dying process. • The work of dying takes place in the sleep dream state. Resolving all the unresolved issues of one's lifetime. Confusion - "Disorientation" Buried emotions Seeing dead relatives and friends Symbolism • "going home" • "help me up" vs. "waiting" Pain • Tolerating pain "letting go to avoid pain" • Response to pain is highly individual • Pain and meds "cloud" • No pain Weakness - lack of physical energy As energy to maintain a physical body fades, the dying person inevitably feels they are losing energy. Fear One of the most effective salves for the fear of dying is the presence of other human beings. It is not what the other person says or does, but their very presence.

Clinical S/S of impending death?

Muscle weakness Respiratory changes • Cheyenne-Stokes • Death Rattle Sensory changes Circulatory changes

Matthew 11:28-30

"Come to me, all you who are weary and burdened, and I will give you rest. Take my yoke upon you and learn from me, for I am gentle and humble in heart, and you will find rest for your souls. For my yoke is easy and my burden is light."

What is a modern worldview?

"Conquering illness through technology and scientifically determined care (medical model)."

What is the quote from Lynn Sanders about spirituality and spiritual care?

"....inadequate spiritual care can be harmful to patients left to cope on their own while in spiritual distress. Spiritual distress, left unchecked, can lead to suffering, including pain, and feelings of low self-esteem, isolation, powerless-ness, hopelessness, and anger". -(Lynn Sanders)

What is James 2:1-4?

"1 My brothers and sisters, believers in our glorious Lord Jesus Christ must not show favoritism. 2 Suppose a man comes into your meeting wearing a gold ring and fine clothes, and a poor man in filthy old clothes also comes in. 3 If you show special attention to the man wearing fine clothes and say, "Here's a good seat for you," but say to the poor man, "You stand there" or "Sit on the floor by my feet," 4 have you not discriminated among yourselves and become judges with evil thoughts?"

John 13:34-45

"A new command I give you: Love one another. As I have loved you, so you must love one another. By this everyone will know that you are my disciples, if you love one another"

Revelation 7:9

"After this I looked, and there before me was a great multitude that no one could count, from every nation, tribe, people and language, standing before the throne and before the Lamb. They were wearing white robes and were holding palm branches in their hands."

Is it okay to cry with your patients?

"As nurses, we have an awesome responsibility and privilege to make a positive difference in the lives of patients and families that we care for in sometimes unexpected and almost unbearable life and death experiences. In certain situations, expressing genuine emotion can be a sincere way to provide emotional support." - When Nurses Cry "There is a sacredness in tears. They are not the mark of weakness, but of power. They speak more eloquently than ten thousand tongues. They are the messengers of overwhelming grief, of deep contrition, and of unspeakable love." - Washington Irving

Jeremiah 1:5

"Before I formed you in the womb I knew you before you were born I set you apart; I appointed you as a prophet to the nations"

What is burnout?

"Burnout is when you're sick of your job; compassion fatigue is when you like your job but you can't quite manage the emotionality of it." - Charles Figley April 2017 APOS 8(4) More depends on outside factors

What does Psalm 33:6-9 say?

"By the word of the Lord were the heavens were made, their starry host by the breath of the his mouth. He gathers the waters of the sea into jars; he puts the deep into storehouses. Let all the earth fear the Lord; let all the people of the world revere him. For he spoke, and it came to be; he commanded, and it stood firm."

Matthew 13:36-43

"Explain to us the meaning of the story about the weeds in the field."37 He answered, "The man who planted the good seed in the field is the Son of Man. 38 The field is the world. The good seed are the people in God's kingdom. The weeds are the people who belong to the Evil One. 39 And the enemy who planted the bad seed is the devil. The harvest is the end of time. And the workers who gather are God's angels.40 "The weeds are pulled up and burned in the fire. It will be the same at the end of time. 41 The Son of Man will send his angels, and they will find the people who cause sin and all those who do evil. The angels will take those people out of his kingdom. 42 They will throw them into the place of fire. There the people will be crying and grinding their teeth with pain. 43 Then the godly people will shine like the sun. They will be in the kingdom of their Father. You people who hear me, listen!

What is the hospice prayer for the dying patient?

"God, thank you for being with us right now. We confess that we don't understand why things happen the way they do. We don't understand why illness comes into our lives, but we do know that you walk every path of life with us."

Micah 6:8

"He has shown you, oh mortal, what is good. And what does the Lord require of you? To act justly and to love mercy and to walk humbly with the Lord. "

Philippians 4:11-13

"I am not saying this because I am in need, for I have learned to be content whatever the circumstances. 12 I know what it is to be in need, and I know what it is to have plenty. I have learned the secret of being content in any and every situation, whether well fed or hungry, whether living in plenty or in want. 13 I can do all this through him who gives me strength."

What are some things not to say

"It was/ is God's will" "Be thankful you have another child" "I know how you feel" "Time will heal" "There must have been a reason" "God plucked a rose out of His garden" "Some good will come out of this" "God is trying to tell you something" "It was for the best"

What is moral distress?

"Jameton (1984) described moral distress as feelings that are painful, and as a psychological imbalance or disequilibrium that occurs when nurses find themselves in situations where they feel unable to do the right thing. Jameton explained that moral distress arises when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action."

Isaiah 1:17

"Learn to do right, Seek justice, Defend the oppressed, Take up the cause of the fatherless and Plead the case of the widow"

Galatians 6: 9-10

"Let us not become weary in doing good, for at the proper time we will reap a harvest if we do not give up. Therefore, as we have opportunity, let us do good to all people, especially to those who belong to the family of believers. "

What are bioethics/medical ethics?

"Life morality" Term created by biologist Van Rensselaer Potter in 1971 • Wanted to bridge the gap between the culture and the humanities Spurred by changes in culture and medicine • Civil rights movements of 60 and 70s raised concern for patient's rights • Anti-authoritarian era of Vietnam War protest • Health policies : medicaid created in 1965 • Organ transplantation brough public attention to bioethics Before bioethics, the doctor called the shots - very paternalistic Medicare • Federal insurance for > 65 or < 65 for disabled persons Medicaid • Insurance for those who are below the poverty line

What is spiritual care?

"Practical expression of presence, guidance, and interventions, individual or communal, to support, nurture, or encourage an individual's or group's ability to achieve wholeness; health; personal, spiritual, and social well-being; integration of body, mind, and spirit; and a sense of connection to self, others and a higher power". ANA, 2012, pp 57-58 Flows from provider

What does Dr. Carol Swain say about racism?

"Racism is prejudice that occurs when assumptions are made based on a person's membership in a particular racial, ethnic, or social group. Such racism might judge all white people as privileged beneficiaries because of their skin color just as blacks might be regarded as lazy individuals who commit crimes and prefer welfare to work. Such assumptions cause us to treat people differently and unfairly. Within the church and the human heart, racism is a sin problem that can only be addressed and absolved by practicing the teachings of Jesus and understanding what the Bible and gospel say about race."

Proverbs 22:2

"Rich and poor have this in common: The Lord is the Maker of them all"

Isaiah 58:1-12

"Shout it aloud, do not hold back. Raise your voice like a trumpet. Declare to my people their rebellion and to the descendants of Jacob their sins. 2 For day after day they seek me out; they seem eager to know my ways, as if they were a nation that does what is right and has not forsaken the commands of its God. They ask me for just decisions and seem eager for God to come near them. 3 'Why have we fasted,' they say, 'And you have not seen it? Why have we humble ourselves, and you have not noticed?' "Yet on the day of your fasting, you do as you please and exploit all your workers. 4 Your fasting ends in quarreling and strife, and in striking each other with wicked fists. You cannot fast as you do today and expect your voice to be heard on high. 5 Is this the kind of fast I have chosen, only a day for people to humble themselves? Is it only for bowing one's head like a reed and for lying in sackcloth and ashes? Is that what you call a fast, a day acceptable to the Lord? 6 "Is not this the kind of fasting I have chosen: to loose the chains of injustice and untie the cords of the yoke, to set the oppressed free and break every yoke? 7 Is it not to share your food with the hungry and to provide the poor wanderer with shelter— when you see the naked, to clothe them, and not to turn away from your own flesh and blood? 8 Then your light will break forth like the dawn, and your healing will quickly appear; then your righteousness[a] will go before you, and the glory of the Lord will be your rear guard. 9 Then you will call, and the Lord will answer; you will cry for help, and he will say: Here am I. "If you do away with the yoke of oppression, with the pointing finger and malicious talk, 10 and if you spend yourselves on behalf of the hungry and satisfy the needs of the oppressed, then your light will rise in the darkness, and your night will become like noonday. 11 The Lord will guide you always; he will satisfy your needs in a sun-scorched land and will strengthen your frame. You will be like a well-watered garden, like a spring whose waters never fail. 12 Your people will rebuild the ancient ruins and will raise up the age-old foundations; you will be called Repairer of Broken Walls, Restorer of Streets with Dwellings.

What is compassion fatigue?

"The physical, emotional, and spiritual result of chronic self-sacrifice and/or prolonged exposure to difficult situations that renders a person unable to love, nurture, care for, or empathize with another's suffering." Compassion fatigue is NOT burnout! More focuses on how the personal feels

Romans 5:1-5

"Therefore, since we have been justified through faith, we have peace with God through our Lord Jesus Christ, 2 through whom we have gained access by faith into this grace in which we now stand. And we boast in the hope of the glory of God. Paul Continues by saying "3 Not only so, but wealso glory in our sufferings, because we know that suffering produces perseverance; 4 perseverance, character; and character, hope. 5 And hope does not put us to shame, because God's love has been poured out into our hearts through the Holy Spirit, who has been given to us."

What are some door openers and things you can say?

"This must be very painful for you" "I know that you were very close" "I have no idea what it must be like for you; I have never had a ____ die. I am happy to listen if you would like to talk about how you feel?" "It must be hard to accept" "I really miss ____. He was a special person. But that can't compare to how much you miss him."

What did Dietrick Bonhoeffer say?

"To be a Christian does not mean to be religious in a particular way, to make something of oneself (a sinner, a penitent, or a saint) on the basis of some method or other, but to be a man—not a type of man, but the man that Christ creates in us. It is not the religious act that makes the Christian, but participation in the sufferings of God in secular life."

Westminster Shorter Catechism

"What is the chief end of man?" Answer: "Man's chief end is to glorify God and enjoy Him forever." Psalm 115: "Not to us O Lord, not to us but to your name be the glory, because of your love and faithfulness.

What did Benjamin Disraeli say?

"When men are pure, laws are useless: when men are corrupt laws are broken"

What is the jewish prayer?

"prayer has the ability to lift human beings upwards to God and God closer to human beings" Special prayers for each situation of lives: Sh'ma - prayer relating to Jewish identification; Hear O Israel, the Lord is our God, the Lord is One. V'ahavta- second part of Sh'ma; to love God with all of your heart, soul and might Mi Chamocha- Celebrates freedom from slavery Mi she-Berakh - prayer of healing Kaddish - prayer of mourning (used daily for 11 months after death of a loved one)

What is the Bible's Response to death?

1 Corinthians 15:54-57 When the perishable puts on the imperishable, and the mortal puts on immortality, then shall come to pass the saying that is written: "Death is swallowed up in victory." "O death, where is your victory? O death, where is your sting?" The sting of death is sin, and the power of sin is the law. But thanks be to God, who gives us the victory through our Lord Jesus Christ.

What are the 7 statements from God?

1. I am the bread of life 2. I am the light of the world 3. I am the door 4. I I am the Good Shepherd 5. I am the resurrection and the life 6. I am the vine 7. I am the way, the truth, and the life

What are the two main worldviews?

1. Secular; individual controls reality (everything is about me - represents our sinner core) 2. Christian; Jesus Christ controls reality What is at your core? What do you value? Yourself or Jesus?

What are the four nursing metaparadigms?

1. person 2. health 3. environment 4. nursing practice all four mix together

What is the role of touch in healing?

2 Kings 4:32-37 Elisha Matthew 8:1-3, 14-15, 20:29-34 Jesus/Leper/Peter's wife/ Blind men Mark 5:22-34 Jesus/Bleeding woman Acts 9:17-19, 28:7-9 Ananias/Saul James 5:14 Elders

1 Corinthians 10:23

23 "I have the right to do anything," you say—but not everything is beneficial. "I have the right to do anything"—but not everything is constructive. 24 No one should seek their own good, but the good of others.

What is the new testament?

27 books (Matthew - Revelation) Written in Greek

What is the old testament?

39 books (Genesis - Malachi) Written in Hebrew

Romans 5:3

3Not only so, but let us also glory in our sufferings, because we know that suffering produces perseverance; 4 perseverance, character; and character, hope. 5And hope does not put us to shame, because God's love has been poured out into our hearts through the Holy Spirit, who has been given to us.

How many years are between the new and old testament?

400 years Called the Intertestamental period

James 2:8-9

8 If you really keep the royal law found in Scripture, "Love your neighbor as yourself," you are doing right. 9 But if you show favoritism, you sin and are convicted by the law as lawbreakers.

What is the summary from the noticer?

A change in perspective can spark contusion that alter the course of your life. Our perspectives influence our thoughts and actions, which influence our relationships and opportunities. A new perspective can often times be used by the Holy Spirit who can use a changed heart rather than altered circumstances to achieve transformation

What is an ethical issue/conflict?

A matter in dispute between two or more parties because of a conflict of moral values

What are the basic spiritual needs of every person?

A meaningful philosophy of life (values, and moral sense). A sense of the transcendent (outside of self, view of God and something beyond the immediate life, having hope.) A trusting relationship with God (faith). A relatedness to nature and people (friendship). Experiencing love and forgiveness. A sense of life meaning.

How long do terminal patients really live?

A significant percentage of a group of 3,693 patients told they had no more than a 50% chance of living for 6 months survived well beyond this period.

What is an ethical dilemma?

A situation with at least two equally justifiable courses of action or judgments in which a person is uncertain of which to pursue or choose. Often it is not a "win-win" situation but one of "least loss"

What is hospice?

A type of care for the terminally ill, founded on the concept of allowing individuals to die with dignity, surrounded by those who love them. Clients enter hospice care when aggressive medical treatment is no longer an option or when client refuses further medical intervention.

What are bioethical terms?

AUTONOMY - client allowed decision making without coercion BENEFICENCE - compassion; taking positive action to help others; desire to do good NONMALEFICENCE - doing no harm; avoidance of harm or hurt JUSTICE - fairness, equality Fidelity -This principle requires loyalty, fairness, truthfulness, advocacy, and dedication to our patients. Keeping our commitment.

What does "whatever you focus on increases" mean?

If you focus on negative > then everything is negative If you focus on positive > then everything is positive

What are the effects of the pandemic on healthcare works and compassion fatigue?

According to a 2019 report on nursing engagement [PDF 888 KB], 14.4% of nurses were "unengaged" with their work, with 41% of those respondents reporting feelings of burnout. Another study found that 35.3% of nurse respondents had symptoms of burnout.

How do we recover from burnout as a Christian?

Admit there is a problem Stop justifying unhealthy habits Seek support from friends and family Don't be afraid to reach out to God Take time for yourself

What are prerequisites to have effective advocacy?

Advocacy requires that the nurse understand and have knowledge of the point of view of the patient in their care before she is able to articulate or advocate for the patient Identify and define your own beliefs and values Avoid paternalism - making decisions for the person Clinical competence Believe that you have the right to speak up

Before 1960, how were patients treated?

Although medical and hospital patients in most states were beneficiaries of COMMON LAW RIGHTS before the 1960s these consisted only of the right to... Not be treated WITHOUT CONSENT CONFIDENTIALITY of statements made to a physician during treatment Damages in event of MALPRACTICE Some confidentiality of a patient's hospital records

What is grief?

After the death of a loved one or the news of your own or a loved one's terminal illness, a painful period of adjustment follows, involving bereavement and grief GRIEF is the emotional response to loss

Albert Einstein "the world is a dangerous place, not because of those who do evil, but because of those who look on and do nothing"

Albert Einstein "the world is a dangerous place, not because of those who do evil, but because of those who look on and do nothing"

What is the story of Henry Warren?

An intention is defined as "an act or instance of determine mentally upon some action results" Henry told people he would get a job done in 6 days, knowing that he wouldn't and he would cut corners Henry is trying to change to break the generational curse before his son arrives You can change in an instant, it's the process of deciding to change that takes a long time Henry was a landscaper who always made promises he could never keep and always cut corners Most of his employees were illegal so he always cut them short on their pay and they could do nothing Once Henry got to the job, he started yelling at everyone Jones basically told Henry that nothing in his life is meaningful, and one day it'll end up in the grave with him and he'll have no legacy to leave behind Jones said that we need to sweat the small stuff, because the small stuff is what makes up the larger picture of our lives getting bit by an elephant & getting bit by a mosquito He told the story about the squirrel who stopped the metro by shorting the electrical line Jones asked what comes to mind when he thinks of a "successful life" • Wife, unborn child, good friends, people in whose lives I have made a difference Jones asked him to name 3 of his employees and Henry could not, so Jones told Henry their individual stories Jones told the 5 seagulls sitting on a dock scenario In Chapter 8, The story of Henry Warren continues... • He tried to change but nobody is giving him the benefit of the doubt • Jones said that Henry keeps apologizing for his "mistakes" when he should really be apologizing for his "choices" • Henry tells Jones that he is naming his son "Caleb" and that he will apologize to everyone and ask for forgiveness

What is God's healing power?

As Christian nurses we are called to carry God's healing power to our patients Matthew 25: 31-46 Luke 10: 25-37

What is progressivism?

As humans, we believe we can build our own utopia here on earth No need for God, I can be God We can solve our own problems on poverty, race, and right

How do you examine the ethical issue using the nursing process?

Assessment - Gather data Diagnosis - Articulate the problem Planning - Explore strategies Implementation - Implement strategy Evaluation - Evaluate outcome

What is the Buddhism prayer?

Atheistic; do not believe in a Creator God or any deities Seek path to Enlightenment reaching for Nirvana Through morality, meditation (emptying the mind) and wisdom. Prayer and meditation central to practice Prayer includes mantras thought to have profound spiritual effect, prayer wheels and flags.

What is the story of Barry and Jan?

Barry and Jan were getting divorced, and Jones surprisingly sat down with them when they met for lunch He started by asking Jan how her father showed her mother how he loved her - Jan responded with acts of service + then added that's what Berry did when they dated He then asked Barry how he's been showed love and Barry stated by telling him Point being, they were loving each other the wrong way - and it's all about perspective!

What is religion vs. spirituality?

Believing versus being Religions focus = content of beliefs and outward expression of that belief • You can be religious with the faith of your parents, but only spiritual with your own • Focus on believing Spirituality focus = process of becoming more attuned to worldly affairs • In order to be spiritual you must possess an individual and personal faith • Focus on being "The concept of spirituality is about core meaning and connectedness, and it is from this that we respond to all of life. Anger, hate, love, forgiveness and hope come from this core." MacKinlay and Trevitt (2007) Spirituality is the umbrella concept with religion being one way to express spirituality. Spirituality is about relationships and meaning, whereas religion reflects our attempts to structure and codify spirituality " (Carson & Koenig, 2008)

What are the different ethical principles?

Beneficence (do good, provide benefit) Nonmaleficence (avoid harm/protect from harm) Justice (fairness, equality) Autonomy (self-determination) Veracity (telling truth/do not deceive) Fidelity (Being faithful to one's commitments) Confidentiality (nondisclosure of private info) Sanctity of human life (life is sacred)

What is the golden rule from different religions?

Buddhism: "Hurt not others in ways that you yourself would find hurtful." Udana-varga 5:18 Christianity: "Do to others as you want them to do to you." Luke 6:31 Confucianism: "Do not do to others what you do not want them to do to you." Analects 15:23 Taoism: Regard your neighbor's gain as your own gain and your neighbor's loss as your own loss" T'ai Shang Kan Ying P'ien Hinduism: " One should not behave towards others in a way Which is disagreeable to oneself." Mahabharata 5:1517, Mencius Vii.A.4 Islam: "Not one of you is a believer until he loves for his brother what he loves for himself." Number 13 of Al-Nawawi's Forty Hadiths Judaism: "Thou shalt love thy neighbor as thyself." Leviticus 19:18

What is burnout?

Burnout is defined as an emotional and behavioral impairment that results from the exposure to high levels of occupation stress Has been described as a combination of three facts: emotional exhaustion, depersonalization and personal accomplishment Burnout as a phenomenon has probably existed at all times and in all cultures. Burnout goes back as far as the Old Testament (Exodus18: 17-18) Pastors speak of the "weariness of Elijah" (Schall, 1993)

What are some key points of the new testament?

Birth of Jesus Disciples are students/followers Apostles are disciples that personally know the ideal John the baptist: Gospel Beatitudes, parables, healing, letters Salvation Crucifixion Resurrection Heaven, revelation

What are the beatitudes?

Blessed are the Poor in Spirit...for those is the kingdom of heaven • Know without God, you cannot do anything. Saying "Lord i need you" • Ex: Luke 18:9-14 Blessed are those that mourn...for they will be comforted Blessed are the meek...for they shall inherit the earth • Moses was the meekest man on the face of the earth • Meek = humble Blessed are those that hunger and thirst for righteousness...for they shall be filled Blessed are the merciful...for they shall obtain mercy • Matthew 18:21-35 Blessed are the pure in heart...for they shall see God • When you see the good in people, you see god everyday in them because God created them Blessed are the peacemakers...for they shall be called sons of God Blessed are those who have been persecuted for the sake of righteousness...for theirs is the kingdom of heaven

What are some changes in the workplace we could make to help burnout?

Changing organizational practices Training supervisors & managers Change shift work systems Support/train to improve skills or job roles Train for better coping and stress management Offer counseling & therapy Promote exercise and relaxation

Compare the two worldviews...

Christianity = traditional Judeo-Christian belief with roots in the Bible and teachings of Jesus Secularism = exclusion of religion and religious considerations

What is compassion fatigue and what are the parts of it?

Compassion Fatigue is defined as a state of physical or psychological distress in caregivers, which occurs as a consequence of an ongoing and snowballing process in a demanding relationship Has been associated with 'helper syndrome' that results from continuous disappointing situations and leads to moral distress Consists of two parts: 1. First part contains issues such as exhaustion, frustrations, and depression, typically associated with Burnout 2. Second part is the negative feeling driven by concerns such as hyper-vigilance, avoidance, fear and intrusion, which are also characteristics of s/p traumatic situations • Initially can trigger "workaholic" behavior; feelings of lack of appreciation and self-entitlement.

What is the Belmont report?

Created by the National Commission for the Protection of Human Services of Biomedical and Behavioral Research Prompted in part by problems arising from the Tuskegee Syphilis Study (1932-1972) The Belmont Report is one of the leading works concerning ethics and health care research. It allows for the protection of participants in clinical trials and research studies

What is the image of Jesus?

Created to Glorify GOD Isaiah 43:1-7 God treasures humans Mirror reflection of God; Mirror reflection II Corinthians 3:12-18 "..we are being transformed into the image of God" Do you grasp the person you are sitting next to as a reflection of God? How about the patient in the bed in front of you? Colossians 3:1-16; Image of God being renewed Christians go to work and make something of the world. Our mindset is that we are being like Jesus. Colossians 3:17 "..whatever you do, do in the name of the Lord.."

What are some secular ways a person can spend money?

Credit card debt OTC medical devices Car payments Entertainment costs Time on the internet Eats out too much and larger portions

What is cultural abuse?

Cultural abuse happens when abusers use aspects of a victim's particular cultural identity to inflict suffering, or as a means of control. Not letting someone observe the dietary or dress customs of their faith, using racial slurs, threatening to 'out' someone as LGBQ/T if their friends and family don't know,or isolating someone who doesn't speak the dominant language where they live - all of these are examples of cultural abuse.

How do we measure intimacy with God?

DSES - created by Underwood (2006) to measure a person's perception of their everyday ordinary connection experiences with the transcendent. Measure experiences, rather than beliefs regarding spirituality. The language in the instrument is more theistic in nature; however, there are items that also explore the spiritual experiences of individuals who may not be comfortable with theistic language. 16-item self-administered questionnaire that takes approximately 1-2 minutes to complete. Each item is written with a positive connotation. Likert scale. The instrument author does not provide detailed instructions on scoring and interpretation, but rather loose guidelines and suggestions. Current study assigned numeric, Likert-scale values to each item as follows: (a) items 1 through 15 - Never = 1, Once in a while = 2, Some days = 3, Most days = 4, Every day = 5, Many times a day= 6; (b) item 16 - Not at all = 1, Somewhat close = 2, Very close = 3, As close as possible = 4. Possible raw score ranged from 16 to 94. Higher total scores indicate more daily spiritual experiences, and lower total scores will indicate lesser daily spiritual experiences.

What are some things to note with nurses self care?

Dealing with dying clients is stressful. Nurses must face their grief. Unresolved grief is called shadow grief. Nurses often carry shadow grief which, if not released, can cause illness and burnout. S/S • Loss of energy, spark, joy, and meaning in life. • A feeling of being powerless to make a difference. • Increased smoking or drinking. • Unusual forgetfulness. • Constant criticism directed at others. • Constant inability to get work done. • Uncontrolled outbursts of anger. • Perception of clients and their families as objects. • Surrender of hobbies or interests. Coping with Shadow Grief • Take time to cry with and for clients. • Get physical: run, walk, bicycle, play tennis. • Ask colleagues to help with tasks; avoid being "Super nurse." • Look for joy in work. Laughter is a great healer. • Create a caring circle of friends. • Listen to music. • Connect to place of worship; pray.

What are some types of losses?

Death • Sudden or expected Function loss • Mentally or physically How are we to deal with suffering patient or family who experiences loss?

How is the nurse the patient advocate?

Defends the rights of the patient and is the supporting voice of the patient The nurse ACTIVELY PARTICIPATES in patient care by supporting the rights of the patient, by communicating health care needs to their medical team and providing information to the patient to assist them in making decision The nurse also participates by improving the healthcare environment, safety standards and quality of care for the patient Reports abuse • Physical, sexual, verbal/emotional, mental/psychological, economical/financial

What is healthy vs. unhealthy grief?

Differentiating unhealthy grief from healthy grief is difficult and many of the common assumptions are wrong. There is no time table; many people take longer than 1 year. Not everyone experiences deep depression. People who do not show deep initial grief do not necessarily have problems later

How do we prevent burnout?

Eliminating, reducing, or counteracting stress factors of working environment Development of values in organizational culture Development of attitudes and rewarding relationships Development of effective social support Consultation with employees Employee participation in decision making concerning changes Custom fitting and comfortable workplace

What are ethics?

Ethics is a branch of philosophy that involves clarification of what is the "right and wrong". It is the study of the choices by which we try to live a good life and how we understand the results of our choices. Ethical principles: • Guides for ethical decision-making and taking action.

How do we bear the name of Jesus?

Every human being is an image bearer, whether conscious or not. Commandment 3: "You shall not misuse the name of the Lord your God" What does this mean? • Name-bearing is restricted to those in covenant relationship with God. Matthew 22:20-22

What are the S/S of burnout?

Frequent Headaches Back Pain Muscle Aches Decreased Energy Levels Lowered Immunity Changes in Appetite and Sleep Habits (insomnia) Comfort eating HTN

What are the physical steps in dying...

From "Crossing the Creek, a practical guide to understanding dying process" By Michael Holmes, RN (1998) Views gathered from years of working with dying people - they are not the only valid perspective on the dying process.

Acts 17:26

From one man he made all the nations, that they should inhabit the whole earth; and he marked out their appointed times in history and the boundaries of their lands

What are the key points of the old testament?

God spoke through fathers, priests, kings, prophets God built His covenant with Abraham Moses and the 10 commandments Kings: Saul, David, Solomon Major Prophets: Elijah, Isaiah Minor Prophets: Micah Foretelling of the Messiah

What does being made in the image of God mean?

Genesis. 1: God is speaking and things happen, creation-Boom! Genesis 1:26 "Then God said, "Let us make man in our image in our likeness, And let them rule over the fish or the sea and the birds or the air, over the livestock, over all the earth, and over all the creatures that move along the ground." Humans are tasked to rule, humans are to do what God has been up to. Creating a world that can flourish: humans take care of the land not let it grow wild, grow veggies, orchards, apples for a whole community and take care of it. God wants his world to be livable, workable, and where humans thrive being made in the image of God.

Who is the Napalm Girl: Kim Phuc?

Girl in Vietnam war "Forgiveness made me free from hatred. I still have many scars on my body and severe pain most days but my heart is cleansed. Napalm is very powerful, but faith, forgiveness, and love are much more powerful. We would not have war at all if everyone could learn how to live with true love, hope, and forgiveness. If that little girl in the picture can do it, ask yourself: Can you?" - Kim Phuc 2008 The salvation of Napalm Girl • "My faith in Jesus Christ is what has enabled me to forgive those who had wronged me," she wrote, "no matter how severe those wrongs were."

What are some Christian behaviors?

Give to the needy and care for the homeless

What are the first four commandements about?

God

What is the Christian nursing worldview?

God - created the world (environment) God created human beings (persons) and placed them to live within this created environment To live in Shalom (health). This kind of health allows the person to live at peace in a God-centered human community with a sense of physical, psychosocial and spiritual well-being Nursing then, works toward Shalmon among individuals and the community

What are some secular behaviors?

God is not the center of decision making...I am I make my own decisions and do my own thing

What are some other medical malpractices in history?

HIV research in africa (1995-19997) Kreiger lead paint study (mid-1990s) Guatemalan syphilis study (1946-48) / exposed in 2011 Jesse gelsinger case (1999) Bucharest early intervention project (2001-13) Studying long term neglect on children into their teen and adult years

What is the HOPE acronym for spiritual care?

HOPE acronym guides listening and questions H/ sources of hope, strength, meaning O/ role of organized religion for client P / personal spirituality and practices E / effects on medical care and EOL decisions

What tools does Jesus give us to model Christlikeness and fight divisions?

He teaches us how to have compassion for those who are hurting: "But a Samaritan, as he traveled, came where the man was; and when he saw him, he took pity on him" (Luke 10:33) He teaches us how to lament: "As he approached Jerusalem and saw the city, he wept over it." (Luke 19:41) He teaches us how to repent: "From that time on Jesus began to preach 'Repent, for the kingdom of heaven has come near." (Matthew 4:17) He teaches us how to reconcile with people whom we have hurt: "First go and be reconciled to them." (Matthew 5:24) He teaches us how to bring people together who would naturally hate each other: for example, Jesus brought into his band of twelve both Simon the Zealot (who hated Roman oppression) and Matthew the tax collector (who benefited from Roman oppression). He teaches us to seek justice for the oppressed: "he has sent me...to set the oppressed free." (Luke 4:18) He teaches us how to view each other this side of the cross: "Here there is no Gentile or Jew, circumcised or uncircumcised, barbarian, Scythian, slave or free, but Christ is all and is in all." (Colossians 3:11)

What are some causes of burnout?

Heavy Workloads, Long shifts, Mandatory overtime Absence of Community: Relationship Conflict with Other Staff High Emotional Needs of Patients and Families Lack of Appreciation, Lack of fairness, Insufficient reward, Lack of Managerial Support Lack of Control, Moral Distress Conflicting Values

What is the story of Nancy Carpenter?

Her husband Harrison - who died 3 years ago - was buried with a fork in his hand. WHY? A couple weeks before he died, she woke up to him talking to Jones. Jones reminded Harrison about his mom at Thanksgiving who would always have them keep their fork after dinner and say "the best is yet to come" Jones told Harrison, "Do not be afraid. Keep your fork. The best is yet to come"

What is included in the patient's bill of rights?

High quality health care A clean safe environment Involvement in your care Privacy protection Preparation for discharge Help with filing insurance

Ethics cover what dilemmas?

How to live a good life Our rights and responsibilities The language of right and wrong Moral decisions - what is good and bad?

What are some brief assessment model questions to ask patients about religion?

I was wondering if spirituality or religion is important to you? Are there certain spiritual beliefs and practices that you find particularly helpful in dealing with problems? I was also wondering if you attend a church or some other type of spiritual community? Are there any spiritual needs or concerns I can help you with?

What is biblical lamenting?

II Chronicles 20:12 "We are powerless before this vast multitude that comes against us. We are at a loss what to do, hence our eyes are turned toward you" Job 3:11 "Why did I not perish at birth, come forth from the womb and expire?" Habakkuk 3:16 "...my legs tremble beneath me. I await the day of distress that will come upon the people who attack us" I Kings 19:4 "...and he requested for himself that he might die; and said, '' It is enough; now, O Lord, take away my life; for I am not better than my fathers. The book of Lamentations Over 1/3 of Psalms are laments Mark 14:36 "Abba, Father, all things are possible to you. Take this cup away from me..."

What are the 6 idols of today?

Identity money/consumerism Entertainment Sex Comfort Our phone

What are ethical questions?

If a case represents an ethical issue (an issue where there is an ethical question or principle) and if there is a consensus in the ethical and legal experience that one principle should trump another, then no ethical dilemma exists.

What to expect with Hospice...

If you would like to know how you will handle your own death, look back upon your life and observe how you have handled all your other transitions.

How is Jesus the perfect image?

Image linked to Kingdom of God; John 1:1-34 If you follow Jesus you will also become the likeness of God Matthew 5:3-12 Beatitudes Sermon on the Mount Upside-down teaching

What does Image mean with God?

Image of God: sets humans apart from other things created such as animals; God's breath was breathed into man Genesis 2:7. Genesis 1 first story creating man, Genesis 2, second story is different from the first, there are 2 statements, explaining the physical and spiritual of His human creation. Blessed them, be fruitful and multiply, consciousness, spirituality; which was different than the rest of creation God is king. Creates humans to be in his image and humans represent him. Statues are bodies of the divine Walking by the temple with a huge statue, larger than life, epic, where the god's power and body are held. (3buried there) Sphinx; animal like creatures that protect the king, guarding the kings burial spot. Image to Israelites: Humans in God's image

Who are the two most influential philosophers to medical ethics?

Immanuel Kant : Categorical imperative (persons must be treated as ends in themselves and never be means to ending) • Rules • Think death penalty John stuart mill : Harm principle (power over another against his will only to prevent hard to others) • Judge good and bad by outcome • Think being locked in jail for life

What is the story of Norman Borlaug?

In WW1 and WW2 helped build victory gardens Victory Garden - families tried to build a garden to help supply food > felt like it was there contribution to the war Jones talked about Norman Bourlag - 91 years old - man who hybridized corn and wheat for arid climates. He saved people from famine. However, Henry Wallace who was the vice president of the US gets all the credit since he hired Norman Bourlag, However, George Washington Carver was the one who taught Henry Wallace about humanity ALL TO SAY: you can make a difference whether you realize it or not!

In the Noticier, who is Jones?

In the Noticer, Jones is depicted as Jesus who notices and cares for the lonely, angry, and people in crisis.

What does spiritual care do?

Increases the ability to achieve hopeful outcomes of • Wholeness • Health • Personal, spiritual, and social well-being • Integration of body, mind, and spirit • A sense of connection of self, others and a higher power

What are some causes of death across the lifespan and their reactions?

Infant and childhood deaths • usually miscarriges • may result in divorce Death in adolescence • Most often from an accident • Come with therapeutic discussion if from terminal illness Death in young adulthood • Usually an accident also • Feel robbed of life Death in middle adulthood • Usually from life threatening disease • More aware and accepting of death • Still feels cheated of life • The county coroner can overrule the denied request of autopsy Death in late adulthood • More common • Caucasian males over 85 have the highest risk of suicide d/t feeling like they have outlived their usefullness or having a terminal illness that they do not want to go through

How can nurses fill the knowledge gap with patients?

It can be difficult for the patient to convey information to family or the medical team. The nurse helps with a base of knowledge and uses that to educate the patient The nurse also follows up with the family and medical team when necessary.

What is the meaning of the symbolic suitcase?

It was full of seeds because he wanted him to plant seeds in other peoples mind to help with perspective

What is the story of Jason?

Jason is who Jones took Andy to see under the bridge. He was in the exact same position as Andy was when Jones found him. He was preparing Andy to help Jason the way Jones helped Andy

John 11:35

Jesus Wept

What are some notes about the new testament?

Jesus is the embodiment of what God wants to say to the world The old testament foretells his coming BREAKDOWN OF NT: • The gospels (Matthew, mark, luke, john) offer eyewitness accounts of his birth, life, death, burial, resurrection, and ascension • Acts give us a sketch of what happened next as the gospel message spread around the Mediterranean world • The letters (Romans-Jude) give us insight into what it means to follow Christ as a group, in clusters of disciples known as churches • Revelation offers a glimpse of the ultimate victory still to come

Why are Christians committed to healthcare?

Jesus modeled and commanded it / luke 9:1 Jesus rejected the idea that suffering is always punishment / Luke 13:1-5 , John 9:1 ff, Book of Job • "What did I do to deserve this?" It will be a criterion of final judgement / matt 25:31 It puts agape into action / 1 john 3:16-18 It was early Christianity's great witness against roman persecution

John 11:28-37

John 11:28 When she had said this, she went and called her sister Mary, saying in private, "The Teacher is here and is calling for you." 29 And when she heard it, she rose quickly and went to him. 32 Now when Mary came to where Jesus was and saw him, she fell at his feet, saying to him, "Lord, if you had been here, my brother would not have died." 33 When Jesus saw her weeping, and the Jews who had come with her also weeping, he was deeply moved[e] in his spirit and greatly troubled. 34 And he said, "Where have you laid him?" They said to him, "Lord, come and see." 35 Jesus wept. 36 So the Jews said, "See how he loved him!" 37 But some of them said, "Could not he who opened the eyes of the blind man also have kept this man from dying?"

John 11:5-37

John 11:5 Now Jesus loved Martha and her sister and Lazarus. 6 So, when he heard that Lazarus[a] was ill, he stayed two days longer in the place where he was. 7 Then after this he said to the disciples, "Let us go to Judea again." 8 The disciples said to him, "Rabbi, the Jews were just now seeking to stone you, and are you going there again?" ... "Our friend Lazarus has fallen asleep, but I go to awaken him." 12 The disciples said to him, "Lord, if he has fallen asleep, he will recover." 13 Now Jesus had spoken of his death, but they thought that he meant taking rest in sleep. 14 Then Jesus told them plainly, "Lazarus has died, 15 and for your sake I am glad that I was not there, so that you may believe. But let us go to him." 16 So Thomas, called the Twin,[b] said to his fellow disciples, "Let us also go, that we may die with him."

Chapter 1 Summary

Jones called Andy "young man" Andy's job was cleaning fish on the piers or selling bait to tourists - he was homeless He lived under the pier of Gulf State Park Andy describes Jones skin color as "café au lait" colored Jones describes himself as "a noticer" because he notices things in plain sight Jones states, "what would you think if I told you that your bad choices and decisions have had a part in your ending up under this pier, but beyond that, under this pier is exactly where you should be in order for a future to occur that you can't even imagine at this point? Jones gives the mountain top analogy about how mountaintops are rocky and cold and all you see at the top is your next destination but the valley is when we go through the lush grass learning and becoming what enables us to summit life's next peak Titles of the book Jones gave Andy + called them "adventure stories": • Winston Churchill • Will Rogers • George Washington Carver Jones treated Andy to a "feast" which was actually just Vienna sausages + sardines Jones said "when you focus on things you need, you'll find those needs increasing but if you focus your thoughts on what you don't have, you will soon be concentrating on other things you had forgotten you don't have and feel worse. If you set your mind on loss, you are more likely to lose...but a grateful perspective, brings happiness and abundance into a person's life" Ask yourself "how does one person become a person whom other people want to be around?"

Chapter 7 Summary

Jones had built a treehouse in Andy's backyard Jones states that Claire and Scott helped him build it but they later said they did not help him nor ever heard of him Andy saw a bench with a huge quote from Jones on it that said, "Rebuilt with a grateful heart. "You may have lost a house, but you did not lose your home. Remember, you are still breathing..." Jones went to church and when the pastor asked for prayer requests, Jones stood up and said "I think more people would want to go to heaven, if they weren't afraid it's be like church when they got there" - because nobody was smiling The story of Henry Warren • Henry was a landscaper who always made promises he could never keep and always cut corners • Most of his employees were illegal so he always cut them short on their pay and they could do nothing • Once Henry got to the job, he started yelling at everyone • Jones basically told Henry that nothing in his life is meaningful, and one day it'll end up in the grave with him and he'll have no legacy to leave behind • Jones said that we need to sweat the small stuff, because the small stuff is what makes up the larger picture of our lives getting bit by an elephant & getting bit by a mosquito • He told the story about the squirrel who stopped the metro by shorting the electrical line • Jones asked what comes to mind when he thinks of a "successful life" - Wife, unborn child, good friends, people in whose lives I have made a difference • Jones asked him to name 3 of his employees and Henry could not, so • Jones told Henry their individual stories • Jones told the 5 seagulls sitting on a dock scenario - talks about how if 1 seagull decides to fly away...there are still 5 because deciding to fly away and actually flying away are two different things

Chapter 3 Summary

Jones talks about the 4 major dialects that we use to convey + feel loved Physical contact • cats Quality time • canary Words of Approval • puppy Acts of service • goldfish

What is Jones and Andy relationship when they first met?

Jones tries to get Andy to have a positive outlook on life Surf and turf > vienna sausage and sardines Gave him biographies to read > we learn from other people's struggles

What is an orange personality type?

Just because they're funny doesn't mean they're stupid NOT a fan of rules Competitive (with themselves) - not mean-spirited Not afraid to fail (as in, willing to try new things and make mistakes) Spontaneous - doesn't mean they don't think through things Conversational intimacy 90% of all school dropouts are oranges Addictive personality Bring a unique perspective Bible Verses: • Proverbs 17:22 • Ecclesiastes 4:9, 12 • Proverbs 18:24

What is moral courage?

Lachman cited Albert Einstein as saying, "the world is a dangerous place, not because of those who do evil, but because of those who look on and do nothing"

When you speak...

Lamentations 1:12 "Is it nothing to you, all you who pass by? Look around and see. Is any suffering that was inflicted on me, that the Lord brought on me in the day of his fierce anger? How is it that we are suffering so bad yet everyone else is laughing...does no one notice?

What is a gold personality type?

Likes to vent (don't want people to fix my problems) Love a good plan (List makers) • Good decision maker • Need something to look forward to Need order and structure • Rule follower • Want things done the right way (can become obsessive) • Do NOT like surprises • Nothing is done halfway Like to be in Control • Always on time • Frugal • Love to fix a problem Want everyone to be treated fairly • Strong sense of justice Bible Character: Martha Bible Verses: • Romans 8:28 • Philippians 4:13

What is a blue personality type?

Love, loyalty, friendship They love recklessly Instant giving of heart - unguarded Relationships are paramount and characterized as: • Warm, fuzzy • Smooth sailing • Cautious • Abort, abort Need for acceptance (they want you to like them!!) HATE conflict! Tend to fantasize about how things will end up (2 Cor. 10:5) Generosity Bible Verses: • 1 Samuel 18:1 • Philippians 2:4 • Ecclesiastes 4:9

What does John 9 discuss?

Literal: "Rabbi who sinned this man or his parents that he was born blind Jesus answered neither this man nor his parents sinner but that God's works might be made known in him it behooves us to work the works of the one who sent me while it is day the night is coming when no one can work." God does not torment people so that he can come along and get the glory Good AND bad people are subject to bad things in life When you face trials, it proves whether your faith is genuine "I don't know why these bad things are happening, but i believe God is still in the room" God could keep the bad away, but if he did we wouldn't be human and we wouldn't have free will "Why me?" well why not me? Am I better than the person next to me? Faith doesn't protect you from the bad, it gives you a lifejacket during the bad We don't live in the absolute good nor the absolute bad. We life in the epistemic distance, which is some good and some bad God is not the source of our problems, he is the anchor to hold onto during our problems

What is our history with ethics?

Little albert - classical conditioning Johns Hopkins 1920 Milgram experiment - obedience - yale psychologist 1961

What is the meaning of the 10 commandments?

Love the lord your god with all your heart, with all your soul, and with all your mind. This is the greatest and most important command. The second is like it : love your neighbor as yourself Verses that all reiterate this • Deuteronomy 6:5 • Leviticus 19:18 • Matthew 22:37-40

What are some burnout facts and statistics?

Many hospitals routinely require nurses to work unplanned or mandatory overtime and to "float" to departments outside their expertise. Over 60 percent of RNs report being "forced to work voluntary overtime" Many RNs also complain that inadequate staffing levels are causing burnout. One study found that 49 percent of RNs under the age of 30 and 40 percent of RNs over 30 experienced high levels of burnout According to a study in the Journal of the American Medical Association, each additional patient per nurse carries a 23 percent risk of increased burnout and a 15 percent decrease in job satisfaction According to a 2013 survey by the Michigan Center for Nursing, 42 percent of all active RNs say they plan to practice nursing for only 1 to 10 more years.

What is the story of Martin?

Martins dad wanted him to have a job with henry in order to learn Martins dad was a well known property owner and Jones told Henry that he could have worked at any property his dad owned but his dad was trying to teach him a lesson by working for Henry and not to expect any great references from Henry's dad

What bible verse goes with the first commandment?

Matthew 4:9-10 "All this I will give you," he said, "if you will bow down and worship me." Jesus said to him, "Away from me, Satan! For it is written: 'Worship the Lord your God, and serve him only."

What is the sermon on the mount?

Matthew 5-7 Beatitudes: Matthew 5:1-12 • The beatitudes show us ways to be blessed Now when the lord saw the crowds, He went up on the mountain. And after He sat down, His disciples came to Him, and he opened his mouth and began teaching them, saying... Every beatitude has a principle and a promise from God

What is the breakdown of the book of Matthew?

Matthew Chapter 1 • The genealogy of Christ • 14 generations from David to the Babylonian Exile • 14 generations Exile to Messiah's birth • Angel speaks to Joseph Chapter 2: Birth of Jesus in Bethlehem Chapter 3: John the Baptist and baptism of jesus Chapter 4: Jesus is tempted in the wilderness and the calling of his disciples to follow him. Also started performing miracles Chapter 5: sermon on the mount

What is a green personality type?

May be critical Not very group oriented Very Independent • Fail to adhere to group opinions - tend to mesh good opinions from all • Always fact checking • Always want to know why - otherwise rules are arbitrary • Cultural norms may seem useless Very Literal and Mechanistic: • Trying to figure out inputs and outputs • Not intuitive • Have a difficult time with figurative speech • Study people, constantly gathering information • Socially awkward • Try to gather info that's missing • May be introverted or extraverted Desire Information and Accuracy: • Prize truths - may have lots of qualifiers • Always weighing pros and cons - live in the grey • Objective, open to changing my mind • Take forever to make a decision • Analysis paralysis - procrastinators • May seem argumentative Efficiency: • Obsessed with efficiency • May bend the rules to increase efficiency • Small talk is inefficient • Frequently late - if you're early, you're wasting time Enjoying Learning and Ideas • Not trying to fight - just want to discuss • Hobby enthusiast • Generally not comfortable with emotions

What are some nursing interventions for grief?

Monitor patient for anxiety Monitor mood changes Communicate willingness to discuss death Encourage pt and family to share feelings about death Facilitate obtaining spiritual support for pt and family Include the family in care decisions and activities as desired. Monitor pain

What are the two classifications of values?

Moral • Impact choices about life with a view to do good for the sake of doing good • Ex: truthful, compassionate, being free from pain/suffering Non moral • Relate to personal preferences, beliefs, or matters of taste - Cleanliness, being on time, choice of music. • Examples: Cultural values, Religious values, Professional values, Personal values

Where in the Bible did we decide between right and wrong?

Moses and the law Jesus and the sermon on the Mount Exodus 20 Matthew 5:7

What is Hinduism?

Most Hindus believe in a supreme God, Brahman. God is unlimited and a multitude of deities (330 million) emanate from God. Most worship and prayer is individual Vedas: Hymns and Prayer which involve using a mantra Believe in karma We get yoga from Hinduism not Buddhism Three types of "Puja" (worship) • At home • Temples every morning and evening • Temples on special "Holy Days" • Incense may be lit in front of an image of a deity- a mantra or hymn may be performed • The most well-known sound is "Om". It can be at the beginning or end of the mantra • Hatha Yoga

What are some things to think about with dying?

Most people who are actively dying, know they are dying. Caretakers tend to have more difficulties communicating about impending death Research shows physicians usually prefer to avoid telling dying patients that their illnesses are terminal 1. Unsuccessful? 2. It's hard Most spend their life savings to "prevent" death Not all people want to know the truth Individuals react to death differently

What is prayer?

Most religions are characterized by the practice of praying even though the practices are varied and reflect cultural differences

What are the effects of compassion fatigue?

Negative consequences like... Inadequate performance Work-related errors Ineffective/Decreased quality of Care Patient/Resident Dissatisfaction Helplessness/Hopelessness Physical/Psychological Illness Desire to leave profession The worst consequence is DEATH

What does the phrase "move into the light" mean?

No matter what your past...you can chose your future

What are the first three commandments?

No others gods before me (God) Do not make yourselves idols in the form of anything in heaven above or on the earth. Do not worship them because I am a jealous God Do not misuse the name of the Lord

What are the five principles in ethics?

Nonmaleficence • Do not cause needless harm Beneficence • Render appropriate aid when possible Autonomy • Do not violate another's freedom with strong justification Truthfulness • Do not withhold facts to which someone is entitled Justice • Do not be unfair

What are the nurses rights as stated by the ANA nurses bill of rights?

Nurses have the right to practice in a manner that fulfills their obligations to society and to those who receive nursing care. Nurses have the right to practice in environments that allow them to act in accordance with professional standards and legally authorized scopes of practice. Nurses have the right to a work environment that supports and facilitates ethical practice, in accordance with the Code of Ethics for Nurses with Interpretive Statements. Nurses have the right to freely and openly advocate for themselves and their patients, without fear of retribution. Nurses have the right to fair compensation for their work, consistent with their knowledge, experience and professional responsibilities. Nurses have the right to a work environment that is safe for themselves and for their patients. Nurses have the right to negotiate the conditions of their employment, either as individuals or collectively, in all practice settings.

Why should nurses practice self-care?

Nurses need to take care of themselves first before they can take care of patients," says BLAZEY. "It's just like when you're on an airplane and the flight attendant tells you that in case of an emergency, put on your own oxygen mask before placing one on your child." Cleveland Clinic

Which nurses are more prone to burnout?

Nurses who work in the ICU are highly prone to burnout 25%-33% who work in a critical care area show severe symptoms of burnout A massive analysis of nationwide survey data showed that rates of burnout and job dissatisfaction tended to be highest for nurses that were providing direct patient care in hospitals and nursing homes (34 percent of hospital nurses and 37 percent of nursing home nurses reported feeling burned out).

What are nursing personal values?

Nurses, like everyone else, have personal values...and sometimes those values are in conflict with what the patient may be asking them to do or to participate in. Nurses have to find a way to reconcile their own moral values with the obligations of the profession.

What is nursing ethics?

Nursing Ethics is a system of principles concerning the actions of the nurse in his or her relationships with patients, family members, other healthcare providers, policy makers, and society as a whole. Ethics is an integral part of the foundation of nursing (American Nurses Association, 2001, p.5). In addition, ethics is an integral part of nursing's social contract with society. PLEASE REVIEW THE ANA CODE OF ETHICS FOR NURSING

What is the relationship between compassion fatigue and nursing homes and nursing assistants?

Nursing Homes (NH) • Greater than 1.5 million US Nursing Home • Residents Require extensive care • Downward health trajectory • Multiple comorbid condition Nursing assistants • Short, narrow-scoped training • Attachment to patients is high • Exposure to death and suffering The factors of chronic exposure to suffering and death, continuous self-sacrifice, and intense caregiving demands can lead to compassion fatigue

What are the Mikarios?

O the blessedness! O the bliss! O the joy! John 16:22 "Let no man take away your joy"

What is the story of Willow Callaway?

Old lady who felt in the way and useless - you always have something to contribute Willow was a widow who was remembering the more simpler times, when her neighbors would walk by her house and she would sit and drink iced tea with her husband Her son, Brad, had died She told Jones that she had "outlived her usefulness" and Jones called her "rude" - basically Willow feels like her life is over and she is peacefully waiting until she died Jones first talked about Harlan Sanders - at 65 years of age, he took his fried chicken recipe and began franchising restaurants and became Colonel Sanders • Benjamin Franklin - who didn't invent bifocals until 78 years of age • Winston Churchill - who was 78 when he won a Nobel Prize • Nelson Mandela - who was president of south Africa at 75 years of age • Igor Stravinsky - concerts at 87 years • Grandma Moses - first painting at 90 Jones had her take a deep breath and said "what is the fundamental thing we know about people who can breathe? THEY ARE ALIVE! if you are alive, you are still here. If you are still here, you have not completed what you were put on this earth to do. You purpose is not fulfilled.

One thing that makes us distinctly human is that we care about other people . You seize to be human when you don't care what your behavior is doing to another human

One thing that makes us distinctly human is that we care about other people . You seize to be human when you don't care what your behavior is doing to another human

What is religion?

Organized system of beliefs concerning cause, nature, and purpose of the universe, along with ceremonies and rules used to worship a god or a group of gods. A religious person accepts a certain moral code and set of beliefs Religion is an organized and public belief system of worship and practices that generally has a focus on a god or supernatural power. It generally offers an arrangement of symbols and rituals that are meaningful and understood by its followers. "Religion is primarily a set of beliefs, a collection of prayers, or rituals.." (Harold Kushner)

What are some aspects of nursing judgement?

Patient confidentiality Patient safety vs. independence Patient/family avoidance Informed consent Patient suffering vs. benefit Staffing ratios

What does it mean to apply the Christian worldview to the four metaparadigms?

Person • Christian... the other person is seen in the image of God...created by God • Secular - worth may be kindness, receptiveness, how deserving the person is Environment • Christian... and secular both concerned with the environment and the impact on the patient • The christian nurse will look to provide justice within the environments of others Health • Christian..health is complete physical, mental, and spiritual flourishing... • A secular worldview, cannot minister to the spiritual health needs Nursing • Christianity teaches "devotion to others, without any sort of reward" • Approaching nursing from a Christian worldview, nursing becomes an outpouring of devotion to Christ • Secular nurse will stop serving if the service becomes unsatisfying...

What is advocacy?

Pleading or arguing in favor of something Mediation -helping 2 parties work out an agreement Empowerment of individual-advocate for self

How does prayer change things?

Prayer produces prosperity - Jeremiah 29:7 Prayer yields peace - Phil. 4:6-7 Prayer lifts leaders and fosters social transformation - 1 Timothy 2:1-2 Prayer provides wisdom - James 1:4 Great works are possible through prayer in Christ's name - John 14: 12-14 God's governance hinges on intercessory prayer - Ezekiel 22:30-3 (Psalm 106:23) Prayer ushers in the close of history - Rev. 8:1-5 "The prayer of a righteous person is powerful and effective." - James 5:16b

What are some prayer and rituals with spiritual care?

Prayers and ritual Relaxation techniques Meditation Labyrinth Prayer shawls Holding crosses Sweat lodge

What are some other prayer practices?

Praying the rosary Prayer-walking Singing hymns Breath prayer Journaling as prayer Prayer partners or groups Prayer chains

What are some practical ways to express spiritual care?

Presence • Being with rather than doing for • Learning the value of just being • Allowing room for the sacred • Open acceptance • Sense of humility...it is a gift to be allowed to enter into another's journey Active listening • Being open, aware, and attentive Silence Empathy Compassion Acknowledge lament (deep agony of soul ex: just diagnosed w cancer) Prayer Touch

How do we measure compassion fatigue?

ProQOL 5 scale - developed by Stamm (2009) to measure the positive aspects (compassion satisfaction) and negative aspects (compassion fatigue) of caring for others 30-items; Likert Scale; 3 subscales: Compassion Satisfaction, Burnout, Secondary Traumatic Stress The most positive result attainable = high level of compassion satisfaction and a moderate-to-low level of burnout and secondary traumatic stress (compassion fatigue). The most negative result attainable = low level of compassion satisfaction and a high level of burnout and secondary traumatic stress (compassion fatigue).

What do you say to the "how much longer" question?

Professionals are reluctant to answer this question for the simple reason that the chances for their being wrong are very, very high.

What are some patient responsibilites?

Provide accurate and complete information Respecting rights of other patients and property Sharing responsibility for health Following the treatment plan recommended Seeking information, asking questions Keeping appointments Asking questions if they do not understand Filling out an advanced directives Recognize the impact of lifestyle on personal health

What is the Institutional Ethics Committee (IEC)?

Provide structure and guidelines for potential problems Serve as an open forum for discussion Function as a true patient advocate by placing the patient at the core of the committee discussions Composition • Nurses • Physicians • Clergy • Clinical Social Workers • Nutritionals Experts • Pharmacists • Administrative • Personnel • Legal Experts • (Possible patient or family members)

What does research say about incorporating religion in nursing practice?

Randomized clinical trials found that religious beliefs and practices have positive effects on coping, speeding remission from emotional disorders (anxiety and depression)

What is the ANA nurses bill of rights?

Registered nurses promote and restore health, prevent illness, and protect the people entrusted to their care. They work to alleviate the suffering experienced by individuals, families, groups and communities. In so doing, nurses provide services that maintain respect for human dignity and embrace the uniqueness of each patient and the nature of his or her health problems, without restriction with regard to social or economic status. To maximize the contributions nurses make to society, it is necessary to protect the dignity and autonomy of nurses in the workplace

How do you resolve an ethical issue?

Resolving an ethical issue usually requires ethical deliberation or ethical decision making. Ethical issues are often controversial topics that are value-laden, such as abortion, euthanasia, surrogate motherhood, or genetic engineering. An ethical issue is NOT the same as an ethical dilemma. Ex • It is not an ethical dilemma to save the life of a healthy individual who is experiencing ventricular fibrillation. • It may be an ethical dilemma to save the life of an individual with late stage Alzheimer's disease who is experiencing septic shock from aspiration pneumonia. • Ethical dilemmas are that because there is not an easy clear answer. There are multiple choices and none of them are an easy "right" answer.

What are the Three fundamental Ethical Principles?

Respect for persons: protecting the autonomy of all people and treating them with courtesy and respect and allowing for informed consent. Researchers must be truthful and conduct no deception Beneficence: The philosophy of "Do no harm" while maximizing benefits for the research project and minimizing risks to the research subject. Justice: ensuring reasonable, non-exploitative, and well-considered procedures are administered fairly — the fair distribution of costs and benefits to potential research participants

What are some roles the nurse must perform to ensure patient/nurse trust?

Routinely checks chart With Surgery patients, make sure the patient understands the surgery: location and recovery time. Also any possible complications. The nurse does not have to explain all this but makes sure the patient understands it all. Communicate with family members. Plays an active role in recovery; discharge instructions/Case Management or DC Planner

What are Burisch's Burnout Stages?

STAGE 1: High Workload/High Level of Job Stress/High Job Expectations • Job demands exceed job resources • The job does not fulfill one's expectations STAGE 2: Physical/Emotional Exhaustion • Chronic exhaustion due to higher energy investment and sleep disturbances • Emotional exhaustion that manifests into fatigue outside the workforce STAGE 3: Depersonalization/Cynicism/Indifference • Apathy, depression, boredom • A negative attitude toward the job, the colleagues and clients • Withdrawal from the job/reduced work effort STAGE 4: Despair/Helplessness/Aversion • Aversion to oneself, to other people, to everything • Feelings of guilt and insufficiency

What is the muslim prayer?

Salah (Five Daily Prayers)/Dua • No god but The God Prayer is obligatory and done 5 times a day. Dawn, immediately after noon, midafternoon, sunset and early night toward Mecca • Prayer unites body, mind and soul in worship • Islam teaches that in prayer, each person is in direct contact with Allah • Ritual washing (wudu) required before prayer

Wha are some scripture references of ethical terms?

Sanctity of human life - Genesis 1:27, 31 Confidentiality - Proverbs 11:13, 17:9, 25:9 Veracity - Proverbs 12:19/Zechariah 8:16/Ephesians 4:15 Autonomy - 1 Peter 2:18 Justice - Micah 6:6-8/Proverbs 29:7/Luke 18:6-9 Nonmaleficence: Romans 13:10/1 Corinthians 10:24/Philippians 4:8-9 Beneficence: Isaiah 1:17/Hebrews 13:16 Fidelity - Samuel and Hannah

How do we prevent burnout as a Christian?

Set aside time every day for devotion and prayer Give thanks and glory to God not only in the big things but also in the little things Seek God in times of stress Know your own personal limits Keep yourself physically and mentally healthy

What are some symptoms of grief?

Shock and disbelief: feeling numb about the event, having trouble believing it happened, denying it, or expecting to suddenly see the person you lost. Sadness: crying, or having feelings of emptiness, despair, yearning, or loneliness. Guilt: regret over things unsaid or undone, feeling responsible for the death or the event, or shame from feeling relieved by a person's passing. Anger: blaming someone for injustice. Fear: feelings of anxiety, helplessness, and insecurity, or having panic attacks. Physical symptoms: fatigue, nausea, weight loss or gain, aches and pains, and insomnia.

What is the story of Walker Miles?

Single, pharmaceutics sales, 53 years old, thinking about suicide He was depressed + tired Walker ides of happiness is expressed as an "elusive moving target that seemed to fit just beyond his grasp. His thoughts were consumed with possibilities of problems and mistakes, personal slights, and professional sabotage" "You worry because you are so smart and creative" Fear and worry are joy robbers Jones told Andy that he saw a man chase a hat in the street and get killed by a car - his point "a person could lose everything, chasing nothing" Jones stated, "worry/fear is just a misuse of the creative imagination that has been placed in each of us. Because we are smart and creative, we imagine all the things that could/might happen" Jones wrote down "40%" on a napkin - WHY? Because 40% of the things you worry about will never occur; he also wrote down "30%" - WHY? Because the things you worry about already happened; he also wrote down 12% - WHY? Have to do with needless imaginings about our health • 8% is for legitimate concerns Pad + pen beside your bed and when you wake up, take it with you for the first 10 minutes and write down everything you are thankful for

Who are the golf course kids in the Noticier?

Smart vs. wise Whats the difference? Smart is knowledge, wise is acquired over time Wisdom stops you from reacting

What is a ombudsman?

Somebody appointed by government that looks into complaints and advocates for patients

Man's Search for Meaning by Victor Frankl

Sometimes external circumstances in our life situation are beyond our control. Frankl maintains that the attitude we choose to take toward our life situation is within our control. The spiritual journey relates to our inner struggle to shape our attitude toward illness and even death itself. Humans are motivated by something called "will to meaning" A relationship with God gives meaning to life.

What is spirituality?

Spirituality is intangible and highly personal That part where you find hope, meaning, and passion Spirituality: A universal dimension about relationships and meaning within every person - religious, atheist, or humanist (Carson & Koenig, 2008) Has 3 main characteristics 1. Unfolding mystery 2. Harmonious interconnectedness 3. Inner strength Ways we understand spirituality • Mystery of being human - awe of life • Seeking and receiving truth from a higher power • Sense of purpose - pursuing what matters • Meaning making - seeking the significant Spiritual care flow out of who we are, what we believe and where we are in our spiritual journeys

What is spirituality for Christians?

Spirituality is our individual and personal relationship with God It is the nature of man to seek God "All creatures experience a sense of rightness and wellbeing. There is no one who utterly lacks a sense of the divine." (Transforming Care)

What are the stages of grief?

Stage 1 : Denial • Denial is resisting the whole idea of death ("No I'm not or she's not"). • Denial is a form of defense mechanism to allow one to absorb difficult information at one's own pace Stage 2: Anger • "Why me/her?" • "Why not you?" • In this stage people may be very difficult to be around. Stage 3: Bargaining • At this stage individuals are trying to negotiate their way out of the death. • Typically, people try to "make deals" with God. • Sometimes the bargain creates an event or date until which the person can hold on to (such as a grandchild's wedding, or a 100th birthday). Stage 4 : Depression • The individual at this stage is overwhelmed by a deep sense of loss. • Reactive depression is a type of depression based on what has already occurred, such as loss of dignity, health, etc. • Preparatory depression is the anticipation of future losses, such as the loss of a relationship. Stage 5: Acceptance • People are fully aware that death is impending • In this stage individuals near death make peace with death and may want to be left alone. • Persons in this stage are often unemotional and uncommunicative.

How do we combat compassion fatigue?

Step 1. Acknowledge and normalize it •Only so much suffering individual can do • Must have a supportive, nourishing environment Step 2. Put topic on meeting agendas • Normalize the phenomenon • Leaders can facilitate discussion • Allows people to open up Step 3. Educate • Formal & Informal • Self • Team • Congregation • Topics - Therapeutic communication - Establishing boundaries - Conflict resolution - Ethical dilemmas • Self-care • Timing Step 4. Pay Attention • Self & Colleagues • Physical manifestations - Emotional manifestations - Occupational manifestations - Rotate difficult assignments • Don't be afraid to speak up! Step 5. Timeouts • Self • Team • Congregation • Scheduled or requested break following intense caregiving • 5 to 10 minutes or longer if needed • Offers time away to reflect, refresh, & be refilled • Does NOT replace regular breaks • Rotate caregivers for intense caregiving demands • Provide "quiet rooms" Step 6. Debrief • Formal & Informal • Discuss what happened • Share feelings • NOT a complaining session • Focus: - Events - Actions - Feelings - Processing events Step 7. Nourish yourself and others • Physical • Diet • Exercise • Emotional • Boundaries • Flexibility • Spiritual • Resilience • Buffer Step 8. Form a support system • Personal • Professional - Relatedness - Understanding • Have Support People Available • Psych APN • Professional Therapists • Social Workers • Pastoral Care • Form a Congregational • Caregiver Support Group • Education • Anointing & blessing hands • Food & Fellowship • Compassionate presence

Neuman recommends the following nine strategies for coping with burnout...

Stop and breathe. ... Take inventory of your stressors. ... Say "no" to new commitments. ... Delegate where possible. ... Unplug frequently and daily. ... Set boundaries. ... Engage in healthy activities. ... Seek support Practice gratitude

Chapter 10 Summary

Ted called Andy the next morning and said that he had found Jones' suitcase in the parking lot Andy brought the suitcase inside the restaurant and everyone shared stories about how Jones had helped him A man named Jake Conner told the story about how he was going to end his life when Jones saved him by randomly showing up on the boat. The story of Nancy Carpenter • Her husband Harrison - who died 3 years ago - was buried with a fork in his hand. WHY? A couple weeks before he died, she woke up to him talking to Jones. Jones reminded Harrison about his mom at Thanksgiving who would always have them keep their fork after dinner and say "the best is yet to come" Jones told Harrison, "Do not be afraid. Keep your fork. The best is yet to come" The story of Brandon Tyler • He said that someone was with him in the ambulance, but nobody was When he opened up the suitcase, there was a $0.59 back of seeds that fell out, then a ton more! Jones had a note in his suitcase that basically said the time on earth needs to be spent wisely + he had left these seeds as a simple reminder that you must also plant your own seeds in the minds + hearts of those you touch. The best is yet to come. Everyone takes turns keeping the suitcase

Why did Ted call Andy when Jones went missing?

Ted called Andy when he went missing because Andy and Jones were so close and if anyone knew where Jones was it was Andy

What are the least stressful nursing jobs?

Telehealth Nurse. The telehealth role has become more popular during the pandemic Nurse Educator. The nurse educator role involves teaching and training student nurses along with practicing nurses Public Health Nurse School Nurse Research Nurse Nurse Administrator Home Health Nurse.

What is Beck's Hopelessness scale?

The Beck Hopelessness Scale provides a self-report measure of one's negative expectations regarding the future. It consists of 20 true-false items arrayed within three factors: Feelings about the future, loss of motivation, and future expectations. The total BHS score is a sum of item responses and can range from 0 to 20 such that higher scores reflect higher levels of hopelessness. Scores ranging from: 0 to 3 as are considered within the normal range, 4 to 8 identify mild hopelessness, scores from 9 to 14 identify moderate hopelessness, and scores greater than 14 identify severe hopelessness (Beck & Steer, 1988).

Luke 6:31

The Golden Rule "A Christian society is not going to arrive until most of us really want it: and we are not going to want it until we become fully Christian. I may repeat "Do as you would be done by" till I am black in the face, but I cannot really carry it out till I love my neighbor as myself: and I cannot learn to love my neighbor as myself till I learn to love God: and I cannot learn to love God except by learning to obey Him. And so, as I warned you, we are driven on to something more inward - driven on from social matters to religious matters." ― C.S. Lewis, Mere Christianity

What is the Good Samaritan Law?

The Good Samaritan Law applies to anyone who voluntarily gives aid in an emergency, not just physicians. The law applies in any setting where someone might need emergency aid: the roadside, a restaurant, a concert hall, a church. The law grants immunity so long as: 1. The person acts voluntarily — • the person must act without being legally required to act. That is because the purpose of the statute is to induce aid by volunteers, not by those already under a duty to render aid. 2. The person renders emergency care — the victim must have a condition that requires immediate medical care, and the care rendered must be necessary to treat the condition. 3. The person acts in good faith — the person must act intending to provide emergency care to the victim, as opposed to some other bad purpose. 4. The person does not commit gross negligence — gross negligence is negligence (the failure to act as an ordinary reasonable person would under the circumstances) plus a conscious disregard of the rights or safety of others.You don't have to help, but if you do help, and you negligently, you will not be held liable unless you are grossly negligent If you have a duty to render aid then you have to help Ex: nurse in medical setting, teacher, baby-sitter, youth minister, birthday party, scout master Anybody can be a good samaritan Includes use of AED A hospital will not be in trouble for what happened to the patient at the emergency scene before the patient arrived at the hospital

What is the Syphilis study?

The Tuskegee Syphilis Study The study took place in Macon County, AL. the research itself took place on the campus of Tuskegee Institute 600 men in the study • 399, who had syphilis - experimental group • 201 control subjects • Most were poor and illiterate sharecroppers The experiment lasted 40 years 1932-1972 . *When penicillin became the standard treatment for the disease in 1947, it was withheld • Nearly 400 men were intentionally denied treatment so researchers could observe the natural progression of the disease Impact • Between the start of the study in 1932 and 1947, the date when penicillin was determined as a cure for the disease, dozens of men had died and their wives, children and untold number of others had been infected. • Because of the impact of this study and it's far-reaching unethical direction - many changes have been made in research consent and conduct

What is the meaning of the symbolic fork?

The best is yet to come ! "Save your fork (for the dessert) for the best is yet to come" When Nancy placed the fork in the caset, the heaven is the best to come and is the dessert

What should you do with a family griefing?

The first rule for the comforter is "don't speak" Just be there and listen ! Do not make judgement calls for them We can do actions to make them more comfortable - like water

What are some comfort care points?

The goal in palliative care is to prevent bedsores from becoming a serious threat to comfort. In palliative care, there is sometimes a delicate balance between keeping the patient comfortable in the present while avoiding situations that might cause more discomfort in the future.

What are some Christian values?

The human soul Equality for all persons The place of humility Extreme giving Service The kingdom of God Investing in the poor, crippled, lame, and blind, no biases or prejudice The blessing of the Beatitudes

What are some legal principles that coincide with the good samaritan laws?

The legal principle of imminent peril (immediate danger) can be applicable. Without imminent peril, the actions of a Good Samaritan can be perceived by a court as reckless and not worth protection. An example of this can be seen if a car accident occurs, but there is no immediate threat of life due to injuries, no danger of a second collision, and no fire. If a Good Samaritan decides to rescue the victim from the crash but somehow causes paralysis or another injury, the court can decide that the Good Samaritan laws are not applicable since there was no imminent peril, and instead the volunteer was acting unnecessarily and recklessly. The Good Samaritan must not commit battery or assault by giving aid to a victim without his or her consent (or the legal guardian's consent over a minor) except in circumstances where consent cannot be received. Implied consent - giving consent without verbalizing it (ex: saying i'm going to get BP and then the patient holds out their arm) Parental consent - the parent's of the minor get consent

Chapter 2 Summary

The story of Barry & Jan Hanson Barry and Jan we're getting divorced, and Jones surprisingly sat down with them when they met for lunch He started by asking Jan how her father showed her mother how he loved her - Jan responded with acts of service + then added that's what Berry did when they dated He then asked Barry how he's been showed love and Barry stated by telling him Point being, they were loving each other the wrong way - and it's all about perspective!

Chapter 8 Summary

The story of Henry Warren continues... He tried to change but nobody is giving him the benefit of the doubt Jones said that Henry keeps apologizing for his "mistakes" when he should really be apologizing for his "choices" Henry tells Jones that he is naming his son "Caleb" and that he will apologize to everyone and ask for forgiveness

Chapter 5 Summary

The story of Robert Craft & The Teenagers Another name Robert Craft's dad called Jones was "Garcia" Ritchie asked "How do you keep a marriage from ending in divorce?" Jones said, "One way to define wisdom is the ability to see, into the future, the consequences of your choices in the present" Marriage is not only about commitment, but it is about the wise choices you take to get to marriage There has to be something to share when the physical attraction is not on your mind 24 hours a day Your boyfriend/girlfriend should never keep you away from your friends LEAF INDICATOR: You can tell a lot about a person from the leaves they drop.

Chapter 4 Summary

The story of Walker Miles Single, pharmaceutics sales, 53 years old, thinking about suicide He was depressed and tired Jones told Andy that he saw a man chase a hat in the street and get killed by a car - his point "a person could lose everything, chasing nothing" Jones stated, "worry/fear is just a misuse of the creative imagination that has been placed in each of us. Because we are smart and creative, we imagine all the things that could/might happen" Jones won't down "40%" on a napkin - WHY? Because 40% of the things you worry about will never occur; he also wrote down "30%" - WHY? Because the things you worry about already happened; he also wrote down 12% - WHY? Have to do with needless imaginings about our health 8% is for legitimate concerns Pad + pen beside your bed and when you wake up, take it with you for the first 10 minutes and write down everything you are thankful for

Chapter 6 Summary

The story of Willow Callaway Willow was a widow who was remembering the more simpler times, when her neighbors would walk by her house and she would sit and drink iced tea with her husband Her son, Brad, had died She told Jones that she had "outlived her usefulness" and Jones called her "rude" - basically Willow feels like her life is over and she is peacefully waiting until she died Jones first talked about Harlan Sanders - at 65 years of age, he took his fried chicken recipe and began franchising restaurants and became Colonel Sanders • Benjamin Franklin - who didn't invent bifocals until 78 years of age • Winston Churchill - who was 78 when he won a Nobel Prize • Nelson Mandela - who was president of south Africa at 75 years of age • Igor Stravinsky - concerts at 87 years • Grandma Moses - first painting at 90 Jones had her take a deep breath and said "what is the fundamental thing we know about people who can breathe? THEY ARE ALIVE! if you are alive, you are still here. If you are still here, you have not completed what you were put on this earth to do. You purpose is not fulfilled. Jones talked about Norman Bourlag - 91 years old - man who hybridized corn and wheat for arid climates. He saved people from famine. However, Henry Wallace who was the vice president of the US gets all the credit since he hired Norman Bourlag, However, George Washington Carver was the one who taught Henry Wallace about humanity ALL TO SAY: you can make a difference whether you realize it or not!

What are some secular beliefs?

The wealthy are "blessed" Entertainment is a source of joy and escape Food is a reward Individual and public health can be purchased Security is found in money The more money = the better lifestyle A financial investment in exercise provides motivation to actually exercise

Galatians 3:28

There is neither Jew nor Gentile, neither slave nor free, nor is there male and female, for you are all one in Christ Jesus.

How do you assess the need for advocacy?

Those who lack knowledge Those with little power Those who need to make decisions Those who receive inadequate care Those who are unable to communicate for themselves

What are the ten commandments?

Thou shalt have no other gods before me. Thou shalt not make unto thee any graven image. Thou shalt not take the name of the Lord thy God in vain. Remember the Sabbath day, to keep it holy. Honor thy father and thy mother. Thou shalt not kill. Thou shalt not commit adultery. Thou shalt not steal. Thou shalt not bear false witness against thy neighbor. Thou shalt not covet

What is informed consent?

To ensure the five human rights: 1. Self-determination 2. Privacy and dignity 3. Anonymity and confidentiality 4. Fair treatment 5. Protection from discomfort and harm Goal: Protect rights of human subjects

What are humans for?

To give honor to God, not just sing worship songs. To represent God on earth. Statues brought glory to the king. "Whatever you do or say, do it as a representative of the Lord Jesus" Colossians 3:17 We are not to misuse his name, Commandment 3. So we live out our vocation as a name bearer As believers, we are given work to do-not so we can earn God's favor, but so we can bring glory among all nations To show our existence as a pointer to the creator Make disciples, Matthew 28:18-20 To love and serve one another Micah 6:8 "What does the Lord require of you? To act justly and to love mercy and to walk humbly with your God."

What are the top five new graduate nurse error and how do you fix it?

Top 5 errors 1. Body mechanics 2. Medication errors 3. Documentation 4. Prioritizing and delegating 5. Seeking help and support How to fix it • Own it • Report it • Fix it • Document it • Learn from it

What are some interventions for burnout?

Treatment is aimed at creating coping skills: • Running, Reading, Retreating-Relaxation Techniques, Writing Social Skills Training Stress Management Attitude Change Remember Elijah

Where do we find hope?

Ultimately from our faith or understanding of our relationship to be a higher power The belief that a higher eternal power is in control provides meaning and purpose to any situation

What are the types of grief?

Uncomplicated (a grief reaction that normally follows a significant loss). Dysfunctional or complicated (intense grief that does not result in reconciliation of feelings). Anticipatory (occurrence of grief work before loss actually occurs). Disenfranchised (grief that is not openly acknowledged, socially sanctioned, or publicly shared, e.g. grief over the loss of a pet).

What are some different ethical theories?

Utilitarianism - greatest good (or allowing the least harm) to the greatest number of people. Deontology - moral obligation in performing actions. Focus is not on the outcome but the ability to follow the rule. Virtue or character - (Aristotle) everything we do aims at good. Not concerned with acts of goodness but in always being good. Ethics of caring - relationship, connections and mutuality.

What does Galatians 5:13-15 mean?

We are free, we have a choice to make our own decisions. The entire law is summed up in a single command: "Love your neighbor as yourself". You will destroy each other if you don't. Live by the Spirit • Do not gratify the sinful nature • Take on the fruits of the Spirit How do I belong to Christ? How do I reflect his image? How do I show the glory of God of which we were created for?

Is their an antidote for compassion fatigue?

We must self reflect! If we have experienced compassion fatigue, how did you overcome it? If you have not experienced compassion fatigue, how have you prevented it? The theory: Increase of intimacy with God = decrease of compassion fatigue

Chapter 9 Summary

When Andy ran into Jones at the Chinese restaurant, the waitress called him "Chen" They ended up driving to Gulf State Park Pier They went under the pier and saw a young man in shorts and T-shift - the boy's name was "Jason" and Jones made the same speech he did to Andy years ago. Jones said once again to be the person other people want to be around Jones gave Jason the same 3 books that he gave to Andy Andy woke up the next morning and knew that was the last time he would see Jones

What are some Joint Commission Spiritual Questions?

Who or what provides the patient with strength and hope? Does the patient use prayer in their life? How does the patient express their spirituality? How would the patient describe their philosophy of life? What type of spiritual/religious support does the patient desire? What is the name of the patient's clergy, ministers, chaplains, pastor, rabbi? What does suffering mean to the patient? What does dying mean to the patient? What are the patient's spiritual goals? Is there a role of church/synagogue in the patient's life? Has belief in God been important in the patient's life? How does your faith help the patient cope with illness? How does the patient keep going day after day? What helps the patient get through this health care experience? How has illness affected the patient and his/her family?

Who was the "terrible precedent"?

Wlinster worked for Hilter as a pediatrician to get rid of "defective" children

What are different ways people express love?

Words - need to hear and express affection Ex: dogs who constantly need your approval to feel appreciated Actions - need others to do things for you and you for them • Goldfish who care whether you feed and change their water and don't care whether you love them or not Touch - staying close, touching • Cats need gently hand to feel love Time - spending time • Canary birds just want you to sit and listen, stay close

What is a worldview?

Worldview is how a person views the world. A worldview consists of the values, ideas or the fundamental belief system that determines his attitudes, beliefs, and ultimately, actions. Typically, this includes his view of issues such as the nature of God, man, and the meaning of life, nature, death, and right and wrong.

What are values?

Worthwhile standards or qualities of a person or social group. Values come from many sources: culture, family, peer group, work group, religious beliefs. We organize our values into some system of priority based on their importance to us. Our value system changes as a result of our life experiences and reassessment of one's values.

What is an advanced directive?

Written statement of a patient's intent regarding medical treatment if they should become incapacitated family members can override this

What did Mother Teresa say about death?

Yesterday is gone, tomorrow has not come yet. We only have today Believed that the poor should die with dignity respected others of ALL faith practices

Psalm 56:8

You keep track of all my sorrows. You have collected all my tears in your bottle. You have recorded each one in your book.

What is the nurse's role in spirituality?

You must be comfortable and confident in what you believe in order to help others. Or you will be threatened and fearful when confronting death and dying in your patients. What is your philosophy of life & death? What does human life mean to you? What does death mean? Is there life beyond the life we see? Is there a God? Is there heaven? Is there Hell?

What are some demographic variables that can contribute to burnout?

Younger Age Higher Education Women report higher levels of exhaustion Men report higher levels of depersonalization and cynicism External Locus of control Ineffective Coping Low self-esteem Hostile/Competitive tendencies

What is a Pharisee?

a law keeper very strict and mean

What is the golden rule?

do to others as you would want done to you all religions have a version of this

What is a post modern worldview?

holistic "transpersonal caring" primarily in the mind. Moves away from caring for the body. Manipulation of energy. May include ritual and contacting spirits.

What is the American Hospital Association?

in 1973, made the patient's bill of rights In 2001, "The Patient Care Partnership" replaced the AHA's" Patients' Bill of Rights". This plain language brochure informs patients about what they should expect during their hospital stay with regard to their rights and responsibilities. The brochure is available in multiple languages Hospitals must ensure a health care ethic that respects the role of patients in decision making about treatment choices and other aspects of their care Hospitals must be sensitive to cultural, racial, linguistic, religious, age, gender, and other differences as well as the needs of persons with disabilities

What is a living will?

legal document that expresses client's wishes regarding medical treatment in the event the client becomes incapacitated and is facing end-of-life issues family members cannot override this A living will is one type of advance directive. It takes effect when the patient is terminally ill.

What is the most misquoted verse in the bible?

philippians 4:13 "I can do all this through Him who gives me strength" I can be content through God

What are some causes of moral distress?

poor-quality and futile care unsuccessful advocacy raising unrealistic hope

What are the last 6 commandements about?

social issues

What is Genesis 1:27?

the first poem "So God created man in his own image, In the image of God he created him, Male and female, He created them."

What is a secular worldview?

worldview without religion; worldly