spiritual health
nursing knowledge base current concepts in spiritual health hope
A person's faith brings hope When you have the attitude of something to live for and look forward to, hope is present
factors influencing spirituality spiritual distress
A state of suffering related to the impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a power greater than oneself Do not want people to have spiritual distress because then they lose faith and hope.
what things can cause spiritual distress?
Acute illness Chronic illness Terminal illness Near-death experience
nursing process: diagnosis
Anxiety Ineffective Coping Complicated Grieving Hopelessness Powerlessness Readiness for Enhanced Spiritual Well-Being Spiritual Distress Risk for Spiritual Distress Risk for Impaired Religiosity
nursing knowledge base current concepts in spiritual health religion
Associated with the "State of doing" Systematic practices associated with a denomination, sect or form or worship
nursing knowledge base current concepts in spiritual health faith
Cultural or institutional religion such as Judaism, Buddhism, Islam or Christianity Relationship with a divinity, higher poser, or spirit that incorporates a reasoning faith (belief) and a trusting faith (action)
nursing process: implementation health promotion
Establishing presence—involves giving attention, answering questions, having an encouraging attitude, and expressing a sense of trust; "being with" rather than "doing for". Building trust and get a better assessment. Supportive healing relationship: Mobilize hope. Provide interpretation of suffering that is acceptable to patient. Help patient use resources. Do what you say
religious dietary practices Russian Orthodox Church
Fast days and no meat ruls on Wed. and Fri. During Lent no animal products including dairy and butter.
religious dietary practices native Americans
Individual tribe beliefs influence food
religious dietary practices mormonism
No ETOH and caffeine.
religious dietary practices islam
Pork prohibited. Fast during month of Ramadan.
nursing process: implementation restorative and continuing care
Prayer Meditation Supporting grief work
religious dietary practices christianity
Some Baptists, Evangelicals, and Pentecostals no ETOH and caffeine. Some Roman Catholics fast on Ash Wednesday and Good Friday- some no mean on Friday during Lent.
religious dietary practices judaism
Some kosher restrictions (no pork, shellfish, do not prepare and eat milk and meat at the same time).
nursing process: implementation acute care
Support systems Diet therapies Supporting rituals- support the patient. May need to move patient to different room.
nursing knowledge base current concepts in spiritual health spiritual well being- two dimensions
Supports the transcendent relationship between a person and God or a higher power Positive relationship and connections that people have with others.
what is spirituality?
an awareness of ones inner self and sense of connection to a higher being, nature or some purpose greater than oneself. A person's health depends on a balance of physical, psychological, sociological, cultural, developmental, and spiritual factors. Spirituality helps individuals achieve the balance needed to maintain health and well-being and cope with illness.
nursing process: assessment faith/belief
ask about a religious source of guidance. understand the patients philosophy of life. patients in general.
religious dietary practices Jehovahs witness
avoid food with blood.
To assess, evaluate, and support a patient's spirituality, the best action a nurse can take is to:
determine the patients perceptions and belief systems
nursing process: assessment
express a level of caring and support. asking questions lets them know you are interested. Life and self-responsibility: ask about a patient's understanding of illness limitations or threats and how the patient will adjust. Always start with the individual and what they need. When asking questions about goals and what they believe.
religious beliefs about health Christianity
health care belief: Accepts modern medicine. Complementary of alternative medicine often followed. response to illness: Use prayer, faith healing. Visit from Clergy. May use laying of the hands. Holy Communion is practiced. Anointing of the sick given when ill in the Catholic religion when near death. implications to nursing: Favor organ donation. Health is important to maintain. Allow time to pray.
religious beliefs about health navajos
health care belief: Concepts of health have fundamental place in concept of humans and their place in the universe. response to illness: Blessingway is practices that attempts to remove ill health by means of stories, songs, rituals, prayers, symbols, and sand paintings. implications to nursing: Holistic approach to health. Often not on time. Promote holistic health to communities. Allow family to visit. Provide teaching about wellness.
religious beliefs about health islam
health care belief: Must be able to practice 5 pillars. May have fatalistic view of health response to illness: Faith healing. Family is comfort. Group prayer is strengthening. Permit withdrawal of support. Believe time of death is pre-determined. Often avoid discussions of death implications to nursing: Women prefer women caregivers. During Ramadan do not eat until sun goes down. Health and spirituality is connected. Usually no organ transplant or post mortem exams.
religious beliefs about health judaism
health care belief: Sanctity of life. Balance God and medicine. Sabbath important may refuse tx on Sabbath. response to illness: Obligation to visit sick. Obligation to seek care, exercise, sleep, eat well. Euthanasia is forbidden, life support discouraged. implications to nursing: Important to stay healthy. Expect nurse competency. Allow pt to express feelings. Allow family to stay with dying patient.
religious beliefs about health buddhism
health care belief: accepts modern medical science. response to illness: May refuse tx on holy days. Nonhuman spirits cause illness. May want Buddhist priest, accept death as last stage of life and permit withdrawal of support. Do not practice euthanasia. Don't take off time when family ill. implications to nursing: Health important part of life. Good health is maintained by caring for self and others. Meds are not always accepted - belief that chemicals in body are harmful
religious beliefs about health sikhism
health care belief: accepts modern medical science. response to illness: females only examined by females. removing undergarments causes great distress. implications to nursing: provide time for prayer. allow use of religious symbols.
religious beliefs about health Hinduism
health care belief: accepts modern medical science. response to illness: past sins cause illness. prolonging life is discouraged. implications to nursing: allow time for prayer and rituals. allow use of amulets, rituals, and symbols.
religious beliefs about health Appalachians
health care belief:External loss of control. Nature controls life and health. Folk healers. response to illness: Dislike hospitals. Tend not to follow medical regimens but expect to be helped directly when needed. implications to nursing: Become anxious in unfamiliar places. Encourage communication with family.
assessment tools
listen ask direct questions fica spiritual well-being scale
When caring for patients, the nurse must understand the difference between religion and spirituality. Religious care helps individuals:
maintain their belief systems and worship practices
nursing knowledge base
mind, body, and spirit are interrelated. physical and psychological well-being results from beliefs and expectations. beliefs and convictions are a powerful resource for healing.
nursing knowledge base current concepts in spiritual health
self-transcendence: sense of authentically connecting to ones inner self positive force. connectedness: interpersonally connected with oneself, interpersonally connected with others and environment and transpersonal connected with God. faith: allows people to have firm beliefs despite lack of physical evidence. hope: energizing source that has an orientation to future goals and outcomes
religious dietary practices hinduism
some vegetarians- belief not to kill living creatures
religious dietary practices buddhism
some vegetarians- no ETOH use. many fast on holy days.
spiritual health
spiritual health represents balance. spiritual health matures with increasing awareness of meaning, purpose, and life values, spiritual beliefs change as patients grow and develop. help during illness.
