spiritual and cultural Flashcards
Physical
Psychological
Sociological
Cultural
Emotional
Developmental
Spiritual
your emotional well-being, physical health, and spiritual renewal
holistic health
Anything that pertains to a person’s relationship with a nonmaterial life force or higher power.
A persons beliefs that help maintain hope and get through difficult situations.
spirituality
faith
religion
hope
spiritual health
spiritual wellbeing
Confident belief in something OR relationship with higher power for which there is no evidence.
Can involve person, idea, or thing
Can be defined by a culture or religion (i.e., Judaism, Muslim, or Confucianism)
faith
Organized system of beliefs about higher power; set forms of worship, spiritual practices, & codes of conduct.
Influence response to illness, self-care practices, birth & death, gender roles, moral codes, & spiritual practices.
Religion practiced outwardly to express spirituality.
Never presume to know a client’s beliefs or practices.
If client does not belong to organized religion? Does not mean they have no spiritual needs.
religion
Spirituality and faith provides it
positive outlook
Provides comfort during times of crisis
Originates in imagination but must become valued & realistic possibility to energize action.
Embraces the reality of the client’s situation (contrast to “false hope”)
Unique to each client.
hope
Balance
Help develop coping style
Spiritual Beliefs can align with developmental stages
spiritual health
lack of spiritual resources
causes include doubt, loss of faith, and feeling alone
personal beliefs conflict w/ health treatment
unable to practice rituals
NANDA
spiritual distress
Understand personal spirituality
Provide an environment to express spirituality
Do not assume anything about religion and beliefs
- Acknowledge religious affiliations.
- Objectively explain alternate treatments.
- Understand how religious culture influences client decision-making.
nursing role
highly subjective
self-reflection: nurse’s personal beliefs/spirituality
identify client’s religion
ask direct questions:
- Faith/beliefs
- Perception of life & self-responsibility
- Satisfaction with life
- Culture
- Fellowship/perceived place in community
- Rituals & practices
- Spirituality within profession or workplace
- Client expectation for health care in relation to spirituality
spiritual assessment
spiritual well-being scale (SWB)
H.O.P.E.
FICA
tools for assessing spirituality
H: Sources of hope, meaning, comfort, strength, peace, love, & connection
O: Organized religion
P: Personal spirituality and practice
E: Effects on medical care and end-of-life issue
H.O.P.E.
Faith or belief
Importance of spirituality
Community – individuals spiritual community
Address – Interventions to Address spiritual needs
FICA
- Observe patient’s behavior for signs of spiritual distress
- Sudden changes in spiritual observations (rejection, neglect, fanatical deviation)
- Mood changes (frequent crying, depression, apathy, anger)
- Sudden interest in spiritual matters (reading religious books, visits w/ clergy)
- Disturbed sleep
assessment/observation
- Allow time and resources for practice of religious rituals (devotional objects, icons, prayer rugs, music, etc.)
- Provide privacy for religious needs (prayer, meditation, reading religious materials, etc.)
- Attempt to meet religion dietary restrictions
- Facilitate development of a positive outcome
- Arrange for minister, priest, or rabbi if client wishes
- Provide stability for a client experiencing a dysfunctional spiritual mood
- Be available to listen and express empathy
- Establish a caring presence in “being with” the client and family rather than task-oriented
- offer a healing presence
- praying w/ client (“how would you like us to pray?”)
interventions
