February 8, 2012 Is there anything you haven’t done that you need to do?M. Bunao What do you hope for?Spiritual & cultural considerations What are you most afraid of?1. Spirituality- our relationships with ourselves , others Is there anything worse than death? nature and the transcendent2. Religion- an organization that has a set of rites, What are you most proud of in your life? rules, practices, values, & beliefs that prescribe how Do you have regrets? individuals should live their lives & respond to God3. Spiritual care- allowing our humanity to touch Spiritual needs in death & bereavement another’s by providing presence, deep listening & - 3 most important things to remember when compassion providing spiritual care for those who are4. Compassion- the ability to be empathetically immediately dying present to another while he or she is suffering and o Don’t wait is trying to find meaning o Intently watch & listen5. Existential- relating to human existence and o Trust your instincts experience Spirituality as meaning: what gives you meaning in life?Chronically cool families- a parent to parent supportgroup for families dealing with chronic illness Culture competence- unconscious tendency to assume that one’s own worldview is superior that of othersQuestions requiring chaplain referral: - Assessing the pt. And family’s beliefs aboutWhat have I done to deserve this? illness and treatmentsI pray but I’m still sick - Conveying respect, such as saying: I am unfamiliar with your culture. Please help meI used to believe in God, but now I’m not so sure understand why you think you got sick & what you think will make you betterHow will my family get along without me? - Soliciting the pt & family as teachers & guidesWhat did my life mean? regarding cultural practices - Asking about the pt’s personal preferences &I’m scared avoiding expectations from any individual to represent his or her whole culture - Respecting cultural differences regardingSpiritual interventions personal space & tones, such as requesting “Whom do I ask for permission to examine - Compassionate presence & listening deeply you?”, “May I touch you here?” - Bearing witness - Determining needs & desires regarding health - Compassion at work related information, such as asking, “When ISpiritual care questions: have information to tell you, how much detail do you want to know & to whom do I give it?”Are you scared? - Noting and offering the use of complementary & integrative health care practicesWhat makes life worth living?
- Incorporating the pt’s cultural healing practices into the plan of care - Responding to resistance from the pt & family about the recommended treatment plan with understanding - Negotiation & compromise - Being sensitiveUseful cultural assessment questions: - How do you describe your condition? - How have you treated your condition? - Who else, if anyone, do you want to know about your condition? - Who is responsible for your health care decisions? - Are you spiritual or religious? - Where were you born & raised? - What do you want to know about your medical condition/illness? - Who else, if anyone, should we talk to about your condition, treatment options, and the disease process? - Who are important people in your community? - What do you fear most about your condition, and its treatment? - Are there any important rituals?