spiritual assessment

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how to conduct a spiritual assessment. usinf FICA and other assessment tools

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spiritual assessment

  1. 1. Spiritual AssessmentMaria Carmela L. Domocmat, RN, MSN
  2. 2. Why assess spirituality?• religion and spirituality have been r/t a person’s greater well-being in the face of chronic disease mgmt and assistance in adhering to medical regimen• religion and spirituality can be powerful coping mechanisms when a person faces end-of-life issues Maria Carmela L. Domocmat, RN, MSN
  3. 3. religion and spirituality have been r/t lowerlevels of morality, less heart dse, lower BP, lessdepression, lower levels of stress, less alcoholand tobacco abuse, greater well-being andoptimism, and positive health habits Maria Carmela L. Domocmat, RN, MSN
  4. 4. • clients have also called for medical providers to address spiritual issues during client-provider interactions• nurses have more opportunities to address spiritual concerns with clients bcoz nurses are the primary points of contact for most clients Maria Carmela L. Domocmat, RN, MSN
  5. 5. MAJOR WORLD RELIGIONSAND COMMON HEALTHBELIEFS Maria Carmela L. Domocmat, RN, MSN
  6. 6. SPIRITUAL ASSESSMENTTECHNIQUES Maria Carmela L. Domocmat, RN, MSN
  7. 7. o Note: spirituality is multidimensional and unique to each individualo these presents difficulties in proper assessment Maria Carmela L. Domocmat, RN, MSN
  8. 8. Spiritual assessment techniquesNonformalFormal Maria Carmela L. Domocmat, RN, MSN
  9. 9. • Nonformal o FICA spiritual assessment tool o nonformal in the sense of asking open-ended questions and allowing client to disclose pertinent information Maria Carmela L. Domocmat, RN, MSN
  10. 10. • Formal o use of formal instruments o Daily Spiritual Experiences Scale o Brief Religious Coping Questionnaire (RCOPE) Maria Carmela L. Domocmat, RN, MSN
  11. 11. ASSESSMENT PROCEDURES Maria Carmela L. Domocmat, RN, MSN
  12. 12. • Listen to client’s story and seek clarification when needed• Observe nonverbal and verbal communication patterns in presence of others Maria Carmela L. Domocmat, RN, MSN
  13. 13. Begin to focus questions Maria Carmela L. Domocmat, RN, MSN
  14. 14. o We have been discussion your support systems. I was wondering, what is there in your life that gives you internal support?o What are your sources of hope, strength, comfort, and peace?o What do you hold onto during difficult time? Maria Carmela L. Domocmat, RN, MSN
  15. 15. o What sustains you and keeps you going?o For some people, their religious or spiritual beliefs act as a source of comfort and strength in dealing with life’s ups and downs; is this true for you?o use FICA spiritual assessment tool Maria Carmela L. Domocmat, RN, MSN
  16. 16. Continue to assess other dimensions ofspirituality within groups Maria Carmela L. Domocmat, RN, MSN
  17. 17. o Ask about organizational and religious involvement (note: remember that not all persons who state they are religious and/or spiritual are involved with organized religious grps or ascribe to all the religious practices of that group) Maria Carmela L. Domocmat, RN, MSN
  18. 18. o Do you consider yourself part of an organized religion?o How important is this to you? Maria Carmela L. Domocmat, RN, MSN
  19. 19. o What aspects of you religion are helpful or not so helpful to you?o Are you part os religious or spiritual community? Does it help you? How? Maria Carmela L. Domocmat, RN, MSN
  20. 20. Directly address beliefs that may conflict oraffect one’s health care. Maria Carmela L. Domocmat, RN, MSN
  21. 21. o Has being sick (or your current situation) affected your ability to do the things that usually help your spirituality? (Or affected your relationship with God?)o As a nurse, is there anything I can do to help you access the resources that usually help you? Maria Carmela L. Domocmat, RN, MSN
  22. 22. o Would it be helpful for you to speak to a clinical chaplain/community spiritual leader?o Are there any spiritual restrictions I should know about in providing your medical care? (e.g., dietary restrictions, use of blood products) Maria Carmela L. Domocmat, RN, MSN
  23. 23. If the client is dying – How do your beliefsaffect the kind of (nursing) care you would likeme to provide over the net fewdays/weeks/months? Maria Carmela L. Domocmat, RN, MSN
  24. 24. • Use assessment tools o Daily Spiritual Experiences Scale o Brief Religious Coping Questionnaire (RCOPE) Maria Carmela L. Domocmat, RN, MSN
  25. 25. SELECTED NURSINGDIAGNOSES Maria Carmela L. Domocmat, RN, MSN
  26. 26. • Wellness Diagnosis: Readiness for enhanced Spiritual well-being• Risk diagnosis: Risk for Spiritual distress• Actual diagnosis: Spiritual distress Maria Carmela L. Domocmat, RN, MSN

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