Week 2 Spiritual History Taking.pptx
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Spirituality and religion can play an important role in a patient's life and health. When taking a patient's history, it is useful to learn about their religious or spiritual beliefs and practices, and how they cope with or are distressed by illness. This includes any beliefs that could influence medical decisions. Tools like FICA can help assess a patient's faith, how important their spirituality is, their spiritual community, and any spiritual issues. Taking a spiritual history respects the patient's desires, can benefit the patient, enhances the doctor-patient relationship, and meets standards of quality care by identifying any religious struggles.
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Henrietta Ayinor Topic 1 DQ 1Spirituality in my worldview has
Henrietta Ayinor : Topic 1 DQ 1
Spirituality in my worldview has a great connection with faith, and a search for meaning and purpose in life, connection with others and surpassing Oneself. This results in s sense of inner peace and wellbeing. A strong spiritual connection may improve can improve an individual's sense of satisfaction with life or enable accommodation to disability (Delgado 2005)
Phenwan et al. (2019) Spirituality is the essence of a human being The meaning of life, feeling of connectedness to the transcendental phenomena such as the universe or God. This connectedness may or may not be part of any religions. It is also part of comprehensive palliative care, defined by the World Health Organization. An individual's spiritual well-being is a feeling of one's contentment that stems from their inner self and is related to their quality of life
SSorajjakool (2017) Religious beliefs and customs can significantly shape a nurse- patients relationship this can also influence the expectations of the nurse and patient as well as their wishes and personal boundaries regarding daily routines such as dressing, diet, prayer and touch. Undoubtedly, the sensitivity with which clinicians communicate with patients and make decisions regarding appropriate medical intervention can be greatly increased by an understanding of religious as well as other forms of cultural diversity. As a nurse caring for a patient will be deliberate in making effort to understand a patient's religious preferences this way, I will not impose my religious believes on the patient while helping them to access and receive preternatural care as a provide my nursing care this is beacuse different patienst have their spiritual prereferences and health and illness means dieferent things to dieferent people spiritually.
Delgado C. (2005). A discussion of the concept of spirituality. Nursing science quarterly, 18(2), 157–162. https://doi.org/10.1177/0894318405274828
https://pubmed.ncbi.nlm.nih.gov/15802748/
Phenwan, T., Peerawong, T., & Tulathamkij, K. (2019). The Meaning of Spirituality and Well- Being among Thai Breast Cancer Patients: A Qualitative Study. Indian journal of palliative care, 25(1), 119–123.
https://doi.org/10.4103/IJPC.IJPC_101_18
SSorajjakool, S., Carr, M. F., Nam, J. J., Sorajjakool, S., & Bursey, E. (Eds.). (2017). World religions for healthcare professionals. Taylor & Francis ISBN 1317281020, 9 781317281023
Retrievedfromhttps://www.routledge.com/World-Religions-for-Healthcare-Professionals/SSorajjakool-Carr-Nam-Sorajjakool-Carr-Bursey/p/book/9781138189140
Yenly Fernandez Rodriguez
1 posts
Re: Topic 1 DQ 1
Topic 1 DQ 1
Individuals hold different worldviews about spirituality. The spiritual worldview of an individual depends on various factors, such as family beliefs, origin, and culture. In the world, multiple religions exist to influence an individual's connection with a supreme being (SSorajjakool, Carr, Nam, Sorajjakool & Bursey, 2017). Fo ...
patient’s needs with an open mind inorder to gain understa.docx
patient’s needs with an open mind in
order to gain understanding of the
patient’s beliefs. The patient’s needs and
beliefs can guide the assessor in terms
of how the patient wants to utilize spiri-
tual or religious beliefs in their care or
treatment.”
A staff member’s comfort in assess-
ing spirituality may be linked to his or
her own experiences with spirituality.
For this reason, if your organization or
community has pastoral care resources,
it may also be helpful to access
information from pastoral care profes-
sionals. Clinically trained, professional
pastoral care providers can offer insight
and assistance in developing spiritual
assessments for your organization.
Who Should Conduct a Spiritual
Assessment?
Depending on the type and size of
your organization, different staff mem-
bers can and should conduct spiritual
assessments. As with other types of
assessments, the spiritual assessment
should be multidisciplinary. Physicians,
therapists, nurses, and clinical pastoral
staff should receive training on the value
of spiritual assessment and the tools
that should be used to assess a patient’s
spirituality.
Approaches to Determining Spiritual
Assessment Content
In designing a spiritual assessment, your
organization will need to determine the
mechanism(s) you will use to collect
information and when an in-depth spiri-
tual assessment will be necessary. Your
organization may want to consider the
following questions:
■ Will staff ask direct questions of the
patient regarding his or her spirituali-
ty? If so, some appropriate questions
may address support systems, prayer,
spiritual goals, religious or spiritual
resources used to cope with chal-
lenges, and beliefs about life and
illness.
AAskedandAnswered Evaluating your SpiritualAssessment Process
Q Our organization is examining itsspiritual assessment process.
What does the Joint Commission
require?
A Per standards and elements of per-formance (EPs) found in the
“Provision of Care, Treatment, and
Services” (PC) chapter in the accredita-
tion manuals,* the Joint Commission
requires organizations to include a spiri-
tual assessment as part of the overall
assessment of a patient to determine
how the patient’s spiritual outlook can
affect his or her care, treatment, and
services. This assessment should also
determine whether more in-depth
assessments are necessary.
While the Joint Commission leaves
the specifics to each organization, spiri-
tual assessment should, at a minimum,
determine the patient’s religious affilia-
tion (if any), as well as any beliefs or
spiritual practices that are important to
the patient. While the content and for-
mat of the spiritual assessment will vary
depending on the organization and type
of patients served, organizations should
develop a basic policy regarding the con-
tent and scope of spiritual assessments
and outline who is qualified and compe-
tent to perform such assessments with.
God is good (for you)
This is a presentation I made for Wellness, a class in Southern New Hampshire Unversity (SNHU).
The topic was Spirituality and Wellness
spiritual-therapy , Spirituality, EOL care
Spirituality fulfills specific needs:
Meaning to life, illness, crises, and death
Sense of security for present and future
Guides daily habits
Elicits acceptance or rejection of other people
Provides psychosocial support in a group of like-minded people
Strength when facing life’s crises
Healing strength and support
Role Of Spirituality In Health Illness
A great talk on the dynamic connection between one\'s faith and health.
Recommended
Henrietta Ayinor Topic 1 DQ 1Spirituality in my worldview has
Henrietta Ayinor : Topic 1 DQ 1
Spirituality in my worldview has a great connection with faith, and a search for meaning and purpose in life, connection with others and surpassing Oneself. This results in s sense of inner peace and wellbeing. A strong spiritual connection may improve can improve an individual's sense of satisfaction with life or enable accommodation to disability (Delgado 2005)
Phenwan et al. (2019) Spirituality is the essence of a human being The meaning of life, feeling of connectedness to the transcendental phenomena such as the universe or God. This connectedness may or may not be part of any religions. It is also part of comprehensive palliative care, defined by the World Health Organization. An individual's spiritual well-being is a feeling of one's contentment that stems from their inner self and is related to their quality of life
SSorajjakool (2017) Religious beliefs and customs can significantly shape a nurse- patients relationship this can also influence the expectations of the nurse and patient as well as their wishes and personal boundaries regarding daily routines such as dressing, diet, prayer and touch. Undoubtedly, the sensitivity with which clinicians communicate with patients and make decisions regarding appropriate medical intervention can be greatly increased by an understanding of religious as well as other forms of cultural diversity. As a nurse caring for a patient will be deliberate in making effort to understand a patient's religious preferences this way, I will not impose my religious believes on the patient while helping them to access and receive preternatural care as a provide my nursing care this is beacuse different patienst have their spiritual prereferences and health and illness means dieferent things to dieferent people spiritually.
Delgado C. (2005). A discussion of the concept of spirituality. Nursing science quarterly, 18(2), 157–162. https://doi.org/10.1177/0894318405274828
https://pubmed.ncbi.nlm.nih.gov/15802748/
Phenwan, T., Peerawong, T., & Tulathamkij, K. (2019). The Meaning of Spirituality and Well- Being among Thai Breast Cancer Patients: A Qualitative Study. Indian journal of palliative care, 25(1), 119–123.
https://doi.org/10.4103/IJPC.IJPC_101_18
SSorajjakool, S., Carr, M. F., Nam, J. J., Sorajjakool, S., & Bursey, E. (Eds.). (2017). World religions for healthcare professionals. Taylor & Francis ISBN 1317281020, 9 781317281023
Retrievedfromhttps://www.routledge.com/World-Religions-for-Healthcare-Professionals/SSorajjakool-Carr-Nam-Sorajjakool-Carr-Bursey/p/book/9781138189140
Yenly Fernandez Rodriguez
1 posts
Re: Topic 1 DQ 1
Topic 1 DQ 1
Individuals hold different worldviews about spirituality. The spiritual worldview of an individual depends on various factors, such as family beliefs, origin, and culture. In the world, multiple religions exist to influence an individual's connection with a supreme being (SSorajjakool, Carr, Nam, Sorajjakool & Bursey, 2017). Fo ...
patient’s needs with an open mind inorder to gain understa.docx
patient’s needs with an open mind in
order to gain understanding of the
patient’s beliefs. The patient’s needs and
beliefs can guide the assessor in terms
of how the patient wants to utilize spiri-
tual or religious beliefs in their care or
treatment.”
A staff member’s comfort in assess-
ing spirituality may be linked to his or
her own experiences with spirituality.
For this reason, if your organization or
community has pastoral care resources,
it may also be helpful to access
information from pastoral care profes-
sionals. Clinically trained, professional
pastoral care providers can offer insight
and assistance in developing spiritual
assessments for your organization.
Who Should Conduct a Spiritual
Assessment?
Depending on the type and size of
your organization, different staff mem-
bers can and should conduct spiritual
assessments. As with other types of
assessments, the spiritual assessment
should be multidisciplinary. Physicians,
therapists, nurses, and clinical pastoral
staff should receive training on the value
of spiritual assessment and the tools
that should be used to assess a patient’s
spirituality.
Approaches to Determining Spiritual
Assessment Content
In designing a spiritual assessment, your
organization will need to determine the
mechanism(s) you will use to collect
information and when an in-depth spiri-
tual assessment will be necessary. Your
organization may want to consider the
following questions:
■ Will staff ask direct questions of the
patient regarding his or her spirituali-
ty? If so, some appropriate questions
may address support systems, prayer,
spiritual goals, religious or spiritual
resources used to cope with chal-
lenges, and beliefs about life and
illness.
AAskedandAnswered Evaluating your SpiritualAssessment Process
Q Our organization is examining itsspiritual assessment process.
What does the Joint Commission
require?
A Per standards and elements of per-formance (EPs) found in the
“Provision of Care, Treatment, and
Services” (PC) chapter in the accredita-
tion manuals,* the Joint Commission
requires organizations to include a spiri-
tual assessment as part of the overall
assessment of a patient to determine
how the patient’s spiritual outlook can
affect his or her care, treatment, and
services. This assessment should also
determine whether more in-depth
assessments are necessary.
While the Joint Commission leaves
the specifics to each organization, spiri-
tual assessment should, at a minimum,
determine the patient’s religious affilia-
tion (if any), as well as any beliefs or
spiritual practices that are important to
the patient. While the content and for-
mat of the spiritual assessment will vary
depending on the organization and type
of patients served, organizations should
develop a basic policy regarding the con-
tent and scope of spiritual assessments
and outline who is qualified and compe-
tent to perform such assessments with.
God is good (for you)
This is a presentation I made for Wellness, a class in Southern New Hampshire Unversity (SNHU).
The topic was Spirituality and Wellness
spiritual-therapy , Spirituality, EOL care
Spirituality fulfills specific needs:
Meaning to life, illness, crises, and death
Sense of security for present and future
Guides daily habits
Elicits acceptance or rejection of other people
Provides psychosocial support in a group of like-minded people
Strength when facing life’s crises
Healing strength and support
Role Of Spirituality In Health Illness
A great talk on the dynamic connection between one\'s faith and health.
14Use of Spirituality in Nursing Student’s Fu.docx
1
4
Use of Spirituality in Nursing
Student’s Full Name
Institutional Affiliation
Course Full Name
Instructor’s Full Name
Date
Illness affects both spiritual, mental, and the physical well-being and health of individuals. Spiritual care positively impacts the person' stress responses and there spiritual well-being, i.e., the ability to balance the physical, psycho-social, and spiritual elements of life. It also involves a sense of integrity, excellence, and interpersonal relationships. During nursing care, spiritual assessment plays an essential role since it makes it easier to determine whether any belief could impact the patient's health (J. Flowers Health Institute, 2022). Various formal spiritual evaluation tools help healthcare providers identify the spiritual needs of patients.
The first tool is the HOPE evaluation tool which assists in the identification of the personal sources of hope and meaning. It also helps in finding out about spirituality and practices. The tool assesses hope, strength, comfort, and how the clients deal with challenging times. It helps in finding out whether the client is part of the religious community and how it is helping; it reveals the person's spiritual beliefs, the practices to determine what is most helpful, and the available spiritual resources.
The other tool is the spiritual distress assessment tool (SDAT). Distress is a common impact of illness and it also occurs when there is the presence of unmet needs that results in disturbances in the individual's spiritual conditions. The tool helps uncover unmet spiritual needs and the possibility of the existing spiritual distress that affects the spiritual well-being of an individual (Puchalski, 2021). The outcome that shows a high degree of unmet spiritual needs indicates the greater level of disturbances in the spiritual state and spiritual distress the client encounters.
The next tool is the FICA spirituality history tool. The word FICA is an abbreviation used to present the Faith and belief, the importance, community, and addressing in care. Faith together with the belief involve determining the client's spiritual beliefs and what they consider to be bringing the meaning of life to them. The importance involves the analysis or finding out the application of the spiritual beliefs are utilized in coping with the disease. The community involves learning how the clients participate in the spiritual or religious community (J. Flowers Health Institute, 2022). The address in care is the process of asking the client how they prefer their spiritual issues to be addressed by the healthcare providers during delivery of healthcare services.
The FICA tool is utilized for the clinical evaluation of spirituality. It is used to guide the spiritual history and this is achieved through framing the questions instead of depending on the checklist. The FICA tool helps guide the conversation between providers and clients. The tool offers the best healthc.
A Review of The Healing Power of Faith: Science Explores Medicine’s Last Grea...
Science is often perceived to be an opponent of religion/spirituality and likewise religion/spirituality is often perceived to be an opponent of science. There is a war of thought and faith that has been going on for centuries. Can these opposing world views be united?
Meeting People Where They Are: Taking Spiritual Assessment - Tessie Mandevill...
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Definitions and Measurement of Religion
A brief overview of measurements of religion and spirituality used in research including basic definitions and measurement issues, models of religion and health, and measures.
Aplicações clínicas da espiritualidade
Revisão não sistemática da literatura sobre evidências da relação entre Saúde e Espiritualidade.
End of Life Care: Spiritual Aspects in Home Based Palliative care
End of Life Care: Spiritual Aspects in Home Based Palliative careDr.Muhammad Mataro MBBS,MCPS, MRACGP
This was my Home Health/Home based Palliative Care Rotation Feedback; It is major part is concerned about how to take spiritual history and how to address spiritual concerns/Cues of our patientsDiscussion 1 MarciaThe relationship between mental illness and r
Discussion 1 Marcia
The relationship between mental illness and religion continues to be an ongoing debate. An individual’s values and belief systems tend to directly influence the perception of mental illness and the course of progression or suppression (Amedome & Bedi, 2018). The creator of the psychoanalytic model, Sigmund Freud, was said to be skeptical and antagonistic toward religion’s direct correlation to mental illness; Freud believed that less religious people were mentally healthy (Amedome & Bedi, 2018). Many cultures believe that the cause of mental illness is the “Mark of the beast” or a spiritual curse requiring the elders, parishioners, and priests to rid the body of demons/spirits for healing. The utilization of religious practices as a coping mechanism is superior in various cultures. Religious practices of faith, prayer, fasting, and communion tend to provide a sense of hope and positive outcomes (Amedome & Bedi, 2018).
As a practicing clinician in the primary care setting, many patients with mental illness become hyper-spiritual during therapy, often resulting in abrupt discontinuation of medical care. Many patients would present to the clinic with bibles, layers of crosses around their neck, or continuously reciting scripture passages. Religion varies among cultures and ethnicities and is thought to directly correlate to mental illness, suffering, and God’s will (Amedome & Bedi, 2018). In the referenced case, the patient was not initially religious, which is very interesting, but after believed possession, he immediately sought to eradicate the spirit at a local church. Although not religious, he believed that multiple religious exorcisms were superior to western medicine. (psychotherapy).
Durand et al. (2020) define psychopathology as the study of psychological disorders. Psychological disorders are challenging abnormal behavior associated with distress, impairment in functioning, and a response that is not normal or culturally accepted (Durand et al.,2020). The referenced patient’s behavior has demonstrated abnormal and mild functional impairment, warranting psychiatric evaluation. The scenario meets the criteria for psychotic disorder: non-bizarre delusions of control, one’s body or actions are being acted on or manipulated by some outside force (American Psychiatric Association [APA], 2017). Supporting data for diagnosis is the patient’s belief that a spirit entered his body through his rectum, controlling movement and speech after using a Ouija board for two months. Although the patient believes this scenario to be actual, the reality proves his beliefs to be impossible and pathologically false. Mental health clinician frequently uses the DSM-5 to diagnose mental health disorders in the clinical setting. The focus of the DSM-5 is on identifying symptom clusters that differentiate between normal and psychopathology, mainly focusing on the duration and severity of symptoms (Amedome & Bedi, 2018). The most challengin ...
It revolves being culturally competent and by that understanding rel.docx
It revolves being culturally competent and by that understanding religion, mental health, and the combination of both by identifying religious competence as part of cultural competence. This involves implementing as well as determining the “patients’ psychological and existential frameworks; it can also play a key role in determining behavioral variables (which, in turn, influence physiological variables) that have a direct bearing on mental health” (Whitley, 2012). My strengths would be to initially identify the patient’s spiritual preferences, being attentive by being an active listener to the patient’s spiritual needs. Moreover, spirituality is essentially an unchecked vital sign that is essentially to all patients regardless of their religion. However, weakness mainly finding consultation for patients whom are very particular about whom they speak. Also being exposed to different patient populations within med-surg that have different capacities which can be difficult to honor their wishes but do so to the best of my ability. When it comes to patients, it’s important to improve patient care through “taking a spiritual history, respecting and supporting spiritual beliefs, challenging beliefs, praying with patients, and appropriate consultation with clergy” (Koenig, 2008). This is something I will continue to work on as time goes on.
If I were a patient with the capacity, I would coordinate with the health care team about my preferences and needs and be updated on all of the happenings regarding my plan of care. However, should I lack the mental capacity to make such ethical decisions, my advocate would be that of my parents fulfill my wishes when it comes to my plan of care. They will be informed about all options when it comes to treatments and seek both a realistic, viable alternatives should they be present.
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Physiology of Chemical Sensation of smell.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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14Use of Spirituality in Nursing Student’s Fu.docx
1
4
Use of Spirituality in Nursing
Student’s Full Name
Institutional Affiliation
Course Full Name
Instructor’s Full Name
Date
Illness affects both spiritual, mental, and the physical well-being and health of individuals. Spiritual care positively impacts the person' stress responses and there spiritual well-being, i.e., the ability to balance the physical, psycho-social, and spiritual elements of life. It also involves a sense of integrity, excellence, and interpersonal relationships. During nursing care, spiritual assessment plays an essential role since it makes it easier to determine whether any belief could impact the patient's health (J. Flowers Health Institute, 2022). Various formal spiritual evaluation tools help healthcare providers identify the spiritual needs of patients.
The first tool is the HOPE evaluation tool which assists in the identification of the personal sources of hope and meaning. It also helps in finding out about spirituality and practices. The tool assesses hope, strength, comfort, and how the clients deal with challenging times. It helps in finding out whether the client is part of the religious community and how it is helping; it reveals the person's spiritual beliefs, the practices to determine what is most helpful, and the available spiritual resources.
The other tool is the spiritual distress assessment tool (SDAT). Distress is a common impact of illness and it also occurs when there is the presence of unmet needs that results in disturbances in the individual's spiritual conditions. The tool helps uncover unmet spiritual needs and the possibility of the existing spiritual distress that affects the spiritual well-being of an individual (Puchalski, 2021). The outcome that shows a high degree of unmet spiritual needs indicates the greater level of disturbances in the spiritual state and spiritual distress the client encounters.
The next tool is the FICA spirituality history tool. The word FICA is an abbreviation used to present the Faith and belief, the importance, community, and addressing in care. Faith together with the belief involve determining the client's spiritual beliefs and what they consider to be bringing the meaning of life to them. The importance involves the analysis or finding out the application of the spiritual beliefs are utilized in coping with the disease. The community involves learning how the clients participate in the spiritual or religious community (J. Flowers Health Institute, 2022). The address in care is the process of asking the client how they prefer their spiritual issues to be addressed by the healthcare providers during delivery of healthcare services.
The FICA tool is utilized for the clinical evaluation of spirituality. It is used to guide the spiritual history and this is achieved through framing the questions instead of depending on the checklist. The FICA tool helps guide the conversation between providers and clients. The tool offers the best healthc.
A Review of The Healing Power of Faith: Science Explores Medicine’s Last Grea...
Science is often perceived to be an opponent of religion/spirituality and likewise religion/spirituality is often perceived to be an opponent of science. There is a war of thought and faith that has been going on for centuries. Can these opposing world views be united?
Meeting People Where They Are: Taking Spiritual Assessment - Tessie Mandevill...
Meeting People Where They Are: Taking Spiritual Assessment – Tessie Mandeville, Reverend & Bobbi Virta, Reverend
Presented at the 2015 Palliative Care Summer Institute conference at Bellingham Technical College
Definitions and Measurement of Religion
A brief overview of measurements of religion and spirituality used in research including basic definitions and measurement issues, models of religion and health, and measures.
Aplicações clínicas da espiritualidade
Revisão não sistemática da literatura sobre evidências da relação entre Saúde e Espiritualidade.
End of Life Care: Spiritual Aspects in Home Based Palliative care
End of Life Care: Spiritual Aspects in Home Based Palliative careDr.Muhammad Mataro MBBS,MCPS, MRACGP
This was my Home Health/Home based Palliative Care Rotation Feedback; It is major part is concerned about how to take spiritual history and how to address spiritual concerns/Cues of our patientsDiscussion 1 MarciaThe relationship between mental illness and r
Discussion 1 Marcia
The relationship between mental illness and religion continues to be an ongoing debate. An individual’s values and belief systems tend to directly influence the perception of mental illness and the course of progression or suppression (Amedome & Bedi, 2018). The creator of the psychoanalytic model, Sigmund Freud, was said to be skeptical and antagonistic toward religion’s direct correlation to mental illness; Freud believed that less religious people were mentally healthy (Amedome & Bedi, 2018). Many cultures believe that the cause of mental illness is the “Mark of the beast” or a spiritual curse requiring the elders, parishioners, and priests to rid the body of demons/spirits for healing. The utilization of religious practices as a coping mechanism is superior in various cultures. Religious practices of faith, prayer, fasting, and communion tend to provide a sense of hope and positive outcomes (Amedome & Bedi, 2018).
As a practicing clinician in the primary care setting, many patients with mental illness become hyper-spiritual during therapy, often resulting in abrupt discontinuation of medical care. Many patients would present to the clinic with bibles, layers of crosses around their neck, or continuously reciting scripture passages. Religion varies among cultures and ethnicities and is thought to directly correlate to mental illness, suffering, and God’s will (Amedome & Bedi, 2018). In the referenced case, the patient was not initially religious, which is very interesting, but after believed possession, he immediately sought to eradicate the spirit at a local church. Although not religious, he believed that multiple religious exorcisms were superior to western medicine. (psychotherapy).
Durand et al. (2020) define psychopathology as the study of psychological disorders. Psychological disorders are challenging abnormal behavior associated with distress, impairment in functioning, and a response that is not normal or culturally accepted (Durand et al.,2020). The referenced patient’s behavior has demonstrated abnormal and mild functional impairment, warranting psychiatric evaluation. The scenario meets the criteria for psychotic disorder: non-bizarre delusions of control, one’s body or actions are being acted on or manipulated by some outside force (American Psychiatric Association [APA], 2017). Supporting data for diagnosis is the patient’s belief that a spirit entered his body through his rectum, controlling movement and speech after using a Ouija board for two months. Although the patient believes this scenario to be actual, the reality proves his beliefs to be impossible and pathologically false. Mental health clinician frequently uses the DSM-5 to diagnose mental health disorders in the clinical setting. The focus of the DSM-5 is on identifying symptom clusters that differentiate between normal and psychopathology, mainly focusing on the duration and severity of symptoms (Amedome & Bedi, 2018). The most challengin ...
It revolves being culturally competent and by that understanding rel.docx
It revolves being culturally competent and by that understanding religion, mental health, and the combination of both by identifying religious competence as part of cultural competence. This involves implementing as well as determining the “patients’ psychological and existential frameworks; it can also play a key role in determining behavioral variables (which, in turn, influence physiological variables) that have a direct bearing on mental health” (Whitley, 2012). My strengths would be to initially identify the patient’s spiritual preferences, being attentive by being an active listener to the patient’s spiritual needs. Moreover, spirituality is essentially an unchecked vital sign that is essentially to all patients regardless of their religion. However, weakness mainly finding consultation for patients whom are very particular about whom they speak. Also being exposed to different patient populations within med-surg that have different capacities which can be difficult to honor their wishes but do so to the best of my ability. When it comes to patients, it’s important to improve patient care through “taking a spiritual history, respecting and supporting spiritual beliefs, challenging beliefs, praying with patients, and appropriate consultation with clergy” (Koenig, 2008). This is something I will continue to work on as time goes on.
If I were a patient with the capacity, I would coordinate with the health care team about my preferences and needs and be updated on all of the happenings regarding my plan of care. However, should I lack the mental capacity to make such ethical decisions, my advocate would be that of my parents fulfill my wishes when it comes to my plan of care. They will be informed about all options when it comes to treatments and seek both a realistic, viable alternatives should they be present.
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Olfactory Membrane:
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Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
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Week 2 Spiritual History Taking.pptx
- 1. Spirituality and Religion NEKI A. SORIANO, MD
- 2. Spiritual history Taking Learn the patient’s religious background Learn the role that religious or spiritual beliefs or practices paly in coping with illness or causing distress Learn beliefs that may influence or conflict with decisions about medical care Know the patient’s level of participation in a spiritual community and whether the community is supportive Assess any spiritual needs that might be present Koenig, H. Religion, Spirituality and Health. 2012
- 3. Evidenced based reasons Patient’s desire Patient benefit Enhances doctor-patient relationship Standards of quality patient care Identifies any religious struggle Larimore, W. et al. Should clinicians incorporate positive spirituality into their practices? Ann Beh Med. 2002.
- 4. Interviewing Tools FICA Spiritual History ◦ A spiritual history tool that explores the area of Faith; Importance/Influence; Community and Address ◦ Christina Puchalski
- 7. Reporting by Pair SPIRITUAL HISTORY TOOLS AND ASSESSMENT TOOLS
- 8. Interviewing Tools SPIRITual History (Pair 1) ◦ A 22 item questionnaire pertinent to managing serious illness and how beliefs affect care decision HOPE (Pair 2) ◦ A tool to know the H-sources of hope and comfort; O-role of organized religion; P-personal spirituality; E-effects on care/end of life
- 9. Standard Assessment Tools FACT (Pair 3) ◦ concerns with underlying issues of faith, activeness or engagement in a faith community, patient coping mechanisms and sources of conflicts or concerns, as well as patient treatment plans FACIT-sp (Pair 4) ◦ Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being (FACIT-Sp) Brief Measure of Religious coping /RCOPE (Pair 5) ◦ Measures positive and negative religious coping
- 10. End