Date post: | 13-Nov-2014 |
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Spiritual |
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Spiritual
Assessment Assessment
Maria Carmela L. Domocmat, RN, MSN
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
regimenregimen
• religion and spirituality can be powerful coping
mechanisms when a person faces end-of-life
issues
Maria Carmela L. Domocmat, RN, MSN
�religion and spirituality have been r/t lower
levels of morality, less heart dse, lower BP, less
depression, lower levels of stress, less alcohol
and tobacco abuse, greater well-being and
optimism, and positive health habits
Maria Carmela L. Domocmat, RN, MSN
• clients have also called for medical providers to
address spiritual issues during client-provider
interactions
• nurses have more opportunities to address • 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
MAJOR WORLD RELIGIONS
AND COMMON HEALTH
BELIEFS Maria Carmela L. Domocmat, RN, MSN
SPIRITUAL ASSESSMENT
TECHNIQUES
Maria Carmela L. Domocmat, RN, MSN
o Note: spirituality is multidimensional and unique
to each individual
o these presents difficulties in proper assessment
Maria Carmela L. Domocmat, RN, MSN
Spiritual assessment techniques
�Nonformal
�Formal
Maria Carmela L. Domocmat, RN, MSN
• Nonformal
o FICA spiritual assessment tool
o nonformal in the sense of asking open-ended
questions and allowing client to disclose pertinent questions and allowing client to disclose pertinent
information
Maria Carmela L. Domocmat, RN, MSN
• Formal
o use of formal instruments
oDaily Spiritual Experiences Scale
o Brief Religious Coping Questionnaire (RCOPE)o Brief Religious Coping Questionnaire (RCOPE)
Maria Carmela L. Domocmat, RN, MSN
ASSESSMENT PROCEDURES
Maria Carmela L. Domocmat, RN, MSN
• Listen to client’s story and seek clarification
when needed
• Observe nonverbal and verbal communication
patterns in presence of others patterns in presence of others
Maria Carmela L. Domocmat, RN, MSN
�Begin to focus questions
Maria Carmela L. Domocmat, RN, MSN
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, 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
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 dealing with life’s ups and downs; is this true for
you?
o use FICA spiritual assessment tool
Maria Carmela L. Domocmat, RN, MSN
�Continue to assess other dimensions of
spirituality within groups
Maria Carmela L. Domocmat, RN, MSN
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 spiritual are involved with organized religious
grps or ascribe to all the religious practices of
that group)
Maria Carmela L. Domocmat, RN, MSN
o Do you consider yourself part of an organized
religion?
o How important is this to you?
Maria Carmela L. Domocmat, RN, MSN
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? community? Does it help you? How?
Maria Carmela L. Domocmat, RN, MSN
�Directly address beliefs that may conflict or
affect one’s health care.
Maria Carmela L. Domocmat, RN, MSN
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?)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
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? know about in providing your medical care?
(e.g., dietary restrictions, use of blood products)
Maria Carmela L. Domocmat, RN, MSN
�If the client is dying – How do your beliefs
affect the kind of (nursing) care you would like
me to provide over the net few
days/weeks/months?
Maria Carmela L. Domocmat, RN, MSN
• Use assessment tools
oDaily Spiritual Experiences Scale
o Brief Religious Coping Questionnaire (RCOPE)
Maria Carmela L. Domocmat, RN, MSN
SELECTED NURSING
DIAGNOSES
Maria Carmela L. Domocmat, RN, MSN
• Wellness Diagnosis: Readiness for enhanced
Spiritual well-being
• Risk diagnosis: Risk for Spiritual distress
• Actual diagnosis: Spiritual distress• Actual diagnosis: Spiritual distress
Maria Carmela L. Domocmat, RN, MSN