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Spiritual Nursing. Definition . Spirituality is defined as the experience and expressions of one’s spirit in a unique and dynamic process reflecting faith in God or supreme being, connectedness with oneself, with others, universe, or God and integration of the dimension, mind, body and spirit - PowerPoint PPT Presentation
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Spiritual Nursing
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Definition Spirituality is defined as the experience and
expressions of one’s spirit in a unique and dynamic process reflecting faith in God or supreme being, connectedness with oneself, with others, universe, or God and integration of the dimension, mind, body and spirit
Spirituality is the quality or essence that pervades, integrates and transcends one’s bio psychosocial nature.
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Religion is a belief system, including dogma, rituals, and traditions or it is a social institution in which people participate together rather than an individual searching alone for the meaning of life
The word spirituality is derived from the latin word ‘spiritus’ means ‘breath of wind’
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Monotheism – is the belief in the existence of one God who created and who rules the universe
Polytheism – is the belief in more than one God
Atheism – is the uncertainty about the existence of God or supreme being
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Spiritual dimensions A sense of personal contentment A sense of peace with the self and the world A sense of fulfillment in life and interaction with
self and others The ability to discover and articulate a basic
purpose in life The ability to experience love, joy, peace and
contentment The ability to live in wholeness consistent with
the values of community and self.
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Spiritual health includes A concern for others and self A sense of meaning and enjoyment in life A commitment to purpose rather than self A sense of relatedness A means for moving through debilitating
guilt, anger or anxiety Life affirming relationship or harmonious
interconnectness with deity, self, community and environment.
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Characteristics of spirituality A sense of wholeness and harmony
within oneself A sense of wholeness and harmony with
others A sense of wholeness and harmony with
God or supreme power A sense of wholeness and harmony with
the ecosystem.
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Spirituality and health Health is defined as a state of well being
resulting from harmonious interaction of body, mind, spirit and the environment.
A person’s health depends on a balance of physical, psychological, sociological, developmental and spiritual factors
Spirituality is considered as one of the important factors that helps to achieve the balance needed to maintain health and well being and to cope with illness
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Holistic health model
Health
physiological
psychological
Spiritual
Sociological
Environmental
Cultural
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Spiritual care in nursing It is an essential component of comprehensive
nursing care It can decrease suffering and aid in physical and
mental healing Nurse should have skill in developing trusting
relationship with clients Nurse should communicate with sensitivity and
empathy to have a good understanding of the patient’s values
Should understand the wider concepts of spirituality Should respect all the religion and belief of clients
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Characteristics of Spiritual health/ well being Sense of inner peace Compassion for life Reverence for life Gratitude Appreciation of both unity and diversity Humor Wisdom Generosity Ability to transcend the self Capacity for unconditional love
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Spiritual needs Need for love Need for hope Need for trust Need for
forgiveness Need for to be
respected and valued
Need for dignity
Need for meaning to the fullness of life
Need for values Need for creativity Need to be connected
with God or supreme power
Need to belong to a community
Sense of purpose
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Factors that affect spiritual health Culture Gender Previous experience Crisis and change Separation from spiritual ties Factors across life span Physiological factors Moral issues regarding therapy
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Spiritual distress It refers to a challenge to the spiritual well
being or to the belief system that provides strength, hope and meaning to life. Spiritual distress incorporates five spiritual needs and they are;
Forgiveness Love Hope Trust Meaning and purpose in life
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Characteristics of spiritual distress Showing maladaptive
behavior Showing discomfort with
self awareness Expressing ambivalent
feeling about God Lacking love relationship
with God Having value conflicts Unable to accept God Behaving self
destructively.
Fearing death/ life after death
Refusing to cooperate with health regimen
Being bitter/ angry with God
Lacking commitment Fearing therapy Feeling of worthlessness
about life Having unattainable goals Expressing lack of hope
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Goals of spiritual care Help the client fulfill religious obligations Help the client draw on and use inner
resources more effectively to meet the present situation
Help the client maintain or establish a dynamic, personal relationship with a supreme being in the face of unpleasant circumstances
Help the client find meaning of existence and present situation
Promote a sense of hope
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Assessment Assess concept of God and deity Source of hope and strength Religious practices and rituals Relationship between spiritual beliefs
and state of health
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Nursing diagnosis Spiritual distress related to loss of
child/sense of guilt/ conflict about belief/ sexual abuse/ crisis of illness
Potential for enhanced spiritual well being
Risk for spiritual distress Ineffective coping related to loss of
loved one/ psychiatric disorder/ alcoholism
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Readiness to enhanced spiritual well being related to terminal illness
Dysfunctional grieving related to multiple losses/ loss of employment/ career/ lack of physical independence
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Planning Help client create, maintain or renew
relationships Help to meet the need for love
expressed through relationship and seen in words and acts of kindness
Help the client to search for meaning Create a need of hope in the person
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Interventions Communicating about spiritual needs Nurse must use herself/ himself
therapeutically Accompany client Promoting therapeutic environment Providing access to spiritual advisors Helping client maintain relationships
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Support client’s religious practices Create a trusting relationship with him Do not discuss personal spiritual beliefs
with clients unless the client requests Allow time and privacy and provide
comfort measures prior to private worship, prayer or meditation
Respect and ensure safety of client’s religious articles
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Help client explore meaning of life Encourage hope Help client to interpret crisis as spiritual
growth Help client to cope with suffering
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