spiritual assessment
DESCRIPTION
how to conduct a spiritual assessment. usinf FICA and other assessment toolsTRANSCRIPT
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Spiritual
Assessment Assessment
Maria Carmela L. Domocmat, RN, MSN
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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
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�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
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• 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
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MAJOR WORLD RELIGIONS
AND COMMON HEALTH
BELIEFS Maria Carmela L. Domocmat, RN, MSN
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SPIRITUAL ASSESSMENT
TECHNIQUES
Maria Carmela L. Domocmat, RN, MSN
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o Note: spirituality is multidimensional and unique
to each individual
o these presents difficulties in proper assessment
Maria Carmela L. Domocmat, RN, MSN
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Spiritual assessment techniques
�Nonformal
�Formal
Maria Carmela L. Domocmat, RN, MSN
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• 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
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• 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
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ASSESSMENT PROCEDURES
Maria Carmela L. Domocmat, RN, MSN
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• 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
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�Begin to focus questions
Maria Carmela L. Domocmat, RN, MSN
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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
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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
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�Continue to assess other dimensions of
spirituality within groups
Maria Carmela L. Domocmat, RN, MSN
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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
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o Do you consider yourself part of an organized
religion?
o How important is this to you?
Maria Carmela L. Domocmat, RN, MSN
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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
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�Directly address beliefs that may conflict or
affect one’s health care.
Maria Carmela L. Domocmat, RN, MSN
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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
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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
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�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
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• Use assessment tools
oDaily Spiritual Experiences Scale
o Brief Religious Coping Questionnaire (RCOPE)
Maria Carmela L. Domocmat, RN, MSN
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SELECTED NURSING
DIAGNOSES
Maria Carmela L. Domocmat, RN, MSN
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• 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