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Spirituality And Palliative Practice Paper

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Spirituality and Palliative Practice
As defined in work by Zyga (2015), the term spirituality refers to “a sense of purpose, a sense of ‘connectedness’ – to self, others, nature or ‘God’…the sense that there is more to life than the material or practical, and those activities that give meaning and value to people’s lives.”
Spirituality is an essential component of the mortal experience of disease and death (REF 2). This makes spiritual care a critical factor in end of life care and a priority of nurses involved in the care of patients and families (REF 2). With the provision of competent spiritual care and my own personal experiences in mind, this paper discusses spirituality and the end of life, the key components of spiritual assessment, …show more content…

This involves understanding each patient’s personal meaning of disease and how it influences their values and beliefs (REF 1). There exist many tools designed to assess spiritualty; however, it is debated whether spirituality can truly be quantifiably measured due to its purely personal nature (REF 2). With this in mind, recent research on spirituality suggests that nurses use no formal assessment for spiritual needs (REF 2). Instead, assessment should be carried out through methods that help the patient reflect on their disease, values, and beliefs; as the patient reflects, the nurse should closely observe for clues indicative of spiritual needs (REF 2). Indeed, from my own experience, discovering a patient’s spiritual needs is deeply rooted in a transcendent connection based on profound compassion. This involves skilled communication and sensitivity on the nurses part (REF 3). The proper use of these skills will encourage the patient to share their deep wishes and concerns, and allow the nurse to pick up on cues that could lead to the recognition of a spiritual need (REF 3). Through proper assessment, nurses can glean an understanding of their patient’s personal sense of spirituality, and plan care that addresses those …show more content…

This definition encompasses the central aspects of providing spiritual care, in which genuine presence and therapeutic relationships are key (REF 2). Through presence, nurses can soothe patient’s suffering as they journey towards the end of their life (REF 4). Being there for a patient involves physical and emotional proximity; the nurse must not only be bodily present but also genuinely focused on being in the moment with the patient (REF 4). Additionally, spiritual care involves a powerful, healing relationship between patient, family, and caregiver (REF 4); such relationships are termed therapeutic, and help patients and families achieve spiritual well-being. Central to therapeutic relationships are excellent communication skills (REF 5, Maher & Hemming, _____, p. 319); more specifically, active listening skills. According to Arnold and Boggs (2016), active listening involves listening to understand as opposed to listening to reply (p. 80). It encompasses listening with empathy in order to foster deeper understanding and therapeutic relationships. In order to listen actively, nurses must suspend their own reactions and avoid giving advice as they bear witness to the patient’s story as they tell it (Arnold & Boggs, 2016, p. 80). Therapeutic active listening responses include the use of open ended questions, paraphrasing,

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