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,
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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,
One of the most difficult yet, pivotal times in a person 's’ life is when they are reaching the end of their life’s journey. A common coping mechanism utilized in the current hospice care system is spiritual care. However, when patients and their families hear the word “spirituality” they often think this type of care focuses exclusively on religious affiliations. While a person’s religious views greatly influence one’s spirituality, many researchers agree a person’s spirituality can take on a variety forms and meanings. For example, some people view their spirituality in a religious form, while others view their spirituality in a more general and non-religious form, which can make a hospice social worker, or chaplain’s job challenging at times. Because the current elderly society is rapidly growing in numbers, it is critical that further research is concentrated on the training and social work curriculum of spiritual care, so hospice social workers can become more culturally and spiritually competent, and ultimately possess the proper skills to adequately offer spiritual assistance as an option to ease the death, dying and grieving process for patients and their families.
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
Evidence has linked a strong relationship between spirituality and medicine. There is a positive correlation between a patient’s spirituality or religious commitment and health outcomes. A spiritual assessment as a part of a health assessment is a practical step to incorporating patient’s spiritual needs into practice. The FICA Tool and HOPE Questions provide serve to assist clinicians in the spiritual assessment process. By examining the research done using these tools, it has been determined that the FICA Tool is easy to use and provides basic data on a patient’s spirituality. The FICA tool is both reliable and valid. The HOPE Questions are
Health care providers can help to provide more comfort and security to all patients experiencing this. By having faith, one is able to recognize that there is an afterlife in heaven with the Lord. This reassurance and belief can help us to be more prepared and at peace when death approaches. It is important as health care providers to help patients to feel at peace with their own experience of dying, no matter what they believe. Tending to their spiritual needs throughout this time is essential.
The second factor is faith-hope that translates to being authentically present, and enabling the beliefs of the patient being cared for and the professional who is providing patient care. The third factor is sensitivity to self and other, this becomes cultivations of one’s own spiritual practices, going beyond self, and opening to others with compassion and kindness. The fourth factor is helping, trusting, human care relationship that evolves to developing and maintaining a trusting, authentic, and caring relationship. The fifth factor is expressing positive and negative feeling. The translation of this factor is being supportive when positive and negative feelings with a connection of a higher spirit. The sixth factor is creative problem-solving caring process. This factor requires scientific problem-solving for decision-making and creative use of self. The seventh factor is transpersonal teaching-learning. When using the seventh factor the nurse engages in sincere teaching learning experience. The eighth factor is supportive, protective, and corrective mental, physical, social, and spiritual environment. The environment created allows healing to occur at different levels. The ninth factor is human needs assistance. The patient receives assistance with basic needs with special attention to the mind, body, and soul. The tenth factor is existential phenomenological spiritual
All throughout history nursing and medicine was based on the roots of Christianity. Many healthcare providers based their practices from the bible “I needed clothes and you clothed me, I was sick and you looked after me” (Matthew 25:36, NIV). Furthermore, spirituality is an important aspect to remain in our nursing practice. In order to provide holistic care for our patients during their healing process, which includes body, soul, and spirit, Christianity should continue to be practiced with our patients. The purpose of this paper is to discuss my personal worldview based upon the meaning of spiritualty, worldviews, prime reality, human person, the meaning of death, epistemology, ethics, and the meaning of human
Compassionate Care: An Inspirational Guide for Caregivers of The Seriously Il,l deals with an individual’s “journey to death” in such a way that it becomes a relatively uncomplicated task to learn to become an effective and lasting Spiritual Care
Through time, there has always been a question on the idea of another supernatural being, a greater power, or a God. People have grown up and been taught certain beliefs, and some have developed their own beliefs based on this idea of a higher power. There are then those who don’t believe in any such thing; they believe in the facts presented to them. As a whole, the specifics of this idea vary, and as a nurse, understanding of this must be achieved to successfully care for a patient. Hospitals are already known to have a depressing effect on patients, then added onto that are patients who are suffering from acute or terminal illnesses. Their pain in many ways, gets passed on to the nurses who have gotten close with them through the care,
Spirituality does not have one definite definition, it varies depending on who is searching for the meaning. The meaning of spirituality can change within one person, the more they search for answers and find their beliefs. To this writer, spirituality reaches beyond ourselves, it is the connection between ourselves and something greater.
Spirituality is considered one of the components of health and wellness, and is a contributory factor in the delivery of holistic care (O’Shea, Wallace, Griffin, & Fitzpatrick, 2011). It only makes sense for us nurses to study and research spirituality since the nursing profession is committed to holistic development, which includes the spiritual dimension of life. However, elements such as time constraints, short staffing, insufficient formal education related to spiritual assessment and confusion between spirituality and religion have led to spirituality becoming a disregarded component of care (O’Shea et al., 2011). Adolescence is a crucial time in the development of a person’s spiritual path (Benson & Roehlkepartain, 2008). Findings showed that most adolescents hold spiritual or religious beliefs already and choose to draw on them when experiencing life-changing events. Despite this information, healthcare professionals overlook the spiritual needs of adolescents (Neuman, 2011).
I have always believed that health cannot be optimized through the treatment of disease only. Rather, health should be addressed on a biological, physical, psychological, social, and spiritual continuum. Palliative care addresses an often-overlooked aspect of the patient experience, which is symptom management of their chronic illnesses. Health care professionals tend to treat acute episodes of
Spirituality is a delicate topic, and some may not be open to talking about their beliefs. Spirituality is generally understood to be an essential aspect of being human (Lyndo-Lam, 2012). Assessing the spiritual needs of patients is a key component in the nursing process. A compassionate and thoughtful nurse can make a patient feel more secure, making it easier for him to express his spirituality. The participation of both patient and health care provider is vital in promoting spiritual health. The main focus of a spiritual assessment is to gather information regarding the patient’s spiritual needs in order incorporate them into the plan of care, so as to treat
Nurses that listen to their patients, not only notice that they are physically hurt, but they can also notice their emotional wounds. The empathy of knowing that the patient is emotionally hurt is part of the spirituality connection. Therefore, they might need comfort. O’Brien (2001) states that, “ No other profession provides the opportunity to touch and be touched by the human spirit as does the practice of nursing. It is this intimacy that calls us to reverence: reverence for God as our creator and Lord…” (pg.110). Nurses have the privilege to connect with people in ways that no other profession may be able to provide. Since nurses are patients advocate, our duty is to connect them with their spiritual beliefs and
Key importance of the palliative care approach in nursing is for it to be responsive, rather than
To me, “spirituality” is the way in which we connect with nature---the very source of our existence, the universe, the people and everything in it. As mentioned in chapter 4, spirituality differs from person to person, but as a Christian, I strive to be the best person I can be on a daily basis. In addition, it could also mean fulfilling a deep void in one’s mind, body, and soul and living a holistic life.