ctc2013 9j finalpowerpoint sprituality of patients and...
TRANSCRIPT
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NancyA.JaworskiDNP,RN,CNSChildren’sHospitalsandClinicsofMinnesota
withcontributionsfromReverendHalWeldin
Identifysourcesofspiritualstrengthaswellasspiritualdistress Competency–listeningforopeningintheconversation
Discussandaddressspiritualcaredynamicswithpatientsandfamilies Competency–developingacommonspirituallanguage
Identifythemultidisciplinaryrolesinspiritualcare Competency–incorporatingself‐assessmentandpractice
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5yroldwithDIPG(diffuseintrinsicpontineglioma)
WeneedtorethinkSpiritualityandReligionintermsofwhatthatmeanstopatientsandfamiliestoday.
Religion Spirituality Whatmattersmost?
Mattersthatariseinthecontextofultimatemeaningandconcern.
ReligionindifferentareasoftheU.S.
Changesinreligiousaffiliation
Millennials
Whydoesthismatter?
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Children
Adults,Family,Caregivers
Relational
Children
Adults,Family,Caregivers
HealthcareProviders
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Person
Health;Allevia1onofSuffering
Integra0veEnergy
Values,Beliefs
Rela0onal*Connectedness
>withself>withothers>withdeity
Love,hope,peacefulness,forgiveness,comfort
Behavioral*Religion*Interac0onwithothers
Transcendentquestformeaning/purpose/happiness
SpiritualityTheessenceofbeinghuman
Personal
Manifestation
ModelofSpirituality
Miner‐Williams,D.,2006
Opportunitytodeepentheconversation Attendingtokeywords/topics
SpiritualHistory CommonLanguage
CapacityandCompetency Usingthewholeteam
ScopeofPractice
AllChaplainsarenotthesame…Wait,What?
LevelofTraining
ScopeofPractice
Chaplainsandcommunityclergy
Roleinpromotingconnectiontocommunity
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Culture
SocialWork
Psychology
Community/LayPersons Importance!
Inpatient PalliativeCareProviders/Chaplains Nurses/AttendingMD’s/Chaplains
Outpatient ClinicRN,MD,APRN/SocialWork/Chaplain
Community Chaplain/CommunityAgencies
Tools FICA FACT SPIRIT HOPE
Documentation Where? Why?
IdentifyopportunitiestodeepentheconversationandrefertoChaplaincy.
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F–FaithandBelief
I–Importance
C–Community
A–AddressinCare
FICASpiritualAssessmentTool©FFaith,Belief,MeaningIImportanceandInfluenceCCommunityAAddress,ActioninCare
“Doyouconsideryourselfspiritualorreligious?”or
“Doyouhavespiritualbeliefsthathelpyoucopewithstress?”
Ifthepatientresponds"No,"thehealthcareprovidermightask,
“Whatgivesyourlifemeaning?” Sometimespatientsrespondwithanswerssuchasfamily,career,ornature.
"Whatimportancedoesyourfaithorbeliefhaveinourlife?
Haveyourbeliefsinfluencedhowyoutakecareofyourselfinthisillness?
Whatroledoyourbeliefsplayinregainingyourhealth?"
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"Areyoupartofaspiritualorreligiouscommunity?
Isthisofsupporttoyouandhow?
Isthereagroupofpeopleyoureallyloveorwhoareimportanttoyou?”
Communitiessuchaschurches,temples,andmosques,oragroupoflike‐mindedfriendscanserveasstrongsupportsystemsforsomepatients.
"Howwouldyoulikeme,yourhealthcareprovider,toaddresstheseissuesinyourhealthcare?"
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Thoughts,Feelings,Beliefs
“Justnotgettingit”
“Notdoingeverythingisnotanoption”
F–FaithandBelief DoIhaveaspiritualbeliefthathelpsmecopewithstress?With
illness?Whatgivesmylifemeaning? I–Importance Isthisbeliefimportanttome?DoesitinfluencehowIthinkaboutmy
healthandillness?Doesitinfluencemyhealthcaredecisions? C–Community DoIbelongtoaspiritualcommunity(church,temple,mosqueor
othergroup)?AmIhappythere?DoIneedtodomorewiththecommunity?DoIneedtosearchforanothercommunity?IfIdon'thaveacommunity,wouldithelpmeifIfoundone?
A–AddressinCare Whatshouldbemyactionplan?WhatchangesdoIneedtomake?
AretherespiritualpracticesIwanttodevelop?Wouldithelpformetoseeachaplain,spiritualdirector,orpastoralcounselor?
Literature Children Parents Chaplains Practice SpiritualHistoryTools Finance
Discussion
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SampleProject FICA
Partnerships Chaplaincy
PersonalPractice
Thinkofonewayinwhichyoucanincludethisinyourpractice?
AdditionalEducationalResourcesforSpiritualAssessment/History
AdditionalResourcesforSpirituality/Religion
ActionPlan
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****CenterforSpiritualityandHealinghttp://www.csh.umn.edu/free‐online‐learning‐modules/ ClickonSpiritualityinHealthcare
****TheGeorgeWashingtonInstituteforSpiritualityandHealthhttp://www.gwish.org/ ClickonResources,thengotoAvailableonlineandselectSpiritualAssessmentinClinicalPractice
****growthouse.orghttp://www.growthhouse.org/spirit/
http://religions.pewforum.org/reports
http://www.pewforum.org/How‐Religious‐Is‐Your‐State‐.aspx
http://www.pewforum.org/Age/Religion‐Among‐the‐Millennials.aspx
Borneman,T.Ferrell,B.,&Puchalski,C.(2010).EvaluationoftheFICAtoolforspiritualassessment.JournalofPainandSymptomsManagement,40(2),163‐173.
Clark,P.,Drain,M.,&Malone,M.(2003).Addressingpatient’semotionalandspiritualneeds.JointCommissionJournalonQualityandSafety,29(12),659‐670.
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