report in elective

8/3/2019 Report in Elective

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SPIRITUALCARE


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(health)wellness

"that state of harmony between body, mind

and spirit". The essence of holistic care is to

help a person attain or maintain wholeness inall dimensions of their being.

The American Holistic

Nurses Association


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Holism

-'holistic' from the Greek 'Holos' meaning whole

or complete.-has been defined as "concerned with the

interrelationship of body, mind and spirit in

an ever changing environment"


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The essence of holistic care is to help a person

attain or maintain wholeness in all

dimensions of their being


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The role ofnurse in

caring forthe spirit.

The needsof the

spirit

THE

SPIRITUALDIMENSION

Thenature of

spirituality


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The needs of the spirit

Spiritual needs, and psychosocial needsare much less tangible than physicalneeds because they are often abstract,complex and more difficult to measure.These more intangible needs have

frequently been given a much lowerpriority than needs which are moreobvious and more easily measurable.


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SPIRITUALITY

"The spirit is that part of man which isconcerned with the ultimate meaning of

things and with a person's relationshipto that which transcends the material..

(Simsen, 1985, p.10).


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Spirituality

"The totality of man's inner resources,the ultimate concerns around which allother values are focused, the centralphilosophy of life which influences allindividual and social behaviour."

Moberg, 1979


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Spiritual need

Any factor that is necessary(requisite, indispensable) to

support the spiritual strengths of aperson or to diminish the spiritualdeficits.

Simsen 1985, p.10


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Spiritual need

"The lack of any factor or factorsnecessary to maintain a person's

dynamic relationship with God/Deity

Stallwood, 1975, p.1088


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Spiritual Need

That requirement which touchesthe core of one's being where thesearch for personal meaning takesplace.

-Colliton, 1981, p.492


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Spirituality is not limited to religiousaffiliation and practices, but is a much

broader concept. Thus spiritual needsmay or may not, be expressed within

a religious framework


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The 3 Dimension

Physical/

Biological

5 Senses

Psycho

socialdimension

self and others,and involves ouremotions, moralsense, intellectand will

Spiritualdimension

transcendsphysical andpsychosocialdimensions andhas the capacityto relate to ahigher being


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These three dimensions are distinct but

overlapping. They cannot be sealed in

separate compartments. A crisis or illnessaffecting our physical body will invariably

affect the other dimensions as well.


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1960s and 1970s

Nursing theorists of this era saw the humanperson as an integrated whole withdifferent dimensions or capabilities for

discerning the world around and within.Further, their writings suggest that whenthey spoke of spirituality or spiritual need,

they had in mind a much broader conceptthan religious concerns and practices.


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In 1971

A nurse does not only seek to alleviatephysical pain or render physical care -she ministers to the whole person. Theexistence of suffering, whether physical,mental or spiritual is the proper concern

of the nurse

-Joyce Travelbee


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Nursing diagnosis: SPIRITUAL DISTRESS

-"Distress of the human spirit; disruptionin the life principle that pervades aperson's entire being and integrates and

transcends one's biological andpsychosocial nature

-The NANDA3


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Nursing diagnosis: SPIRITUAL

DISTRESS

Recognises that suffering extendsbeyond the physical, mental andemotional.


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Spiritual care can be a natural part of totalcare which fits easily into the nursing process

of assessment, nursing diagnosis, planning,implementation and evaluation. Placingspiritual need and spiritual care within the

framework of the nursing process, hasproved to be very helpful, for bothphilosophical and practical reasons


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1. Spiritual care can become more tangible as well as

more assessable.

2. The types of knowledge utilized by the Nursing

Process - practice wisdom, ethics of practice, andscientific knowledge

-are all relevant to assessing spiritual needs andplanning spiritual care.

(Ziegler et al, 1986)


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If spiritual needs are accurately assessedand documented all staff will be

encouraged to see that care is provided.

Members of the team who for somereason, do not feel comfortable aboutproviding that care themselves, will be

able to use referral. Thus spiritual carecan be a natural part of holistic care.


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SOMEIMPORTANTPRINCIPLES

Nursing diagnosis is intended to identify

strengths as well as actual and potential

problems. Our primary goal in spiritual care isto mobilize the patients spiritual resources

it is responding to a patient's expressed needs


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Spiritual assessment and care should be

sensitive

It will involve awareness of the person's

culture, social and spiritual preferences, aswell as a respect for their beliefs and religiouspractices


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Documenting spiritual care in nursing plans

must be recognized, since this will ensure

that care is systematic, well thought out, andconsistent.


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The fundamental goal of nursing is to assist

another to achieve what they would normally

be able to achieve for themselves inpreventing illness or maintaining or restoring

health, or in the case of terminal illness, to

achieve a peaceful death.


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Fulfilling this goal will necessarily involve us

in caring for all dimensions of a person's

need.


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"You know even if you should forget God, He

will not forget you. He has promised that.

care of the human spirit..

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