Podcast
Questions and Answers
Spiritual despair is evidenced by expressions suggesting that there is no hope of ever having a relationship with God or of pleasing Him - a feeling that God no longer can or does care for one is a form of spiritual ________.
Spiritual despair is evidenced by expressions suggesting that there is no hope of ever having a relationship with God or of pleasing Him - a feeling that God no longer can or does care for one is a form of spiritual ________.
pain
Questioning one's relationship with God is a sign of spiritual ________.
Questioning one's relationship with God is a sign of spiritual ________.
distress
Two important Principles of Spiritual Interventions: 1. The provision of spiritual care cannot be derived from a procedure book of orders because the person has unique ________.
Two important Principles of Spiritual Interventions: 1. The provision of spiritual care cannot be derived from a procedure book of orders because the person has unique ________.
spirituality
Expressing anger toward God is a manifestation of spiritual ________.
Expressing anger toward God is a manifestation of spiritual ________.
Regarding illness as God's punishment is an example of spiritual ________.
Regarding illness as God's punishment is an example of spiritual ________.
Seeking spiritual assistance other than the usual support is a way to address spiritual ________.
Seeking spiritual assistance other than the usual support is a way to address spiritual ________.
A terminally ill patient's experiencing a spiritual pain may verbalize a fear that he or she has not lived according to God's ______.
A terminally ill patient's experiencing a spiritual pain may verbalize a fear that he or she has not lived according to God's ______.
Spiritual Alienation as evidenced by expressions of loneliness or the feeling of God seems very far away and remote from one's everyday life.- verbalization that one has to depend upon oneself in times of ______ or need.
Spiritual Alienation as evidenced by expressions of loneliness or the feeling of God seems very far away and remote from one's everyday life.- verbalization that one has to depend upon oneself in times of ______ or need.
Spiritual Anxiety as evidenced by an expression of fear of God's wrath and ______.
Spiritual Anxiety as evidenced by an expression of fear of God's wrath and ______.
Spiritual Guilt as evidenced by expressions suggesting that one has failed to do the things which he or she should have done in life.- done thing which were not pleasing to ______.
Spiritual Guilt as evidenced by expressions suggesting that one has failed to do the things which he or she should have done in life.- done thing which were not pleasing to ______.
Spiritual anger as evidenced by expressions of frustration, anguish or outrage at God for having allowed illness or other trials.- comments about the ______ of God.
Spiritual anger as evidenced by expressions of frustration, anguish or outrage at God for having allowed illness or other trials.- comments about the ______ of God.
Spiritual loss as evidenced by expressions of feelings of having temporary lost or terminated the love of God.- fear that one's relationship with God has been ______.
Spiritual loss as evidenced by expressions of feelings of having temporary lost or terminated the love of God.- fear that one's relationship with God has been ______.
I get angry at God for allowing 'bad things' to happen to me or to people I care about. This is a sign of spiritual __________.
I get angry at God for allowing 'bad things' to happen to me or to people I care about. This is a sign of spiritual __________.
I feel that I have lost God's love. This is an indication of spiritual __________.
I feel that I have lost God's love. This is an indication of spiritual __________.
I believe that there is no hope of obtaining God's love. This reflects a state of spiritual __________.
I believe that there is no hope of obtaining God's love. This reflects a state of spiritual __________.
High risk for spiritual distress related to confrontation with the unknown. This indicates potential spiritual __________.
High risk for spiritual distress related to confrontation with the unknown. This indicates potential spiritual __________.
Alteration in faith is a sign of spiritual __________.
Alteration in faith is a sign of spiritual __________.
Spiritual Pain as evidenced by expressions of discomfort or suffering relative to one's relationship with God. This is a form of spiritual _________.
Spiritual Pain as evidenced by expressions of discomfort or suffering relative to one's relationship with God. This is a form of spiritual _________.
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Study Notes
Spiritual Distress and Nursing Interventions
- Spiritual despair is characterized by feelings of hopelessness in having a relationship with God or pleasing Him.
Guidelines for Spiritual Care
- Respect and understand a patient's religious beliefs and practices.
- Allow patients to express their religious, ethical, or philosophical views.
- Be spiritually supportive by assisting patients to recognize their needs and seeking outside spiritual or ministerial counseling.
Principles of Spiritual Interventions
- Spiritual care cannot be derived from a procedure book of orders due to unique individual spirituality.
- Nurses must understand their own spirituality or relationship with God to intervene in patients' spiritual needs.
Nursing Interventions in Spiritual Distress
- Identify religious idols, guilt feelings, and somatic symptoms.
- Question the meaning and purpose of life.
- Express anger toward God.
- Refuse to participate in usual religious practices.
- Regard illness as God's punishment.
- Seek spiritual assistance other than usual support.
Types of Spiritual Distress
Spiritual Alienation
- Expressions of loneliness or feeling of God being distant.
- Verbalization of dependence on oneself in times of trial or need.
- Negative attitude toward receiving comfort or help from God.
Spiritual Anxiety
- Fear of God's wrath and punishment.
- Fear that God might not take care of one in the future.
- Worry about God's displeasure with one's behavior.
Spiritual Guilt
- Expressions of having failed to do things pleasing to God.
- Articulation of concerns about the kind of life one has lived.
Spiritual Anger
- Expressions of frustration, anguish, or outrage at God.
- Comments about the unfairness of God.
- Negative remarks about institutionalized religion and its ministers or spiritual caregivers.
Spiritual Loss
- Expressions of feelings of temporary loss or termination of God's love.
- Fear that one's relationship with God has been threatened.
- Feeling of emptiness with regard to spiritual things.
Nursing Diagnosis
- "Alteration in Spiritual Integrity" is used to label patient conditions that fall within the nurse's purview.
Early Nursing Diagnosis
- Alteration in faith (Gebbie, 1976)
- Nursing diagnosis related to spiritual distress (Campbell, 1978)
- High risk for spiritual distress related to confrontation with the unknown (Halloway, 1993)
- Potential for spiritual well-being and spiritual distress (Nanda, 1994)
Seven Nursing Diagnosis related to Alterations in Spiritual Integrity
- Spiritual Pain as evidenced by expressions of discomfort or suffering relative to one's relationship with God.
- Verbalization of feelings of having a void or lack of spiritual fulfillment and/or a lack of peace in terms of one's relationship to one's creator.
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