Taylor Fundamentals of Nursing Chapter 45: Spirituality
Terms in this set (34)
3 Spiritual Needs
- Developed by Shelly + Fish
- Underlie all religious traditions are are common to all people
1.) Need for MEANING + PURPOSE
2.) Need for LOVE + RELATEDNESS
3.) Need for FORGIVENESS
- Is anything that pertains to a person's relationship with a nonmaterial life force or higher power
- Experienced as a unifing force, life principle, essence of being
- Expressed and experienced in an though connectedness with nature, the earth, the environment and the cosmos
- People express and experience spirituality in and through connectedness with other people
- Shapes the self-becoming and is reflected in one's being, knowing, and doing
- Permeates life; proving purpose, meaning, strength and guidance; and shaping the journey
Generally refers to a confident belief in something for which there is no proof or material evidence. It can involve a person, idea or thing and is usually followed by action related to the ideals or values of that belief
- Believe in the person's choice and God's sovereignty. The body is believed to be the temple of the holy spirit.
- The taking of all narcotics and stimulants is PROHIBITED because the body is the temple of the Holy Spirit and should be protected
- Many regard Saturday as the Sabbath
- Approach to healthcare is holistic
American Muslim Mission
- Accept the Koran as their sacred scripture; most stress the importance of cooperation among blacks in business and education to build self esteem
- Members are encouraged to obtain healthcare provided by members of the black community
- Major tenents involve prayer rituals, dietary restrictions (prohibitions against pork and alcohol), hygiene (extreme cleanliness), lifestyle modifications, and marital faithfulness
Baha'i International Community
- Believe in a basic harmony between religion and science
- Seek out competent medical care and pray for health
- Obligatory prayers, holy days, and the 19 day fast
- Permanent sterilization is prohibited and abortion is discouraged
- Buddha, the "great physician" taught the four noble truths to indicate the range of "suffering" its "origin" its "cessation" and the "way" that leads to its cessation. The real cause of human suffering is ignorant craving. The noble eightfold path consists of right views, aspirations, speech, conduct, mode of livelihood, effort, mindfulness and concentration leads to the cessation of suffering
- Accepts modern science. The doctrine of avoidance of extremes is applied ot the use of drugs, blood and vaccines
- Does not condone taking lives of any form
- Deny the existence of health crises as sickness and sin are errors of the human mind and can be overcome by altering thoughts, not by using drugs or medications
- Use orthopedic services to set a bone but decline drugs and other medical or other surgical procedures
- Don not allow hypnotism or psychotherapy
- Alcohol + tobacco are not used
Church of Jesus Christ of Latter Day Saints (Mormons)
- Devout adherents believe in divine healing though the "laying on of hands" though many do not prohibit medical therapy
- Maintains a well funded welfare system, including financial support for the sick
- Disapprove of alcohol, tobacco and caffeine
- Special undergarment worn by some members should be removed only in an emergency
- Appreciation of life and the desire to keep the body from untimely or unnecessary death
- Historically emphasized public health solutions to impending health problems
- Health is a manifestation of the harmony of the universe, obtained though the proper balancing of internal and external forces. Implicit throughout the Daoist tradition is the tendency to understand salvation in the biomedical sense of health and qualitative improvement and prolongation of human life. The universal principle of the Tao is the mysterious biologic and spiritual life rhythm or order of nature.
- There is a "medicinal" concern for maintaining and prolonging human health and life (SHENG). Knowing and living a natural life - following the Tao - is the secret of both health and sagehood.
- Long tradition of seeing pragmatic medical techniques, along with its religious techniques of meditation and ritual for establishing a harmony of body and spirit, humanity and nature (holistic approach).
- Doctrine of Transmigration. Moral facotrs, linked wiht the all-embracing doctrine of "karma", are believed to be significant in promoting health or causing disease
- Hindu medicine shows a surprising openness to new ideas, at least in respect to practical treatment
- Many Hindu dietary restrictions conform to individual sect doctrine
- Allah, one God, who is only one, all seeing, all hearing, all speaking, all knowing, all willing, all powerful
- Must be able to practice the Five Pillars of Islam
- May have a fatalistic view of health
- The nurse administering medications should avoid touching the patient's lips
- Certain prescribed rites are followed after death; disposal of the body is by cremation
- Obligatory prayers, holy days and fasting at Ramadan and almsgiving
- Koranic law and customs that influence birth, diet (eating pork and drinking alcohol are forbidden), care of women, death and prayer rituals
- Some Muslim women are not allowed to make independent decisions; husbands may need to be present when consent is sought.
- They oppose the "false teaching" of other sects; opposition often extends to modern science, including medicine
- Blood transfusions violate God's laws and therefore are NOT allowed
- The courts have not supported the right of Jehovah's Witness parents to refuse lifesaving treatment for their children
- Use of alcohol and tobacco are discouraged
- Formation closely bound with a divine revelation and with commitment to obedience to God's will. The Hebrew Bible is the authority, guide, and inspiration of the many forms of religion of the Jews
- For observant Jews: special needs in the areas of diet, birth rituals, male and female contact, and death
- Treatment and procedures should not be scheduled on the Sabbath
Native American Religions
- Difficult to generalize; notion of cosmic harmony, emphasis on directly experiencing powers and visions and a common view of the cycle of life and death. Death is not the end bu the beginning of new life (reincarnaiton or transcendend hearafter).
- Rituals mark important life changes: birth, puberty, initation rites, death
- Medicine men and women have specialized spirits from whom they receive the mission to cure
- Common therapeutic measures: sucking, blowing, and drawing out with a feather fan
- Worship of the one God revealed ot the word through Jesus Christ. Love of neighbor is a central tenet. Other beliefs include sin, redemption, salvation and a final accounting with God. Care of the sick is encouraged God the author and giver of life is also the healer. Most accept modern medical science
- Religious practice vary according to denomination; may include prayer, faith healing, "laying on of hands" and anointing
- Sacraments: baptism, communion, confirmation
- Worship of the one God revealed ot the world through Jesus Christ. Love of neighbor is a central tenet. Other beliefs include sin, redemption, salvation and a final accounting wiht God. Care of the sick is encouraged. God the authro and giver of life is also the healer. Human life is a gift of God. Many taken an antiabortion stance; most accept modern science
- Importance of private deviotions and Mass attenendance on Sunday
- Seven sacraments
- Dietary habits
- Sexual ethical norms
- Only natural means of birth control; abortion, euthannasia and sterilization are forbidden
- God is the living, eternal person who represents universal love and care. God created the world and humans to reflect his nature. The goal of the Unification Church is to unite Christians everywhere as one family under God
- Most members are still healthy young adults. There is little information available on their interactions with the health care team
Unitarian Universal Association of Churches and Fellowships
- Encourage creativity, reason and living an ethical life. No member is required to adhere to a given creed or set of religious beliefs. The inherent worth and dignity of every person is affirmed
- Free to accept what they take to be best for their health.
Spiritual health + 3 Parts of Spiritual Well Being
The condition that exists when the person's universal spiritual needs for meanings and purpose, love and belonging and forgiveness are met.
According to O'Brien's conceptual model of spiritual well being in illness, there are 3 parts of spiritual well being:
1.) Personal faith
2.) Spiritual contentment
3.) Religious practice
The movemnt toward INTEGRATION, from brokenness to wholeness
Are associated with all aspects of a person's life, including health and illness.
- A relatively new movement in many faith communities
- Seek to reclaim the church's role in the ministry of healing and focus again on the impact that spirituality, caring relationships and a responsiably balanced life can have on health and wellness.
- Interpret the relationship between faith and health
- Promoting personal responsibility for health and wellness
- Serve as councilers and educators
- Are NOT visiting nurses or home health care nurses who provide direct bedside care. The key roles of the parish nurse are health educator, personal health counselor, referral agent, trainer of volunteers, developer of support groups, integrator of faith and health and health advocate
H - HOPE sources: meaning, comfort, strength, peace, love and connection
O - Organized Religion
P - Personal spirituality and practice
E- Effects on medical care and end of life issues
Impaired ability to experience and integrate meaning and purpose in life though one's connectedness with self, others, art, music, literature, nature or a power greater than oneself
Separated from "faith community"
Challenged belief system
Failure to live according to religious rules
Inability to accept illness
Terminal illness; anticipatory grieving; inability to find comfort in religion
Feeling that no one (not even God) cares
involves challenges in exercising the beliefs of an individual's chosen faith community
Opposes modern science, including medicine.
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