Spiritual Assessment Assessment Report: Refer to Jarvis 9
th
ed. Ch 2 p. 17 Updated SU23 Spiritual Assessment: FICA
Spiritual History Tool p. 17 Faith
•
Do you consider yourself spiritual or religious? •
Do you have spiritual beliefs, values, or practices that help you cope with stress? -Patient denies being spiritual and religious. She does not have spiritual beliefs, values, or practices that help her cope with stress. Importance •
What importance does your faith or belief have in your life? •
Have your beliefs influenced you in how you handle stress? •
Do you have specific beliefs that influence your health care decisions? •
If so, are you willing to share those with your health care team? -Denies having importance of faith or belief in their life. -Denies beliefs influence how they handle stress. -Denies having specific beliefs that influence their health care decisions. -Denies having specific beliefs that influence their health care decisions. -Denies having specific beliefs to share with their health care team. Community •
Are you part of a spiritual or religious community? •
If so, how does this group support you? •
Is there a group of people you really love or who are important to you? -Denies being part of a spiritual or religious community. -Denies having religious group support. -Patient has family and friends that she loves and are important to her. Address/Action •
How should I address these issues in your health care? -Denies having conflict or issues in their health care.
