Spirituality in Critical Care Nursing:
Cancer Patient Population Critical care nursing can be a very intense job, whether there are in-depth skills that need to be formed frequently or it is a patient who needs lots of use of self from the nurse. In the cancer population within critical care this can be drastically increased since they need not only your technical skills, but your time and interpersonal skills to help them through all of what they are going through. A big part of critical care in general, and for cancer patients in critical care, can be spirituality and how that interacts with their disease. In the past spirituality was pushed to the back burner in the process of treating the patient’s disease and not the whole patient, …show more content…
Cancer patients in the critical care setting may more than likely be approaching the end of their life and need more than ever to receive spiritual care that can ease their anxiety, grief, and unresolved feelings about their disease process and approaching death. This type of care is one of the basic parts of giving patient-centered care so that the entire person is being treated to the fullest extent of the healthcare team’s ability. As stated by Ferrell, Otis-Green, and Economou (2013), “The need for transcendence or the existential ability to find meaning and purpose within their illness experience is an essential part of providing care from a biopsychosocial-spiritual perspective.” This viewpoint keeps the idea of spiritual care focused on the patients and how this kind of care can truly benefit the patient as well as the nurses in finding one more way to ease these patient’s minds and bodies.
In addition, death and dying are a very hard topic many nurses throughout the profession can attest to, but the care that nurses give prior, during, and after this process can be the most beneficial care they receive at such a harsh time in their lives. Nixon, Narayanasamy, and Penny (2013) discussed spiritual care with nurses on a neuro-oncology unit where they spoke of feeling very unprepared and uneasy in providing spiritual care in the fear that they would make a mistake in their approach with these patients, but
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This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role
On reading this article and identifying the study, there was a clear insight on how death and dying, and even improved health, impacted those nurses (Conte, 2014). Nurses, who worked closely with their patients, through the perils and suffering, culminating of death and losses, had grief not readily explored to enable that comfort zone (Conte, 2014).
The Faith, Importance and influence, Community, and Address in Care (FICA) Spiritual History Tool provides a way for “the clinician to efficiently integrate open-ended questions into a standard medical history and can be used by any health care professional” (Borneman, Ferrell, & Puchalski, 2010). The FICA tool explores the presence of faith, the importance of spirituality, the influence a person’s spirituality has on their health care decisions, the involvement in a spiritual community, and the interventions to address spiritual needs (Borneman et al., 2010).
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
Caring for patients at the end of life is a challenging task that requires not only the consideration of the individual as a whole but also an understanding of the
The American Association of Critical-Care Nursing (AACN) is the largest nursing organization of a non-profit character in the world. It represents 500,000 nurses and their interests. The responsibility of these nurses is to provide health care services to the critically and acutely ill patients. Thus, the duty of the AACN organization is to give its members all the possible resources and knowledge, so that they could help critically ill clients become healthier. Therefore, I would like to join the AACN organization. To become a member of this particular organization I need to learn more about it by researching some questions.
Spiritual care can significantly improve the physical and mental health of nursing home residents. Elderly people are going through a period of life that is set apart by the loss of ability, wellbeing, freedom, and companions. Religious and spiritual individuals regularly utilize their faith and beliefs to adapt to these losses, thus it is critical to keep on providing religious services for seniors who need them. Unfortunately after admitting to the nursing homes, the spiritual and religious needs of residents are often overlooked. (BRIA Health Services, 2016). The Joint Commission- a non-profit organization evaluating the healthcare organizations for quality states, "Patients have a fundamental right to considerate care that safeguards their personal dignity and respects their cultural, psychosocial, and spiritual values" (JCAHO, 2009). Tending to the emotional and spiritual needs of patients, is considered to be a priority quality improvement in healthcare. A nursing home chaplain can meet the religious and spiritual needs of residents, residents’ families, administration, and employees. The purpose of this paper is to provide an executive summary of a project that is creating a position of nursing chaplain, to the Board for approval of funding of the project.
All throughout history nursing and medicine was based on the roots of Christianity. Many healthcare providers based their practices from the bible “I needed clothes and you clothed me, I was sick and you looked after me” (Matthew 25:36, NIV). Furthermore, spirituality is an important aspect to remain in our nursing practice. In order to provide holistic care for our patients during their healing process, which includes body, soul, and spirit, Christianity should continue to be practiced with our patients. The purpose of this paper is to discuss my personal worldview based upon the meaning of spiritualty, worldviews, prime reality, human person, the meaning of death, epistemology, ethics, and the meaning of human
For health care providers to deliver the best holistic care that patients deserve, a thorough spiritual assessment must be included during their care. With more research showing a relationship between supporting a patient’s spirituality with their health and ability to cope with illness, it is now a requirement of organizations to include a spiritual assessment to maintain accreditation with The Joint Commission. The minimum required of a spiritual assessment by The Joint Commission is to determine the patient’s religion and
Through time, there has always been a question on the idea of another supernatural being, a greater power, or a God. People have grown up and been taught certain beliefs, and some have developed their own beliefs based on this idea of a higher power. There are then those who don’t believe in any such thing; they believe in the facts presented to them. As a whole, the specifics of this idea vary, and as a nurse, understanding of this must be achieved to successfully care for a patient. Hospitals are already known to have a depressing effect on patients, then added onto that are patients who are suffering from acute or terminal illnesses. Their pain in many ways, gets passed on to the nurses who have gotten close with them through the care,
Spirituality is a delicate topic, and some may not be open to talking about their beliefs. Spirituality is generally understood to be an essential aspect of being human (Lyndo-Lam, 2012). Assessing the spiritual needs of patients is a key component in the nursing process. A compassionate and thoughtful nurse can make a patient feel more secure, making it easier for him to express his spirituality. The participation of both patient and health care provider is vital in promoting spiritual health. The main focus of a spiritual assessment is to gather information regarding the patient’s spiritual needs in order incorporate them into the plan of care, so as to treat
Compassionate Care: An Inspirational Guide for Caregivers of The Seriously Il,l deals with an individual’s “journey to death” in such a way that it becomes a relatively uncomplicated task to learn to become an effective and lasting Spiritual Care
Spirituality is considered one of the components of health and wellness, and is a contributory factor in the delivery of holistic care (O’Shea, Wallace, Griffin, & Fitzpatrick, 2011). It only makes sense for us nurses to study and research spirituality since the nursing profession is committed to holistic development, which includes the spiritual dimension of life. However, elements such as time constraints, short staffing, insufficient formal education related to spiritual assessment and confusion between spirituality and religion have led to spirituality becoming a disregarded component of care (O’Shea et al., 2011). Adolescence is a crucial time in the development of a person’s spiritual path (Benson & Roehlkepartain, 2008). Findings showed that most adolescents hold spiritual or religious beliefs already and choose to draw on them when experiencing life-changing events. Despite this information, healthcare professionals overlook the spiritual needs of adolescents (Neuman, 2011).
I have always believed that health cannot be optimized through the treatment of disease only. Rather, health should be addressed on a biological, physical, psychological, social, and spiritual continuum. Palliative care addresses an often-overlooked aspect of the patient experience, which is symptom management of their chronic illnesses. Health care professionals tend to treat acute episodes of
Nurses that listen to their patients, not only notice that they are physically hurt, but they can also notice their emotional wounds. The empathy of knowing that the patient is emotionally hurt is part of the spirituality connection. Therefore, they might need comfort. O’Brien (2001) states that, “ No other profession provides the opportunity to touch and be touched by the human spirit as does the practice of nursing. It is this intimacy that calls us to reverence: reverence for God as our creator and Lord…” (pg.110). Nurses have the privilege to connect with people in ways that no other profession may be able to provide. Since nurses are patients advocate, our duty is to connect them with their spiritual beliefs and