End of Life Essay

I have spent the majority of my career in the ED and have recently transitioned into a management role so it has been years since I performed a spiritual assessment. However, while working on the inpatient unit, I can recall performing spiritual assessments as a part of the admission assessment. Far less detailed that the FICA spiritual assessment, the basic assessment included the patient’s religious preference, religious commitment scoring, and desire for a Chaplain during their hospital stay. Spiritual assessments relay the individual’s spiritual life history, allowing practitioners to gain multidimensional insight into family dynamics and spiritual framework (Hodge, 2001).

The nurse must examine his or her own philosophies of spiritual, cultural and social beliefs and understand the way they shape and mold the method in which they deliver care. The purpose of identifying one’s own foundations is so that you may differentiate between that of your own and your patient’s beliefs in order to provide unbiased care (Leininger, 2002, p. 190).

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).

In providing basic health care in hospitals, medical practitioners should not only focus on giving physical treatment to patients but also provide spiritual and psychological assessment and management for them. This practice as suggested by many studies (see Chapman, 2003; Eberst, n.d.,) can help the hospitals develop a new method of healing that is more holistic in approach. The Joint Commission (2005) recommends spiritual assessment program which can help the medical officers to know the needs of the patients aside from the usual physical treatment. It will help them

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

A spiritual and psychological inventory can be useful in helping someone to determine their current state of wellness. Kathleen Dowling Singh (2000) talks about how a spiritual assessment is helpful when people are close to dying as they begin to honestly and urgently examine their lives. Singh (2000) also suggests that regardless of how much time we have left to live, answering the questions in a spiritual inventory will help provide direction to our lives. The following questions were developed for this purpose and were used for an interview, the responses from the interview follows in Appendix A.

As heath care providers we need to keep mindful of the care we provide to several different religious traditions. It is up to the health care professional to respect and understand the ideals that affect our patients and their family members. In this paper we will compare the philosophies of three diverse faiths. The faiths chosen are Islam, Christian Science and Buddhism, and how they compare to Christianity. We will learn about basic beliefs, spiritual perspectives on healing, and the components of healing such as meditation, prayer and other rituals they follow. Furthermore,

During the last week I have been observing spiritual needs of patients in the Carl T Hayden Medical center in Phoenix Arizona. A majority of the assessment was observation based and one patient was open to some questions. The assessment tool I used is a set of five questions and the tool is always preceded by observation. The assessment is based on the observation period involves looking for obvious signs of religious or spiritual activity. These signs could be religious literature in the patient possession, wearing religious insignia; such a necklace with a cross or Star of David, and noticing the activity of the chaplain rounds. My assessment is based off of the F.I.C.A

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

The assessment of one’s spirituality is a very personal process. In order to assess ones’ own spirituality, they must dig deep within themselves to discover what brings them strength, peace and security. Katie Enos, an aspiring nursing student at the University of Portland opened up with us how she has assessed her spirituality, and the ways it impacts her health and influences her future are of patients as a nurse. The assessment of her spirituality began with telling us where she finds her strength.

Patient presents for a focused assessment on the pulmonary and abdomen systems. He is presently 52 years old, and his date of birth is September 30, 1962. He is a white male, second generation American, who presents alone wearing bilateral hearing aids (receiver in the canal). The patient is in no acute distress, who seems reliable is calm and attentive. Speaking in his native language, English, he is cooperative, eager answer questions and follows commands without difficulty. The patient states that he does a lot of home maintenance and repairs on his single family dwelling and enjoys woodworking as a hobby. He shares that he enjoys bike riding for exercise one to three times per week. He works in a sedentary capacity as a senior information technology services, senior architect for 50 to 60 hours per week and claims to enjoy his current work situation. The patient states that he is a happily married man and father of three young adults: two girls, 19 and 20 years old and one boy 18 years old. The patient’s self-perception is the he is “healthy and happy”. Upon inquiry, he reports his spiritual belief is rooted in Christianity. He bases his choices in his faith but is “not one to go to church or wear it on his sleeve” (Dameron, C., 2005). He denies having or desiring a spiritual advisor at this time. He denies any spiritual needs at this time.

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

The author’s intent for this book is to make available a reliable source of information for caregivers of the seriously ill. Dr. Walton discussed the physical and emotional needs of patients and caregivers. He made available information that will be valuable to, what he terms Spiritual Care Providers, whether highly trained professionals or Christian laypersons.

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).

Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.