Spiritual Care Models: There are two main models for providing spiritual care, the Biopsychosocial-spiritual and Interprofessional spiritual care model. These two models are integral to emphasize for the nurse there is more to caring for a patient than the physical ( Puchalski, 2009). The biopsychosocial- spiritual model tells us that each person has a spiritual history that shapes our whole. Therefore, it is essential for nurses to actively listen to the patient to collect pieces that shape the patient as a whole. In defining the biopsychosocial-spiritual model, Puchalski ( 2010) states that “Humans are intrinsically spiritual since all persons are in a relationship with themselves, others, nature, and the significant …show more content…
According to Potter (2013) Kübler-Ross describes the five stages of dying as: denial, anger, bargaining, depression, and acceptance (pg. 710). It is imperative for nurses involved in end of life care to communicate with the patient who might be in any of these stages, as well as find out which stage the patient their family is in regarding the request. According to Puchalski (2009), “the principles of spiritual care can be applicable across all phases and settings for the seriously ill, without regard to culture, religious tradition, or spiritual frames of reference.” With this in mind, it is fully possible to communicate using the biopsychosocial-spiritual model with the patient, regardless of their present emotional stage. The continuity and intimacy of care the RN provides to the patient is a privilege. The RN’s care provides a spiritual responsibility in the wellbeing of the patient and to help relieve their suffering. It is a good idea for the nurse, who might be stressed to take a deep breath before entering an emotional patient’s room, to help center him or herself. In 1983 Proudfoot coined the term “contaigeous calmness” as a term to describe the importance of calmness in nurses (Meehan, 2012). It is important for a nurse to be calm, as it has been observed by Proudfoot that this spreads to the patients. The lack of spiritual stress from the nurse can more easily aid the patient in speaking about
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
Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
1.1 Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.
A patient may give clues with or without realizing they have done so; therefore, the nurse needs to be cognizant of such and relay the information to the physician. Even if the patient has a terminal illness and has decided to end his life, the nurse who has picked up on this decision still needs to relay this information to the physician for it to be explored further.
There are many different styles in the way a presents a caring presence to their patients, such as a nurse’s personality, and mindfulness practice to the way they provide a healing environment. As a nurse the caring model that I can relate to most is Dossey Era III. I believe that health and healing is not just about the physical aspect but involves the person as a whole. Healing involves not only physical, mind, body, spirit and cultural factors; but also involves patients and family involvement in their own care. Being in the emergency department I
Nurses: Assist the patients and families to cope with the end-of-life process such as assessing and
The care that I will give my patient will also involve being empathic. This will enhance the development of the therapeutic relationship that will finally improve the outcomes. Compassion and empathy will make my patients more forthcoming with their symptoms. This yields accurate diagnosis. It also improves care given to patients. The interaction that takes place during this process affects the patient's recovery process. I also intend to cultivate a culture of trust between me and my patients. It has to be there for me to realize effective therapeutic relationship that leads to job satisfaction.
The assessments of the patient in an end of life situation must occur frequently as to detect rapid and/or minimal changes in the patient’s condition. It is also the primary nurse’s role to report any and all changes to the multidisciplinary team, including the family members.
As nurses, we treat a diverse population, each patient having different needs and requiring different care. On any given day we rarely treat two patients in the same way, this requires us to think critically and work within the full scope of our education and knowledge. By doing this we
Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.
The objective of this paper is to unravel the reason and manner by which nurses take care of patients as human beings. I believe that patients are best taken care of when nurses handle them in such a way that humans need to be taken care of: through a holistic and spiritual treatment. By rationalizing humanistic nursing theories with theories of human nature, such as dualism and existentialism, as well as perceiving man as an embodied spirit and a relational being, a more holistic approach is given to a patient as a human being.
Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The
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
I think back to about six months ago when I was sitting at home in Evansville, Indiana. I knew that I was going to be coming to Liberty University for seminary in the spring and it was time to choose the classes that I would be taking. I was working to try to fit everything into my schedule and figure out which classes were offered when. As it turns out, there were only about 4 that I could feasibly and logically fit into my schedule. I had an idea of all of them except one. Discipleship Ministries 520: Spiritual Formation. To be completely honest, the topic was foreign to me. I could deduct off the two words that it was about being formed spiritually but that was about it. I know that I will get into this later
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