Spirituality In Trauma

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 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).

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.

The Bravewell Collaborative. (2015). Spirituality and Religion in Health Care. Retrieved from www.bravewell.org/integrative_medicine/philosophical_foundation/spirituality_and_healthcare/ Curry, K. (n.d.). A Biblical Worldview of Health Care. Retrieved from http://www.hcic.org.au/sites/default/files/imce/Biblical%20Worldview.pdf Mcskimming, S., & Puchalski, C. M. (2006, May).

Querying key cultural informants regarding values, beliefs, and practices of community members as they relate to religiosity and spirituality, practitioner credibility, health, health care, illness and well being

As America is rich in multi cultural immigrants’ diversities in culture, beliefs, faiths and religion are not uncommon among American population. Health care profession is one of the major areas that are affected with these diversities of culture, beliefs, faiths and religion. While there are many advantages of rich and diverse heritage, it’s challenging for health care professionals to deal with those from various faith/ spiritual background, especially for minority religious groups. However, in order to provide best available care health care professionals

The care needs of patients continue to change, as the United States population becomes more diverse. Nurses will be required to be more knowledgeable and respectful of the differences in cultural and religious beliefs as this diversity continues. The American Nurses Association (ANA) states, “knowledge of cultural diversity is vital at all levels of nursing practice…nurses need to understand: how cultural group groups define health and illness; what cultural groups do to maintain wellness; what cultural groups believe to be the causes of illness; and how healers cure and care

Levi, Bar‐Haim, Kreiss and Fruchter (2016) provide effective psychotherapy approaches for treating combat veterans with chronic post-traumatic stress disorder, which they show their efficacy with a great deal of support. The research is more comprehensive than most studies as it provides an assessment of the psychiatric status at baseline, post-treatment and 8–12 months follow-up using the Clinician-Administered PTSD Scale, the PTSD Questionnaire, the Montgomery and Asberg Depression Rating Scale and the Psychotherapy Outcome Assessment and Monitoring System-Trauma Version assessment questionnaire. However, the researchers did not conduct randomized controlled trials to determine treatment efficacy. Litz et al., (2009) added to the research on the treatment of PTSD by stimulating a critical examination of moral injury. The study makes use of the available literature and offers a working conceptual framework and a set of intervention strategies designed to repair moral injury, which is a strength also evident in Peterson et al. (2011).

Dr. Montgomery and I made rounds on the cardiovascular unit, and I was able to observe him interact with several patients of different faith background. He offered prayer to some, however, one declined prayer, and most requested prayer. Dr. Montgomery allowed me to pray with him and the patient. He also washed his hands between each patient.

In the essay, I will conduct a Bio-Psychosocial-Spiritual Assessment on a veteran I been working with that the Department of Veterans Affairs in Little Rock. I will also use the appropriate DSM-V diagnosis, the appropriate evidenced-based practice intervention to match the needs identified for the client. Also I will development of a phase-oriented, culturally responsive, research-informed practice plan that involves diverse practice modalities will also be included. Plus issues of diversity, gender, race, ethics and use of professional self will be explored.

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

In healthcare various cultures are encountered several times through out a day. It is imperative that medical staff be culturally competent and understanding that these different cultures come with their own set of beliefs that differ from their own. “The United States is often referred to as the Great Melting Pot, a metaphor that connotes the blending of many cultures, languages and religions to form a single national identity” (U.S. Department of State, 2010). In this paper, three non-mainstream religions, Vodun, Rastafari and Taosim, are going to be discussed and compared to Christinaity in regards to their spiritual perspectives of healing, their critical components to healing and what health care providers should know when caring

As an Army chaplain, I have witnessed a great need to establish healthy relationships that are built on trust, love, hope, forgiveness and commitment through one’s faith, traditions and spiritual practices. Many soldiers are dealing with mental health issues that go unnoticed and untreated, which leads to anger, shame, fear, rejection, hate and other emotional issues. These mental and emotional experiences have led to deep frustration, hopelessness, depression and even suicide; therefore, the need for a different approach towards healing is warranted. If patients can discover/rediscover a sense of identity and find renewed meaning and purpose, then they can learn to handle life’s stresses better and live a more meaningful life.

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

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).