Religious Approach Blok VI R2

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    To understand

    the role of religion in allaspects of health care: preventive,curative and rehabilitative.

    OBJECTIVES

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    LEARNING OBJECTIVES

    To understand

    the role of religion in all aspects of health

    care: preventive, curative and rehabilitative.

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    Physician and religious

    issues Today many psychiatrist,physician andnurse discuss about religious andspiritual in psychiatry and illnesses

    Psychiatrists ,physician and nurse arenow beginning to recognize theimportance of religious and spiritual

    beliefs as a potential source ofstrength to many patients dealingwith the stress of mental illness andphysical illness

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    Antagonism towards

    religion Many psychiatrists/physician seereligion as

    Primitive Guilt inducing

    A form of dependency

    Irrational Having no empirical base

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    Physician and religious

    issues By knowing a spiritual history andunderstand a patients belief, values

    and religious culture, Psychiatrists,physician and nurse become equipped toevaluate whether these beliefs arehelping or hindering the patient

    Question asked can included : whetherthey are currently active in mosque orother religious services

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    Physician and religious

    issues In a study published in journal offamily Practice, 77 % of 203inpatients surveyed said physiciansand nurse should consider patientsspiritual needs

    37 % wanted their physicians andnurse to discuss religious beliefsthem more frequently, and nearly onein two wanted their physician to pray

    with them .

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    Physician and religious

    issues A national poll conducted by USAWeekend found that 63 % of thosesurveyed felt that physicians and nurseshould talk inpatients about their spiritualfaith, while 10 % of their doctors haddone so

    Up to now many psychiatrists, physicianand nurse remain unaware of the centralrole religious faith might play in helpingpatients deal with serious illness

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    Physician and religious

    issues One study at duke Univ.Medical center found that 44%

    of hospitalized medicalpatients indicated that religiousbeliefs were the mostimportant factor in coping with

    their illness, but only 9 % ofphysicians agreed

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    Physician and religious

    issues A survey of 30 psychiatric patientswith diagnoses including

    schizophrenia, bipolar disorder ,unipolar depression,schizoaffective disorder, andpersonality disorder found 57 %

    attended religious services andprayed at least daily

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    Physician and religious

    issues A substantial 83 % felt that spiritualbelief had a positive impact on theirillness through the comfort it provided

    and the feeling of being cared for andnot being alone it fostered.

    However 38 % expressed discomfortwith mentioning their spiritual orreligious concerns to their therapist

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    Physician and religious

    issues A 1997 survey showed that 68 % fpsychiatric patients and 72 % of

    medical patients relied on religionas a source of strength

    Only 10 % of psychiatric patients

    and 2 % of medical patientsindicated not deal at all.

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    Physician and religious

    issues The study found that 88 % of thepsychaitric patients and 76 % of the medicalpatients reported having those or morespecific religious needs while hospitalized.Those include :

    1. The need to know gods presence (84 % ofpsych pat, and 83 % of med pat)

    2. The need for prayer (80 % psych pat and 88

    % med. Patients)3. The need for a visit from a chaplain to pray

    with them (65 % psy pat. 66 % medicalpatients)

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    Physician and religious

    issues For to often these religious issueshave been neglected

    A growing number of researchstudies are religious commitmentmay be a source of strengh inprevention of , coping with and

    recovery from serious illness

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    Physician and religious

    issues Study in 1998 found that the greater

    the instrinsic religious experience , thefaster patients recovered from

    depression They defined instrinsic (religious) as

    the extent to which a person viewstheir religious beliefs as one of the

    major motivating forces in theirdecisions and behavior

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    Physician and religious

    issues For every 10 points increase in theintrinsic religiousity score , which

    range from 10 to 50 , there wasa 70 % increase in speed ofremission

    Religious beliefs and behaviorsmay lead to faster resolution ofsome types of depression

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    The WHO quality of life domains Physical health

    Psychological health

    Level of independence Social relationships

    Environment

    Spirituality, religion and personal beliefs

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    IN POPULATION20 %--------60 %--------20 %

    MH MD

    MH = MENTAL HEALTH

    MD = MENTAL POPULATION

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    Practice of Holistic

    Medicine Holistic is defined as pertaining to all

    aspects of human nature physical,

    mental, emotional, and spiritual.To approach health holistically is toconsider the mind, emotions, spirit andentire body when addressing the health

    of a person, not just the area that ismanifesting the symptoms.

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    Practice of Holistic

    Medicine The underlying foundation andprerequisite for true healing is

    compassion for the patient, andconsideration of all aspects of thepatients nature, including thefamily, culture, spiritual andcommunity.

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    Spiritual care and medical

    treatment Until recently the health professions

    have largely followed a medical model,

    which seeks to treat patients byfocusing on medicines and surgery, andgives less importance to beliefs and tofaith -- in healing, in the physician and

    in the doctor-patient relationship, andthe nurse-patient relationship

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    Spiritual care and medical

    treatment This reductionism or mechanisticview of patients as being only

    a material body is no longersatisfactory

    Patients and physicians have begun

    to realize the value of elementssuch as faith, hope and compassionin the healing process.

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    Questions of spirituality

    What is spirituality

    How does it relate to religion

    What is the distinction betweenhealing and cure, and how maythis be relevant to

    multidisciplinary medical practice How has spirituality beenresearched

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    Questions of spirituality What are some of the findings How may a persons spiritual needs

    be assessed What knowledge skills and attitudespertaining to spirituality can be

    taught Could they benefit clinicians as wellas patients

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    Spiritual Beyond the mind-body connection, there is asource of inspiration that you can access. Thisis your spiritual connection.

    Working with spirits means reaching beyondyour understanding of your own limits to accessa greater healing power.

    You can bring this healing power into your life

    and your patients healing. It can take the form of prayer, inspiration,

    intuition or insight.

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    To work with spirit It is not necessary to subscribe to a

    particular religion in order to work with

    spirit. You can explore your own beliefs about

    what spirit means to you.

    Intuition, meditation, and prayer areonly a few of many spiritual processes.

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    To work with spirit When you pay to attention tothese gifts, you can increase

    your awareness of yourpatients health condition andgain important insights to help

    you and your parentingdecision.

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    To access spiritualYou can help your patient to accesstheir spiritual connection by teaching

    them to pray, discussing yourbeliefs, reading spiritual books,attending mosque, helping others in

    need, creating rituals, and takingwalks in nature.

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    To access spiritual

    Nature is a potent healing force and anessential part of the healing process.

    Meditation is suitable for patient and can

    be as simple as observing or countingbreaths.

    Teaching patient prayer or meditationtrains them to tune in to their spirituallives and to notice the many ways inwhich they are blessed.

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    Benefits of spiritualcare

    Improved self-control, self-esteemand confidence

    Recovery facilitated, both bypromoting the healthy, grieving of

    loss and through maximizingpersonal potential

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    Benefits of spiritual

    care Relationship improved - with self,others and with God

    A sense of meaning, resulting inrenewed hope and peace of mind,

    enabling people to accept and livewith their problems

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    Spiritual values Kindness, compassion, generosity

    tolerance, patience, honesty

    creativity, joy, humility

    wisdom

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    Spiritual skills being able to create a skill, peaceful

    state of mind (as in meditation or pray)

    being able to stay mentally focused inthe present, remaining alert andattentive

    developing above-average levels ofempathy, discernment and courage

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    Spiritual skills

    having the capacity to witness andendure distress while sustaining anattitude of hope

    being self-reflective and honest with

    oneself, especially about areas ofignorance, also when angry, afraid or indoubt

    having an above-average level of being

    able to give without feeling drained being able to grieve appropriately and

    let go

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    RELIGIOUS APPROACH For illness patients, religious approach iscertainly needed as early as possiblesoon after the diagnosis or even since

    the suspicion of the probability ofillness detection.

    Religious approach is needed because

    principally people are religious creatureswho always have faith.

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    RELIGIOUS APPROACH In fact to solve the problem only withscience and knowledge alone evidentlycannot provide satisfaction and cannot

    make peaceful mind. Although the science and technology

    growing up very fast, they cannot solve

    various problems in this life. Quantitative concept has never given

    people satisfaction

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    Religion in modernization

    era It seems that religion gets behindscience and knowledge since in describingnatural circumstances, science is

    considered tough in excluding what is nottrue out of his body and replace it withsomething new from time to time.

    It even appears more clearly inmodernization era in which dependency onreligion is getting less.

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    Religion in

    modernization era Modernization itself frequentlybring negative impacts to social

    life like frustration. Those condition make peoplepay greater attention toreligion.

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    Religion in modernizationera

    Disappointment, insecurity, andmental emptiness resulting from

    modern life style make people seekfor something strong andeverlasting to hold on with in orderthat they get protected and feelpeacful

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    Religion as guidelines

    Human beings need guidelines andcertainty since logic have failed to

    satisfy them. In finding peace of mind, a lot ofpeople return to religion and

    perform religious services.

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    Religion as guidelines

    Many people feel that byperforming religious services

    properly and seriously, they haveprovided themselves with a verystrong spirit power which providesa calm feeling, peaceful andassured mind.

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    Religion as guidelines The feeling of peace that thepatients feel may havesignificant therapeutic value toreduce mental tension.

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    Religion as guidelines The patients will feel the effect of thetherapeutic value resulting from a veryserious religious service which is the

    manifestation of a sincere dedicationfrom human beings to the God, thatthey mentally and physically accept theglory of the God and promise to be

    always obedient and faithful to theGod.

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    Homeostasis condition

    Sincere dedication will presenthomeostasis condition to the

    patients, therefore, treatingpatients with mental and physicalillness do need religious approach inorder that they can achievehomeostasis condition.

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    Homeostasis condition Correlation between religiousobedience and health condition have

    not been studied and reported bymedical experts whereas actually inmedical practice, religious approachis always employed even though onlyin the form of pray.

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    Religion and general health

    status It was reported that in generalreligious obedience plays a role of

    protection against the probabilityof uterus cancer, cervix cancer,other cancers, intestinal colitis,enteritis, cardiovascular disease,hypertension and stroke.

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    Religion and general health

    status It was also reported that thereare close association between

    religious obedience and generalhealth status, generalmortality, rate of morbidity

    and mortality in some religiousleaders.

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    Religion and general health

    status In general those who are obedient inperforming religious services will be ableto overcome their illness in better way.

    They will have shorter period ofrecovery process.

    Religious obedience will also prevent

    people from committing suicide.

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    7 MECHANISMS THAT MAY LINKRELIGIOUS INVOLVEMENT TOPOSITIVE HEALTH OUTCOMES

    1. REGULATION OF INDIVIDUALLIFESTYLES AND HEALTH BEHAVIORS

    2.PROVISION OF SOCIAL RESOURCES

    3.PROMOTION OF POSITIVE SELF-PERCEPTIONS

    7 MECHANISMS THAT MAY

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    7 MECHANISMS THAT MAYLINK RELIGIOUS

    INVOLVEMENT TO POSITIVEHEALTH OUTCOMES

    4.PROVISION OF SPECIFIC COPINGRESOURCES

    5.GENERATION OF OTHER POSITIVEEMOTIONS

    6. PROMOTION OF HEALTH BELIEFS 7.OTHER HYPOTHESIZED

    MECHANISMS

    A Holistic point of

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    A Holistic point of

    view The holistic approach to healthdoes not reject conventional

    medicine, but is a sensible,complete form of healing thatconsiders your patients entirepicture of health and uses the bestand most appropriate options forhealing.

    A Holistic point of

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    A Holistic point of

    view It is a process of strengtheningevery system of the mind-body and

    allowing your patients naturalhealing potential to flourish. Manyof the chronic health problems thataffect patient will respond bestwhen addressed from a holisticpoint of view.

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    Practice integrative Doctors who practice integrative orholistic medicine establish healingpartnerships with their patients and

    emphasize prevention and self care. They consider the patients thoughts,feelings and beliefs when prescribing

    treatment.

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    Practice integrative

    They may incorporate one orseveral therapies into their

    practices and/or work inpartnership with other practitionerseither through referrals or byworking directly with them.

    More and more medical doctors arealigning with integrative medicineand you may be able to do that.

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    The role of parent in holistic

    health care Finding a holistic doctor can beimportant, but good health really

    begins at home with breastfeeding,good nutrition, quality food, a non-toxic environment natural remedies to

    strengthen immunity, and mentalemotional and spiritual nurturing.

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    The role of parent in holistic

    health care Parents are the coordinators of holistichealth care for the family.

    Parents know their childs body, mind,emotions, and spirit better than anyoneelse.

    By carefully assessing their children in

    each of those area, they can prioritizetheir needs and focus on what may bediminishing their health.

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    The role of parent in

    holistic health care By carefully assessing theirchildren in each of those area,

    they can prioritize their needs andfocus on what may be diminishingtheir health.

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    Curing and healing

    It is important to acknowledge thatthere is a difference between curingand healing.

    Curing means the elimination ofsymptoms or signs of a disease.

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    Curing and healing Treatment with drugs, surgery,herbs, or other methods may cure

    you by relieving the symptoms ofdiscomfort, pain, or disease.

    However, unless the underlyingpattern of dysfunction is stopped,the symptoms may recur

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    Healing

    Healing goes deeper than curing, andoccurs when the root cause is overcome

    and the systems of the mind-body,including emotions and spirit, are strongand vital.

    Although health care professionals can

    help facilitate healing, the ability toheal ultimately comes from within.

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    Conventional health care

    The current system ofconventional health care can be

    enormously frustrating andlacking in real answers forpatient diagnosed with chronic

    health problems.

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    Conventional health care Visits to the doctor may result in drugprescriptions with which you may notfeel comfortable.

    The medication may keep the symptomsin check, but what you really want is foryour patient to completely heal and

    reclaim health and vitality.

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    Practical use of the

    philosophy Healing is usually not as simple astaking a pill or a natural remedy.

    Patient are all different and their

    mind-bodies are complex.You may hear of a treatment that hasworked for another child, but this

    does not necessarily mean it will helpyour unique patient.