Spirituality & Clinical Care POM 1 and SON 2004 Course Directors Kay Sandor, PhD, RN, LPC Victor...
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Transcript of Spirituality & Clinical Care POM 1 and SON 2004 Course Directors Kay Sandor, PhD, RN, LPC Victor...
Course DirectorsKay Sandor, PhD, RN, LPCVictor Sierpina, MDHarold Vanderpool, PhD, ThM
WithSusie Gerik, MDElizabeth Gressle, RN, MSN, FNP-C
Roles for the Physician or Nurse
CatalystEncourages spiritual and religious questions Encourages patient’s personal discovery and dialogueStimulates social connectionNot a spiritual advisor or necessarily knowledgeable about patient’s religion
Roles for the Physician or Nurse
Secular priestTreats the “whole person” not just the diseaseResponds with compassionAffirms patient’s unique worth and dingityStands by patient in face of suffering and death
Inappropriate Roles of Physician or Nurse
Spiritual or religious teacher/leaderEthical and boundary issues
Proselytizing Power position, unequal balanceBoundariesMissionary service as possible exception
Spiritual HistoryAssess religious and spiritual issuesNot just recording their religion Determine based on patient guidance how or if to include spirituality in the interdisciplinary team approach
Recognize Common Spiritual Dilemmas
Unfairness—Why me?Unworthiness—I don’t want to be a burdenHopelessness—What’s the point?Guilt and punishment—I’m being punished but I led a good lifeIsolation and anger—No one understands meVulnerability—I am afraidConfusion—Why is this happening to me? Abandonment—God (or family) doesn’t care
Three QuestionsWhat helps you get through the tough times?Who do you turn to when you need support?What meaning does this experience have for you?
HOPEH: Sources of hope, meaning,
comfort, strength, peace, and connectedness?
O: Organized religion?P: Personal spirituality or practice?E: Effects on medical care and end
of life issues?
SPIRITual HistoryS= Spiritual belief systemP= Personal spiritualityI= Integration with spiritual communityR= Ritualized practices and restrictionsI= Implications for medical careT= Terminal events planning