Assessment Nursing

Diagnosis
Rationale Objectives Interventions Rationale Evaluation
Subjective:
Client
questioning
God and
bargaining
wit God!
"t stating
se sle#t
#oorl$ and
as no
a##etite!
Objective:
Client was
seen
emotional
and tear%ul
S#iritual
Distress
related to
%eelings o%
guilt
alienation
%rom God as
evidenced
b$
questioning
w$ &God
as done
tis'(
Insomnia( no
a##etite
S#iritual
distress is an
e)#erience
o% #ro%ound
disarmon$
in te
#erson*s
belie% or
value s$stem
tat
treatens
te meaning
o% is or er
li%e! During
s#iritual
distress te
#atient loses
o#e+
questions is
or er belie%
s$stem+ or
%eels
se#arated
%rom is or
er #ersonal
source o%
com%ort and
strengt!
"ain+ cronic
or terminal
illness+
im#ending
surger$+ and
te deat or
A%ter an ,
our si%t o%
nursing
interventions+
te #atient
will e)#ress
meaning and
#ur#ose in
li%e and a
sense o%
connectednes
s wit sel%
and oters!
A%ter one
our o%
nursing
interventions+
te client will
discuss
belie%s-values
about
s#iritual
issues!
.e o#en to
er %eelings
about
illness and
deat!
Assist er
to #ro#erl$
e)#ress
and relieve
anger in
a##ro#riate
wa$s!
Observe
and listen
em#atetic
all$ to er
communica
tion!
Encourages
e)#ression
o% inner
%ears and
concerns
and teaces
te client
te value o%
con%ronting
issues!
Anger can
be a source
o% energ$
and its
release a
source o%
%reedom
wen
e)#ressed
in a
constructive
manner!
/e nature
o% s#iritual
care ma$
directl$
a0ect te
s#eed and
qualit$ o%
recover$
and-or
rede1ning
"atient
e)#ressed
meaning and
#ur#ose in li%e
and a sense
o%
connectednes
s wit sel%
and oters!
Client
discussed
belie%s-values
about
s#iritual
issues!
illness o%
loved ones
are crisis
tat ma$
cause
s#iritual
distress!
Encourage
te use o%
s#iritual
resources+
i% desired!
Create an
acce#ting+
nonjudgme
ntal
atmos#er
e!
Encourage
verbali2atio
n o%
%eelings+
#erce#tions
+ and %ears!
Allow time
%or
grieving!
Encourage
er to list
o#e and
1nding
meaning
in deat!
S#iritual
needs ma$
sometimes
be
overloo3ed
or ignored!
Recogni2ing
and
res#ecting
te
individual*s
s#iritual
needs is an
im#ortant
advocac$
role %or
nurses!
Establises
ra##ort and
te
tera#eutic
relationsi#+
wic
#romotes
communicat
ion and
o#en
e)#ression!
.eing wit
te #erson
values tat
guide
beavior in
times o%
traged$!
wo is
su0ering
gives
meaning to
is or er
e)#erience!
4el#s te
client clari%$
values and
belie%s b$
re5ecting on
#ast
beaviours!
E)#erience
is a major
source %or
values
develo#men
t!