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ORAL PRESENTATION MANUSCRIPT

Ylron Paul A. Tapar


BSN III
Page 82- 76
Spiritual Distress

Definition of Spiritual Distress - Spiritual distress is a


disturbance in a person's belief system. As an approved
nursing diagnosis, Spiritual Distress is defined as "a
disruption in the life principle that pervades a person's
entire being and that integrates and transcends one's
biological and psychological nature."
Five spiritual needs of forgiveness, hope, trust, meaning of
life, and Purpose of life
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Forgiveness Forgiveness is the intentional and


voluntary process by which a victim undergoes a change in
feelings and attitude regarding an offense, lets go of
negative emotions such as vengefulness, with an increased
ability to wish the offender well.

Hope Hope is an optimistic attitude of mind based on an


expectation of positive outcomes related to events and
circumstances in one's life or the world at large.

Trust

A trust is a relationship whereby property is held


by one party for the benefit of another
Assured reliance on the character, ability,
strength, or truth of someone or something

Meaning of Life The meaning of life, or the answer to


the question "What is the meaning of life?", pertains to
the significance of living or existence in general.

Purpose of Life

Expresses verbally and behaviorally

It is associated by some factors include physiological


problem, treatment of related concerns and situational
concerns
Antecedents of spiritual distress: loneliness, fear of
unknown, guilt or expression of regrets, anger towards God or
a supreme being, loss of hope and change in relationships,
values and beliefs

Characteristics of Spiritual Distress


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Lack of spiritual needs


Anger toward God
Alone (no socialization)
Changes in spiritual practices
No interest in Spiritual reading literature

Physiologic Problems Includes:


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Medical Diagnosis of terminal or debilitating disease


Pain
Loss of function
Miscarriage of still birth

Treatment Related Factors:


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Blood Transfusion
Abortion
Surgery
Dietary Restriction
Amputation or Isolation of Body parts

Situational Factors:
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Death
Unable to practice spiritual rituals (Embarrassment)

Psychosocial Needs
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Death is threat to ones physical existence


Touch, Compassion, Human companionship

Family and Care


Well groomed appearance
Dressing

Psychosocial Factors
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Psychological and Social Factors can influence spiritual needs


Social influences can respond to spiritual illness
Happiness and Success
Positive self-concept

Characteristics of an Individual with Positive Self Concept


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Self confidence
Willing to take a risk
Able to accept criticism
Able to adopt Stressors
Innovative problem-solving skills

Four Goals in Helping a Client Confront Spiritual Distress


-

Help
Love
Help
Tell

to Create, Maintain, Renew Relationships


expression and Acts of Kindness
Client to search for meaning
Client that there is always hope

Spiritual Dimension
Assagioli (1971) a psychotherapist, and Tillich (1969), a Theologian
described human need for synthesis with the Supreme Being or Supreme
other. They described how all humans have a spiritual dimension, which
is the potential strive toward unity and higher consciousness to
locate meaning and purpose in life.

Spiritual Needs
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Spiritual needs are concentrated when we have an illness or


other health crisis
Spiritual Beliefs are challenged
Why me?

Nurses need to be sensitive to indications of the clients


spiritual needs and responds appropriately

Spiritual Practices Affecting Nursing Care


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Clients usually depends on religious practices such as prayer as


important strategies for coping with illness
Most Common Practices that affects nursing care
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Holy days
Sacred Writings
Sacred Symbols
Prayers
Meditations
Diets
Nutrition
Healing
Dress
Birth
Death

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Guidelines offered by Winslow and Winslow (2003):

First seek a basic understanding of clients spiritual needs,


resources, and preferences
Follow the clients expressed wishes regarding spiritual care
Do not prescribe urge clients to adopt certain spiritual beliefs
or practices and do not pressure them to relinquish such beliefs
or practices
Provide spiritual care in a way that is consonant with personal
beliefs
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o Quiz (20pts)
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What is the approved nursing diagnosis for Spiritual Distress?
(2pts)
Spiritual Distress
Enumerate the five spiritual needs (5 pts)
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Forgiveness
Hope

Trust
Meaning of Life
Purpose of Life

Enumerate the five characteristics of spiritual Distress (5pts)


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Lack of spiritual needs
Anger toward God
Alone (no socialization)
Changes in spiritual practices
No interest in Spiritual reading literature
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Enumerate at least two of Four Goals in Helping a Client Confront
Spiritual Distress (4pts)
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Help to Create, Maintain, Renew Relationships
Love expression and Acts of Kindness
Help Client to search for meaning
Tell Client that there is always hope
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Give at least 2 Different Spiritual Practices that affects
nursing care ( Spiritual Group / Practice ) (4pts)
Refer to the hand out given
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Bonus Question What is the Purpose of your life? Maximum of 2
sentences (2pts)
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Sources:

Definition of Spiritual Distress

https://en.wikipedia.org/wiki/Spiritual_distress\

Forgiveness - https://en.wikipedia.org/wiki/Forgiveness
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Hope - https://en.wikipedia.org/wiki/Hope

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Trust - http://www.merriam-webster.com/dictionary/trust
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https://en.wikipedia.org/wiki/Trust_law

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Meaning of Life - https://en.wikipedia.org/wiki/Meaning_of_life
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Characteristics of Spiritual Distress Elective 1 book page


76

Physiologic Problems Includes Elective 1 book page 75

Treatment Related Factors Elective 1 book page 75 - 76

Psychosocial Needs Elective 1 book page 77

Psychosocial Factors - Elective 1 book page

Characteristics of an Individual with Positive Self Concept


- Elective 1 book page 79

Four Goals in Helping a Client Confront Spiritual DistressElective 1 book page 77

Spiritual Dimension - Elective 1 book page 79

Spiritual Needs - Elective 1 book page 81

Guidelines offered by Winslow and Winslow (2003) Elective


book 1 page 82

Spiritual Practices Affecting nursing care:

http://www.uphs.upenn.edu/pastoral/resed/diversity_points.ht
ml

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Images

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