Nursing Diagnosis The client said, Pakiramdam ko tuloy napakalaki ng pag-kukulang ko bilang isang katoliko, sa Panginoon.

Alam kong gusto niyang magkaayos na kami ng panganay ko, pero mas nangibabaw yung inis, at hindi parin buo sa loob ko na ako ang maunang makipag-ayos. Dahil dun, naguguilty ako sa Panginoon, isang dahilan bakit hindi narin ako nagsisimba at madalang narin ako magdasal. Spiritual Distress related to failure to live within the precepts of one s faith.

Analysis Feelings such as anxiety, fear, guilt, grief, and despair can produce barriers to relationships in general and to the relationship the person has with the Divine.

Goal and Objectives Goal: After 2 days of nursing intervention, the client will be able to have increased sense of connectedness to the Divine. Objectives: 1. After 1 day of nursing intervention, the client will be able to express decreasing feelings of guilt.

Interventions

Rationale

Evaluation Was the client able to have increased sense of connectedness to the Divine? Yes_No_Why?

Develop therapeutic nurseclient relationship. Convey acceptance of client s beliefs and concerns. Encourage client s expression of concern and belief about spiritual issues. Provide calm, peaceful setting when possible.

Promotes trust and comfort, encouraging client to be open about sensitive matters.

Helps in clarifying values, ideas, recognizing and resolving feelings/situation. Promotes relaxation and enhances opportunity for reflection on situation/ discussion with

Use therapeutic communication skills of reflection and activelistening. Assist client in prayer and forgiveness.

others. Helps client find own solutions to concerns.

To heal past hurts which are possible barriers to practicing religion. Allows client to focus on self and seek connectedness.

2. After 1 day of nursing intervention, the client will be able to participate in spiritual practices/religious activities.

Provide time and privacy to engage in spiritual growth/ religious activities.

Determine support systems available to client and how they are used. Assist client to identify SO and people who could provide support as needed.

Provides insight to client s willingness to pursue outside resources.

Ongoing support is required to enhance sense of connectedness and continue progress towards goal.

Assist client to identify spiritual resources (spiritual advisor).

Provides answers to spiritual questions, assist in the journey of self-discovery, and can help client learn to accept and forgive self and others.