Spiritual Assessment
The Joint Commission on Accreditation of Healthcare Organization (JCAHO, 2008; JCAHO, n.d.) recognizes the importance of the spiritual component of a patient's evaluation. It covers his ways of coping, prayer life and religious practices, which make his life meaningful. This component, therefore, becomes an indispensable aspect of his total health care (JCAHO, JCAHO).

Part of the chosen spiritual assessment of the sample patient is composed of the following questions:

How does the patient visualize his spiritual life?

Is the patient contented or happy with his spiritual reputation?

How does he cope with a sense of guilt?

What is his and his wife's spiritual status in the community?

What is his spiritual dilemma that creates psychosomatic symptoms?

Assessment Findings

The male patient will be 54 years old in three months' time, a second-highest ranking official in the largest private coconut-growing coconut entity in Florida. He has worked at this company for 23 years and climbed the ladder to…...

mla

BIBLIOGRAPHY

JCAHO (2008). Provision of care, treatment and services. The Joint Commission on Accreditation of Healthcare Organizations. Retrieved on September 21, 2014 from  http://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFaqId=290&ProgramId=1 

- (n.d.). Spiritual assessment. JCAHO: Spiritual Competency Resource Center.

Retrieved on September 21, 2014 from  http://www.spiritualcompetency.com/assess_spirit/ASjcaho.asp

Clinical Spiritual Assessment Instrument
Spiritual Assessment

Developing a Spiritual Assessment Instrument for Clinical Use

Developing a Spiritual Assessment Instrument for Clinical Use

The Joint Commission (2005) requires all healthcare organizations seeking accreditation to implement a patient spiritual needs assessment policy and recommends spiritual assessment training for all medical staff. The design and content of the spiritual assessment is left up to the organization, but an effective assessment strategy would be both respectful of the patient's perspectives and beliefs, while ascertaining how the healthcare organization can facilitate their religious and/or spiritual practices (The Joint Commission, 2008). The overall goal would be to improve patient outcomes.

Aside from meeting accreditation requirements, attending to the spiritual needs of patients is increasingly viewed as an ethical obligation for clinicians (Vermandere et al., 2011). For example, the American Nurses Association (ANA, 2014) considers the spiritual needs of patients an important component of professional nursing practice. For many patients, their spiritual…...

mla

References

ANA. (2014). Faith, religion, & spirituality. Retrieved 4 May 2014 from  http://nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Improving-Your-Practice/Diversity-Awareness/Religion-Faith .

Casellas-Grau, A., Font, A., & Vives, J. (2014). Positive psychology interventions in breast cancer: A systematic review. Psychooncology, 23(1), 9-19.

Nadarajah, S., Berger, A.M., & Thomas, S.A. (2013). Current status of spirituality in cardiac rehabilitation programs: A review of the literature. Journal of Cardiopulmonary Rehabilitation and Prevention, 33(3), 135-43.

The Joint Commission. (2005). Asked and Answered: Evaluating you spiritual assessment process. The Source, 3(2), 6-7.

While intervention may not make a difference in their actual physical disease, it can make a patient more comfortable, more satisfied, and more at peace with themselves and their circumstances. Patient satisfaction is extremely important for overall patient health and in return visits for continued health care. Studies indicate if patients are dissatisfied or unhappy with their care, they may forego visits or visit another practitioner (Wrench & Booth-Butterfield, 2003). In addition, spiritual intervention can help the sufferers' family cope with the disease and help them give adequate care to the patient at home, which is often much more comfortable for the patient and family and adds to the overall well-being of everyone involved.
Another form of intervention especially useful with MS sufferers is therapeutic communication. This type of intervention requires the nurse to fully understand the nature and progress of MS so they can advise and consul the patient…...

mla

References

Lipsey, M.W., & Cordray, D.S. (2000). Evaluation methods for social intervention. Annual Review of Psychology, 345.

Pozzilli, C., M. Brunetti, A.M.V. Amicosante, C. Gasperini, G. Ristori, L. Palmisano and M. Battaglia. (2002). Home-based management in multiple sclerosis: results of a randomized controlled trial. Retrieved from the JNNP Web site:   Sept. 2005.http://jnnp.bmjjournals.com/cgi/content/full/73/3/2507 

Rosenberg, S.A., Robinson, C., & Fryer, G.E. (2002). Evaluation of paraprofessional home visiting services for children with special needs and their families. Topics in Early Childhood Special Education, 22(3), 158+.

Roy, Lynne Denise. (2003). Identification of the spiritual nursing care practices of volunteer parish nurses. Retrieved from the Redlands Hospital Web site: Sept. 2005.http://www.redlandshospital.com/Links/Pastoral%20Care%20Thesis%20for%20Website.htm7

Social Work: Spiritual Assessment Instruments for Spiritual Assessment
One of the five instruments for spiritual assessment is the spiritual history. This is the only verbal instrument. A practitioner using spiritual history obtains a client’s spiritual information using two sets of questions. The first set of questions seeks to help the client tell their story from childhood to the present. The second set helps the practitioner elicit spiritual information from the client by assessing the dimensions of the soul (cognition, will, and affect) and the spirit (intuition, conscience, and communion).
The second instrument is the spiritual life map, which is a diagrammatic or pictorial account of a client’s relationship with God. It shows where the client is coming from, where they are, and where they are going in regard to their relationship with God. The client sketches their spiritual journey from birth to the present, and continuing to death and the afterlife. They depict…...

mla

References

Hodge, D. R. (2005). Developing a Spiritual Assessment Toolbox: A Discussion of the Strengths and Limitations of Five Different Assessment Methods. Health and Social Work, 30(4), 314-24.

Spiritual Needs Assessment of a Patient
For the recovery of any patient, especially those with terminal illnesses, there is a need to have a wholesome recovery which does not only dwell on the medicinal administration but also of the soul through spiritual nourishment. This will ensure they get out of the hospital with renewed strength and faith and hope for a better life in the future. This can only be achieved through having a thorough spiritual assessment of the patient and knowing exactly what to prepare to touch on spiritually about the patient. The following questionnaire is instrumental in ensuring this.

Please answer the following questions with voluntary information, as comprehensively as possible.

What is the pillar of your faith that helps you have meaning in life?

How significant is your faith in the above to your life in general?

Do you belong to some religious or spiritual group? Which one is it?

Do you use…...

mla

Reference

Lancashire Teaching Hospitals, (2012). Assessing Spiritual Needs: The H.O.P.E. Assessment Tool. Retrieved June 29, 2012 from http://www.centrallancashire.nhs.uk/Library/Documents/clinician-zone/Palliative_care/Assessing%20Spiritual%20Needs%20-%20HOPE.pdf

Significant Discoveries

The discoveries I made about my friend were enlightening. I already knew she did not attend religious services and that she was agnostic, as this had been information that was the basis for many friendly debates in our social circle. I understood her sense of hope and her ability to find joy in her children's joy and learning. I was however not aware that all of her family was distant in either place or spirit and that she therefore had to rely heavily on her husband's family for support, and this she finds troubling as she does not wish to be a burden and she feels like a bit of an outsider. Her illness also seems to have added stress to the situation because she has had to rely heavily on her husband and his family to care for their young children. I also thought the information about earplugs…...

mla

References

Edlin, G. Golanty, E. McCormack Brown, K. (2000) Essentials for health and wellness. Sudbury, MA: Jones and Bartlett Publishers.

Joint Commission (2008) Standards FAQ details: spiritual assessment. Retrieved from  http://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFaqId=290&ProgramId=1 

Phillip, R. (2006) Reflections on spirituality and health. By Stephen G. Wright. (book review) Occupational Medicine 56 (8): 585. doi: 10.1093/occmed/kql093

98)
The above quotation refers to forms of intuition and perception of the spiritual that in fact advocates the "blocking' of the normal modes of understanding and apprehension. As one commentator state;

The spiritual is all that is beyond the conscious awareness and would include God or gods, demons, spirits and nature spirits, ghosts, non-incarnate entities, angels, devas, guardians of the threshold, guardian angels and all the intangible entities and realities of the religions where the cloud of the unknowable things exists.

(Roze, Janis, Toward the New Humanity: From Emotional Intelligence

to Spiritual Intuition)

It is this perception of the intuitive forms of spiritual intelligence that, it also needsto be taken into account in a discussion of this subject.

2. Literature review

There are many modern as well as more traditional perspectives on the issue of spiritual intelligence. A broad and inclusive view of the central terms in this study was taken into account in an…...

mla

Bibliography

Blitz, Mark. (2001) "Understanding Heidegger." Public Interest Fall 2001: 106.

Bunge, M. (1962). Intuition and Science. Englewood Cliffs, NJ: Prentice-Hall.

Diedrich William Frank ( 2007) "What is Spiritual Intelligence and Why Should You Care?" Retrieved May 10, 2009, from  http://www.articlealley.com/article_159792_51.html 

Gardner, Howard. (1993) Multiple Intelligences: The Theory in Practice. New York: Basic.

Joint Commission
To determine the spiritual needs of patients and the impact it is having on their treatment options requires focusing on four different questions. These include:

What are the long-term effects of using spiritualism with modern medicine?

Is there some kind of balance that must be maintained during this process?

How can health care professionals incorporate these ideas into their overall philosophy of improving treatment options?

What are the possible drawbacks of using these solutions in conjunction with each other?

These different areas are important, as they will provide specific insights about the long-term effects of spirituality with modern medicine. It is at this point, when key insights can be used to enhance the quality of care patients are receiving.

Write a brief summary of your assessment findings

The different resources that were examined are illustrating how there are conflicting opinions about the best approaches for combining spirituality and the ideas of modern medicine. This is because…...

mla

References

Bradshaw, A. (1994). Lighting the Lamp: The spiritual dimension of nursing care. London: Scutari Press.

Draper P. (1998). The debates emerging from the literature surrounding the concept of spirituality as applied to nursing. Journal of Advanced Nursing. 27 (4), pp. 683-691.

Hay, D. (2002). The spirituality of adults in Britain: recent research. Scottish Journal of Healthcare Chaplaincy. 5

(1), pp. 4-10.

ASSESSMENT ASSIGNMENT Social Worker/Assessment AssignmentDescription of PersonEbony (not her real name) is a 24-year-old African American female. She, alongside her 2 children (both girls, aged 4 months and 3 years respectively) live with her mother. Ebonys children are by the same father. Ebony does not possess any advanced academic qualifications. Having dropped out of high school, Ebony completed her formal education at a lower school level. The salary that she is currently paid as a cashier at a gas station is inadequate to enable her further her education. Further, she is the sole provider for the household. Although she owns and drives a car, Ebony has no drivers license. She has no access to either health or dental benefits.Description of Family of OriginEbony was brought up in a single-mother household. She has never met her father. Ebonys mother only got as far as 9th grade. The larger family has grappled…...

mla

ReferencesBozek, A., Nowak, P.F. & Blukacz, M. (2020). The Relationship between Spirituality, Health-Related Behavior, and Psychological Well-Being. Front Psychol., 11(4), 56-63. Sheldon, B. & Macdonald, G. (2010). A Textbook of Social Work. Routledge.

Therefore, today's society in the United States is diverse, which is something a social worker needs to understand and know how to deal with each diverse group. Furthermore, through research, it has been discovered most ethnic groups that live in the United States consist of young people, which means by staying in this country, they grow accustom to their surroundings. Once they have grown accustom to living here, they feel like this is their home to start a life with their own families. This continues the growing number of ethnic groups in this country.
Due to the educational accommodations that schools and college campuses make for students that have ethnic backgrounds, there is not enough prejudice of one group to let a Holocaust to occur in the United Stated. Furthermore, this country believes in freedom of speech to allow one ethnic to be isolated from the rest and condone any…...

mla

References

Dennen, Johan. THE 'EVIL' MIND: PT. 3. CRUELTY AND 'BEAST-IN-MAN' IMAGERY. Retrieved March 30, 2008, from http://rechten.eldoc.ub.rug.nl/FILES/departments/Algemeen/overigepublicaties/2005enouder/EVIL_CRU/EVIL_CRU.pdf

Citrome, Lesilie,. (2007). Aggression. Retrieved March 30, 2008, from  http://www.emedicine.com/med/topic3005.htm 

Hall, Kathy Jo. (1997). Carl Rogers. Retrieved March 30, 2008, from  http://aolsearch.aol.com/aol/search?query=Throughout+this+Jim+knocks+the+clay+figurines+head+of+and+crushes+the+body+while+shouting&invocationType=spelling 

Seal, B., A. Bradford, and C. Meston. 2009. The Association Between Body Esteem and Sexual Desire Among College Women. Archives of Sexual Behavior 38, no. 5, (October 1): 866-72.   / (accessed April 1, 2010).http://www.proquest.com.library.capella.edu 

Children's Functional Health Pattern Assessment
Functional Health Pattern Assessment (FHP)

Toddler

Erickson's Developmental Stage:

Preschool-Aged

Erickson's Developmental Stage:

School-Aged

Erickson's Developmental Stage:

Pattern of Health Perception and Health Management:

List two normal assessment findings that would be characteristic for each age group.

List two potential problems that a nurse may discover in an assessment of each age group.

Can formulate words with meaning

Feeds self

Climbs by themselves

Uses crayons and scissors

Runs, jumps and climbs

Reads at appropriate level

Not talking

Can't sit alone

Not toilet trained

Speech problems

Unable to tie shoes

Small vocabulary

Nutritional-Metabolic Pattern:

List two normal assessment findings that would be characteristic for each age group.

List two potential problems that a nurse may discover in an assessment of each age group.

Eating proper amounts

Eating on a regular basis

Trying new foods

Eating regularly

Eating proper amounts

Eating regularly

Lack of weight gain

Excessive weight gain

Lack of weight gain

Excessive weight gain

Lack of weight gain

Excessive weight gain

Pattern of Elimination:

List two normal assessment findings that would be characteristic for each age group.

List two potential problems that a nurse may…...

Professional Presence
Different Models of Health and Healing

Models of health and healing influence patient attitudes and lifestyle, and also impact health seeking and healthcare behaviors. Often, the concept of healing a patient has will come from cultural or religious beliefs However, healthcare workers also operate within their own models of health and healing, which could conflict with those of their patients. When nurses become more aware of the different models, they can better communicate with patients about healthcare issues.

Physical Body: The Mechanistic View

The rise of empiricism and the triumphs of modern science gave rise to the view that the body itself can be treated as a discreet system. Although the mechanistic view can be traced back as far as Asclepiades, it was never fully accepted as a viable model of health and healing until the 20th century (Curtis & Gaylord, 2004, p. 8). The mechanistic view predominates throughout the Western world,…...

Health Self-Assessment
Identify which three of the six dimensions of health you are strongest in.

According to this self-assessment instrument, my three strongest health dimensions are Social Health, Spiritual Health, and Intellectual Health. I scored a 4 out of 5 in each of those areas. By comparison, I scored a 3 in each of the other three measures (Physical Health, Emotional Health, and Environmental Health.

Describe why you think the identified three dimensions are your strongest.

I scored well in Social Health because I am comfortable with the impressions that I make on people and because I tend to get along well with others. I also participate in various social activities and genuinely enjoy interacting with others, including those who are different from me. My family relationships are healthy and fulfilling, I am fully present and available in my personal relationships, I am considerate of others, I contribute positively to the welfare of others,…...

obert, T.E., Pomarico, C.A. & Nolan, M. (2011). Assessing Faculty Integration of Adult learning needs in second-degree nursing education. Nursing education perspectives, 32(1), 14-17.
obert, Pomarico and Nolan (2011) have presented a model for assessing the learning needs of second-degree nursing education. The study was essentially designed In a way that assessment of interactive teaching model was made possible. The second-degree BSN students were taken as the sample of study. The main research question being investigated was that whether or not the teaching strategies being used at the second-degree nursing education level met the needs of nursing students. The literature review being conducted by the authors is somewhat precise and short and identifies the existing gap that exists in the learning need assessment of nursing students. It was identified in the start of study that for program development for this student segment in nursing, it is essential to evaluate the outcomes…...

mla

References

Cabaniss, D.L. (2008). Becoming a school: Developing learning objectives for psychoanalytic education. Psychoanalytic Inquiry, 28(3), 262-277.

Dhara, R. (2002). Advancing public health through the assessment initiative. Journal of Public Health Management and Practice, 8(4), 1-8.

Jo Brixey, M., & Mahon, S.M. (2010). A Self-Assessment Tool for Oncology Nurses: Preliminary Implementation and Evaluation. Clinical journal of oncology nursing, 14(4), 474-480.

Jones, S., & Watty, K. (2010). Vignette 6 Pluri-disciplinary learning and assessment: Reflections on practice. International Perspectives on Higher Education Research, 5, 195-207.

Nursing Diagnosis Plan
Assessment Analysis- Patient, CM., is a 60-year-old female African-American, married and a factory worker. CM is complaining about difficulty breathing, dyspnea. She indicates she is completely compliant with her medication regimen, naps and sleeps 7 hours a day. She is active, has a positive attitude, and regularly exercises. She does admit that sometimes she waits to seek medical attention, believing she should trust in God for minor issue. She does not take OTC or herbal medications and her immunizations are up-to-date. She denies use of alcohol, tobacco, or illicit drugs. Her pharmaceutical regimen consists of control of heart issues (aneurysm, artery disease, COPD, vein thrombosis, hypertension, aortic aneurysm; arthritis, seizures, and diabetes). She is emotionally stable, plans to continue working for at least 7 more years, and has a positive attitude.

Areas for Focused Assessment- CM has visited the hospital four times in the last two weeks. Preliminary examination…...

mla

REFERENCES

Treatment with Daliresp. (2012). Forest Pharmaceuticals. Retrieved from:  http://www.daliresp.com/TreatmentWithDALIRESP.aspx?WT.srch=1&guid=363952239 

Sarkar, S. And Amelung, P. (2006). Evaluation of the Dyspneic Patient in the Office. Primary Care. 33 (3): 643-57.