...head: SPIRITUAL ASSESSMENT EVALUATION Spiritual Assessment Evaluation Steven Atilano Grand Canyon University August 18, 2012 Spiritual Assessment Evaluation Spirituality has been part of nursing from its’ infancy. Initially, nursing care of the sick, was provided by monks as part of a religious order. Florence Nightingale who is credited with revolutionizing modern nursing was said to have chose the profession, because God called her to serve (Nursing-Theory.org, n.d.). Nightingale was the first to revolutionize this thought process, as she realized that healing was holistic, and even involved the patient’s environment. As a result, our profession now recognizes the need to treat the patient holistically, to include the patient’s spirituality. Two examples of assessment tools that assess spirituality are the HOPE assessment tool and the FICA spiritual assessment tool. The HOPE assessment tool uses the acronym to remember all elements of the assessment. H stands for hope, O stands for the patient’s organized religion. P stands for personal spirituality, and E stands for end of life decisions (LaRocca-Pitts, 2009). The FICA spiritual tool acronym stands for Faith or belief, Importance of the patient’s spirituality, their individual spiritual community, and Addressing spirituality (Borneman, Ferrell, & Puchalski, 2010). The author believes that patient spirituality should be assessed immediately in order to ensure holistic care, so a new spiritual assessment...
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...diagnostic and treatment process that identifies medical. Psychological and functional limitations of a frail older person in order to develop a coordinated medical management of illness. It requires evaluation of multiple issues including physical, cognitive, affective, social, financial, environmental and spiritual components that influences an older persons by a team of health professionals may identify a variety of treatable health problems and lead to a better outcome. However, it is initiated through the primary care clinician or by a clinician caring for a patient in the hospital setting. The content of assessment varies depending on the settings of care. CGA is not available in all settings due to issues related to the tie required for evaluation, need for coordination of multidisciplinary specialties and lack of reimbursement for some components. Overall elements of comprehensive geriatric assessment includes: Physical Health-This focuses on medication use and the risk for malnutrition, falling, incontinence and immobility. The physical examination seeks to identify specific diseases or conditions for which curative, restorative, palliative or preventive treatment may be available. Special attention is directed towards visual or hearing impairment, nutritional status and conditions that may contribute to frailty and falling or difficulty in ambulation. Mental Health-Cognitive, behavioral and emotional statuses are evaluated with particular emphasis on detecting dementia,...
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...Spiritual Needs Assessment of Patients by: (student’s name) (course) (date of submission) Spiritual Needs Assessment of the Patient In providing basic health care in hospitals, medical practitioners should not only focus on giving physical treatment to patients but also provide spiritual and psychological assessment and management for them. This practice as suggested by many studies (see Chapman, 2003; Eberst, n.d.,) can help the hospitals develop a new method of healing that is more holistic in approach. The Joint Commission (2005) recommends spiritual assessment program which can help the medical officers to know the needs of the patients aside from the usual physical treatment. It will help them gather information about the spiritual needs of the patient which can then be used to form a new framework that will address such needs and some related issues (Joint Commission,2005, p. 6). Assessing the spiritual state of a patient is not simply about asking them a series of specific questions about their faith or beliefs in life. Patients’ spiritual well-being touches matters that may be delicate to talk about with the patient. The process requires effort and adequate understanding of the reasons behind the assessment activity from the assessor. The task carries specific values that the assessor should acquire before conducting the activity. Such values include being polite in asking the patient and being careful in choosing the words that...
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...Running head: HERITAGE ASSESSMENT TOOL: EVALUATION OF DIFFERENT Heritage Assessment Tool: Evaluation of Different Cultures and Individual Views of Health Micaela Simon Grand Canyon University Family-Centered Health Promotion 429V Melanie Escobar RN MSN August 31, 2012 Heritage Assessment Tool: Evaluation of different Cultures and Individual Views of Health The Heritage Assessment Tool can be used as as a reliable tool to assess, health maintenance, protection and restoration of individual cultural beliefs. This evaluation helps meet the needs of different patient populations to provide quality holistic care. The purpose of this paper is to explore the Hispanic, Native American, Chinese, and the author’s own personal cultural beliefs from perspectives of health traditions, maintenance, promotion and restoration of health. The objectives are to identify different families and the own common health traditions based of the cultural heritage. Evaluate and discuss how the families ascribe to traditions and practices. The evaluation of these different cultures reveal similarities and differences in traditions that may help provide holistic optimal health delivery. The definition of cultural awareness is an individual’s awareness of their understanding between themselves and other backgrounds, attitudes to health and specific cultural values (Cultural awareness, n.d). Cultural competence refers to knowledge and skills that must be obtained to care for culturally...
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...acres on Lake Lafouche. There are eight cabins, where men and women are housed separately, along with a physical fitness center, and a pavilion used for education and lectures. The main lodge houses offices and examination rooms. Palmetto has recreational facilities for tennis, volleyball, and fishing. All information about this facility and its programs were obtained from the facility’s web site and my interview with Ava Solomon-Mazzanti, Ph.D who is a therapist at Palmetto. This facility has a staff which includes five medical professionals and eleven clinical staff members. The program at this facility is based on the Twelve Step model of Alcoholics Anonymous which believes that addiction is a physical/mental malady that requires a spiritual solution. Addictions issues are addressed through therapy sessions, education, and the twelve step process. Along with drug and alcohol, special issues such as gambling and sexual addiction can be addressed as well. Palmetto accepts private insurance, third party carriers, and direct payment for services. Medicare and Medicaid reimbursement are not accepted. The program at Palmetto has been providing treatment services for eighteen years and over eight hundred people have gone through the inpatient program. Palmetto can accommodate eighty-five to ninety patients in the inpatient program and ten to fifteen patients in each of the outpatient programs. Progress through the program is done in four phases. Phase one is based on step one...
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...engineers who imagined and built these tools. In a world where we depend on machines more than ever before, mechanical engineers keep things running. Mechanical Engineering is one of the broadest professions. The women and men in the mechanical engineering profession work in almost every industry, in private practice, in government, in medicine, in law, and in universities. Mechanical engineers touch almost every aspect of technology. They create machines, products and technological systems that benefit society. Their work can take them around the world - anywhere there are machines, there are mechanical engineers. The above statements prove that mechanical engineering is not an easy profession. This is the reason why we should consider the spiritual and educational needs. Spirituality means different things to different people. Some persons have religious needs. Spirituality can refer to an ultimate or an alleged immaterial reality an inner path enabling a person to discover the essence of his/her being; or the “deepest values and meanings by which people live.” Educational needs, on the other hand are those that has something to do with their attitudes and technique in studying the subjects of the said profession. This education comes from the professors, parents and all the people that surround us. Special education is the education of students with special needs in a way that addresses the students'...
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...and difficult as life, so our knowledge of them is always imperfect and partial. No matter how we devote ourselves to reading and research, teaching requires a command of content that always escapes our understanding. Second, the students we teach are superior in their life and even more difficult. Teaching, like any human activity begins from one's self for better or for worse. As i teach, I project the condition of my personality onto my students, my subject and my way of class activity. The daily activities I experience in the classroom are often no more or less than the difficulties of my inner existence. Teaching reflects to the personality, knowing my subject, my students and the evaluation of students I have a chance to gain self-knowledge. We need to open a new style in our assessment of good teaching; the teacher’s approach to his life - intellectual, emotional, and spiritual these three important paths must be taken to plan. Reduce teaching to intellect and it becomes a unkind ideas; reduce it to emotions and it becomes selfish; reduce it to the spiritual and it loses its anchor to the world. Intellect, emotion, and spirit depend on each other for wholeness. They are linked in the human self and in education at its best, and we need to link them in our academic discussion as...
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...The Holistic Assessment: Psychological, Physiological, Cultural, Spiritual and Psychosocial Wilfredo Mamaril Sternberg College The holistic assessment is an essential component of quality care that allows a psychiatric nurse to identify, diagnose and treat their patients based on every individual’s specific needs. A comprehensive assessment of a client’s health across multiple dimensions, such as their physiological, psychological, spiritual, cultural and psychosocial domains, are important “prerequisites for formulating an appropriate nursing diagnosis and plan of care” (Carniaux-Moran) particular to each patient. This assessment is achieved through interviews and assessments between the nurse and the client that “[varies] according to the state of the participants and the context in which the interview takes place” (Carniaux-Moran). It assists a nurse towards a more proficient and thorough diagnoses. For one, it is vital to consider a client’s past and present physical condition in order to determine if any of these medical disorders have an impact on their mental health. For example, patients who present symptoms for some common psychiatric illness such as nervousness, irritability and insomnia, can actually be suffering from underlying medical condition such as hypothyroidism or low lithium levels. In order to overcome the shortcomings of the visual observation of symptoms, nurses often perform a medical workup to rule out organic illnesses and ensure that the client...
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...while watching her grandson play basketball. Her symptoms occurred during a visit to her daughter’s home, which is approximately 150 miles from Liza’s home. When Liza was admitted to the hospital, her daughter explained the numerous types and dosages of medications her mother was taking. She also mentioned that Liza had not been taking her Coumadin as directed by her physician for the past week or so. Liza was admitted to the intensive care unit for evaluation. Over the course of hospitalization, Liza’s condition worsened. Approximately 18 hours after her admission, the nursing staff began performing nervous system checks on Liza and contacted the physician-on-call to obtain an order for a CT scan. The scan showed evidence of a cerebral infarction. Appropriate treatment for the infarction then was provided. 1) How might the student monitor the processes she has experienced? What types of data would be useful? Describe variations and possible causes of variations in the care processes? The student should monitor her living conditions and her ability to remember to take her medications on time. Her case history and number of pills dispensed and taken to see if she is compliant or not. This patient should be living in a monitored area like a nursing home or she should have home health aide. The four core processes of patient care are: 1 - Assessing the patient's needs- 2 – Planning care, treatment, and services- 3 - Providing care, treatment, and services 4 - Coordinating...
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...Darling-Fisher (2002) consider health assessment as the systematic collection of data that health professionals, such as nurses, can use to make decisions about how thy will intervene to promote, manintain or restore health. In this paper, discussion about nursing assessment form of Queen Elizabeth Hospital (figure 1) and Gordon’s functional health pattern (figure 2) are presented, and comparisons between these two assessments on the aspects of structure, comprehensiveness, and applicability will be explained. Comparison between hospital assessment and Gordon’s functional health patterns Queen Elizabeth Hospital admission assessment form and the Gordon’s functional health pattern assessment form also can showed the evaluation of Ms Wong’s condition, Ms Wong was admitted to QEH because of slip and fell with left patella fracture. Both assessment forms had clear subjective and objective data on health perception and elimination pattern. It can provide data for us to making nursing diagnosis and care plan. However, there are something difference in terms of structure, comprehensive and applicability of these two assessment. Structure The format of Gordon’s Functional Health Patterns Assessment form is simple categories and concise typology. This layout is clustering and is easier to understand and complete. However, hospital assessment forms but not detail to separate category. The Gordon’s Functional Health Patterns Assessment form provides organization framework...
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...client system and interrelate with the five variables namely; the physiological, psychological, sociocultural, developmental, and spiritual beliefs. The Neuman System Model has been used in diverse settings such as, in critical nursing, psychiatric nursing, gerontological nursing, and for teaching purposes. In the United States, “the model is used to guide practice with clients with acute and chronic health problems” (Parker &ump; Smith, 2010, p. 192). As further explained by Parker and Smith (2010), the client system is the core: a person, individual, or community and the core interact with the flexible lines of defense, the normal lines of defense, and the lines of resistance. The client system is constantly affected by internal and external stressors. The goal of nurses in applying the Neuman System Model is, “to maximizing the quality of life lived, maintaining the highest level of independence possible, and preventing exacerbations of the on-going illness” (Ebersole, Hess, Touhy, Jett, and Luggen, 2008, p. 258). Mrs. J is a 79-year-old African-American female client, who lives with her husband in a wheelchair accessible home. She has always been a home maker, enjoys cooking the family meals, and raising the grandchildren. Mrs. J is a mother of three children with great family support and loves the outdoors. She has multiple medical conditions: adult onset diabetes, moderate obesity, indigestion, hypertension,...
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...for Incorporation of Religion/Spirituality in Generalized Anxiety Disorder Treatment Introduction Generalized anxiety disorder (GAD), defined as worry lasting six months or longer that cannot be explained or rationalized by a precipitating traumatic event (Townsend, 2015), is the second most commonly diagnosed psychological disorder (Antai-Otong, 2003). Often presenting with other psychological conditions, the symptoms leading to impairment of the patient compound and increase the complexity of treatment (Antai-Otong, 2003). The standard method of care remains a combination of both pharmacological and cognitive behavioral therapy (CBT) interventions. However, research regarding the incorporation of the patient’s religious/spiritual beliefs into their course of treatment have demonstrated favorable results as an additional method of intervention (Antai-Otong, 2003; Koszycki, D., Bilodeau, C., Raab-Mayo, K., & Bradwejn, J., 2014; Ramos, K., Barrera, T., Stanley, M., & DeBakey, M., 2014;...
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...PUEBLO COMMUNITY COLLEGE NURSING NUR 211 Psychiatric-Mental Health Nursing Supplemental Learning Guide Course Objectives * Relate the minimum requirements for the course. * Illustrate the use of competencies for learning. * Formulate own needs and responsibilities relative to meeting course competencies. * Relate course/clinical assignments and evaluation * Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity ...
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...Monitoring includes infection control activities. i) Monitoring includes clinical research. CQI.3 The organisation identifies key indicators to monitor the managerial structures, processes and outcomes Objective elements • Monitoring includes procurement of medication essential to meet patient needs. • Monitoring includes reporting of activities as required by laws and regulations. • Monitoring includes risk management. • Monitoring includes utilisation of facilities. • Monitoring includes patient satisfaction. • Monitoring includes employee satisfaction. • Monitoring includes adverse events. • Monitoring includes data collection to support further study for improvements. • Monitoring includes data collection to support evaluation of the improvements. CQI.4 The quality improvement programme is supported by the management • Objective elements a) Hospital Management makes available adequate resources required for quality improvement programme. b) Hospital earmarks adequate funds from its annual budget in this regard. c) Appropriate statistical and management tools are...
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...ASSESSMENT Click to edit Master subtitle style Outcome-based Education (OBE) REFLECTION What is assessment? Why is assessment so important? What kind of assessment/evaluation is done at your institution? Change methods of assessment “If you want to change student learning then change the methods of assessment” Chuckett & Sutherland, 2000 Importance of Assessment Assessment defines for the students what is important, what counts, how they will spend their time and how they will see themselves as learners OUTCOME-BASED LEARNING This differs from the traditional content-or competency-based learning in the sense that those types of learning were mainly content/skills driven and teacher/trainer centred Outcome-based learning is learnerdriven and aimed at achieving outcomes Role of the lecturer The lecturer becomes more a facilitator learning by stimulating creativity, self learning and critical thinking Outcomes become more important to the lecturer than the written syllabus Assessment of outcome-based learning: Old approach Passive learners Exam driven Rote-learning Syllabus is content-based and broken down into subjects Textbook bound and teacher centred Syllabus is rigid and non-negotiable Old approach (Continue) Teachers responsible for learning Motivation dependent on personality of lecturer Emphasis on what the teacher hopes to achieve Content placed into rigid time-frames Curriculum development process not open to public comment New Approach Active learners...
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