Health Medical Homework Help

Consider the following questions in your initial discussion post:

• Select one of the mnemonics presented in the Unit 5 articles, or one you locate on your own, and construct a spiritual assessment on one of the patients that you encountered last week and create a ‘Subjective’ data set for the patient.
• Construct a discussion of your spiritual assessment findings and how you or the patient perceive they may impact the patient’s health care choices.
• Outline a ‘Plan’ with interventions you would implement to support identified spiritual strengths or address/support spiritual challenges for your patient.
• Include citations for each of the resources that you used to support those elements of your Plan.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

EXAMPLES:

1)

The spiritual assessment is critical to uncover distress that may affect the patient’s overall health and treatment outcomes. Discovering spiritual needs helps to develop a treatment plan that includes spiritual coping needs that help the patient face their concerns. It may not be evident that the patient has spiritual distress. Even the patient may not realize this. This is one reason why the spiritual assessment is so important to complete on all patients (Caldeira & Timmins, 2017).

The mnemonic FICA is a great tool that can be used to assess a patient’s spiritual needs. It is well known and widely used in many healthcare settings. This stands for the following (Wordsworth, 2020):

• F – Faith/belief – Do they have a faith, and if so, what is it?
• I – Importance – How important is their belief/faith to them?
• C – Community – Do they have faith links in the community?
• A – Address – How do they want their spiritual needs addressed in their healthcare and treatment plan?

The following is my spiritual assessment of a 48-year-old African American married female client being treated for opioid use disorder during clinicals using the FICA mnemonic:

• F – Faith/belief – Do they have a faith, and if so, what is it? Yes. She is a Christian. The client used to go to church with her family every week and did a lot of community-based things with the church. However, lately, she does not attend. Her focus has been on getting high, and she has isolated herself from the church. She also used to pray every day, even if it was just to thank God for the day.
• I – Importance – How important is their belief/faith to them? It has been a very important part of her life since she was a child. Everyone in the family attends church.
• C – Community – Do they have faith links in the community? The church does a lot of community work, but she has not participated in some time. This used to be something she looked forward to as she would love to help those in need.
• A – Address – How do they want their spiritual needs addressed in their healthcare and treatment plan? She wants to get back to her faith and asking for the Lord’s help through this time.

The plan for the above patient to address spiritual needs is as follows:

Plan: Referral of client for psychotherapy and explore the possibility of family or church members attending some sessions with her. Explore implementing prayer into her therapy and follow-up visits.

Diagnostics: Based upon her given history of faith and her current status.

Therapeutics: Explore prayer in each session.

Education: The importance of her faith to her mental status, healing, treatment, and coping.

Consultation/Collaboration: Referral of client for psychotherapy and explore the possibility of family or church members attending some sessions with her.

Implementing spirituality into therapy sessions is critical to a client’s overall mental health status and can significantly impact their treatment adherence and outcomes. Therapy helps them regain their faith-bound insights and gather strength within themselves again. It can also help them reexamine their values and beliefs and helps them reflect on their behavior in a different context. Spirituality can help the client become calm, peaceful, and improves their mental attitude (Corey, n.d.).

References

Caldeira, S., & Timmins, F. (2017). Assessing the spiritual needs of patients. Nursing Standard, 31(29), 47. doi:http://dx.doi.org/10.7748/ns.2017.e10312.

Corey, G. (n.d.). Integrating Spirituality in Counseling Practice. American Counseling Association, 25, 116-119. doi:https://www.counseling.org/docs/default-source/vistas/integrating-spirituality-in-counseling-practice.pdf?sfvrsn=7ddd7e2c_10.

Wordsworth, H. (2020). Demystifying spiritual care: Let’s start with what it isn’t: Meeting patients’ spiritual needs may or may not be about faith, but it’s always about learning what matters to patients and helping them find strength. Nursing Standard, 35(9), 19-20. doi:http://dx.doi.org/10.7748/ns.35.9.19.s12.

2)

The FICA Spiritual History Tool is one of several spiritual assessment tools available. It is designed to elicit patient spirituality and its potential effect on healthcare by having the healthcare provider ask a series of questions.

F: What is your Faith?

I: Have your beliefs Influenced how you take care of yourself in this illness?

C: Are you part of a spiritual or religious Community?

A: How would you like me to Address these issues in your health care? (Saguil & Phelps, 2012).

My assessment is on a 56-year-old Caucasian female that I saw in clinical that is suffering from adjustment disorder with depressed mood and with mixed disturbance of emotions and conduct. She is also suffering from end-stage multiple sclerosis. She is in long-term care due to the MS. She is depressed due to being confined to a wheelchair at a young age. She is starting to have some memory decline as well. She was just recently moved to the new long-term facility she is in now. Before she was in an assisted living but is no longer able to live unassisted. She has a history of depression.

F: What is your faith? “I am a Christian. I believe in heaven and in God. But right now, I am a little angry because I am so sick. I know it’s not anyone’s fault, but it doesn’t make it any easier. I no longer go to church in person but do try to watch it online at least 2 times a month”

I: Have your beliefs influenced how you take care of yourself in this illness? “I usually pray more when I am sick, but I have not been praying as much as usual due to my mood.”

C: Are you part of a spiritual or religious community? “I used to go to church in Tampa, I don’t remember the name. Now I just try to find something online to watch. I don’t care what church it is as long as the message is good.”

A: How would you like me to address these issues in your health care? “I know that God is the ultimate healer. However, right now, I am upset. I want to get back into church so I can make peace with my situation.”

Assessment: DSM 5: V62.89 (ICD 10: Z65.8) Other Problem Related to Psychosocial Circumstances

Plan: Referral to a chaplain for religiously integrated cognitive behavioral therapy (RCBT). Religious beliefs and motivations incorporated into cognitive behavioral therapy processes that are used to encourage thought and behavior modifications is the definition of RCBT. The technique has been adjusted from Judith Beck’s cognitive behavior model to fit religious beliefs and sociocultural context. Utilizing strong religious beliefs, doctrines, and behaviors, therapists feel that patients can be trained to modify their bad beliefs, values, and behaviors to form a meaningful, hopeful, and optimistic view of the world. By utilizing RCBT, it is theorized that depression will be eliminated by giving the patient the meaningful, hopeful, and optimistic view of the world that they currently lack. The RCBT is performed by a therapist over 12 one-hour weekly sessions (Hosseini et al., 2017).

References

Hosseini, S. H., Rafiei, A., & Gaemian, A. (2017). Comparison of the effects of Religious cognitive behavioral Therapy (RCBT), cognitive behavioral Therapy (CBT) and Sertraline on depression in patients after coronary artery bypass Graft surgery: A randomized controlled trial. World Family Medicine Journal/Middle East Journal of Family Medicine, 15(10), 32–41. https://doi.org/10.5742/mewfm.2017.93135

Saguil, A., & Phelps, K. (2012, September 15). The Spiritual Assessment. American Family Physician. https://www.aafp.org/afp/2012/0915/p546.html.

3)

Per Woodall (1996), the patient must be assessed holistically, which includes their spirituality. A patient’s spiritual beliefs can affect their perception of illness and their treatment decisions. Studies have shown that religious beliefs and practices can affect a person’s health experience (Woodall, 1996).

Dr. Todd Maugans created the mnemonic ‘SPIRIT’ as an interviewing tool to assist providers with spiritual history taking (Saguil & Phelps, 2012). As healthcare providers, we have a responsibility to make sure that patients are comfortable with their religious beliefs. However, we also have ethical responsibilities when it comes to communicating with them (Woodall, 1996).

My patient is an 71-year-old African-American female diagnosed of Major depressive disorder, Anxiety, Bipolar, and Dementia. She was brought in by emergency medical services for bizarre behavior. The patient is a widower and lives with her eldest daughter. Her youngest daughter, of two, comes over 2-3 times per week to check on her. The patient needs 24-hour supervision, care with her ADLs, and receives a monthly pension check. She has Medicare insurance and receives food stamps.

Subjective

S= Spiritual belief System: What is your religious affiliation? “I am of the Baptist faith. I am a member of a local church for over 25 years, but often misses church due COVID restrictions.”

P=Personal Spirituality: Describe the beliefs and practices of your religion. “I believe in the Father, the Son, and the Holy Spirit. Trust in God, for he will take care of it all.”

I=Integration with a spiritual community: Do you belong to any spiritual or religious group? What is your role? “No, I don’t. I call my Pastor whenever I need prayer.”

R=Ritualized practices and Restrictions: Are there specific practices that you must carry out as a part of your religion or restrictions? “As Baptists, we do not have limitations. The Bible instructs us to live Christ-like.”

I=Implications for medical care: What aspects of your religion would you like me to keep in mind as I care for you? “I trust in God for all things.”

T=Terminal events planning: As we plan for your care near the end of life, how does your faith affect your decisions? “I have lived a good life on Earth. However, when the time comes, I want to be with my Father in heaven.”

Plan

According to Rindfleisch (2013), it is important to address spirituality with the patient often without overt projection of our beliefs. Moreover, I would maintain a record of all the persons authorized to discuss my patient’s condition.

References

Rindfleisch, J. (2013). Whole health: Change the conversation spiritual assessment tools clinical tool. Whole Health Library. http://projects.hsl.wisc.edu/SERVICE/index.php

Saguil, A. & Phelps, K. (2012, September 15). The spiritual assessment. American Family Physician, 86(6), 546-550. https://www.aafp.org/afp/2012/0915/p546.html

Woodall, H. (1996, January). The spiritual history. Archives of Family Medicine, 5(1):11-16. DOI: 10.1001/archfami.5.1.11. PMID: 8542049.