Does spiritual care improve health outcomes for clients Liv - PowerPoint Presentation

Slide1

Does spiritual care improve health outcomes for clients Living with a chronic illness?

ByRachel LockwoodTricia McGovern AndKelli WalterSlide2

IntroductionMany patients suffer from a wide variety of chronic illnesses.

Flare ups or complications of chronic illnesses often require hospitalization or other medical interventions.Providing spiritual care to a patient with a chronic illness is something that is vital to the nurse- patient relationship.Slide3

IntroductionMost Americans believe that faith and spirituality activities help them recover from illness (Whelan-Gales, Quinn-Griffin,

Maloni, & Fitzpatrick, 2009).Spirituality may not always be associated with God. Slide4

Some key definitions:Chronic illness- is a disease that lasts 3 months or longer.

Spirituality- “the propensity to make meaning through a sense of relatedness to dimensions that transcend the self in such a way that empowers and does not devalue the individual” (Pehler and Craft-Rosenberg, 2009p.482).Religion- “beliefs, values, practices, and rituals that are an observable aspect of a person’s spirituality and help a person express his or her connectedness to what they experience” (Pehler, and Craft-Rosenberg, 2009 p. 482).Slide5

Spiritual Care“Spirituality is deeply personal and involves an individual’s deepest fears and aspirations” (Young and Koopsen, 2011, p. 146).

Spiritual involves promoting personal integrity and search for meaning (Young and Koopsen).Slide6

Statistics1 out of 2 (or 133 million) adults suffer from at least one chronic disease. (CDC, 2005)

31% ( or 20 million nationwide) of children under the age of 18 suffer from at least one chronic illness. (Taylor, 1992)Slide7

StatisticsBeing diagnosed with a chronic illness can lead to feelings of sadness and discontent with one’s self, support systems, and my result in anger toward a higher power (Whelan-Gales et al.).

“Fewer than 25% of cardiac patients with major depressive symptoms are diagnosed as depressed” (Whelan-Gales et al.). Slide8

Evidence Based Research: Does spiritual care improve health outcomes for clients Living with a chronic illness?Slide9

Literature Review Article one

An exploratory study was conducted on a cardiac unit, the sample included patients over 65 years old, suffering from a chronic illness, and focused on depressive symptoms and the use of spiritually for coping (Whelan-Gales et al.).Slide10

Study ResultsResults indicated that individuals participate in at least one spiritual practice (Whelan-Gales et al.).

79% of individual diagnosed with a chronic illness expressed depressive symptoms and the study showed that as depressive symptoms increased, spiritual well-being decreased (Whelan-Gales et al.).Slide11

Implication of the Study

Patient and families who used spiritual practices for coping with chronic illness were less like to exhibit depressive symptoms and gained enhances spiritual well-being (Whelan Gales et al.).Slide12

Literature Review Article two

Longing: The Lived Experience of Spirituality in Adolescents with Duchenne Muscular Dystropy by Shelley-Rae Pehler PhD, RN and Martha Craft-Rosenberg, PhD, RN, FAANThis

study was a sample of male adolescents with Duchenne Muscular Dystrophy who were 12 to 17 years old.8 of the 9 teenagers in this study identified themselves within the Judeo-Christian tradition and 6 of the 8 Christians identified with a specific church affiliation

.

The

study was set up as a interview with broad open-ended questions with a spirituality frameworkSlide13

Results of study

Searching for a sense of “connecting with others”, was expressed in this study. (Pehler, Craft-Rosenberg, 2009, p.487)Many participants felt that God was watching over them.

Many participants admitted to praying not only when mad or frustrated but also praying for a cure for their disease.Some teens expressed that their prayers have been answered, affirming their belief in prayer.

Connecting

with God filled participants with hope.Slide14

Implications of study

When dealing with children with a chronic disease pediatric nurses must be alert to cues and use communication and listening skills to create healing relationships . Work and education needs to be done related to spirituality and self-transcendence in adolescents.Parental spiritual responses and how it impacts the teen is also important and requires future research

(Pehler, Craft-Rosenberg, 2009, p.491)Slide15

Literature Review Article three

A study consisting of adolescence aged 14-21 years of age diagnosed with HIV examined the effects of spirituality on medication compliance and family involvement. Using the FAmily CEntered (FACE) Advanced Care Planning intervention, participants and their families were provided three, sixty minute periods focused on family based decision making about end-of-life care. (Lyon et al., 2011)Slide16

Study Results

Study results indicated that participants in the FACE group had an increased sense of spiritual well-being.Family based intervention among adolescence with HIV also improved medication compliance. (Lyon et al., 2011)Slide17

Implications of the Study

Involving adolescences in the decision –making process and incorporating family support will enhance the patients level of spirituality and acceptance. (Lyon et al., 2011)When caring for adolescent patients, the nurse should encourage the parents to talk with their child and make health related decisions together. Slide18

“Spirituality is often explained as an individuals quest to find meaning in life” (Whelan et al., p. 312).

Research shows a positive link between spirituality and quality of life (Whelan et al.).Based on the evidence provided, nurses caring for patients with chronic illness have a responsibility to incorporate spiritual care into clinical practice as a means of promoting positive patient outcomes.

Does spiritual care improve health outcomes for clients Living with a chronic illness?

ConclusionsSlide19

Conclusions and implications of studies

“Coping with a life illness may result in feelings of anger toward a higher power” (Whelan-Gales et al.). Individuals suffering from an illness may try to alienate themselves from family and friends (Whelan-Gales et al.). Slide20

References

Centers for Disease Control and Prevention. (2010). Chronic diseases and health promotion. Retrieved from http://www.cdc.gov/chronicdisease/overview/index.htmGales-Whelan, M.A., Quinn-Griffin,M.T., Maloni, J.Fitzpatrick,J.J. (2009) Spiritual wellbeing, spiritual practices, and depressive symptoms among elderly patients hosptialized

with acute heart failure. Geriatric Nursing, 30(5), 312-317.

Lyon, M.E.,

Garvie

, P.A., Kao, E., Briggs, L., He, J.,

Malow

, R.,

D’Angelo

, L.J., & McCarter, R. (2011). Spirituality in HIV-infected adolescents and their families: family centered (FACE) advance care planning and medication adherence. Journal of Adolescent Health 48(2011), 633-636. doi:10.1016:j.jadohealth.2010.09.006

Pehler

, Shelley-Rae PhD, RN, Craft-Rosenberg, Martha, PhD, RN, FAAN,(2009) Longing: Lived Experience of Spirituality in Adolescents with

Duchenne

Muscular Dystrophy, Journal of pediatric nursing, vol24(6) p.481-493

Taylor, P.W. Childhood chronic illness-prevalence, severity, and impact, American Journal of Public Health Mar 1992,82(3) p.364-371

doi

10.2105/AJPH.82.3.364

Vachon

, M.L.S.(2008) . Meaning, spirituality, and wellness in cancer survivors.

Seminars in Oncology Nursing, 24(3).

218-255

Young, C.

Koopsen

, C. (2011).

Spirituality, health, and healing: An integrative approach (

2

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). Sudbury, MA: Jones and Bartlett Publishers.