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history of spirituality
pre christian era: caring for sick = hospitability, charity, praying for god(s) for healing
early christian era: nurses respcted as one of christ's primart teachings
post reformation period: nursing orders continue to flourish, nightingale s. as very heart of human nature
midst 20th century: spiritual care seen as less important-> more science
today: today s. is of serious concern for nurses
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comparison of religion and spirituality
religion (the map): believes, values, rituals, norms, answers, self image , identity
spirituality: one's journey, dynamic relationship self, others, ....lifelong process of growth
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spiritulaity among cultures
eastern: being aware, sensitive to reality
western: see signs of a higher spirit
-> most people are satisfied with their belief, support their healing (not convert)
--> if distress, refer to specialist
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what are the core issues of spirituality?
faith, hope, love
- faith: purpose of being, faithstruggles might feel anger, guilt, selfjudgement
- , worthlessness
hope: achieve, create, shape something of our life-> purpose
love: often seen as a trade, can cause suffering, death limits time of lovers staying together
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cures, miracles, and spiritual healing
do not give false hope nor say healing is impossible
healing does not have to imply the end of illness and all suffering
a miracle is anything that allows for the presence of a higher being/ god/ angel-> see god at work (does not necessarily involve physical cure)
- -> spiritual phenomena
- ->mysterious
- -> difficult to define
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how might spiritual beliefs affect health?
the higher religious involvements the longer the life statistically
also increased pain tolerance, decreased depression, and anxiety
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Major religions, what should I know?
- be open
- nonjudgemental
- how does religious influence affect patient's healing?
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judaism
- one of the oldest religions
- Torah
- charity and tolerance
- orthodox, liberal, conservative, reconstructionist
- sabbath from sunset friday to sunset saturday (no work for orthodox)
- kosher foods, no pork, no combination of dairy and meat
- women prefer t have their body and limbs covered
- circumsisions
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christian science
- rely more on god regarding healing then on medical treatment
- no alcohol or tobbacco
- probably no blood transfusion
- usually do not donate or receive organs
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jehovah's witnesses
- do not want blood transfusion
- , also no organs when blood is involved.
- no celebration of birthdays and holidays, no tobacco or other recreational drugs
- may drink alcohol (but not being drunk)
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mormonism
- = book of mormon
- strict health code
- no tea,coffee, alcohol, tobacco
- sacred undergarment (private and treated with respect)
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seventh day adventism
- saturday the day of rest
- diet, health, conservative principles (no tattoos, piercings,...)
- no pork, shellfish, unclean foods
- no caffeine, tobacco, drugs,
- anti abortion
- birth control permitted for married couples
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Islam
- koran
- one god, worship and obeye
- no pork
- ramadan needen drugs are allowed
- always wash hands before eating
- free flowing water
- women with female staff
- never remove writing around neck
- usually no organ transplant, abortion, and contraception
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Bahai
- outgrow of Islam
- alcohol not permitted
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Hinduism
- oldest religion-> no single belief or practice
- several or hundreds of gods
- ayurvedic medicine: diet, sleep, elimination, hygiene, hot and cold foods, most lactovegetarians (milk but no eggs), fasting is common (only pure foods),
- free flowing water prefered
- prefer female staff
- sometimes sacred threat-> do not cut or remove
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sikhism
- combines Hinduism and Islam
- mystical branch of Islam
- one god
- meditation
- strict vegetarians
- alcohol, tobacco forbidden
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buddhism
- not a god but a way of life
- liberation from suffering
- eightfold path: right understanding, intention, speech, action, livelihood, effort, mindfulness, contemplation
- nirvana = heaven
- vegetarian, typically no abortion
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native american religion
- earth as living organism
- body of higher individual
- when earth is harmed human kind is harmed
- health as a state of harmony with nature
- medicine man, often believed to be the better healthcare professional
- often treated with disrespect by healthcare workers
- do not take notes-> use memory to record findings later
- long periods of silence in conversation common
- impolite to say you did not hear patient-> use quit setting
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rastafarianism
personal dignity and love to god
- old and new testament of bible
- no pork, shellfish,
- no second hand clothing
- may be anxious about blood transfusion (contamination?)
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