Risk for spiritual distress
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[edit] Risk for Spiritual Distress
Taxonomy II:
Life Principles—Class 3 Value/Belief/Action Congruence (00067)
[Diagnostic Division: Ego Integrity] Nursing Diagnosis Extension and Classification (NDEC) Submission 1998; Revised 2004 developmental life changes Environmental
Definition:
At risk for an impaired ability to experience and integrate meaning and
purpose in life through a person’s connectedness with self, other persons, art, music, literature, nature, and/or a power greater than oneself
RISK FACTORS
Physical Physical/chronic illness, substance abuse/excessive drinking Psychological Stress; anxiety; depression Low self-esteem; poor relationships; blocks to experiencing love; inability to forgive Loss; separate from support systems; racial/cultural conflict Change in religious rituals/spiritual practices
Developmental Life changes; developmental life changes
Environmental Environmental changes; natural disasters NOTE: A risk diagnosis is not evidenced by signs and symptoms, as the problem has not occurred and nursing interventions are directed at prevention.
DESIRED OUTCOMES/EVALUATION CRITERIA—CLIENT WILL:
• Identify meaning and purpose in one’s life that reinforce hope, peace, and contentment.
• Verbalize acceptance of self as being worthy, not deserving of illness/situation, and so forth.
• Identify and use resources appropriately.
ACTIONS/INTERVENTIONS
nursing priority no. 1. To assess causative/contributing factors:
• Ascertain current situation (e.g., natural disaster, death of a spouse, personal injustice).
• Listen to client’s/SO’s reports/expressions of anger/concern, belief that illness/situation is a punishment for wrongdoing, and so forth.
• Note reason for living and whether it is directly related to situation (e.g., home and business washed away in a flood, parent whose only child is terminally ill).
• Determine client’s religious/spiritual orientation, current involvement, presence of conflicts, especially in current circumstances.
• Assess sense of self-concept, worth, ability to enter into loving relationships.
• Observe behavior indicative of poor relationships with others (e.g., manipulative, nontrusting, demanding).
• Determine support systems available to and used by client/SO(s).
• Ascertain substance use/abuse. (Affects ability to deal with problems in a positive manner.)
nursing priority no. 2. To assist client/SO(s) to deal with feeling/situation:
• Establish environment that promotes free expression of feelings and concerns.
see also
