[NP-Clinical] Clinical Spirituality
David Mittman
dmittman at comcast.net
Thu Aug 16 12:51:23 PDT 2007
LAURA: YES, IT¹S TRUE. I did assume that the patient was a Christian or
Jewish. From what I know of these two beliefs, God does not disable or hurt
children because of their parents. You should know me well enough that if
this particular patient was not of a religion I knew much about, I would
never comment like that. I would talk to her about possible guilt, try to
learn her beliefs, even look into them or talk to a clergy to generally
understand them. My goal would be to help her get through this and also
learn if her beliefs were consistent with the religion.
Peace.
Dave
On 8/16/07 2:24 PM, "Thiem" <ljthiem at yahoo.com> wrote:
> The assumption here is that the patient is Christian. Phil left the name of
> the "spiritual book" out and only mentioned "congregation" which could be
> applied to a variety of groups.
>
> When dealing with belief and value systems it is important to try to put
> ourselves in the perspective and experience of the patient. A good set of
> tools is available in the Cultural Competency Program available here:
> https://cccm.thinkculturalhealth.org/GUIs/GUI_Intro_welcome.asp
> <https://cccm.thinkculturalhealth.org/GUIs/GUI_Intro_welcome.asp>
>
> Section 1.3 describes a number of different interview techniques that
> focus on patient-centered care. While I have practiced in this manner
> for years, I have never found a resource that describes these interview
> and care techniques so succinctly.
> Laura, NP, Missouri
>
> "Smith, Melissa" <SmithMS at umkc.edu> wrote:
>> Good response Dave.
>>
>> -----Original Message-----
>> From: np-clinical-bounces at nurse.net
>> [mailto:np-clinical-bounces at nurse.net] On Behalf Of David Mittman
>> Sent: Wednesday, August 15, 2007 10:45 PM
>> To: NP Clinical
>> Subject: Re: [NP-Clinical] Clinical Spirituality
>>
>> I would say that nowhere in the Bible does it even suggest that this is
>> the
>> way God works. I would ask her to speak with her pastor, etc to clarify
>> that
>> this is so and to see why she feels that way.
>> Dave
>> On 8/15/07 10:58 PM, "Phil Noe" wrote:
>>
>>> >
>>> > Ok-Here's an interesting spiritual / religious clinical
>>> > question -> How would you handle this scenario? I
>>> > recently say a child with a chronic incurrable and life
>>> > shortening illness. The mom who is very involved in her
>>> > local congregation carried a good bit of guilt and told
>>> > me that as she studied her Religious book she believed
>>> > that if she could lead a good enough life that her child
>>> > would be cured but she had not achieved that yet was
>>> > still trying. She obviously felt that the illness was
>>> > somewhat her fault. After telling me this , she then
>>> > paused for me to reply - what would you say?
>>> >
>>> > Phil Noe
>>> > Pediatric Pulmonology and Sleep Medicine
>>> > Children's Hospital
>>> > Knoxville, TN
>>> >
>>> >
>>> > --- Calif NP wrote:
>>> >
>>>> >> There are numerous health care providers who
>>>> >> deliberately or unwittingly
>>>> >> unrelentlessly proselytize to their patients, often in
>>>> >> subtle ways such as
>>>> >> verbalizing religion based quotes or offering prayer
>>>> >> for someone's
>>>> >> difficulties (a kind gesture which I appreciate). But,
>>>> >> it is compelling that
>>>> >> we support the ethic that in a society based on secular
>>>> >> respect for others
>>>> >> beliefs this may not be appropriate, especially in
>>>> >> areas/populations which
>>>> >> are medically underserved.
>>>> >>
>>>> >> ----- Original Message -----
>>>> >> From: "Dena"
>>>> >> To: "'NP Clinical'"
>>>> >> Sent: Monday, August 13, 2007 6:20 AM
>>>> >> Subject: RE: OT Re: [NP-Clinical] Prayer subject not
>>>> >> closed -
>>>> >> Prayforworldsobriety
>>>> >>
>>>> >>
>>>>> >>> I'm sorry-- perhaps I've misunderstood the purpose of
>>>> >> this professional NP
>>>>> >>> listserve after 13+ yrs of being an active member....
>>>> >> I had no idea I had
>>>>> >>> signed up for a "religious NP" listserve. Or perhaps
>>>> >> the mission statement
>>>>> >>> of the list changed somewhere along the line when I
>>>> >> was out of town. Or
>>>>> >>> perhaps the official Email announcing the changes
>>>> >> ended up in my junk mail
>>>>> >>> box and I just never saw it. Or perhaps newer members
>>>> >> are just ignorant of
>>>>> >>> common proper netiquette because it isn't spelled out
>>>> >> in big bold letters
>>>>> >>> somewhere. If this list had a moderator/administrator
>>>> >> (I nominate Andy!!),
>>>>> >>> I'm sure these discussions would not be allowed.
>>>>> >>>
>>>>> >>> This is NOT the platform to discuss PERSONAL
>>>> >> religious beliefs-- of ANY
>>>>> >>> kind... I'm sure there are other, more appropriate,
>>>> >> venues for that.
>>>> >> Perhaps
>>>>> >>> those that are interested in exchanging prayers and
>>>> >> religious ideology can
>>>>> >>> form their own listserve on NPCentral and leave this
>>>> >> one to its intended
>>>>> >>> purpose???
>>>>> >>>
>>>>> >>> The ONLY time I think religion and politics have any
>>>> >> place on the list is
>>>> >> AS
>>>>> >>> THEY APPLY TO PATIENT CARE AND RESTRICTION OF OUR OWN
>>>> >> PRACTICE and then it
>>>>> >>> should be as IMPERSONAL as possible. The two subjects
>>>> >> are very sensitive
>>>> >> and
>>>>> >>> volatile and people's feelings can too easily get
>>>> >> hurt. It's just NOT
>>>>> >>> necessary. I could care less about the personal
>>>> >> religious beliefs of
>>>> >> ANYONE
>>>>> >>> on this listserve-- it is immaterial to NPInfo and
>>>> >> NP-Clinical. I find it
>>>>> >>> real hard to believe that some on this list actually
>>>> >> believe their own
>>>>> >>> personal religious views have any bearing on
>>>> >> discussions of NP issues-- or
>>>>> >>> that others care to hear about it.
>>>>> >>> Dena Galler
>>>>> >>>
>>>>> >>>
>>>>> >>> -----Original Message-----
>>>>> >>> From: np-clinical-bounces at nurse.net
>>>> >> [mailto:np-clinical-bounces at nurse.net]
>>>>> >>> On Behalf Of Joanne DaCunha
>>>>> >>> Sent: Monday, August 13, 2007 3:20 AM
>>>>> >>> To: NP Clinical
>>>>> >>> Subject: RE: OT Re: [NP-Clinical] Prayer subject not
>>>> >> closed - Pray
>>>>> >>> forworldsobriety
>>>>> >>>
>>>>> >>> Interesting that it is NOT ok to post a prayer but
>>>> >> perfectly OK to
>>>>> >>> ridicule that same religion. Perhaps I should not
>>>> >> express my view, but
>>>>> >>> religion, or lack thereof, is part of one's culture,
>>>> >> just as any other
>>>>> >>> part of their beliefs. It's not something that anyone
>>>> >> should ignore to
>>>>> >>> be a whole person. I happen to not agree that
>>>> >> religion and politics
>>>>> >>> should NOT be out of the social discussion context. I
>>>> >> think it teaches
>>>>> >>> all of us how to have civilized discourse with those
>>>> >> with whom we
>>>>> >>> disagree and allows disallows those who intend to
>>>> >> disrupt the beliefs of
>>>>> >>> others to continue their efforts "underground"
>>>> >> without ever being
>>>>> >>> challenged. Putting those issues on the discussion
>>>> >> table allows each of
>>>>> >>> us to learn the beauty of others' culture and beliefs
>>>> >> and learn what we
>>>>> >>> need to understand and live respectfully with others,
>>>> >> and that is a good
>>>>> >>> thing.
>>>>> >>> Joanne
>>>>> >>>
>>>>> >>>
>>>>> >>>
>>>>> >>> -----Original Message-----
>>>>> >>> From: np-clinical-bounces at nurse.net
>>>>> >>> [mailto:np-clinical-bounces at nurse.net] On Behalf Of
>>>> >> Linda Marie De Zago
>>>>> >>> Sent: Sunday, August 12, 2007 11:20 PM
>>>>> >>> To: 'NP Clinical'
>>>>> >>> Subject: RE: OT Re: [NP-Clinical] Prayer subject not
>>>> >> closed - Pray for
>>>>> >>> worldsobriety
>>>>> >>>
>>>>> >>> Love it!!!
>>>>> >>> This is going in my favorite folder.
>>>>> >>> What a great way to end the weekend.
>>>>> >>> Thanks for the laugh.
>>>>> >>>
>>>>> >>> Linda
>>>>> >>>
>>>>> >>> -----Original Message-----
>>>>> >>> From: np-clinical-bounces at nurse.net
>>>>> >>> [mailto:np-clinical-bounces at nurse.net]
>>>>> >>> On Behalf Of np at c-zone.net
>>>>> >>> Sent: Sunday, August 12, 2007 10:40 PM
>>>>> >>> To: NP Clinical
>>>>> >>> Subject: OT Re: [NP-Clinical] Prayer subject not
>>>> >> closed - Pray for world
>>>>> >>> sobriety
>>>>> >>>
>>>>> >>> Politically Incorrect Humor Warning!!!
>>>>> >>>
>>>>> >>>
>>>>> >>>
>>>>> >>> Read on at your own eternal peril, read on at the
>>>> >> risk of.........
>>>>> >>>
>>>>> >>>
>>>>> >>>
>>>>> >>>
>>>>> >>>
>>>>> >>>
>>>>> >>> "SIPPING VODKA"
>>>>> >>>
>>>>> >>> A new priest at his first mass was so nervous he
>>>> >> could hardly speak.
>>>>> >>> After mass he asked the monsignor how he had done.
>>>> >> The monsignor
>>>>> >>> replied, "When I am worried about getting nervous On
>>>> >> the pulpit, I put a
>>>>> >>> glass of vodka next to the water glass. If I start to
>>>> >> get nervous, I
>>>>> >>> take a sip."
>>>>> >>> So next Sunday he took the monsignor's advice. At
>>>> >> the beginning of the
>>>>> >>> sermon, he got nervous and took a drink.
>>>>> >>> He proceeded to talk up a storm. Upon his return to
>>>> >> his office after
>>>>> >>> the mass, he found the following note on the door:
>>>>> >>>
>>>>> >>> 1) Sip the vodka, don't gulp.
>>>>> >>>
>>>>> >>> 2) There are 10 commandments, not 12.
>>>>> >>>
>>>>> >>> 3) There are 12 disciples, not 10
>>>>> >>>
>>>>> >>> 4) Jesus was consecrated, not constipated.
>>>>> >>>
>>>>> >>> 5) Jacob wagered his donkey, he did not bet his ass.
>>>>> >>>
>>>>> >>> 6) We do not refer to Jesus Christ as the late J.C.
>>>>> >>>
>>>>> >>> 7) The Father, Son, and Holy Ghost are not referred
>>>> >> to as Daddy, Junior
>>>>> >>> and the spooky.
>>>>> >>> 8) David slew Goliath, he did not kick the sh*t out
>>>> >> of him.
>>>>> >>>
>>>>> >>> 9) When David was hit by a rock and was knocked off
>>>> >> his donkey, don't
>>>>> >>> say he was stoned off his ass.
>>>>> >>>
>>>>> >>> 10)We do! not refer to the cross as the "Big T."
>>>>> >>>
>>>>> >>> 11) When Jesus broke the bread at the last supper he
>>>> >> said, "take this
>>>>> >>> and eat it for it is my body." He did not say " Eat
>>>> >> me"
>>>>> >>>
>>>>> >>> 12 The recommended grace before a meal is not:
>>>> >> Rub-A-Dub-Dub
>>> > === message truncated ===
>>> >
>>> >
>>> >
>>> >
>>> >
>> ________________________________________________________________________
>> ______
>>> > ______
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>>> >
>>
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