[NP-Clinical] Clinical Spirituality

[Thiem]

And Phil asked "what would you say".  I didn't answer earlier.

I'm not sure that I would say anything.  Each pause, each silence does not necessarily need to be met with words.  I hope that I would have the composure to meet her eyes, give her my full attention and invite her to continue through my body language.  I also hope that I could convey acceptance of her beliefs.  That's a tall order and sometimes I don't do it as well as other times.

Laura, NP, Missouri

David Mittman <dmittman at comcast.net> wrote:Re: [NP-Clinical] Clinical Spirituality      LAURA: YES, IT’S 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
 >  

-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://lists.nurse.net/pipermail/np-clinical/attachments/20070816/40fe7391/attachment.html