Response respond to  each student with a paragraph Student 1 -meag Preferred Practice 24 states, “Incorporate cultural assessment as a component of compreh

Response respond to  each student with a paragraph Student 1 -meag
Preferred Practice 24 states, “Incorporate cultural assessment as a component of comprehensive palliative and hospice care assessment, including, but not limited to, locus of decision making, preferences regarding disclosure of information, truth telling and decision making, dietary preferences, language, family communication, desire for support measures such as palliative therapies and complementary and alternative medicine perspectives on death, suffering, grieving, and funeral/burial rituals” (Scott, Thiel & Dahlin, 2008). This practice, just from the description given alone shows that the healthcare provider is looking at each individual as a whole, providing specialized care for both the patient and their families. By recognizing each individual’s cultural or spiritual beliefs, the provider is also showing that they support the patient’s views and will do their very best to respect them as well as assure them that other staff will do the same. When a new patient is admitted into hospice care it is important that an introductory spiritual assessment is made with the patient. Common methods include the use of the FICA or MVAST templates. In the FICA template, a patient is encouraged to discuss either their faith beliefs or something in life that gives them meaning. They are also encouraged to explain the importance or the influence their faith plays in their life. Many people who are of a certain faith are involved in some community that surrounds their faith. Being conscious of a patient’s community can provide resources during time of spiritual distress or to avoid a patient from experiencing it at all. Finally, it’s important to ask how a patient would like their faith the be integrated into their care in order to create a comfortable atmosphere. In the MVAST method, a patient would be asked about their moral authority, their vocational, or what gives their life purpose, aesthetics, or what brings pleasure to their life, their social system, and transcendence or who controls what happens in life. By understanding these components of a patient, the healthcare provider can create a care plan that will incorporate this which is often what many people turn to when they are looking for peace. As a healthcare provider, utilizing integrative therapy in patient care such as recognizing dietary restrictions and herbal remedies. Also recognizing a patient’s cultural backgrounds will allow the healthcare provider to understand their process in medical disclosure. Recognizing a patient’s relationship with death is also essential when working in palliative care.

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The goals of palliative care are to prevent and relieve suffering and support the best possible quality of life for patients and their families (Scott, Thiel, & Dahlin, 2008). Spiritual care is an extraordinarily important aspect when providing palliative care. Often times, patients will seek spiritual or religious understanding when coping with a life threatening illness. Spiritual and religious needs may be equally, or even more, important than those physical or medical in nature (Scott, Thiel, & Dahlin, 2008). If one fails to look at the emotional, social, psychological, and spiritual components of death and end of life, then they truly missed the opportunity on providing whole-person care (Richardson, 2014). With that being said, the clinical assessment of the patient’s spiritual, religious, and existential needs must first be established before the appropriate interventions can be made. The assessment may include practices, beliefs, supports, and community involvement that the person and their family may have. Two commonly used interviewing tools are the four-point FICA and six-point SPIRITual History assessment. FICA stands for faith, importance/influence of beliefs, community involvement, and addressing issues in providing care (Scott, Thiel, & Dahlin, 2008). SPIRITual stands for identifying spiritual beliefs, personal spirituality, integration in spiritual community, ritualized practices, implications for medical care, and terminal event planning (Scott, Thiel, & Dahlin, 2008). Two standardized structured formats that are self-administered include the FACIT-Sp and SBI-15R. FACIT-Sp is the12-item functional assessment of chronic illness therapy-spiritual well-being, which focuses on meaning, peace, and faith (Scott, Thiel, & Dahlin, 2008). SBI-15R is systems of belief inventory. which focuses on beliefs, practices, and religious community and support (Scott, Thiel, & Dahlin, 2008). As a side note, when conducting an assessment, it is important to understand the difference between spirituality and religion (Benorden, 2016). After the assessments have been carried out, the information is reviewed by a chaplain or spiritual care specialist. Based on the information gathered, a spiritual plan will be devised and implemented that contributes to patient centered interventions (Scott, Thiel, & Dahlin, 2008). In short, this practice emphasizes the assessment and plan that dictates the type of care that the patient and family receive. As members of a helping profession, they are called upon to assist with both physical and spiritual pain (Benorden, 2016). Hence, why it is so important to develop and document a plan based on assessment of religious, spiritual and existential concerns using a structured instrument and integrate the information obtained from the assessment into the palliative care plan.

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