GERIA ENDTERM PART 6 - Spiritual Care & End of Life Care

Spirituality

Search for meaning in life, connection with others and the Divine; essence of being.

Religion

Structured system of beliefs, rituals, and rules related to the Divine; institution-based.

Spirituality vs Religion

Both give purpose and meaning, but spirituality is personal while religion is organized.

Love

Unconditional care given selflessly.

Hope

Expectation of a positive future despite suffering.

Meaning and Purpose

Belief that life experiences (good or bad) have value.

Dignity

Sense of worth through connection with God.

Forgiveness

Letting go of past issues to achieve closure.

Gratitude

Appreciation of positive life experiences.

Transcendence

Connection to a higher power beyond logic.

Expression of Faith

Practice of beliefs (prayer, rituals, worship).

Spiritual Assessment

Identifying patient’s spiritual needs and concerns.

Life Review

Reflecting on past experiences to find meaning.

Promoting Hope

Creating a safe space to discuss spiritual concerns.

Spiritual Support

Maintaining religious practices and offering prayer if welcomed.

Transcendence

Finding meaning beyond oneself.

Connection

Relationships with others and spiritual figures.

Balance

Harmony within self, others, and environment.

Purpose

Discovering meaning and direction in life.

End-of-Life Care

Care for patients with advanced, incurable illness.

End-of-Life Period

Final days to weeks when body systems shut down.

Palliative Care

Care focused on relieving suffering and improving quality of life.

Self-awareness

Understanding one’s own beliefs about death.

Collaboration

Working with healthcare team for holistic care.

Communication

Responding effectively to patient needs.

Family Support

Assisting loved ones through grief and loss.

Respect

Honor patient’s beliefs without imposing your own.

Presence

Being available and listening.

Choice

Allow patient decisions in care.

Spiritual Counselor

Identify preferred religious support.

Care

Manage pain and symptoms effectively.

Control

Maintain independence and identity.

Composure

Regulate emotional responses.

Communication

Share information and feelings.

Continuity

Maintain normalcy in life.

Closure

Achieve reconciliation and peace.

Closed Awareness

Patient unaware of condition.

Suspected Awareness

Patient suspects illness but not confirmed.

Mutual Pretense

Everyone avoids discussing death.

Open Awareness

Death openly acknowledged.

Coolness

Reduced circulation; keep patient warm.

Increased Sleeping

Energy conservation; allow rest.

Disorientation

Metabolic changes; reorient gently.

Incontinence

Muscle relaxation; provide hygiene care.

Withdrawal

Patient preparing for death.

Vision-like Experiences

Seeing deceased or spiritual figures.

Restlessness

Emotional or spiritual distress.

Physiological Needs

Relief from pain and symptoms.

Safety Needs

Trust and emotional security.

Belongingness

Love, presence, communication.

Self-esteem

Maintain dignity and independence.

Self-actualization

Find meaning in death.

Denial

Refusal to accept loss.

Anger

Blame and frustration.

Bargaining

Regret and “what if” thinking.

Depression

Sadness and withdrawal.

Acceptance

Peace with the loss.

Documentation

Written or electronic record of patient care.

Report

Communication of patient information (oral/written).

Communication

Share info among healthcare team.

Planning Care

Guide treatment decisions.

Audit

Quality assurance review.

Research

Source of data.

Education

Learning tool.

Legal Documentation

Evidence in court.

Factual

Objective, accurate data.

Timing

Record immediately after care.

Legibility

Clear and readable.

Permanence

Written in permanent ink.

Accepted Terminology

Use standard abbreviations.

Correct Spelling

Prevent errors.

Signature

Identify the nurse.

Accuracy

Correct patient and data.

Sequence

Follow proper order of events.

Appropriateness

Only relevant data.

Completeness

Reflect nursing process.

Conciseness

Brief but complete.

Legal Prudence

Protects nurse and patient legally.