developing an objective religious and spiritual assessment ... · saudi arabia . declaration i have...
TRANSCRIPT
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Developing an Objective Religious and Spiritual
Assessment Tool Ahmed AboAbat, PhD
Rehabilitation Consultant
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Saudi Arabia
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Declaration I have nothing to declare
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Objectives
• Examine and introduce quantitative assessment tools
• Present KFMC experience
• Integrate RSC as a healthcare service
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About King Fahad Medical City - KFMC
• 1200 beds
• Four Hospitals (women, children, rehabilitation, Main)
• Four Center of Excellences (Heart, Cancer, neurosciences, metabolic and obesity)
• Accredited national and international
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Religious and Spiritual Counseling Services
RSCS
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Referral
Contact RSC
Assessment & Management
Documentation
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16070
1. Conducted need assessment with healthcare provides, patients/families
2. 74 Questions
3. Communicate with official Fatwa organizations
4. Fatwas were recorded
5. Linked internally with extension 16070
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Tue, 24 April, 2:00 PM – 3:00 30 PM Bayside C, 4th Floor
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Methodology
• Counseling session through proper dialogue & answering questions
• Using educational materials
• Guidance to the resources (internal extension, Tahoor application)
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Religious and Spiritual Counseling Services
• 5 counselors
• Providing services to all type of patients and their families (no discrimination)
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Most of the available assessments are measure of
self-described religiosity
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Religiosity of Islam Scale (RoIS)
The Religiosity of Islam Scale (RoIS)
was designed to measure the
religiosity degree of Muslims
(Jana-Masri & Priester, 2007).
The scale started with 38 items, and after the factor
analysis was reduced to a 19-item scale that yielded
a general score reflecting practice and beliefs.
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KFMC Assessment History
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Challenges;
• No unified language between the counselor
• Time consuming
• Quality of management
• No prober documentation
• No integration with multidisciplinary healthcare team
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SOAP notes
• Commonly used method of documentation by healthcare providers
• Originated from the problem-oriented medical record (POMR)
• developed by Lawrence Weed
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•A •P
•O •S
Subjective Objectives
Assessment Plan
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Assessment challenges
• Not related to specific organ or function
• Cannot be assess through lab or imaging
• Multifactorial • Type of disease; curatuve vs non-curative, terminal, leading to
disability.
• Culture
• Believes
• Personality
• Age and gender.
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Expected outcome;
• To unify the language between the counselor
• More efficient and effective management
• For better integration with multidisciplinary healthcare team
• For better research opportunities
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Intrinsic Extrinsic
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Intrinsic
Capabilities Barriers
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Facilitators Risks
Extrinsic
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Main DOMAINS
capabilities
Barriers
Facilitators
Risks
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Acceptance of Reality
Eternal Life Beliefs
Spiritual Discipline
Serenity/Peace
Life Meaning/Purpose
Hope
Forgiveness
Reconciliation
Acceptance of Limits
Self-Worth
Capability to Overcome Health Crisis
Happiness
Knowledgeable on Jurisprudential Rule
Coping with the Disease
Capabilities
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Depression
Anxiety
Guilt
Shame
Anger
Hopelessness/Despair
Powerlessness
Meaninglessness
Grief
Denial of Reality/Pain
Withdrawal/Isolation
Self-Pity
Suicidal Thoughts
Pain
Fear of (Specify) ________
Others (Specify)_________
Barriers
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Religious Friend
Religious Group
Love of the Mosque
Memorizing the Holy Qur’an
Colleague affect him positively
Volunteer Work for the patient
Family
Others (Specify) ____________
Facilitators
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Terminally Ill
Loss of Consciousness
Loss of Memory
Contact with Negative Individual
Hypnotic Drugs
Sagginess towards Religious Duties
Neurologic Shock
Possibility of having one of the above
Others (Specify) ______________
Risks
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Scoring system
• To estimate the degree of severity
• To build a target
• To monitor the changes
• 3 vs 5 rating scale system
RSC perspective
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Example - Suicidal thoughts
1 • Never thought of
2 • Thought with hesitant
3 • Actual trial
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Example - Suicidal thoughts
1 • Never thought of
2 • Though of, tend to get rid of
3 • Thought with hesitant
4 • Thought of, tend to do
5 • Tried
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Impression
The patient needs religious education about the provisions relating to his condition
The patient religious but needs a bit of religious support Partially responds
The patient religious and adapted to his state of health Refuses the Counselor Visit
Is highly responsive Others (Specify) ________________
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Action Plan:
Provide Counseling session
Answer Religious questions
Educate about Roquia
Educate about Ablution and Prayer
Educate the provisions of jurisprudence related to his/her situation
Educate the family to remind him/her about impact of patience and anticipation of God's reward
Educate the family not to discuss Worldly matters during moribund
Educate about will
Need a second visit
Refer to (Specify) _________________
Others (Specify) ___________________
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Implementation
• May 2016
• Average weekly new patient 55 (1Q 2018 = 671)
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Quality Measures
1. Minimize individual variances (knowledge & skills) through
peer review
frequent meeting
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Weekly follow up sheet
Domain Element Admission score
Target score
Previous score
Current score
Capability
Barriers
Facilitator
Risks
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Quality Measures
1. Minimize individual variances (knowledge & skills) through continuous training, peer review and frequent meeting
2. Establish definition for each score to ensure valid scoring
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Assessment form has been automated within the Electronic Health Record (Health Information System)
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Religious / Spiritual Counselor Assessment
Capabilities Tab
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Religious / Spiritual Counselor Assessment
Barriers Tab
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Religious / Spiritual Counselor Assessment
Facilitators Tab
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Religious / Spiritual Counselor Assessment
Risk Tab
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Religious / Spiritual Counselor Assessment
Counselor Impression Tab
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Religious / Spiritual Counselor Assessment
Action Plan Tab
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Religious / Spiritual Counselor Assessment
Recommendation tab
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Recommended future and continuing development
Rating scale model
Validity of scoring system
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Together we plead for the good and wipe off tears of mournful Together we draw smiles and light up hope for the confused