spiritual care in the opd harvey a. elder, m. d
TRANSCRIPT
![Page 1: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/1.jpg)
Spiritual Care in the OPDSpiritual Care in the OPD
Harvey A. Elder, M. D.
![Page 2: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/2.jpg)
Spiritual:Spiritual: Searching the sacred for meaning and purpose
Who am I? Where did I come from? Where am I going? What is there after death?
Relating to the Sacred, Ultimate, to God Faith is the name of the relationship
Medical Strategic Network 2
![Page 3: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/3.jpg)
Medical Strategic Network 3
What Is Spiritual Care?What Is Spiritual Care?
Who are the patients in the OPD? Integrated multifactor unity Who do you see? Why come? What supports their identity? What core issues do they face?
What are their central spiritual needs?
How well are they coping? Providing Spiritual Care
![Page 4: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/4.jpg)
What Supports Their IdentityWhat Supports Their Identity
If physical illness challenges identity If mental mental slowing threatens If emotional emotional varieties threaten If social how perceived threatens If spiritual: belief in Almighty Being stability
If merciful/gracious past forgiven If personal love specific, deep and tender If creative self-worth stable not subject to threat
Medical Strategic Network 4
![Page 5: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/5.jpg)
Core Issues FacedCore Issues Faced
Who are you? What are you worth? Who cares about you? Who cares for you? What drives you? Are you free from your past? What does you future look like? How do you cope with life? with illness? with
stress? All of these complicate illness, compliance and
recovery
Medical Strategic Network 5
![Page 6: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/6.jpg)
Meet JoeMeet Joe
Joe: 23 yr. old, 2nd yr. of professional school married 6 mo., a committed Christian During exam week for 1st yr. nocturnal diarrhea, often
keeping awake all night.
What are his spiritual needs?
Medical Strategic Network 6
![Page 7: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/7.jpg)
More about JoeMore about Joe
He took Benadryl and this helped a little His mother died of lymphoma, 05/08 He has small lymph nodes below his rt. Jaw What are his spiritual needs?
Medical Strategic Network 7
![Page 8: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/8.jpg)
Medical Strategic Network 8
What Is Spiritual Care?What Is Spiritual Care?
Who are the patients in the OPD? What are their central spiritual
needs? Connection: past, present, future What questions do they deal with?
How well are they coping? Providing Spiritual Care
![Page 9: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/9.jpg)
What Are Their Questions?What Are Their Questions? Physical:
Meaning, outcome Suffering, impairment
Mental/cognitive: Mental faculties, “loose it,” employment, hobbies
Social: Social support, abandonment, financial stability
Spiritual: Why me? Where is God in all of this?
Medical Strategic Network 9
![Page 10: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/10.jpg)
Meet CaraMeet Cara 71 yr. old lady living with her third husband
1 mo. cough that worsened, especially at night 1 wk. cough can’t breath unless sits up Believes in God and trusts Him when necessary
What are her spiritual needs?
Medical Strategic Network10
![Page 11: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/11.jpg)
Additional Info for CaraAdditional Info for Cara
Additional information: Second husband died of cancer of the lungs Father died, age 72, of heart failure with severe
dyspnea
What are her spiritual needs?
Medical Strategic Network 11
![Page 12: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/12.jpg)
Medical Strategic Network 12
What Is Spiritual Care?What Is Spiritual Care?
Who are the patients in the OPD? What are their central spiritual
needs? How well are they coping?
Orienting System Role of illness if Identity based on:
physical, mental, emotional, social, spiritual
Spiritual Care in the OPD
![Page 13: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/13.jpg)
Medical Strategic Network 13
What Is Spiritual Care?What Is Spiritual Care?
Who are the patients in the OPD? What are their central spiritual
needs? How well are they coping? Spiritual Care in the OPD
Initial visit Strategy Meeting spiritual needs
![Page 14: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/14.jpg)
Initial Visit: QuestionsInitial Visit: Questions
“How coping with symptoms/illness/life?” “Religious heritage? Still practicing?” “What are you famous for?” “How has this illness affected the way you see
yourself?” “What about your symptoms concerns you?”
“How do you view the future”?
Medical Strategic Network 14
![Page 15: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/15.jpg)
StrategyStrategy
Ask something at the first visit Note in the chart something not clarified Keep the conversation going from visit to visit Asking questions about multiple aspects of life
frees patients to ask about their concerns Treat each area of concern as you would, any
clinical problem: query, evaluate and fine help At some point they will have a major crisis!
Medical Strategic Network 15
![Page 16: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/16.jpg)
Respond to Spiritual NeedsRespond to Spiritual Needs Connection: presence, listening, hearing Identity: God’s precious child
Self-worth, loved
Grace: accepted (no shame) Forgiveness confession, repentance (gift), humility
Commitment: faith praise and obedience, hope
Bring specific spiritual answers to their needs, not generic ones (pray more, read Bible, etc.)
No proselytizing
Medical Strategic Network 16
![Page 17: Spiritual Care in the OPD Harvey A. Elder, M. D](https://reader036.vdocuments.site/reader036/viewer/2022082820/56649f4f5503460f94c70946/html5/thumbnails/17.jpg)
Spiritual CareSpiritual Care
Speaking TRUTH to meet human needs Friendship, building a safe relationship (not Amway!) Connection, willing to share in their suffering
Freedom from judgment Helping them find support
God, Holy Spirit, Christians friends Stand with encourage, hold as they struggle with
Acceptance and love Forgiveness: self and others Self-worth: precious child of God
Medical Strategic Network 17