A comprehensive cultural and spiritual assessment on a patient

• Conduct a comprehensive cultural and spiritual assessment on a patient that you see in your clinical experience this week. If you were are not in clinical this week conduct this assessment on a professional colleague, friend, or family member.
• Document the assessment in the context of a subjective data set that you will use as your discussion post. Use one of mnemonics presented in this week’s lecture materials to guide your spiritual assessment.

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Sample Answer


AAffiliations: What religious or spiritual groups do you belong to?

The patient, who I will refer to as Mr. Smith, is a 72-year-old man who was admitted to the hospital with pneumonia. He is a member of the Church of Jesus Christ of Latter-day Saints (LDS Church). He attends church services every Sunday and participates in activities at the church throughout the week.

DDietary Practices: Are there any dietary restrictions that I need to be aware of?

Mr. Smith does not have any dietary restrictions. He follows the dietary guidelines of the LDS Church, which are based on the principles of health and well-being. He eats a healthy diet that includes fruits, vegetables, whole grains, and lean protein.

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Healthcare Practices: Do you have any traditional healthcare practices that I should be aware of?

Mr. Smith does not have any traditional healthcare practices. He trusts the medical care that he is receiving from his doctors and nurses. He is open to complementary and alternative medicine, but he has not used any CAM therapies in the past.

E – Experiences: Have you had any previous experiences with healthcare that have influenced your beliefs or preferences?

Mr. Smith has had positive experiences with healthcare in the past. He has been treated for a variety of health problems over the years, and he has always been satisfied with the care that he has received. He believes that healthcare professionals are dedicated to helping people, and he trusts their expertise.

R – Religiosity: How important is religion or spirituality in your life?

Religion and spirituality are very important to Mr. Smith. He believes that God has a plan for his life, and he finds comfort in his faith. He prays every day and reads the scriptures regularly. He also attends church services and participates in activities at the church.

E – End-of-life Care: What are your wishes for end-of-life care?

Mr. Smith wants to die peacefully at home. He does not want to be put on life support, and he wants his family to be with him when he dies. He has discussed his wishes with his family, and they are all supportive of his decision.

This cultural and spiritual assessment provides me with a better understanding of Mr. Smith’s beliefs and values. This information will help me to provide him with culturally competent and spiritually sensitive care.

In addition to the ADHERE mnemonic, I also used the following questions to guide my assessment:

  • What is your cultural background?
  • What language do you prefer to speak?
  • Do you have any family members or friends who can help me to translate?
  • Are there any cultural or religious practices that I should be aware of?
  • What are your beliefs about health and illness?
  • What are your goals for treatment?
  • What are your concerns about your health?
  • What kind of support do you need from me?

By asking these questions, I was able to gain a deeper understanding of Mr. Smith’s cultural and spiritual beliefs. This information will help me to provide him with the best possible care.

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