SPIRITUALITY IN HEALTH CARE

God‘s design of Creation is unchanging, it is the TRUTH, it is Alpha and Omega. Our souls, anatomy, physiology etc.. is the same as our ancestors. What is good or harmful to their bodies and souls before is still applicable up to now.  However, man’s understanding of Creation is gradual, developing-evolving during time, depending on his capacity to grasp the “knowledge”.  In his study of diseases, man, with very little scientific stock knowledge attributed everything to the mysterious and spiritual, thus Shamans and faith healers are the “doctors” during the ancient times. As Science was evolving and becoming more sophisticated with the aid of microscope and other forms of biotechnology, Man was quick to disregard the spiritual and rely only in “Science”.  Wherein to see is to believe.

Now, after centuries of trial and error, Man realized that Science and Spirituality  exists together and that the Universe is composed of both the seen and the unseen. It doesn’t mean that the spiritual realm does not exist, just  because you cannot fully comprehend spirituality in a man-made laboratory through scientific experiments . Remember, we cannot see the bacteria and the electromagnetic waves all around us but it doesn’t mean it does not exist. Mans protocol for scientific experiments is not yet that evolved or sophisticated to study the realm of the spirits. However, Man is now beginning to realize that we must recognize his totality and treat the WHOLE person, which is body, mind , spirit and soul. Thus, there now exists many studies regarding spirituality in health care as enumerated below.

Fr. Gabriel Amorth, Chief Exorcist of the Vatican was right when he said that many patients in mental institutions will be healed if exorcism and deliverance ministry were made as part of their regular treatment.

Büssing A, Ostermann T, Matthiessen PF.Role of religion and spirituality in medical patients: confirmatory results with the SpREUK questionnaire. Health Qual Life Outcomes. 2005 Feb 10;3:10.

Coleman CL.Spirituality and sexual orientation: relationship to mental well-being and functional health status.J Adv Nurs. 2003 Sep;43(5):457-64.

Corsentino EA, Collins N, Sachs-Ericsson N, Blazer DG.Religious attendance reduces cognitive decline among older women with high levels of depressive symptoms. J Gerontol A Biol Sci Med Sci. 2009 Dec;64(12):1283-9. Epub 2009 Aug 12.

Giaquinto S, Spiridigliozzi C, Caracciolo B.Can faith protect from emotional distress after stroke?. Stroke. 2007 Mar;38(3):993-7. Epub 2007 Feb 15.

Hamilton JB, Crandell JL, Carter JK, Lynn MR.Reliability and validity of the perspectives of Support From God Scale.Nurs Res. 2010 Mar-Apr;59(2):102-9.

Hodge DR.A template for spiritual assessment: a review of the JCAHO requirements and guidelines for implementation. Soc Work. 2006 Oct;51(4):317-26.

Hodge DR.Spiritual assessment in marital and family therapy: a methodological framework for selecting from among six qualitative assessment tools.J Marital Fam Ther. 2005 Oct;31(4):341-56.

Kandasamy A, Chaturvedi SK, Desai G.Spirituality, distress, depression, anxiety, and quality of life in patients with advanced cancer.Indian J Cancer. 2011 Jan-Mar;48(1):55-9.

Kreitzer MJ, Gross CR, Waleekhachonloet OA, Reilly-Spong M, Byrd MThe brief serenity scale: a psychometric analysis of a measure of spirituality and well-being. J Holist Nurs. 2009 Mar;27(1):7-16. Epub 2009 Jan 28.

Monod SM, Rochat E, Büla CJ, Jobin G, Martin E, Spencer B. The spiritual distress assessment tool: an instrument to assess spiritual distress in hospitalised elderly persons. BMC Geriatr. 2010 Dec 13;10:88.

Owen AD, Hayward RD, Koenig HG, Steffens DC, Payne ME.Religious factors and hippocampal atrophy in late life.PLoS One. 2011 Mar 30;6(3):e17006.

Sulmasy DP. Spirituality, religion, and clinical care. Chest. 2009 Jun;135(6):1634-42.

Tuck I, McCain NL, Elswick RK Jr.Spirituality and psychosocial factors in persons living with HIV.J Adv Nurs. 2001 Mar;33(6):776-83

Yi MS, Mrus JM, Mueller CV, Luckhaupt SE, Peterman AH, Puchalski CM, Tsevat J.Self-rated health of primary care house officers and its relationship to psychological and spiritual well-being.BMC Med Educ. 2007 May 2;7:9.

I still have tons compiled but these are the ones I can post right now. However, i think this is enough to illustrate how the medical world has already recognized the indispensable relationship between body,mind, soul and spirit. I hope world governments will soon realize this as soon as possible…  I would like to refer you to my another  post titled “Give to Caesar, what is Caesar’s” and reflect.

 

Is It Okay to Dress a 3-Year-Old in a Prostitute Costume for a Pageant? | AndersonCooper.com

Is It Okay to Dress a 3-Year-Old in a Prostitute Costume for a Pageant? | AndersonCooper.com.

photo taken from blog.syracuse.com thanks!

The principle behind this is just like the principle why I am against teaching kids imitating blood sucking vampires, serial killers like Freddy Krueger, and curses and spell casting warlocks and witches during Halloween- it sends subliminal messages to the subconscious mind that things like these is OK and is even fun… Interview serial killers and you will know what i am talking about, how their childhood development were formed by seemingly “harmless” materials and role modeling of “good” adults..

In the case of Kids wearing prostitute get-ups- we must be clear,  firm and consistent about what is  the proper and modest  dress not only in words but also in actions. If you tell the children it’s not OK to wear things like this but you encourage teenagers (example : their older siblings) and you yourself are wearing things like this, then they will end up confused and subliminally think that everything’s just a joke…

One of my Priest friend told me before that he was shocked to learn that incest is the number one crime in a prison he visited. Apparently, girls (the daughters/relatives) imitate the dance act and costumes of “sex bomb” dancers (sexy dancers) and their mothers even encourage them to dance and dress like them, thinking it’s fun, it’s the trend and its harmless, well think again… Their uncles, Fathers and male cousins ended up having lustful thoughts watching girls dress and dance like prostitutes.. resulting to incest. (Will write more next time… gotta go to my appointment…)

Just came back from my appointment with JESUS, its First Friday… 🙂

PLEASE COMPARE THE TWO VIDEOS

I have nothing against the energetic dancing of most of our TV dancers, as a Physical Therapist, I encourage it as a form of fun exercise, I even worked in a Fitness Institution before and Taebo and belly dancing are taught there. Let us remember to be careful though, some dance moves are for professional dancers only, one wrong move could lead to Spinal Cord Injury or Traumatic Brain Injury.

The big problem lies with the immodest clothes that most dancers chose to wear without being aware of the psychological and spiritual implications of wearing outfits like these, which are supposedly worn only inside the matrimonial room (for their husband’s eyes only). Many souls go to hell because of immodest dresses. Many crimes are committed, many husbands become unfaithful, many families are broken because of immodest dresses. How I wish people in the academe advocate holistic health and realize the need to integrate everything. I wish i have the time to discuss more…. but there are too many pressing matters- I would like to write something about the scientific explanation of the Theology of the Body, having backgrounds in Anatomy, Physiology and Psychiatry- i am lucky to grasp the substance of the Theology of the Body written by  beloved Lolek. In the future, i hope i could discuss this.. with God’s Grace and Will of course… 🙂

 

FOR PT STUDENTS ONLY: ITPC

Course Outline in Introduction to Patient Care

 

TOPICS

1

 

OVERVIEW OF THE PRACTICE OF PHYSICAL THERAPY

 

ROLE OF PT IN PATIENT/CAREGIVER EDUCATION

 

Evaluation tools:

Pre-lecture quizzes

Post-lecture quizzes

Group Discussions

2

FOUNDATION OF  PHYSICAL HEALTH CARE PROCESS

  1. Interview and History-Taking
  2. Physical Examination
  3. Patient Management

 

Evaluation tools:

Pre-lecture quizzes

Post-lecture quizzes

Group Discussions

3

ESTABLISHING GOOD COMMUNICATION

 

THE PATIENT ADMISSION AND ASSURANCE OF PATIENT COMFORT

 

Evaluation tools:

Pre-lecture quizzes

Post-lecture quizzes

Group Discussions

 

5

 

BASIC FIRST AID

 

Evaluation tools:

Pre-lecture quizzes

Post-lecture quizzes

Group Discussions

6

Return demo of Basic First Aid

 

Evaluation tools:

Pre-lecture quizzes

Post-lecture quizzes

Mini– pracs

7

PROPER BODY MECHANICS

 

Evaluation tools:

Pre-lecture quizzes

Post-lecture quizzes

Mini- pracs

 

8

 

INTRODUCTION TO VITAL SIGN MONITORING

 

Evaluation tools:

Pre-lecture quizzes

Post-lecture quizzes

Mini- pracs

9

Return Demo of Vital Signs Monitoring

 

 

10 and 11

PR0PER BED POSITIONING AND DRAPING

BED MOBILITY AND TRANSFERS

 

 

Evaluation tools:

Pre-lecture quizzes

Post-lecture quizzes

Mini- pracs

12

Return Demo Of Proper Bed Positioning and Draping

Bed Mobility and Transfers

 

Evaluation tools:

Pre-lecture quizzes

Post-lecture quizzes

Mini- pracs

13 and 14

ASEPSIS AND ANTISEPSIS/ WOUND CARE

CARE  OF EQUIPMENT

( with Clinic Visit)

 

Evaluation tool:

Mini- pracs

References:

Principles of Patient Care by Pierson

Physical Assessment and Rehabilitation by Sullivan

Introduction to Physical Therapy and Patient Care by Reyes and Reyes

 

 

Topic: OVERVIEW OF THE PRACTICE OF PHYSICAL THERAPY

General Objectives:

  1. Understand the principles and concepts in rehabilitation medicine and the physical therapy
  2. Know the role of the physical therapist.
  3. Know the history of the physical therapy in the world and in the Philippines.

Specific Objectives:

  1. Differentiate rehabilitation medicine vs. physical medicine.
  2. Define the practice of Physical Therapy.
  3. Define the following terms according to the WHO definition:
  1. Impairment
  2. Disability
  3. HandicapDifferentiate the practice of Physical therapy and rehabilitation medicine from other medical specialty
  1. Trace the beginnings of the Physical therapy and rehabilitation medicine from other medical specialty.
  2. Trace the beginnings of the physical therapy profession itself and its commencement in the Philippines

 

Topic: ROLE OF PT IN PATIENT/CAREGIVER EDUCATION

General Objectives:

    1. Know the role of PT in patient/caregiver education
    2. Identify the role of  PT in patient/caregiver education.

Specific Objectives:

Define the following terminologies:

  1. Physical Therapy
  2. Caregiver
  3. Physical Therapy Assistant
  4. Physical Therapy Aide

1. Describe the role of PT in patient/caregiver education

2. Enumerate the role PT in patient/caregiver education

3. Demonstrate the role of PT in  patient/caregiver education

 

Topic: FOUNDATION OF  PHYSICAL HEALTH CARE PROCESS

General Objectives:

  1. Understand the physical health care process
  2. Know each part of the physical health care process

Specific Objectives:

  1. To be able to do the following processes:
  1. Interview and History-Taking
  2. Physical Examination
  3. Patient Management

Describe the specific tasks to be performed by the physical therapist during each part of the physical therapy health care process.

 

Topic: UNDERSTANDING PSYCHOLOGICAL AND SOCIAL REACTIONS TO ILLNESS

Differentiate the psychological and social reactions of different types of physical therapy patients:

  1. Orthopedic patient
  2. Rheumatic Patient
  3. Cardiorespiratory Patient
  4. Neurologic Patient

 

Topic: ESTABLISHING GOOD COMMUNICATION

General Objectives:

  1. Understand the elements of a good communication
  2. Learns the skills involved in establishing good rapport with the patient
  3. Know how to communicate ideas properly through written communication
  4. Learn the important elements of a patient interview

Specific Objectives:

1. Differentiate the following:

a. One-way vs Two-way communication

b. Written vs Oral Communication

2. Enumerate the elements of good oral and written communication

3. Describe how these different factors play a crucial role in communication

  1. use of appropriate non-verbal communication
  2. use of appropriate facial expression
  3. use of well-modulated voice

Topic: THE PATIENT ADMISSION AND ASSURANCE OF PATIENT COMFORT

General Objectives:

  1. Learn the skills needed in admitting a patient in a rehabilitation unit
  2. Observe the proper skills needed in admitting a patient in a rehabilitation unit.
  3. Demonstrate the skills in ensuring patient’s comfort.

Specific Objectives:

  1. Describe an ideal procedure in admitting patients with orthopaedic, rheumatologic, cardiorespiratory and neurologic conditions.
  2. Enumerate practical ways to ensure patients comfort

 

Topic: BASIC FIRST AID

General Objectives:

1. Learn the basic skills in administering basic first aid in common medical emergencies.

2. Demonstrate the skills in applying first aid in common medical emergencies

Specific Objectives:

  1. Identify the common medical emergencies that warrant first aid treatment.
  2. Know and identify the symptoms associated to these common medical emergencies
  3. Differentiate artificial respiration from cardiopulmonary resuscitation
  4. Know and Demonstrate the steps in conducting artificial respiration.
  5. Know and Demonstrate the basic steps in performing cardiopulmonary resuscitation.

 

Topic: PROPER BODY MECHANICS

General Objectives:

  1. Know the principles of proper body mechanics.
  2. Know the importance of observing proper posture in the physical therapy profession
  3. Knowing the principles of proper patient positioning in various conditions

 

Specific Objectives:

  1. Define posture and body mechanics
  2. Describe the appropriate position of the head, trunk and extremities in standing, sitting and lying
  3. Knowing the different techniques in observing proper body mechanics.

 

Topic: INTRODUCTION TO VITAL SIGN MONITORING

General Objectives:

  1. Know the principles of vital signs monitoring
  2. Appreciate the importance of monitoring the vital signs of a patient
  3. Know and identify the tools in monitoring vital signs
  4. Demonstrate the skills assessing the following vital signs:
  1. Blood Pressure
  2. Pulse
  3. Respiration
  4. Body Temperature

 

  1. Communicate and Interpret the results taken

 

Specific Objectives:

  1. Define the following:
    1. Vital Signs
    2. Blood Pressure
    3. Respiration
  2. State the importance of Vital Signs
  3. Explain the following terminologies:
    1. Thermoregulation
    2. Regulation of BP and Pulse Rate
    3. Regulation of Respiration
  4. Enumerate and explain the factors that affect vital signs
  5. Describe the parameters and correct technique in assessing pulse
  6. Identify the sites in assessing pulse
  7. Define the following:
    1. Basal Pressure
    2. Systolic
    3. Diastolic
    4. Pulse Pressure
  8. Identify and explain the methods in determining blood pressure
  9. Explain the steps in getting the blood pressure
  10. Describe the parameters and correct technique in assessing respiration
  11. Describe the parameters and correct technique in assessing body temperature
  12. Describe the different methodologies in assessing temperature
  13. know the normal values in vital sign monitoring

 

Topic:              PR0PER BED POSITIONING AND DRAPING

General Objectives:

  1. Learn and apply .the principles of proper bed positioning
  2. Learn and apply .the principles of preventive positioning for various conditions
  3. Learn and apply .the principles of proper draping

 

Specific Objectives:

  1. Define the following terminologies:
  1. Patient Positioning
  2. Preventive Positioning
  3. Draping
  4. Fowler’s Position
  5. Semi-Fowler’s position
  6. Trendelenburg
  7. Reverse Trendelendurg
  8. Contour
  9. Hyperextension
  1. State the importance/purpose of proper bed positioning, preventive positioning and draping
  2. Describe the appropriate position in supine, prone, side lying, sitting and standing
  3. Differentiate and demonstrate the following positions:

 

  1. State the guiding principles for proper bed positioning
  2. Perform the proper positioning for a patient
  3. Enumerate the supportive tools or aids used in proper bed positioning, preventive positioning and draping
  4. State the rationale for draping
  5. Perform proper draping techniques for the following parts to be treated
  1. Upper Back
  2. Lower Back
  3. Shoulder Area
  4. Thigh Area

 

  1. Demonstrate preventive positioning for the following conditions:
  1. Edema
  2. Pressure Sores
  3. Stroke
  4. Burns/Grated Skin
  5. Hyperextension
  6. Difficulty in Breathing
  7. Contracture and Adhesions
  8. Acutely inflamed joints

 

Topic: BED MOBILITY AND TRANSFERS

 

General Objectives:

  1. Learn the basic principles of bed mobility and transfer technique.
  2. Apply the concepts and principles of bed mobility and transfer technique
  3. Develop and demonstrate the different techniques of bed mobility and transfers

 

Specific Objectives:

  1. Define the following terms:
  1. Bed Mobility
  2. Transfers
  1. Classify transfer technique into independent , semi-independent and dependent transfer.
  2. Enumerate the different types of transfer techniques
  3. Explain the steps in performing transfer technique to a patient
  4. Observe the general precaution for doing transfer techniques for various conditions.
  5. Use of proper body mechanics in doing transfer
  6. Explain the technique in doing bed mobility skills
  7. Teach patient in doing bed mobility skills

 

Topic: ASEPSIS AND ANTISEPSIS

 

General Objectives:

  1. Know the principles of asepsis and antisepsis
  2. Know the different methods of  asepsis and antisepsis
  3. Develop skills and demonstrate the methods of asepsis and antisepsis

 

Specific Objectives:

  1. Define the following
  1. Asepsis
  2. Antisepsis
  3. Sterilization
  4. Disinfections
  5. Antiseptic
  6. Disinfectant
  7. Germicide or Bactericide
  8. Debridement

 

  1. Explain the steps in performing antisepsis
  2. Apply the different methods of sterilization
  1. Mechanical Methods
  2. Thermal Methods
  3. Chemical Methods
  4. Physical Methods

 

  1. Explain the steps in performing antisepsis
  2. Apply the different methods of sterilization
  3. Explain the rationale of observing antisepsis

 

Topic: CARE  OF EQUIPMENT

 

General Objective:

  1. Learn the procedures in the proper care of equipment
  2. Demonstrate proper steps in the care of equipments

 

Specific Objectives:

  1. Identify the basic steps in operating common physical therapy equipments and modalities
  2. Describe the different modalities commonly used in Physical Therapy
  3. Know the proper procedure in the after care of Physical Therapy Equipment

 

Grading System:

Lec/Lab

Attendance                             : 10%

Class Participation                  : 20%                                                   Prelim              : 30%

Individual                                                                                   Midterm          : 30%

Group Activity                                                                            Finals               : 30%

Quizzes/mini-pracs                  : 30%                                                   Class Output   : 10%

Long Exam/grand-pracs          : 40%

Laboratory requirements:

Kines suit

Slippers / flip flops

Pillows

Mattresses

Towels for draping

Thermometer- both electronic and mercurial

Sphygmomanometer- both electronic and manual

Stethoscope

Different types of bandage

Gauze

SCIENCE AND THEOLOGY- HIGHLY COMPLEMENTARY

Science and Theology are like Brother Sun and Sister Moon

 IF YOU LOVE SOMEONE, you want to know everything about him, want to be with him, want to see him smile, want to serve him… 🙂

Theology is the study of God- and of course if you love God, you want to know everything about HIM -including His likes and dislikes (the ten commandments) hobbies, His Mother, His Father, His friends… thus, the many branches of Theology. Knowing about Him will make you want to serve Him.

If you agree that GOD made this Universe, including mankind, both seen and the unseen. Then you ought to be in love with Science too, because science echoes the Word of God, Science reflects the majesty of the Creator through the Study of the Creation which includes the microscopic  and electromagnetic radiations etc..not visible to the human eye.

Anatomy- Study of the structure of Man.

Physiology- Study of the Functional processes of Man.

Astronomy- study of celestial bodies, the galaxies and the stars.

Geology- study of the solid Earth.

Etcetera etcetera….

My point is, if you are a Scientist you study the Creation. If you are a Theologian, you study the Creator. To understand Creation, you must know the Creator, to understand the Creator you must know the Creation. You see… they are not contradictory but complementary!  They are like Brother Sun and Sister Moon – both with the goal to glorify God. 🙂    Hmmm I miss someone…

Thanks to google search engine for the image…