Complete a CARE PLAN for the client with Spiritual and religious need.

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Assessment:

1. Client’s religious affiliation
2. Spirituality and spiritual practices
3. Meaning and purpose of life: Perception
4. Coping Mechanisms
5. Support system
6. Perceptions of health status
7. Spiritual distress

Diagnosis : A lack of connection with a higher force is reflected in the verbalizations of hopelessness, and a sense of lack of purpose.

Outcome identification:

1. In the coming week, the client will express their connection with a higher force.
2. Within the next two week, you will see a reduction in your client’s feelings of despair.
3. Within the month, a client will be able to identify and incorporate a daily spiritual practice into their routine.

Planning:

1. Ask the client about his or her spiritual practices and beliefs.
2. Encourage your client to share their concerns and feelings.
3. Working with clients to determine a practice aligned with their religious beliefs and values.
4. If necessary, refer the client to an ordained minister or spiritual counselor.
5. Encourage clients to take part in religious or spiritual services.
6. Offer resources to help you learn mindfulness and meditation.

Implementation:

1. Provide an environment that is safe, comfortable and conducive to the expression of spiritual needs by clients.
2. Encourage clients to practice spiritual practices such as meditation, prayer or attendance at religious services.
3. If needed, assist the client to find a spiritual advisor or chaplain.
4. Offer resources and education on relaxation and mindfulness techniques.
5. If desired, refer the client to an appropriate support group.

Evaluation:

1. Clients reported a feeling of connectedness to a greater power, and less hopelessness.
2. Clients incorporated spiritual practices into daily life.
3. A client said that they felt more positive about their future.

References:

1. American Nurses Association (2015). Nursing: Scope of Practice and Standards (3rd edition). Silver Spring, MD: The Author.
2. Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2021). Basics of Nursing (10th edition). St. Louis, MO: Elsevier.
3. NANDA international. (2018). Nursing Diagnosis: Classification and Definitions 2018-2020 Wiley-Blackwell.