How does Spiritual Self important in Medical care?



The Spiritual Self has a different meaning according to each person.  Usually, when it comes to spirituality, people will think of miracles, with divine elements.  However, spirituality also refers to what is related to the spirit, the soul of an individual.  In this article, the word "spiritual" is used with both meanings.  Spiritual Self activity can then refer to joining a religion or participating in religious activities: going to temples, churches, etc,..  Or it could be a calming activity such as prayer, yoga, meditation or simply a long walk.  If religion is towards a certain supreme subject, Spiritual Self is directed in oneself.

Spiritual Self Care has played an important role in health care work, as well as in the lives of many patients.  However, not many physicians are aware of this.  In health care services, clients / patients often believe that the need for Spiritual Self Care is not being fully met (Hodge & Horvath, 2011).  The fact that America is very ethnically diverse leads to a diversity of spiritual beliefs.  In most cases, the physician usually avoids problems related to the spiritual element of the doctor-patient interaction.  But this may not be the most effective way of working.

How does Spiritual Self important in Medical care?How does Spiritual Self important in Medical care? / ph: pexels

Understanding the patient's spiritual beliefs will help doctors find ways to incorporate Spiritual Self Care into the healing process to achieve better therapeutic effects.

 Spirituality is defined as feeling close to and connected with something sacred.  It can be a god, or it can be a reality of life (Worthington et al., 2010).  In parallel with the physical suffering from illness, patients also struggle with psychological and emotional pain, including anxiety and / or indignation.  Questions such as: “Why is this happening to me?  Will I die?  Is there any cure?  Will God help me get through it? ”  In his article, Pulchaski argued that holistic treatment should help patients answer these questions.  

There are many diseases so far that a complete cure cannot be found;  However, treatment is still needed.  It is not just about the use of a cure, but also the work of helping the patient gain acceptance of his or her condition and peace of mind.  According to Pulchaski (2001), this is the essence of spiritual healing.

 According to Pulchaski (2001), there are many studies being carried out analyzing the effectiveness of Spiritual Self Care performance and health.  The content of the studies usually falls into one of three categories: mortality, coping, and recovery.  In the "death" aspect, observational study shows that people who regularly engage in psychic activities live longer.

Another study of 1700 elderly adults found that the risk of increasing Interleukin IL-6 intake in church attendees was only half that of others (Koenig et al., 1997).  Interleukin IL-6 is an active cell in the immune system, an increase in the amount of Interleukin IL-6 is associated with an increased susceptibility to disease.  This is one of the evidences showing the effective role of Spiritual Self Care and religious factors in disease prevention.

 Studies of "coping" show that people who are Spiritual Self Care active have a more positive outlook on life.  In this section, spirituality is a measure of quality of life, expressed through the aspects: feeling that your existence is meaningful, the fulfillment of life goals, and the feeling of life being worth living.  

This may be related to an individual's increased optimism for more positive outcomes in life.  At the same time, the optimism from Spiritual Self Care activities also helps patients with severe cancer feel more satisfied with life and feel less pain.  In a gynecological cancer survey, a group of 108 women were asked what helped them cope with disease and cope with death, and 93% said that they were spiritual beliefs.  They believe that God will protect them and that death is not the end.  

This research once again confirms the importance of Spiritual Self Care practice in healthcare and human ability to cope with disease.  When challenged with such obstacles as illness or loss, people tend to seek spiritual values ​​in order to find an explanation and to make the healing process easier (Pulchaski, 2001).

 Not only patients, but also their relatives and friends also have Spiritual Self Care needs in the coping mechanism.  However, there are not many studies on this topic.  It is useful and necessary to understand the role of Spiritual Self Care in the stage of suffering human loss as well as in the overall quality of life of those who have stood behind loss (Sulmasy, 2002).

In another book, "Patient and Healer in the Context of Culture", Kleinman (1980) describes a specific case of an elderly woman.  Go to a mage's temple, bring a set of her husband's clothes.  She asked if her husband, suffering from heart disease and being treated in the hospital, was getting better.  

After performing the ritual, the mage gives the woman some spells to her husband;  after that, he continued to comfort her, and reassured her that her husband would be fine, and that she should not worry too much.  This is an example of “coping”.  The mage recognizes the woman's condition and her husband's illness.  Such spiritual treatments can reduce anxiety, alleviate anger, increase and foster belief in people that they have tried every possible treatment (Kleinman, 1980).

 On the "restorative" aspect, the Spiritual Self Care element brings hope and optimism, increases self-esteem and reduces anxiety.  These factors can aid in recovery from illness and after surgeries.  

Besides religious practices, meditation is also beneficial for patients with chronic pain, low blood pressure and anxiety.  Depending on the patient and their physical characteristics, attachment to different Spiritual Self Care activities can have a positive effect on their health (Pulchaski, 2001).

 In 1985, a Gallup survey found that one third of the American population considered religion the most important aspect of their lives, and another third considered religion very important (Dein, 2004).  

Research shows that about 41-94% of patients want their doctor to address spiritual problems, and this is especially important if they are on the verge of death (Sulmasy, 2002).  

Some studies show that psychiatrists are sometimes less devout than their patients.  The authors of these studies refer to this as the "religious gap", and they also point out that "recent attempts to investigate empirically on the relationship between religion, spirituality, and psychological health suggests that religion can help improve psychological health. "  (Dein, 2004).

 However, even though Western medicine is modern and effective, Western doctors are sometimes unable to deal with mental and psychological problems, when they have had little or no training.  

Religion and spirituality also underestimate the effects of these two factors on the patient.  Furthermore, some psychiatrists see religion as a form of expertise that creates a sense of guilt of dependence and lack of wisdom.  

According to Freud - father of psychology, religion is "a common obsessional neurosis" ("universal obsessional neurosis).  Some mental health professionals can get angry and argue with patients about their religious beliefs and may even suggest that patients seek therapy for this way of thinking.  In therapy, this is a matter of “reverse shifting” (where the therapist lets his emotions affect the patient and the treatment) (Dein, 2004).

 On the other hand, some psychologists, in addition to raising the awareness of spirituality, have incorporated religious and Spiritual Self Care elements into therapeutic work.  This strategy makes research more effective and training more specific.  

In an article, Christian psychologist William Hathaway, Ph.D. of Regent College, Virginia states that methods use prayer, Spiritual Self Care, rules about forgiveness, and the scriptures help strengthen psychological states and emotional habits become healthier.  He uses Spiritual Self Care methods to help clients manage anger and overcome abusive situations.  Openness, sensitivity, and a willingness to share spiritual issues can create trust between the client and the healthcare professional (Kersting, 2003).

 According to Sulmansy, a human being is always in the relationship between biological, psychological, social, and transcendental factors.  Disease affects this relationship both inside and outside the body.  Inside the body will be the influence on interactions between body parts with biochemical activities, and on the relationship between mind and body.  

Outside the body, the harassment of disease includes two aspects: the relationship between the individual patient and the external environment, and the relationship between the patient and the transcendent factor.  These are the basic elements of the Psycho-biological-socio-spiritual model in health care.

 In this model, treatment is synonymous with the restoration of relationships.  From there, the holistic health care work is defined as a health care system that takes into account all affected patient relationships and restores the recoverable.  This treatment requires a focus on interactions between psychological, social, and spiritual relationships, especially at a moment near death when spiritual problems will spontaneously arise.  born.  

These are questions of meaning, values, and relationships.  Regardless of the patient's history of Spiritual Self Care activities, near-death will raise questions about their values ​​and the meaning of their lives, about suffering, and death.  Questions about "meaning" include in "hope", questions about "values" often include dignity, and questions about "relationship" expressed through a need for "forgiveness."

For health professionals, ignoring these questions at times of greatest stress is like leaving patients when they need help most.  Refusing these questions will lead to disconnection in the patient-doctor interaction as this is an important factor in the patient's health as the standard health system no longer maintains navigation value and effectiveness of life sustaining.  At that time, the most likely treatment was probably only Spiritual Self Care (Sulmasy, 2002).

This paradigm also suggests that everyone has a history of Spiritual Self activity, likely to be revealed in situations of religious tradition.  However, no matter how this is revealed, Spiritual Self Care activity contributes to making the patient a whole.  In a life-threatening situation, danger attacks people totally.  Therefore, in the psycho-biosocial-spiritual model in healthcare, biology, psychology, society and Spiritual Self Care are the specific aspects of the patient, and no element should be forgotten.  Each aspect has different effects on the patient, depending on medical history and patient interaction with other factors (Sulmansy, 2002).

 The importance of spiritual beliefs is also depicted in contemporary cinema.  In the movie Life of Pi, director Ang Lee incorporated human survival and spiritual beliefs, and emphasized the humanistic meaning of "life".  During his days at sea and facing survival challenges, protagonist Pi maintains his spirit and faith in God.  Pi takes each layer of Spiritual Self from which to aggregate into a system of personal beliefs, and profound dedication to life (Foster, 2002).  Without faith that sparked hope of survival, Pi would have surrendered to nature.

 In addition to advanced methods of medical care, spiritual beliefs and Spiritual Self Care are another tool that can be used alone or in combination with other methods of treating patients.  This helps the patient to achieve the best treatment results and no aspect is left out.  Furthermore, studies have shown that spiritual beliefs and Spiritual Self Care actually enhance psychological health.  Therefore, each health professional should be trained to be knowledgeable in this Spiritual Self Care area and be ready to put it into practice when needed.

How does Spiritual Self important in Medical care?

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