Spirituality Assessment: HOPE and FICA Assessment Tools

Spirituality Assessment: HOPE and FICA Assessment Tools

Spirituality Assessment: HOPE and FICA Assessment Tools

This assignment introduces you to the spiritual concepts discussed in the next module. Identify an individual (friend or family member) willing to participate in a spiritual assessment. Use two different tools provided here, to interview the participant: the FICA tool and the HOPE tool. Share your findings in a 3 page paper along with a reflection about which tool you found was the most helpful in guiding your nursing care. Discuss what situations you would choose to use each tool.

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Paper Criteria:

#1 – Identifies an individual (friend, family member) willing to participate in a spiritual assessment utilizing two different tools.

#2- Uses the HOPE and the FICA spiritual assessment tools to interview the participant. Submit findings as summary.

#3 – Provides a reflection about which tools were found to be the most helpful in guiding nursing care.

#4 – Discusses which clinical situations you would choose to use each tool.

The HOPE Questions for a Formal Spiritual Assessment in a Medical Interview

H:Sources of hope, meaning, comfort, strength, peace, love and connection

O:Organized religion

P:Personal spirituality and practices

E:Effects on medical care and end-of-life issues
H:

Sources of hope, meaning, comfort, strength, peace, love and connection

We have been discussing your support systems. I was wondering, what is there in your life that gives you internal support?

What are your sources of hope, strength, comfort and peace?

What do you hold on to during difficult times?

What sustains you and keeps you going?

For some people, their religious or spiritual beliefs act as a source of comfort and strength in dealing with life’s ups and downs; is this true for you?

If the answer is “Yes,” go on to O and P questions.

If the answer is “No,” consider asking: Was it ever? If the answer is “Yes,” ask: What changed?

O:

Organized religion

Do you consider yourself part of an organized religion?

How important is this to you?

What aspects of your religion are helpful and not so helpful to you?

Are you part of a religious or spiritual community? Does it help you? How?

P:

Personal spirituality/ practices

Do you have personal spiritual beliefs that are independent of organized religion? What are they?

Do you believe in God? What kind of relationship do you have with God?

What aspects of your spirituality or spiritual practices do you find most helpful to you personally? (e.g., prayer, meditation, reading scripture, attending religious services, listening to music, hiking, communing with nature)

E:

Effects on medical care and end-of-life issues

Has being sick (or your current situation) affected your ability to do the things that usually help you spiritually? (Or affected your relationship with God?)

As a doctor, is there anything that I can do to help you access the resources that usually help you?

Are you worried about any conflicts between your beliefs and your medical situation/care/decisions?

Would it be helpful for you to speak to a clinical chaplain/community spiritual leader?

Are there any specific practices or restrictions I should know about in providing your medical care? (e.g., dietary restrictions, use of blood products)

If the patient is dying: How do your beliefs affect the kind of medical care you would like me to provide over the next few days/weeks/months?

F:
Faith and belief

Do you have spiritual beliefs that help you cope with stress?

If the patient responds ”no,” consider asking: what gives your life meaning?

I:
Importance

Have your beliefs influenced how you take care of yourself in this illness?

C:
Community

Are you part of a spiritual or religious community?

Is this of support to you, and how?

A:
Address in care

How would you like me to address these issues in your health care?

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