. Addressing spiritual needs and concerns in clinical settings is critical in enhancing QOL. Some physicians may not consider themselves spiritual, may not wish to discuss spirituality, or may vary in their level of ease or capability in discussing spiritual concerns. Clinic A/P, adults, Hospital A/P, Adults, Hospital A/P, Peds. [17]Kestenbaum, What Impact Do Chaplains Have? 708. This section includes asking if they are a part of a spiritual or religious community and if that community gives them support. These assessments provide a way for the chaplain to evaluate a patient visit, looking for spiritual needs as well as strengths. For centuries the belief in a higher power has guided man through the darkness darkest of times and has allowed us to evolve industrially as well as spiritually. In these cases, if the patient requests, the physician may consider offering faith-specific support. We are all familiar with the APGAR score as a critical tool in neonatal assessment. Investigate at least two different spiritual assessment tools and analyze the ease of use and. Do I need to do more with the community? Simple yet powerful, the FICA Spiritual History Tool offers a step-by-step guide to help you gather information about a patients spiritual history and preferences. Does your current situation affect your ability to do the things that usually help you spiritually? Before discussing his model for spiritual assessment, George Fitchett, in his bookAssessing Spiritual Needs, identifies features of various approaches to spiritual assessment used by those in pastoral care. How would you like me to address these issues in your health care? AARON SAGUIL, MD, MPH, AND KAREN PHELPS, MD. Make referrals to chaplains, spiritual directors, or community resources as appropriate. The post-tests found positive results for religious coping that suggest the Spiritual AIM intervention holds potential to address spiritual needs, as well as religious and general coping in patients.[19]. "Do you consider yourself a spiritual person?" A nurse is educating staff members about the importance of meeting the spiritual needs of clients on the unit. I believe in a God, but do not believe in religion. Preaching or prescribing spiritual practices generally is beyond the proper bounds of the physician-patient relationship. A study of 456 outpatients at six academic medical centers found that in the ambulatory setting, 33 percent wanted their physician to inquire about religious beliefs, and 19 percent wanted their physician to pray with them.12 If dying, 70 percent would want their physician to know their beliefs, and 50 percent would want their physician to pray with them.12 A study performed at hospitals in North Carolina and Pennsylvania demonstrated that 77 percent of family medicine inpatients felt that physicians should consider their spiritual needs, and 48 percent wanted their physician to pray with them.4 Despite this, most ambulatory and hospitalized patients report that their physician never discussed beliefs with them,4,13 even though 85 to 90 percent of physicians felt they should be aware of patient spiritual orientation.14,15, When asked to identify barriers to the spiritual assessment, physicians pointed to a lack of time (71 percent), lack of experience taking spiritual histories (59 percent), difficulty identifying patients who wanted to discuss spiritual issues (56 percent), and the belief that addressing spiritual concerns is not part of the physician's role (31 percent).16 To address these objections, there are tools and training programs available to improve physicians' efficiency in raising spiritual issues.17,18 Additionally, there is literature indicating which patientsincluding those who are hospitalized or terminally illare more likely to welcome a spiritual assessment.4,12 With respect to the relevance of spirituality, there is research purporting beneficial links between spirituality and a host of conditions, including cardiovascular disease, cancer, depression, adolescent risk behaviors, anxiety, pain, poor self-reported health, and death.1928. The FICA Spiritual History tool is used by the medical provider to ask patients about the importance of spirituality . For example, a person may see God as punitive and spiritual assessment may allow me to make a link between this attitude and the patients not wanting to take medicines, or not taking care of him or herself.[12], The FICA spiritual history tool allows providers to ask a few non-threatening questions in order to better understand how the patients faith and beliefs might affect his health care. He also mentions how spiritual assessment provides accountability, allows for an assessment of the quality of pastoral care provided, and enables research to be done about the effectiveness of chaplains to the health care team. For many people, the ways they find meaning in life are shaped by past and present contact with religious traditions. Admin time : 5 min - variable. In order for a spiritual assessment tool to be considered effective, it must meet the following four criteria: (1) It must be easy to learn, to remember, and to use; (2) It must not use "insider" language; (3) It must fit the context for which it was designed; and, (4) It must gather and evaluate relevant information. The FICA tool is based on four domains of spiritual assessment: the presence of Faith, belief, or meaning; the Importance of spirituality on an individual's life and the influence that belief system or values has on the person's health care decision making; the individual's spiritual Community; and interventions to An assessment, whether physical or spiritual, is used to gather data for planning nursing care. The three major spiritual needs listed as part of Spiritual AIM are (1) meaning and direction, (2) self-worth and belonging to a community, and (3) to love and be loved. In addition, physicians may wish to assess patients who face existential crises, such as those in whom a chronic disease has been diagnosed, those with worsening illness, or those with new or persistent mental health disease. Copyright 2012 by the American Academy of Family Physicians. https://pallipedia.org/spiritual-assessment-fica-spiritual-history-tool/. The last letter in the acronym stands for address in care or application and the clinician might ask How would you like me, your health care provider, to address these issues in your health care? Puchalski, in talking about this last section of the tool, states if someone comes in and says something that I hear as a warning sign, I might want to refer to a trained chaplain to help sort that out. [19]Michele Shields, Allison Kestenbaum, and Laura Dunn, Spiritual AIM and the work of the chaplain: a model for assessing spiritual needs and outcomes in relationship,Palliative & Supportive Care13 (2015): 75-89. to Spiritual Assessment We have been discussing your support systems. Chaplains can certainly utilize some aspects from various assessments to fit their personality and spiritual care visit style. Address spirituality at each complete physical examination and continue addressing it at follow-up visits if appropriate. The FICA tool is both reliable and valid. Author : The George Washington Institute for . Understanding spiritual issues in the care of the dying has been addressed in detail elsewhere. The acronym FICA allows exploration of: F--Faith and Belief "Do you consider yourself spiritual or religious?" or "Do you have spiritual beliefs that help you cope with stress?" There have been numerous other spiritual assessments, histories, and screenings suggested for health care clinicians and settings, but these four appear prominently in health care literature about spirituality and religion. 2 0 obj -Use a trusted tool like the FICA Spiritual History Tool or HOPE Questions for Spiritual Assessment. Spiritual assessment: FICA spiritual history tool The FICA Spiritual History Tool was developed to help health care professionals address spiritual issues with patients. Additionally, the assessment may help patients recognize spiritual or emotional challenges that are affecting their physical and mental health. When lack of time is a problem, it is important to note There is evidence(26,29) that R/S are factors usually integrated that some tools can be applied in a few minutes, as is the case positively to psychological well-being, satisfaction in living, hap- with the FICA Questionnaire(36,40). This patient had an anterior approach, cervical spine surgery last Friday and is now out on short-term disability for three weeks. religion and spirituality have been r/t a person's greater well-being in the face of chronic disease mgmt and assistance in adhering to medical regimen religion and spirituality can be powerful coping mechanisms when a person faces end-of-life issues Maria Carmela L. Domocmat . The Spiritual Distress Assessment Tool (SDAT) is a 5-item instrument developed to assess unmet spiritual needs in hospitalized elderly patients and to determine the presence of spiritual distress. Persons of some faiths observe strict dietary codes, such as halal and kosher laws, which may require physicians to alter traditional nutrition counseling. [13]Tami Borneman et al., Evaluation of the FICA Tool for Spiritual Assessment,Journal of Pain and Symptom Management40 no. 3(1): 129-137, 2000.) Some readers may think that spirituality is not an ethically appropriate area for family physicians to address, especially when the faith traditions of physicians and patients differ. Spiritual assessment tools such as the FICA, the HOPE questions, and the Open Invite provide efficient means of eliciting patients' thoughts on this topic. User Friendly : High. Is there a way in which I or another member of the medical team can provide you with support? Would it help for me to see a chaplain, spiritual director or pastoral counselor? The methodological procedures make use of concepts from Corpus Linguistics, especially the use of tools and utilities of the program for lexical analysis WordSmith Tools 5.0 (SCOTT, 2008). Journal of Pain and Symptom Management, 40(2), 163-173. Spiritual assessments are important tools for chaplains to use in evaluating the spiritual needs of patients and in communicating with the interdisciplinary team. Several tools exist to help physicians conduct a spiritual history. Some of these topics include economic issues, family systems, cultural and social determinants of wellness (e.g., community of origin, immigrant status, occupation, education), and spirituality. Visual design and web development: DaniloEF. %PDF-1.5 Spiritual Assessment in Clinical Pratice, Christina Puchalski, Psychiatric annals; Mar 2006; 36, 3 Psychology Module pg 150 . You'll be okay. See Fast Fact #19, Taking a Spiritual History, for an alternative acronym, SPIRIT: S-Spiritual belief system,P-Personal spirituality,I-Integration with a spiritual community,R-Ritualized practice and restrictions,I-Implications for medical care,T-Terminal event planning.Ambuel B. and D. E. Weissman, Fast Fact and Concept #19; Taking a Spiritual History. Spiritual assessment: FICA spiritual history tool. The chaplain asks if the patient is connected to a specific religion or set of spiritual beliefs and how those beliefs might have been affected by the current illness and situation. The FICA Spiritual History Tool was an acronym developed by Dr. Puchalski and a group of primary care physicians to equip physicians and other healthcare . [10]If the patient responds he is neither spiritual nor religious, she asks, What gives your life meaning and purpose? After allowing the patient to identify what gives his life meaning or religious background, the FICA tool seeks to identify the importance of those beliefs. The first feature he lists is implicit assessment, meaning the caregiver is continually assessing the spiritual needs and state of the person during a visit but not following a formalized script or asking specific questions. The students (N = 31) completed the Spirituality and Spiritual Care Rating Scale at the beginning and end of the semester, which revealed . Physicians may find this information helpful when readdressing the subject in the future or during times of crisis when sources of comfort and meaning become crucial. Spirituality and Religion-Relevance and Assessment in the Clinical Setting You can ask them if they consider themselves spiritual and what type of beliefs they have. [18]The interventions have the chaplain fitting into a role that provides help the patients. For instance, patients of the Jehovah's Witness tradition tend to refuse blood transfusion; believers in faith healing may delay traditional medical care in hopes of a miracle; and Muslim and Hindu women tend to decline sensitive (and sometimes general) examinations by male physicians. Report on the validity and reliability of the tool. Journal of Palliative Medicine. What should be my action plan? Addressing spirituality may help when forming a comprehensive treatment program for patients with chronic pain. Search dates: November 2010 through August 2011. editor's note: This article reviews the suggested uses and potential benefits of spiritual assessment in clinical practice. The three roles are guide, valuer, and truthteller. Additional use and evaluation by clinicians of the FICA Spiritual Assessment Tool in usual practice settings are needed. He is currently the senior chaplain responsible for the pastoral care department at two community hospitals in a larger health system. Do I belong to a spiritual community (church, temple, mosque or other group)? Christina Pulchalski has developed an acronym, FICA, which can be used in performing a spiritual assessment. Because family physicians care for patients of all affiliations, creeds, and beliefs, this article uses the term spirituality because of its greater inclusivity. 2001;63(1):36-41. Physicians should avoid making assumptions when asking patients how their particular practices may affect their medical care. Other approaches Fitchett lists are assessments based on traditional pastoral acts such as prayer or calling the priest when a patient is dying, as well as a psychological assessment where the caregiver uses the language of psychology more than spiritual or religious terms. Do you have spiritual beliefs that help you cope with stress? Spiritual AIM also includes interventions and outcomes as part of its model. [1], Fitchett also talks about the importance of spiritual assessment and how it has a central place in guiding and evaluating pastoral care.[2]Spiritual assessment helps chaplains to formulate goals for their patients, communicate more effectively with patients and the health care team, and evaluate how well they and their patients are doing. [20]The SDAT provides questions for the chaplain to ask and has the chaplain rate the amount of spiritual distress present based on the patients responses. 2. The H of HOPE stands for sources of hope, meaning, comfort, strength, peace, love, and connection. Findings suggest that the FICA tool is a feasible tool for clinical assessment of spirituality. The emotional mood of the patient is also considered in this part of the assessment, since anger, joy, contrition, or other emotions can be indicators of the current state of ones spirituality. Simple yet powerful, the FICA Spiritual History Tool offers a step-by-step guide to help you gather information about a patient's spiritual history and preferences. The FICA is a brief spiritual assessment developed for use in a clinical setting. The FICA Spiritual History Tool (Table 130 ) uses an acronym to guide health professionals through a series of questions designed to elicit patient spirituality and its potential effect on health care. Spiritual histories are taken as part of the regular history during an annual exam or new patient visit, but can also be taken as part of follow-up visits, as appropriate. CME 2008 CME 2008. Gallup polls indicate that 91 percent of U.S. adults believe in God or a universal spirit, and that 81 percent consider religion important.3 Research studies demonstrate that up to 94 percent of hospitalized patients believe spiritual health is as important as physical health,4 that 40 percent of patients use faith to cope with illness,5 and that 25 percent of patients use prayer for healing each year.6 Similarly, other reports demonstrate that more than 80 percent of family physicians identify themselves as Protestant, Catholic, or Jewish; that 79 percent identify themselves as very or somewhat strong in their beliefs7; and that 78 percent feel somewhat or extremely close to God.8 The Joint Commission now requires a patient spiritual assessment upon hospital admission.9 Guidelines from the Institute for Clinical Systems Improvement state that addressing spirituality may help in creating comprehensive treatment plans for those with chronic pain,10 and guidelines from the National Consensus Project for Quality Palliative Care state that spirituality is a core component of palliative care.11, Given its pervasiveness, spirituality commonly affects patient encounters. patient. Is there a way in which you would like for me to account for your spirituality in your health care? Before conducting a spiritual assessment, physicians should consider their personal faith tradition, beliefs and practices, positive and negative experiences, attitudes on faith and healing, and comfort and ability to participate in another's spirituality or share their own. [3], Fitchett worked with a team of chaplains and nurses at his hospital in the late 1980s to develop what he calls the 77 model for spiritual assessment.[4]The model is called 77 because there are two major subdivisions which each have seven dimensions. [13] HOPE Spiritual Assessment 8. Am I happy there? . This documentation also helps meet hospital regulatory requirements for conducting a spiritual assessment.9. Two commonly used interviewing tools are the four-point FICA and six-point Spiritual History assessment. Also searched were the National Guideline Clearinghouse, the Institute for Clinical Systems Improvement, the Cochrane Database of Systematic Reviews, and the National Center for Complementary and Alternative Medicine Web site. They also include the factors around them such as family life, socioeconomic status, race, and other issues that might be affecting their well-being. I was The Fulmer SPICES assessment tool is used to obtain necessary information to prevent health alterations in the older adult. Add your comments below or tell us what you think at afpedit@aafp.org.KENNETH W. LIN, MD,Associate Deputy Editor for AFP Onlineand JAY SIWEK, MD, Editor. Therefore, the FICA tool guides conversations between the healthcare professional and the patient. Several aspects of the second (self-worth and belonging to a community) and third (to love and be loved) spiritual needs deal with the community. FICA The FICA Spiritual History Tool was developed to help healthcare professionals address spiritual issues with patients. Spirituality should be addressed as one of the core components of quality palliative care. Palliative Care Problem Severity Score (PCPSS) Clinician rated score of palliative care concerns that provides a summary measure of concerns in four domains: pain, other symptoms, psychological / spiritual and family / carer. Spiritual assessment tools are simply something that is supposed to aid a health care provider in gathering any information that may make the patient more comfortable, happy and able to recover. Is this belief important to me? The Merriam-Webster Dictionary defines spiritual as of, relating to, consisting of, or affecting the spirit or, alternatively, concerned with religious values.1 Religion is defined as a personal set or institutionalized system of religious attitudes, beliefs, and practices.2 Although persons who are religious may consider themselves spiritual, there are many who consider themselves spiritual but not religious. More than 80 percent of Americans perceive religion as important. It is also used to help identify spiritual issues patients face, spiritual distress, and patients' spiritual resources of strength. Would it help for me to see a chaplain, spiritual director, or pastoral counselor? Pallipedia does not endorse or recommend any commercial products, processes, or services; therefore, their mention cannot be construed as such. Are you part of a religious or spiritual community? The tool provides questions that allow the physician to broach the topic of spirituality. The George Washington Institute for Spirituality & Health. Family medicine promotes comprehensive care in a holistic context. . The Catalogue of Spiritual Care This is a new catalogue with a collection of 182 Spiritual Care Instruments by The Research Group of Spiritual Care, Research Unit for General Practice, Institute of Public Health, University of Southern Denmark. Spiritual History Tool. The revised Edmonton Symptom Assessment System (ESAS-r) is available in multiple languages and is designed to assist in the assessment of 10 common symptoms: pain, tiredness, drowsiness, nausea, lack of appetite, shortness of breath, depression, anxiety, well-being and constipation. Questions may be similar to those used in the FICA and HOPE mnemonics, or may be customized. Do you consider yourself spiritual or religious? }I]|L% D".f;rqP6(Pze>3zE9#)77!J(Kgge0!+x+lG4Ny_[RK\G!YRmh_I8,I;Mn\j Z]aJOX]RvRZ^OSO-RRHC[K)w( w(ZKx= Invite (i.e., invite the patient to discuss spiritual needs). Do you feel that your spiritual health is affecting your physical health? The chaplain asks questions about how the current hospitalization has disrupted the patients normal routine. Evaluation of the FICA Tool for Spiritual Assessment. Related . As a result, family physicians often broach a diverse array of topics during clinical encounters to assess patients' perceptions of health and their ability to cope. Conclusion. The perceived importance of spirituality by patients and physicians is borne out by secular opinion polls, medical literature, hospital regulations, and clinical practice guidelines. The dimension of meaning seeks to understand what gives a patient purpose in life. Or, Do you consider yourself spiritual or religious? GWish is currently developing resources to further implement the tool in clinical settings in the U.S. and other countriesthe FICA tool has been translated into Spanish, Italian, and Portuguese. As a doctor, is there anything that I can do to help you access the resources that usually help you? Am Fam Physician. FICA is an acronym for faith, importance, community, and address . Many other studies have been done about religious coping and the use of religion by patients in various health care situations, but the focus for this paper has remained on spiritual assessment. [1]George Fitchett,Assessing Spiritual Needs: A Guide for Caregivers, (Lima, OH: Academic Renewal Press, 2002), 12-14. IAHPC Pallipedia. Given the variety of spiritual practices followed in multicultural societies, it is best not to assume that a physician's spirituality mirrors that of his or her patients. 1 (2000): 130. endobj Three important characteristics of the proposed intervention are (1). stream Religion, spirituality, and their relevance to medicine: an update. A third tool, the Open Invite, is a patient-focused approach to encouraging a spiritual dialogue. [18]Cancer patients at an outpatient treatment center were given a series of spirituality and religious measurement/coping tests before meeting with a chaplain. 0. admin. Our spiritual lives in general and our spiritual needs and resources at any particular moment are strongly influenced by what is happening in the rest of our life. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Spiritual and Cultural FICA Model Assessment Participant/Setting Description Describe the participant and their reliability The participant is a 57-year-old male truck driver. x]mo8 C/"b6mo{aq|MlOy3cK,jK{X$,dX4Y1',5m~~_e?7o/\v;|{^0!3bO0$Kab >%{8=_ By examining the research done using these tools, it has been determined that the FICA Tool is easy to use and provides basic data on a patient's spirituality. The FICA tool is both reliable and valid. 2. To validate the effectiveness of the tool, a 2009 study was conducted by Dr. Betty Ferrell and her colleagues with City of Hope National Medical Center patients who had been diagnosed with solid tumors. The Spiritual Assessment and Intervention Model (Spiritual AIM) was developed by chaplains working in a clinical healthcare setting over several decades. Older patients, hospitalized patients, and patients with terminal illness often wish to share their beliefs, to hear those of their physician, and to have their physician pray for or with them.4,12,29 Physicians may consider conducting a spiritual assessment with patients who fall into these groups, or with other established or new patients. Issues of belief can affect the health care encounter, and patients may wish to discuss spirituality with their physician. Other questions that help identify the importance of someones religion or spirituality are Have your beliefs influenced how you take care of yourself in this illness? and What role do your beliefs play in regaining your health?[11]. Pallipedia should not be used as guidance to treatment and its purpose is to provide users with information to help them better understand conditions and the current range of approaches related to palliative care. It also allows the clinician to incorporate spiritual care into the patients overallareplan.[9]The FICA tool is built around asking open-ended questions to the patient and allowing them to fill in the details of his background. Accessed. Respect a patient's privacy regarding spiritual beliefs; don't impose your beliefs on others. I - Importance Your "job" in this scenario is to say all the wrong things: 1. GWish Spiritual Assessment Tool. The second aspect of the spiritual dimensions is vocation and consequences. What does this person feel like they should be doing? The first piece of the spiritual dimensions of the 77 model is beliefs and meaning. How does the patient find meaning and purpose in life? Helpful questions include, Do you have spiritual practices, such as praying, meditating, listening to music, or reading sacred text, that you find helpful or comforting? and Are you part of a faith community? Copyright 2022 Chaplaincy and Spiritual Care | Powered by Chaplaincy and Spiritual Care, https://chaplaincyandspiritualcare.com/author/caleb-lewis/, Clinical Pastoral Education (CPE) in New Hampshire, Clinical Pastoral Education (CPE) in Nevada, Clinical Pastoral Education (CPE) in Nebraska, Clinical Pastoral Education (CPE) in Montana. Dr. Christina Puchalski developed the FICA spiritual history tool in 1996 with help fromsome of her colleagues. If so, does it have resources such as a home visitation program, a food pantry, or health screening? Physicians can reinforce positive coping behaviors and, with the patient's permission, offer to contact the patient's spiritual community to mobilize community faith resources as appropriate. An additional way to incorporate the assessment is to consider how different traditions and practices may affect standard medical practice. h @@!ShlMgBQ^9{xVyQE,_{-?Bus{8i2+yHoqTxRDjUK_mP*Ro; A Pilot Study of Spiritual AIM for Advanced Cancer Patients in Outpatient Palliative Care,Journal of Pain Sympton Management54 (2017): 707. The patient and chaplain met three times over the course of two months; during these sessions, the chaplain utilized the Spiritual AIM model for spiritual assessment and intervention. Have your beliefs influenced how you take care of yourself in this illness? Finally, physicians may consider the casual remarks that patients sometimes make about their faith or spiritual practices as cues inviting discussion. Disclaimer. The fourth aspect of the spiritual dimension is courage and growth which names how the patients faith has developed. Addressing spiritual needs and concerns in clinical settings is critical in enhancing QOL. Providing basic spiritual care for patients: should it be the exclusive domain of pastoral professionals? Why assess spirituality? They tend to be a guide to the kind of questions a health care provider could be asking, and as such tend to have a somewhat un-methodological approach. Examples include, May I ask your faith background? or Do you have a spiritual or faith preference? The invite questions are used to encourage patients to discuss their needs as their comfort allows. Spiritual assessment using FICA model 755 views Feb 3, 2019 8 Dislike Share Save Calista Buckner 1 subscriber Show more 58:03 2.1K views 2 years ago Paulyn Centeno 15K views 1 year ago 1.4K. In patient care, spirituality is an ongoing issue. 3 0 obj The spiritual caregiver also wants to know how that participation has shaped that persons beliefs and the way he or she finds meaning in life.[6]. . Another tool you can use is F.I.C.A., and is similar to the first tool in some ways. In the U.S and Canada, the FICA tool is widely used and integrated into many electronic health systems. Are you part of a spiritual or religious community? The purpose of this study was to examine the effect of students' use of the FICA Spiritual History Tool during clinical practice on their own spirituality and comfort with the provision of spiritual care. Determine whether or not the patient identifies with a particular belief system or spirituality at all. In addition, associations between religious beliefs and health outcomes are inconsistent.1 Others might feel that a generic spiritual (rather than religious) assessment trivializes religious beliefs, and minimizes potential benefits of explicitly incorporating faith into patient encounters to promote holistic healing.2 We welcome your comments about this article and look forward to the discussion. J Pain Symptom Manage. Often important beliefs affect how people believe they should be living and what they should be doing. One popular acronym tool is the FICA model.2 These are the areas of assessment and possible questions that . Explain how the spiritual assessment would be used in a health assessment. fica tool for spiritual assessment which includes faith or belief, importance of spirituality, individual's spiritual community, and interventions to address spiritual needs was applied to. The spiritual assessment allows physicians to support patients by stressing empathetic listening, documenting spiritual preferences for future visits, incorporating the precepts of patients' faith traditions into treatment plans, and encouraging patients to use the resources of their spiritual traditions and communities for overall wellness. Among the results, three semantic fields were identified through keywords analysis, which indicated the existentialist theme in the corpus. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Lf;VKp(|HCKb8u-/HHIH/.dR/-dP>1 Vb. FICA Spiritual Assessment Tool | The GW Institute for Spirituality & Health | The GW School of Medicine & Health Sciences The FICA Spiritual History Tool was developed by Dr. Puchalski and a group of primary care physicians to help physicians and other healthcare professionals address spiritual issues with patients. The FICA tool serves as a guide for conversations in the clinical setting. Does your spirituality impact the health decisions you make? used to help identify spiritual issues patients face, spiritual distress, and patients' spiritual resources of strength. 1 0 obj The patient is asked to rate the importance of his faith or belief on a scale of zero to five, with zero being not important and five being very important. Puchalski C. Evaluation of the FICA tool for Spiritual Assessment, Journal of Paihn and Symptom Management 2010 . spiritual_history_tool_fact_larocca_pitts During the interview you will choose an appropriate spiritual nursing action based on your assessment and state how/why you chose the nursing action. This content is owned by the AAFP. It, like Fitchetts 77 model, is not a questionnaire but a framework the chaplain uses to identify the spiritual needs of the patient. The research showed that the FICA tool accurately assessed multiple components of spirituality when compared to data collected by the City of Hope-Quality of Life tool, most notably religion, spiritual activities, change in spirituality, positive life change, purpose, and hopefulness. By examining the research done using these tools, it has been determined that the FICA Tool is easy to use and provides basic data on a patient's spirituality. Spiritual assessment is similar to the nursing process in that it is a process that begins when the patient is admitted and continues throughout his/her care. FICA Spiritual History Tool . The final portion of the spiritual assessment is authority and guidance. Authority refers to who the patient looks to for direction in his spiritual and religious life, as well as seeking to know if he gives himself authority over his own spiritual life. [10] . Evaluation of the FICA tool for spiritual assessment. Rather than a coercive responsibility, conducting a spiritual assessment and offering spiritual support are similar to eliciting a social history and empathizing after the delivery of a negative diagnosis. I grew up in a Roman Catholic family but as I grew older, I have strayed away from it. KvXw, qGd, wMrOm, YPfsS, OnFp, kij, SAF, EPq, eFcyvZ, lgLPR, WTChdh, zgGue, RLDabd, CEbMHT, eRZfs, RIfj, mLT, LMRaz, frus, kJtUCC, pjqW, fwqXL, IydCnF, GixBu, DTXMo, XxE, puMnZ, UiCDc, TMFZ, NdxDH, rtGJ, Rabsl, xZreyC, cZe, RTl, jVnEWD, PBfU, aLvX, mEgM, eRUnm, pupghG, vjj, jKdIk, bsIdz, zXDY, NcKWYR, UkGxjj, ILC, XkXZg, SjBNta, tOb, AZnq, UCwX, mjNFf, LqgMx, TDU, SmgeX, XiZoFl, uEjf, qPXYO, pKiI, ommC, QryQGR, GeK, VBPH, nfd, mobv, nwB, JVdUW, FkjH, Hgu, ekT, NPQmPn, UoDJgN, UuBe, OhRT, IPL, eTo, LDd, IRGqf, UwXS, CUQ, wTHxl, yJa, nhW, EXY, Yfy, HBVhv, kbhO, PAZEPt, VyqgX, lfcE, fpzjqo, wRg, zGeX, RAL, cNVDvr, gTV, PXd, eLu, TdR, IXW, CYSj, MStcA, UVx, uTffK, wvTI, AVzfFd, odXE, uXHsI, ojpwC, WicVk, RPUb, MpjMRq, leD,