Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Ronny Tri Wirasto LEARNING OBJECTIVES To understand the role of religion in all aspects of health care: preventive, curative and rehabilitative. Physician and religious issues Today many psychiatrist and physician discuss about religious and spiritual in psychiatry and illnesses Psychiatrists and physician are now beginning to recognize the importance of religious and spiritual beliefs as a potential source of strength to many patients dealing with the stress of mental illness and physical illness Physician and religious issues By knowing a spiritual history and understand a patients belief, values and religious culture. Psychiatrists and physician become equipped to evaluate whether these beliefs are helping or hindering the patient Question asked can included : whether they are currently active in church or mosque or other religious services Physician and religious issues In a study published in journal of family Practice, 77 % of 203 inpatients surveyed said physicians should consider patient’s spiritual needs 37 % wanted their physicians to discuss religious beliefs them more frequently, and nearly one in two wanted their physician to pray with them . Physician and religious issues A national poll conducted by USA Weekend found that 63 % of those surveyed felt that physicians should talk inpatients about their spiritual faith, while 10 % of their doctors had done so Up to now many psychiatrists and physician remain unaware of the central role religious faith might play in helping patients deal with serious illness Physician and religious issues One study at duke Univ. Medical center found that 44 % of hospitalized medical patients indicated that religious beliefs were the most important factor in coping with their illness, but only 9 % of physicians agreed A survey of 30 psychiatric patients with diagnoses including schizophrenia, bipolar disorder , unipolar depression, schizoaffective disorder, and personality disorder found 57 % attended religious services and prayed at least daily Physician and religious issues A substantial 83 % felt that spiritual belief had a positive impact on their illness through the comfort it provided and the feeling of being cared for and not being alone it fostered. However 38 % expressed discomfort with mentioning their spiritual or religious concerns to their therapist A 1997 survey showed that 68 % f psychiatric patients and 72 % of medical patients relied on religion as a source of strength Only 10 % of psychiatric patients and 2 % of medical patients indicated not deal at all. Physician and religious issues • 1. 2. 3. The study found that 88 % of the psychaitric patients and 76 % of the medical patients reported having those or more specific religious needs while hospitalized. Those include : The need to know god’s presence (84 % of psych pat, and 83 % of med pat) The need for prayer (80 % psych pat and 88 % med. Patients) The need for a visit from a chaplain to pray with them (65 % psy pat. 66 % medical patients) Physician and religious issues • For to often these religious issues have been neglected • A growing number of research studies are religious commitment may be a source of strengh in prevention of , coping with and recovery from serious illness • Study in 1998 found that the greater the instrinsic religious experience , the faster patients recovered from depression • They defined instrinsic (religious) as the extent to which a person views their religious beliefs as one of the major motivating forces in their decisions and behavior Physician and religious issues For every 10 points increase in the intrinsic religiousity score , which range from 10 to 50 , there was a 70 % increase in speed of remission Religious beliefs and behaviors may lead to faster resolution of some types of depression The WHO quality of life domains Physical health Psychological health Level of independence Social relationships Environment Spirituality, religion and personal beliefs IN POPULATION 20 %---------------60 %-----------------20 % MH MD MH = MENTAL HEALTH MD = MENTAL POPULATION Practice of Holistic Medicine Holistic is defined as pertaining to all aspects of human nature – physical, mental, emotional, and spiritual. To approach health holistically is to consider the mind, emotions, spirit and entire body when addressing the health of a person, not just the area that is manifesting the symptoms. Practice of Holistic Medicine The underlying foundation and prerequisite for true healing is compassion for the patient, and consideration of all aspects of the patient’s nature, including the family, culture, spiritual and community. Spiritual care and medical treatment Until recently the health professions have largely followed a medical model, which seeks to treat patients by focusing on medicines and surgery, and gives less importance to beliefs and to faith -in healing, in the physician and in the doctorpatient relationship Spiritual care and medical treatment This reductionism or mechanistic view of patients as being only a material body is no longer satisfactory Patients and physicians have begun to realize the value of elements such as faith, hope and compassion in the healing process. Questions of spirituality What is spirituality How does it relate to religion What is the distinction between healing and cure, and how may this be relevant to multidisciplinary medical practice How has spirituality been researched Questions of spirituality What are some of the findings How may a person’s spiritual needs be assessed What knowledge skills and attitudes pertaining to spirituality can be taught Could they benefit clinicians as well as patients Spiritual Beyond the mind-body connection, there is a source of inspiration that you can access. This is your spiritual connection. Working with spirits means reaching beyond your understanding of your own limits to access a greater healing power. You can bring this healing power into your life and your patient’s healing. It can take the form of prayer, inspiration, intuition or insight. To work with spirit It is not necessary to subscribe to a particular religion in order to work with spirit. You can explore your own beliefs about what spirit means to you. Intuition, gut feelings, hunches, meditation, and prayer are only a few of many spiritual processes. To work with spirit When you pay to attention to these gifts, you can increase your awareness of your patient’s health condition and gain important insights to help you and your parenting decision. To access spiritual You can help your patient to access their spiritual connection by teaching them to pray, discussing your beliefs, reading spiritual books, attending church or mosque, helping others in need, creating rituals, attuning to the moon and the seasons, and taking walks in nature. To access spiritual Nature is a potent healing force and an essential part of the healing process. Meditation is suitable for patient and can be as simple as observing or counting breaths. Teaching patient prayer or meditation trains them to tune in to their spiritual lives and to notice the many ways in which they are blessed. Benefits of spiritual care Improved self-control, self-esteem and confidence Recovery facilitated, both by promoting the healthy, grieving of loss and through maximizing personal potential Benefits of spiritual care Relationship improved - with self, others and with God A sense of meaning, resulting in renewed hope and peace of mind, enabling people to accept and live with their problems Spiritual values Kindness, compassion, generosity tolerance, patience, honesty creativity, joy, humility wisdom Spiritual skills being able to create a still, peaceful state of mind (as in meditation or pray) being able to stay mentally focused in the present, remaining alert and attentive developing above-average levels of empathy, discernment and courage Spiritual skills having the capacity to witness and endure distress while sustaining an attitude of hope being self-reflective and honest with oneself, especially about areas of ignorance, also when angry, afraid or in doubt having an above-average level of being able to give without feeling drained being able to grieve appropriately and let go RELIGIOUS APPROACH For illness patients, religious approach is certainly needed as early as possible soon after the diagnosis or even since the suspicion of the probability of illness detection. Religious approach is needed because principally people are religious creatures who always have faith. RELIGIOUS APPROACH In fact to solve the problem only with science and knowledge alone evidently cannot provide satisfaction and cannot make peaceful mind. Although the science and technology growing up very fast, they cannot solve various problems in this life. Quantitative concept has never given people satisfaction Religion in modernization era It seems that religion gets behind science and knowledge since in describing natural circumstances, science is considered tough in excluding what is not true out of his body and replace it with something new from time to time. It even appears more clearly in modernization era in which dependency on religion is getting less. Religion in modernization era Modernization itself frequently bring negative impacts to social life like frustration. Those condition make people pay greater attention to religion. Disappointment, insecurity, and mental emptiness resulting from modern life style make people seek for something strong and everlasting to hold on with in order that they get protected and feel peacful Religion as guidelines Human beings need guidelines and certainty since logic have failed to satisfy them. In finding peace of mind, a lot of people return to religion and perform religious services. Many people feel that by performing religious services properly and seriously, they have provided themselves with a very strong spirit power which provides a calm feeling, peaceful and assured mind. Religion as guidelines The feeling of peace that the patients feel may have significant therapeutic value to reduce mental tension. The patients will feel the effect of the therapeutic value resulting from a very serious religious service which is the manifestation of a sincere dedication from human beings to the God, that they mentally and physically accept the glory of the God and promise to be always obedient and faithful to the God. Homeostasis condition Sincere dedication will present homeostasis condition to the patients, therefore, treating patients with mental and physical illness do need religious approach in order that they can achieve homeostasis condition. Homeostasis condition Correlation between religious obedience and health condition have not been studied and reported by medical experts whereas actually in medical practice, religious approach is always employed even though only in the form of pray. Religion and general health status It was reported that in general religious obedience plays a role of protection against the probability of uterus cancer, cervix cancer, other cancers, intestinal colitis, enteritis, cardiovascular disease, hypertension and stroke. Religion and general health status It was also reported that there are close association between religious obedience and general health status, general mortality, rate of morbidity and mortality in some religious leaders. Religion and general health status In general those who are obedient in performing religious services will be able to overcome their illness in better way. They will have shorter period of recovery process. Religious obedience will also prevent people from committing suicide. 7 MECHANISMS THAT MAY LINK RELIGIOUS INVOLVEMENT TO POSITIVE HEALTH OUTCOMES 1. REGULATION OF INDIVIDUAL LIFESTYLES AND HEALTH BEHAVIORS 2.PROVISION OF SOCIAL RESOURCES 3.PROMOTION OF POSITIVE SELF-PERCEPTIONS 4.PROVISION OF SPECIFIC COPING RESOURCES 5.GENERATION OF OTHER POSITIVE EMOTIONS 6. PROMOTION OF HEALTH BELIEFS 7.OTHER HYPOTHESIZED MECHANISMS A Holistic point of view The holistic approach to health does not reject conventional medicine, but is a sensible, complete form of healing that considers your patient’s entire picture of health and uses the best and most appropriate options for healing. A Holistic point of view It is a process of strengthening every system of the mind-body and allowing your patient’s natural healing potential to flourish. Many of the chronic health problems that affect patient will respond best when addressed from a holistic point of view. Practice integrative Doctors who practice integrative or holistic medicine establish healing partnerships with their patients and emphasize prevention and self care. They consider the patient’s thoughts, feelings and beliefs when prescribing treatment. Practice integrative They may incorporate one or several therapies into their practices and/or work in partnership with other practitioners either through referrals or by working directly with them. More and more medical doctors are aligning with integrative medicine and you may be able to do that. The role of parent in holistic health care Finding a holistic doctor can be important, but good health really begins at home with breastfeeding, good nutrition, quality food, a non-toxic environment natural remedies to strengthen immunity, and mental emotional and spiritual nurturing. The role of parent in holistic health care Parents are the coordinators of holistic health care for the family. Parents know their child’s body, mind, emotions, and spirit better than anyone else. By carefully assessing their children in each of those area, they can prioritize their needs and focus on what may be diminishing their health. Curing and healing It is important to acknowledge that there is a difference between curing and healing. Curing means the elimination of symptoms or signs of a disease. Treatment with drugs, surgery, herbs, or other methods may cure you by relieving the symptoms of discomfort, pain, or disease. However, unless the underlying pattern of dysfunction is stopped, the symptoms may recur Healing Healing goes deeper than curing, and occurs when the root cause is overcome and the systems of the mind-body, including emotions and spirit, are strong and vital. Although health care professionals can help facilitate healing, the ability to heal ultimately comes from within. Conventional health care The current system of conventional health care can be enormously frustrating and lacking in real answers for patient diagnosed with chronic health problems. Visits to the doctor may result in drug prescriptions with which you may not feel comfortable. The medication may keep the symptoms in check, but what you really want is for your patient to completely heal and reclaim health and vitality. Practical use of the philosophy Healing is usually not as simple as taking a pill or a natural remedy. Patient are all different and their mind-bodies are complex. You may hear of a treatment that has worked for another child, but this does not necessarily mean it will help your unique patient. How do you decide • How do you decide which therapies to use for your • • • • patient’s particular condition? It helps to first get diagnosis to determine where to begin Then you can focus on specific pieces of the puzzle and take a look at each aspect of your patient to determine the specific needs. Keep in mind that the body, mind, emotions, and spirit are all interrelated, each one impacting the others. Some treatments will affect several or all aspects of your patient’s health. The Holistic health assessment The following factors are important to consider in determining your patient’s entire picture of health. Many chronic illnesses can be alleviated or healed completely after making certain changes in these critical areas. Keep in mind that although environmental and structural problems may seem physical in nature, these factors can greatly affect your patient’s mental and emotional health. Mental and emotional nurturing can positively affect the physical body. Your patient is one mind-body with all these interrelated, interactive systems, emotional stress,and environmental will impact his or her entire being. Mental-emotional There has been an enormous amount of research done on how thoughts and emotions affect the cells, organs and tissues of the body. Many researches and clinicians have reported the negative health effects of hopelessness, depression and the bottling up of emotions. Thoughts and emotions actually generate physiological substances that affect the process in the body. The field of psychoneuroimmunology The field of psychoneuroimmunology is helping us to better understand how the nervous, immune and endocrine systems communicate. Neuropeptides and neurotransmitters are messengers released by the brain that influence the cellular activity in the body. White blood cells (key factors in getting rid of bacteria and cancer cells) receive direct messages from the brain through the nervous system. These are just some of the communication paths between the mind and body Your patient’s state of mind definitely influences the development of and the healing of illness. Need of a psychotherapist If needed, a psychotherapist can provide support for and be a guide for your patient’s mental and emotional healing. Art or music therapy can be very helpful for patient to get in touch with their feelings. Imagery is a fun and powerful mental technique that allows patient to use their imagination to influence their health. They can use guided imagery to calm themselves down, relieve pain, increase immunity to disease, increase body image, increase learning or athletic potential, and promote healing. Approaching health holistically Approaching health holistically means that you strive not only to be free from disease, but also to create deeper healing on all levels. Preventive measures of holistic health can become a way of life for the whole family. How to apply an holistic approach One of the guiding principles of an holistic approach to health is to respond to the person as a whole ( body, mind, and spirit) within the context of their environment ( family, culture, and ecology). This is perhaps particularly important when the people being treated are facing illnesses that are potentially life-threatening and where there is no clear orthodox cure. Holism Is the balanced integrity of the whole, encompassing body, mind, spirit and social environment. The term holistic suggest whole-ness. Holistic approach is not just a simple prescription for treatment. It involves adopting a lifestyle that encourages peace of mind, health and enjoyment in life. Essential elements in this proposed treatment model include exercise, mood control techniques, and effective support systems. Exercise The body needs exercise to stay healthy. Through perspiration, toxins that are in the body can exit through the sweat glands. Individuals with mental disorder (manic depressive) report that their mood more stable when their bodies are fit. Choose an exercise program that makes sense to you and practice it daily. There are hundreds of exercise programs available and you only need one that is right for you. Mental control techniques There are several techniques of mental control to choose from. These include: hypnosis meditation accelerated conditioning relaxation These techniques can make a difference when the mood swings first start. They may not be as effective if the mood swings are acute or intense Using technique for mood control The first step in using techniques for mood control is to pick a technique that interests you. When your mood is relatively stable, learn that technique. You are more likely to master a technique when your mood is stable. If you have been tracking your mood swings, then you have an idea of when is the best time to master a technique. Once the technique is mastered then it is time to apply it when you feel your mood starting to swing. Social support During the onset of disease or disorder, social activities and social contacts usually suffer. When a patient is depressed they tend to hide from people. Part of a healthy lifestyle is being able to interact with others in a meaningful way. Religious individuals with disease or disorder will often stop going to pray as the illness develops. Some feel guilty for the behaviors done. All healthy social supports are necessary and will be helpful in the future.