Dealing With Spiritual Concerns of Clients in the Community

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Abstract
This article addresses the influence of spiritual concerns on the physical, mental/ emotional, and spiritual dimensions of the person and discusses strategies for dealing with these concerns in community settings. It is based on a paradigm in which spiritual well-being is viewed as the key factor enabling the holistic integration of all facets (body, mind, spirit) of a person. This article includes discussion of ways in which the nurse can help to identify spiritual concerns with clients, recognizing that a person's spirituality is not always expressed in formal or traditional religious language. Utilizing the steps of the nursing process, guidelines are presented relative to assessment of spiritual concerns, nursing goals for dealing with these concerns, and interventions appropriate for primary care settings. The methodologies presented can be utilized with both individuals and family groups. The focus particularly relates to clients dealing with chronic health concerns and those clients with whom the nurse has a relationship over a period of time. This article is based on personal experience with clients as well as review of pertinent literature. It is aimed at helping nurses in community settings to recognize and improve their ability to address spiritual concerns in order to be more effective in assisting clients to move toward and maintain health.

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