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SpiritualNeeds Assessment


Itis common to find most sick people trying to seek healing by whateverthe means they have to go through. 80 % of all sick people tend toincrease theirreligious nature in an effort to see whether Godwillhave mercyon them and healthem (Wright,2005).The spiritual safety and quality of patient maintains frequently byassessing their spiritual health. Such assessments completes throughfulfilling the use of specific assessment tools. The Joint CommissionResources (JCR) is a body that helps in the creation of suchassessment tools(Allshouse, 2003). The primary role of JCR is ensuring andhelping health careorganizations in the wholeworld to provide safe and qualitypatient care intheir services. Such tools are like FICA, JCAHOand HOPE. In our situation, the assessment was of a middle-agedpatient on his spiritual perception of life done using a specialtool, PERE. The interview conducted in the hospital ward with nothird party.

Keywords: PERE, medical practitioners, clinical set up, patient

Theinterview tool

PERE(as a tool) stands for Personal beliefs, Essentials, Religiousbelonging and Extension. Personal beliefs entail asking the patientabout their faith and seeking to know what is the intensity of whatthey believe. Essentials, the second section of PERE, seek toinvestigate what is most important to the patient and the impact ofthe change in behavior towards spirituality on their health. Religious belonging is the third aspect of PERE, which seeks to knowhow the patient is associated with other religious communities andgroups and the effects of such relations. The last part of PERE,extension, seeks to investigate how the patient would wish theinterviewer to make changes upon the completion of the assessment.PERE has almost similar features with FICA, a renowned powerfulassessment tool(Meier, O`Connor, &amp VanKatwyk, 2005).


Question:Do you believe in any supernatural being that controls your life?

Patient:Everyone knows and recognizes that God is the chief captain andcontroller of our lives (includingatheists only that they do not confess it). Personally, I have seenmany good things happen through his powers

Question:Do you think your faith and believe in your God has any majorsignificance in your social life?

Patient:Yes, as I said before, it is that faith in me that keeps me going. IfI did not believe, my life would be very different. I am sure I wouldbe leading a miserable, non-satisfactory life if I did not believe.

Question:How different are you in behavior comparing with your friends withthe same kind of illness and they are not believers like you?

Patient:So long as I know I have God behind me always in times of difficultyespecially during the critical hardships in illness, I never losehope. Undermining the power of prayer is something I have never done.Most of my colleagues are the direct inverse. Unlike me, they are notable to compose themselves well upon experiencing challenges. Someeven go to an extent of committing suicide.

Question:How will your religious beliefs contribute to you regaining yourhealth?

Patient:God is a supernatural being who works mysteriously. He never forgetshis faithful. In times of illness, he simply wants us constantlyremember that he is the giver of our lives and health. He rewardsthat person who trusts in him abundantly. Noting that, he will helpme regain back my health.

Question:Are you part of a religious community and do you think it is ofsupport to you?

Yes,I am a Christian and being in a Christian set up has contributed tomy spiritual being a very religious person. Similarly, I have beenable to interact with fellow Christians who have encouraged me intimes of hardship.

Question:How would you advise medical practitioners to handle issues regardingfaith when dealing with patients?

Doctorsshould constantly remind patients that it is through God that theyare alive, and it is still through him that they get healing. Doctorsand nurses should be agents in spreading the gospel in hospitals.Patients believe and trust doctors more than any other profession inthe entire world (Wright,2005). No one dares to oppose the words of a doctor. Many people,therefore, would turn to God if doctors were used to reminding themabout their creator.

Analysisof the interview

Theabove interview was on an old Christian man in the United States. Theman from my analysis, resolved to spirituality due to his illness andstress resulting from it as well as the stress that comes along withold age. Out of the lack of a third party in the interview, theinterviewee was in a fully relaxed state. This state enabled him tobe free and never to hold back any answers that rather expected hadthere been a third party by fear of ‘over exposure.` The tool usedin the analysis, PERE, was a perfect one as it covered more than 90%of the information we required. In future, however, I must make somechanges. First, I must analyze at least two patients. Ourinterviewee, in this case, seemed too religious and to some extent,one can feel the results are biased. Assessing different parties thensampling the results would be better. It is true that the illnessamplified the spiritual needs of the patient. The patient asked aboutthe behavior of his sick colleagues, said that most of them tend tolose hope because they simply have no source of mercy to look up to.This fact implies that the patient keeps seeking God`s intervention,and he will stop at nothing until he healed. The interviewstrengthened my spiritual faith making me view illness from anoptimistic point of view. In my future operations in my worktherefore, I will be confident while handling complex situations andhave faith and optimistic facing complex situations. From myanalysis, the difficult situation my interviewee was going throughignited their strong spiritual inclination. Notable their strongargument of the scriptures, the interviewee felt seeking divineintervention was his only strength.


Meier,A., O`Connor, T. S. J., &amp VanKatwyk, P. L. (2005).&nbspSpiritualityand health: Multidisciplinary explorations.Waterloo, Ont: Wilfred Laurier University Press.

Wright,S. G. (2005).&nbspReflectionson spirituality and health.London: Whurr.

Allshouse,T. J. (2003).&nbspAstudy of the concurrent validity of the Knowledge of Content Scalefrom the American Association of School Personnel Administrator`s(AASPA) Interactive Computer Interview System (ICIS).

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