00170 Risk Of Religiosity Deterioration

Domain 10: vital principles
class 3: congruence between values/beliefs/actions
Diagnostic Code: 00170
Nanda label: Risk of religiosity deterioration
Diagnostic focus: religiosity
Approved 2004 • Revised 2013, 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « risk of deterioration of religiosity ” is defined as: susceptible to deterioration in trust in religious beliefs and/or in practice in the rituals of a tradition of particular faith, which can compromise health.

Risk factors

  • Anxiety
  • Cultural barriers to religious practice
  • Depressive symptoms
  • Limitations of the environment
  • Fear of death
  • Inadequate social support
  • Inadequate sociocultural interaction
  • Inappropriate transport
  • ineffective care
  • Ineffective coping strategies
  • Insecurity
  • Pain
  • Spiritual suffering

Risk population

  • Hospitalized people
  • People who experience end of life crisis
  • People who experience vital transitions
  • People who experience personal crisis
  • People who experience spiritual crisis
  • People with a history of religious manipulation
  • Older adults

Associated problems

  • Depression
  • Deterioration of health status

Suggestions of use

Based on the definition of Nanda-I, this diagnosis is adequate when there is a situation that can hinder the patient’s ability to participate in religious practices, but that the patient shows no definition characteristic. For example, if a patient confined to his home cannot attend church services, the nursing professional could help obtain a transport to avoid the deterioration of religiosity. If the obstacle cannot be overcome, the diagnosis of spiritual suffering should be used.

Suggested alternative diagnostics

  • Religiosity, deterioration of the
  • Spiritual suffering
  • Spiritual suffering, risk of

NOC Results

  • Comfort status: psycho -spiritual: psycho -spiritual tranquility related to self -concept, emotional well -being, the source of inspiration, and the meaning and purpose of life
  • Spiritual health: connection with themselves, with others, with a superior power, with life, nature and the universe, which transcends the self and gives it power

Evaluation objectives and criteria

  • See the objectives and evaluation criteria corresponding to the previous diagnosis of deterioration of religiosity.

NIC Interventions

  • Facilitation of spiritual growth: facilitation of growth in the patient’s ability to identify, relate and resort to the source of meaning, purpose, comfort, strength and hope in their life
  • Risk identification: Analysis of possible risk factors, determination of health risks and prioritization of risk reduction strategies for a person or group
  • Cultural intermediation: Deliberate use of culturally competent strategies to mediate between the patient’s culture and the biomedical health system
  • Pain management: elimination or reduction of pain until an acceptable level of well -being for the patient
  • Security improvement: Increase in the sensation of physical and psychological security of the patient
  • Improvement of Socialization: Facilitation of a person’s ability to interact with others
  • Improvement of coping: patient assistance to adapt to stressful factors, changes or perceived threats, which interfere with the satisfaction of the demands and the roles of life
  • Improvement of the religious ritual: facilitation of participation in religious practices
  • Improvement of the Support System: Facilitation of the support that a patient receives from his family, friends and community
  • Family mobilization: use of family strength to affect the patient’s health in a positive way
  • Anxiety reduction: minimization of apprehension, fear, feeling or discomfort, related to an anticipated danger of unknown origin
  • Stress reduction caused by transfer: assistance to the individual to prepare to, and A, face the change from one environment to another
  • Surveillance: Collection, interpretation and synthesis of patient data, continuously and with an end, to make clinical decisions

Nursing Activities

Valuations

  • • Assess obstacles to religious practices (limitations due to diseases, lack of transport)
  • • Determine if the patient wishes to participate in religious rituals and services
  • • Use established tools to evaluate spiritual well -being

Patient and family education

  • • Inform the patient and the family about the religious resources available in the institution
  • • Inform the patient about religious articles and publications available in Braille, printed with a large or audio letter

Collaboration activities

  • • Channel to the patient with a priest, pastor or other spiritual advisor
  • • Obtain medical authorization to allow the patient for fasting, if you wish

Others

  • • Encourage the patient to express feelings such as anger or sadness
  • • Encourage the patient to speak or cry to relieve tension
  • • Share religious beliefs and perspectives, as required
  • • Pray with the patient, if he requests it
  • • Use therapeutic communication to foster trust
  • • Demonstrate empathy and acceptance
  • • Facilitate the patient to carry out religious rituals (for example, offer physical support, allow him to carry religious medals)
  • • Offer privacy and tranquility for prayer and other religious practices
  • • Accept and not judge the patient’s religious practices
  • • tune in the religious programs of radio or television, if the patient wishes

At home

  • • Most previous interventions can be adapted for home use
  • • Identify community organizations that offer transportation for religious services, as required

Babies and Children

  • • Base interventions on the level of development
  • • To stick to the religious practices of the parents (for example, make the child pray before meals and when going to sleep, if it gets used to at home)
  • • Evaluate whether the child considers that the disease is a punishment for bad behavior