00066 Spiritual distress

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00066 Spiritual distress

Definition of the NANDA label

Impaired ability to experience and interpret the meaning and purpose of life through connection with self, others, art, music, literature, nature, or a power greater than one’s own self.

A state of suffering related to the impaired ability to experience meaning in life through connections with self, others, the world, or a superior being.

Defining characteristics

Connection with the self

• Expressions of lack of:
– Hope.
– Meaning and purpose in life.
– Peace or serenity.
– Acceptance.
– Love.
– Sorry to himself.
– Value.
• Cholera.
• Guilt.
• Bad coping.

Connection with others

• Refuse interactions with spiritual leaders.
• Refuse interactions with friends, family.
• He claims to be away from his support systems.
• Express alienation.

Connections with art, music, literature, nature

• Inability to manifest a previous state of creativity (singing, listening to music, writing).
• Lack of interest in nature.
• Lack of interest in spiritual literature.

Connection with a power greater than myself

• Inability to pray.
• Inability to participate in religious activities.
• Manifests feeling abandoned or feeling anger towards God.
• Inability to experience transcendence.
• Request to see a religious leader.
• Sudden changes in spiritual practices.
• Inability to introspection, to look within.
• He shows that he suffers, that he has no hope.

Related factors

• Self-alienation.
• Loneliness, social alienation.
• Anxiety.
• Sociocultural deprivation.
• Death and agony of one’s own or of others.
• Pain.
• Vital changes.
• Chronic illness of your own or of others.

At risk population

• Aging
• Birth of a child
• Death of significant other
• Exposure to death
• Life transition
• Loss
• Exposure to natural disaster
• Racial conflict
• Receiving bad news
• Unexpected life event

Associated condition

• Actively dying
• Chronic illness
• Illness
• Imminent death
• Loss of a body part
• Loss of function of a body part
• Physical illness
• Treatment regimen


• Spiritual health.
• Hope.
• A dignified death.


• Spiritual support.
• Facilitate spiritual growth.
• Give hope.
• Decreased anxiety.
• Emotional Support.
• Presence.
• Cares in agony.

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