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Mohammad Bushnaq , MD.
Palliative and pain consultant.
Chairman , Jordan palliative care society .
1
 The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam
 The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam
4
5
 Spirituality refers to a belief in a higher power, an
awareness of life and its meaning, the centering of
a person with purpose in life. It involves
relationships with a higher being, with self, and
with the world around the individual.. Spirituality
implies living with moral standards.
(National Center of Continuing Education, Inc. Death and Dying,
pg. 23)
Spirituality fulfills specific needs:
Meaning to life, illness, crises, and death
Sense of security for present and future
Guides daily habits
Elicits acceptance or rejection of other people
Provides psychosocial support in a group of
like-minded people
Strength when facing lifes crises
Healing strength and support
George Ann Daniels MS, RN
 Religion is an organized and public belief system
of worship and practices that generally has a focus
on a god or supernatural power. It generally offers
an arrangement of symbols and rituals that are
meaningful and understood by its followers.
 Practice of compassionate presence
 Listening to patients fears, hopes, pain, dreams
 Obtaining a spiritual history
 Attentiveness to all dimensions of the patient
and patients family: body, mind and spirit
 Incorporation of spiritual practices as
appropriate
 Involve chaplains as members of the
interdisciplinary healthcare team
George Ann Daniels MS, RN
 Schools of Medicine have been slow to
recognize & appropriate this model of whole
person care.
 The Nursing profession has long recognized the
spiritual aspects of patient care.
 Chaplains and clergy have often assisted
patients with the spiritual aspects of illness and
the search for meaning & purpose.
George H. Grant,M.Div., PhC.
 Those who participated in religious
activities and said their beliefs were
important showed:
 better compliance with follow-up
treatment
 improved physical functioning at the 12-
month
 follow-up
 higher levels of self-esteem
 less anxiety and fewer health worries
Christina Puchalski MD
Hams, RC et.al. Journal of Religion and Health. 1995:
34(1) 17-32
Those attending church were half as likely to have
elevated levels if IL-6
 Increased levels of IL-6 associated with increased
incidence of disease
 Hypothesis: religious commitment may improve stress
control by:
- better coping mechanisms
- richer social support
- strength of personal values and world-view may be
mechanism for increased mortality observed in other
studies
Koenig, HG et.al.
International Journal of Psychiatry in
Medicine. 1997 27(3) 233-250
Christina Puchalski MD
 Fortunately, there is change.
Scientists are realizing what people
already know, that a personal
spiritual relationship helps us
make sense out of illness. It gives
hope. It changes health-related
behavior and thus reduces the risk
of disease.
 But faith has an even greater
impact. Studies have revealed that
faith improves the immune system,
enhances healing, reduces
complications during major
illnesses and much more.
CMD
S
Approach
Addressing the needs
intervention
Christina Puchalski MD
 Suspect spiritual pain
 Establish a conducive
atmosphere
 Express interest, ask specific
questions
 Listen for broader meanings
 Be aware of your own beliefs
and biases
EPEC- AMA
 FICA (Pulchalski 1999)
 LET GO (Storey and Knight 1997)
 Nurses and MDs should know the patients
personal values and wishes. The patients
religion is specified in the medical record.
 The secret in the care of the patient is in
 caring for the patient.
 Francis Peabody
 H: Sources of hope,
meaning, comfort, strength,
peace, love and connection
 O: Organized religion
 P: Personal spirituality and
practices
 E: Effects on medical care
and end-of-life issues
 The patients perception of what is going
on.
 What gives meaning and purpose to life?
 How, or whether belief and faith enter in.
 Love: By whom do you feel loved-accepted?
 Forgiveness--need it? Do you need to grant
it to others?
 Prayer--What do you pray for?
 Quiet and meditation--What helps get you
on center?
George H. Grant,M.Div., PhC.
Purity
Expended
awareness
Contracted
awareness
Passion
(Grace, meaning)
Relations
(Gratefulness, Giving,
communication)
Self acceptance
(self awareness, meditation,
values)
 The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam
 Started from the beginning as something called
bemarestan that provide care for patients and
sickness.
 It offers pain killers with opioids, healing with Quran,
music therapy, and home care!
22
 The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam
惆
.
惡愆悋 忰惆
悋惡悋愀悸 悋悖惘悋惷 悖悽惶悋悧
悋惠愀悸 悋惘惺悋悸 悋悋悋 惺悋悴 悋愕惠愆悋惘
 The power of
silence..
 Meditation
 Silence
 Isolation
 Why fear..??
 The first ward..
Read..!
 Almudather
 Raise up!
 Change
29
30
 The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam

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spiritual-therapy , Spirituality, EOL care

  • 1. Mohammad Bushnaq , MD. Palliative and pain consultant. Chairman , Jordan palliative care society . 1
  • 2. The basics of spiritual therapy Bemaristan Spiritual therapy in Islam
  • 3. The basics of spiritual therapy Bemaristan Spiritual therapy in Islam
  • 4. 4
  • 5. 5
  • 6. Spirituality refers to a belief in a higher power, an awareness of life and its meaning, the centering of a person with purpose in life. It involves relationships with a higher being, with self, and with the world around the individual.. Spirituality implies living with moral standards. (National Center of Continuing Education, Inc. Death and Dying, pg. 23)
  • 7. Spirituality fulfills specific needs: Meaning to life, illness, crises, and death Sense of security for present and future Guides daily habits Elicits acceptance or rejection of other people Provides psychosocial support in a group of like-minded people Strength when facing lifes crises Healing strength and support George Ann Daniels MS, RN
  • 8. Religion is an organized and public belief system of worship and practices that generally has a focus on a god or supernatural power. It generally offers an arrangement of symbols and rituals that are meaningful and understood by its followers.
  • 9. Practice of compassionate presence Listening to patients fears, hopes, pain, dreams Obtaining a spiritual history Attentiveness to all dimensions of the patient and patients family: body, mind and spirit Incorporation of spiritual practices as appropriate Involve chaplains as members of the interdisciplinary healthcare team George Ann Daniels MS, RN
  • 10. Schools of Medicine have been slow to recognize & appropriate this model of whole person care. The Nursing profession has long recognized the spiritual aspects of patient care. Chaplains and clergy have often assisted patients with the spiritual aspects of illness and the search for meaning & purpose. George H. Grant,M.Div., PhC.
  • 11. Those who participated in religious activities and said their beliefs were important showed: better compliance with follow-up treatment improved physical functioning at the 12- month follow-up higher levels of self-esteem less anxiety and fewer health worries Christina Puchalski MD Hams, RC et.al. Journal of Religion and Health. 1995: 34(1) 17-32
  • 12. Those attending church were half as likely to have elevated levels if IL-6 Increased levels of IL-6 associated with increased incidence of disease Hypothesis: religious commitment may improve stress control by: - better coping mechanisms - richer social support - strength of personal values and world-view may be mechanism for increased mortality observed in other studies Koenig, HG et.al. International Journal of Psychiatry in Medicine. 1997 27(3) 233-250 Christina Puchalski MD
  • 13. Fortunately, there is change. Scientists are realizing what people already know, that a personal spiritual relationship helps us make sense out of illness. It gives hope. It changes health-related behavior and thus reduces the risk of disease. But faith has an even greater impact. Studies have revealed that faith improves the immune system, enhances healing, reduces complications during major illnesses and much more. CMD S
  • 15. Suspect spiritual pain Establish a conducive atmosphere Express interest, ask specific questions Listen for broader meanings Be aware of your own beliefs and biases EPEC- AMA
  • 16. FICA (Pulchalski 1999) LET GO (Storey and Knight 1997) Nurses and MDs should know the patients personal values and wishes. The patients religion is specified in the medical record. The secret in the care of the patient is in caring for the patient. Francis Peabody
  • 17. H: Sources of hope, meaning, comfort, strength, peace, love and connection O: Organized religion P: Personal spirituality and practices E: Effects on medical care and end-of-life issues
  • 18. The patients perception of what is going on. What gives meaning and purpose to life? How, or whether belief and faith enter in. Love: By whom do you feel loved-accepted? Forgiveness--need it? Do you need to grant it to others? Prayer--What do you pray for? Quiet and meditation--What helps get you on center? George H. Grant,M.Div., PhC.
  • 20. Passion (Grace, meaning) Relations (Gratefulness, Giving, communication) Self acceptance (self awareness, meditation, values)
  • 21. The basics of spiritual therapy Bemaristan Spiritual therapy in Islam
  • 22. Started from the beginning as something called bemarestan that provide care for patients and sickness. It offers pain killers with opioids, healing with Quran, music therapy, and home care! 22
  • 23. The basics of spiritual therapy Bemaristan Spiritual therapy in Islam
  • 24. 惆 . 惡愆悋 忰惆 悋惡悋愀悸 悋悖惘悋惷 悖悽惶悋悧 悋惠愀悸 悋惘惺悋悸 悋悋悋 惺悋悴 悋愕惠愆悋惘
  • 25. The power of silence.. Meditation Silence Isolation
  • 27. The first ward.. Read..!
  • 28. Almudather Raise up! Change
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  • 31. The basics of spiritual therapy Bemaristan Spiritual therapy in Islam