SPIRITUALITY OF HEALTH CARE DIFFERENCE BETWEEN SPIRITUALITY AND RELIGION SPIRITUALITY Is not Religion Has something to do with experience

Focuses on what happen in the heart RELIGION

Conceptualizes the experience codifies that experience in a system Three Major Religion with Western Philosophy 1. Judaism Torah, Yahweh

2. Christianity

Bible, God 3. Islam Koran, Allah Common Characteristics All began in the Mediterranean Monotheistic Belief in the sacred scriptures focuses on a personal God who created the world and reveals himself in events in history Moral code JUDAISM

The foundation upon which Christianity and Islam were built. Therefore, the parent of all religions in the western world. Offshoots are orthodox, conservative and reformists Founder Moses (Yahweh) CODE - TORAH Beliefs/Tenets God creator of the world Man the center of the universe must fulfill Gods supreme will Man made to image and likeness of God is inherently good and as such be like him: compassionate, merciful, just, etc. Impact on Health Ritual on hygiene handwashing Male and Female contact Birth rituals No pork diet

Nursing Responsibility Sensitive to these especially with regards to the diet.

ROMAN CATHOLICISM Founded: Pentecost Day 1054 A.D. geographical differences also split the church into: Western Orthodox Church Eastern Orthodox Church Eastern Orthodox Church Split from the Catholic church came about when Constantine made Constantinople as the capital of the Roman Empire.

When Rome was invaded, the Pope turned franks rather to Constantine for help. Pope excommunicated Constantine and vice versa 1965 both annulled the excommunication

Differences of Beliefs Wording of the Nicene creed regarding Holy Spirit Use of Icons (religious image painted on a small wooden panel) an statues Marriage of priests Use of Greeks/ Latin in worship

Patriarch Equivalent to pope ISLAM Founder Muhammad. Believed to be the great prophet of Allah There is no God but Allah and Muhammad is the messenger of Allah Center Mecca Pilgrimage to Mecca once in a lifetime. Once to Mecca, woman keeps their hands covered. Code Koran Cannot be touched by anyone unclean

Beliefs: Those who die in battle for Allah will immediately enter paradise. Holy wars Sects: Sunni largest sect: traditional Shiites believes that only the descendants of Muhammad should be spiritual leaders. Martyrdom is an honor Sufis mystics - Opposed to all forms of change - Adhere strictly no Koran

Pray 5x a day facing Mecca dawn, midday, mid pm, sunset and bedtime Impact on Health Cleansing of hands, feet and face before the prayer Use sand to cleanse themselves Fridays - Moslems day of worship dusk to dawn of Saturday Ramadan 9th month fasting from food and drinks from dusk to dawn (6-6) Diet no pork

Nursing Responsibility Man not to be touched Respect for their rituals Use of the abaya by women. SPIRITUAL OF HEALTH CARE ESSENCE OF SPIRITUALITY SPIRIT VS. SPIPITUALITY

SPIRIT - (loob) (internal spirit) - Imago Dei (Image of God) within every moral person making one a thinking being, feeling,

Creative being, able to relate meaningfully to God, self and others. An animating, intangible principle that gives life to the physical organism, integrates and transcends all other dimensions of the person The literal breath of life The real person, the part of us nobody can see. The part doesnt die inside you

Spirituality (kalooban) (outward expression) Concerned with bringing meaning and purpose to ones existence, what and who ought to live. Feeling level of experience of God as transcendant and/or personal being Trust relationship with / or in the transcendant that provides bases for meaning and hope in lifes experiences and love in ones relationship. Do atheist have a spirituality? Humanistic Implies; Vertical dimension Man in relation to a transcendant being GOD Humanistic view: - Not related to a transcendant being or religious beliefs framework - But the chosen values that become the supreme focus of life around which life is organized. Horizontal dimension Ones relationship with God through ones beliefs values, lifestyle, and interactions with self, others and nature. B. THREE MODELS OF HEALTH CARE Basis: Humanization of Medicine Second International Conference Organized by the Pontifical Commission on the Apostolate of Health Care Workers

Five Point Relational Framework TECHNOLOGICAL

ETHICAL

ECCLESIAL Goal Health Care Seeker Contemporary History Word of God Magisterium 1. TECHNOLOGICAL MODEL

a. In relation to goal GOAL free man from bondage

Technology committed to development

Scientific Discovery

Technological Progress

Aims to free man from bondage of servitude

Beliefs Disease

Ignorance Nature

Revolution advances in: Molecular Biology Genetics Chemistry Virology Immunology Biophysics

To promote health Prevent disease Ensure quality of life b. In relation to Health Care Seekers (HCS) Before: Home care Advancement in health care industry HCS seeks admission in hospitals Increased population of HCS in hospital HCS dismembered from the professional Health Care Giver (HCG) What to treat (object) rather than Who to treat (subject) Specialization HCS remained alone (ICU) - dismembered from his family

For this model to achieve its goal HCS must remain central not de-humanized as room no., case, etc, but as human person;

A unity of body (soma) - soul (spiritual) - mind (psyche) Unique Worthy of respect Causes for the dehumanization HCG view of man Object in health care? or subject in health care? Health care has become an industry and so HCS is seen as an object of knowledge - of experimentation - sometimes his body is exposed every one, touched and probed by all to all manner of things,

guyed at by

HCGs view of life and the HCS in right to life. - Can engineer life, prolong life, put an end to life

toxic contraception, which is to make love without making the baby; extra corporal fecundation, which is making the baby without making love;

pornography which is to unmake love; abortion which is to unmake the baby; and deliberate euthanasia, which is to unmake all together, both baby and love are practices incompatible with respect for the nature of man. HCGs must remember that they are not Masters but Servants of life

Safeguard right to life Protect the transmission of life C. Contemporary Situation: Technological Health Care reaches only the privilege few with social and economic power. The inversion of values brought about by this model resulted to: Devaluation of health care as profession versus commitment to serve Health care was not primarily a science but a profession, which means a solemn commitment. D. In relation to the Word of God Gen 1:2 Creation of man - Both HCS and HCG are CREATURES and; - God is the source of breath and, therefore, - Man is a steward of life - Man is a social being man and woman He created them Therefore, there is the need to re-orient the goal of the technological model of health care to be servants of life E. In relation to the Magisterium of the Church living teaching office Catholic spirituality encompasses Sacred tradition Sacred scripture Church magisterium Vatican II Pastoral constitution on the church in the Modern World brings out the most fundamental questions asked today What is man? What is the meaning of suffering, evil, What is the purpose achievements? What happens after life?

Vatican II Pastoral constitution on the church in the Modern World brings out the most fundamental questions asked today What is man? What is the meaning of suffering, evil, What is the purpose achievements? What happens after life? The church is not superior to the Word of God but it is servant Accepted values are frequently questioned due to a change of attitude and structures.

II. THE ETHICAL MODEL Goal Humanization of Health care, science and conscience Principle priority of ethics over science and technology Goal humanization of health care through a philosophy that contains both

Science

Cross

Passion for truth

The cause of the health care seeker will be better if Medical science and technology are allied with conscience

Health Care Seeker All health care seekers share the same nature and all human persons and share the same moral rights, a monocellular zygote - elderly C. Contemporary situation Abortion Genetic Engineering

Euthanasia Test tube babies = Re-humanization with conscience What can the health professional do in such a situation of dehumanization is decided in the depths of the heart of man to Re humanize there has to be a movement back towards conscience D. Word of God Romans 7: 10-12, 19, 21-24 Sin is the origin of every form of dehumanization Decalogue E. Magisterium All men health care seekers and health care providers are both impelled by their nature and bound by a moral obligation to seek the TRUTH, especially religious truths. III. ECCLESIAL MODEL Etymology Greek ekklesia Human divine institution of the church of Christ Implies: dignity of members : Continuity of covenant (pledge, the end of the world : Relationships : Life in community This model brings out the spiritual/ religious dimension of the human personality as well of the apostolate of the health care a. Goal of the Health Care Wholeness and Holiness The principle of wholeness is the principle of health. Each member of the ekklesia is called to holiness: promise) I shall be with you till

Integrated life Fullness of Christian Life Perfection of love Goal comprehensive health which embraces the whole person, his life in this earthly city and the life to come

b. The health care seeker Is a brother Every patient is my brother belonging to the ekklesia by reason of - inseparable from the love of the father c. Holistic Health Care State of SHALOM right relationships baptism

God

fellowmen

nature

Caring rather than curing Wounded health care seekers and health care givers both in need of wholeness and care. Pastoral Care Program Will foster re-humanization of health care and re-evaluation of human dignity and human life.

Like all health seekers, health professionals are wounded. It is important for them to become aware of their wounded condition, to humbly acknowledge it and to receive care and assistance in the healing of these wounds. d. Servant of God par Excellence Servant of God is a title of honor given to those chosen for a particular mission of Yahweh.

Jesus the servant of God par excellence One who serves Teacher Lord Suffers Kenosis Self-emptying Bring SHALOM E. Servant of Christ Ekklesia servant of Christ - Listens to Christ - Follows the humble service of CONCLUDING RESPONSE Three models of spirituality an attempt to respond the appeal of the Second International Conference of the Pontifical Commission on the Apostolate of Health Care Workers. These 3 models are 3 perspective or 3 starting points towards spirituality of health care Because health is comprehensive/ wholistic and a spirituality that is necessarily embraces the three models. The ecclesial spirituality fosters integration of the technological and ethical models and restores right relationship with God, fellowmen and creation. Christ