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Healing Environment: nog een beetje een onwennig woord. Maar op 28 mei verscheen in het Amerikaanse tijdschrift voor artsen, de Journal of the Americal Medical Association een artikel met de titel: Introducing Spirituality in Medical Care, Transition From Hopelessness to Wholeness. Het gaat om hoe om te gaan met heftige situaties in het ziekenhuis, zoals ernstige ziekte en dood. Daarvoor zou een speciale healing environment, met ruimte voor de spirituele, transpersoonlijke beleving zinvol zijn. De auteur van het artikel bespreekt aspecten rond die healing environment. Hij zegt o.a.
During critical illness, particularly with end-of-life or life-altering situations, certain existential questions of ultimate meaning may arise: Why me? Why my child? What purpose does this serve? What does it all mean? Since the questions may have intangible, unanswerable qualities, formulating responses may require a shift to the spiritual domain that can be defined as a concern for what exists beyond oneself and the physical world. Exploring this domain requires transcending an individual's physical, cognitive, and emotional sense of reality and the individual's material or tangible world.
Het herkennen van deze bijzondere, onbeschrijfbare dimensie is op zich al heel bijzonder in het reguliere tijdschrift JAMA. De auteur pleit voor het scheiden van de healing space van de curing space, dus dat er in een ziekenhuis ruimte is, buiten de specifieke technische omgeving, om daar voor de patient en zijn familie een mogelijkheid te scheppen die andere dimensie van ziek zijn te ervaren.
Voorts pleit de auteur voor meer onderzoek naar de spirituele aspecten van het ziek zijn:
Studies designed to assess spiritual interventions are rarely pursued because spiritual aspects are not fully embraced as part of conventional medical "culture." Even though spiritual aspects may be addressed in current medical school curricula under course titles such as "doctoring," spiritual measures are rarely included in practice. The contextual model of family stress, and specifically the explanatory model of health, may provide the theoretical and empirical frameworks, respectively, from which to evaluate spiritual interventions. Establishing the value of a spiritual intervention to shift from a state of hopelessness to wholeness through study may further the likelihood of its inclusion earlier in care by more practitioners. Its inclusion in care may extend beyond a last rites experience or simply a referral to chaplaincy services.
Een hoopvol stuk in een mainstream Amerikaans medisch tijdschrift!
Bron
Introducing Spirituality in Medical CareTransition From Hopelessness to Wholeness. Jay M. Milstein, MD. JAMA. 2008;299(20):2440-2441.
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