00067 Risk Of Spiritual Suffering

Domain 10: vital principles
class 3: congruence between values/beliefs/actions
Diagnostic Code: <00067
Nanda label: risk of spiritual suffering
Diagnostic focus: spiritual suffering
Approved 1998 • Revised 2004, 2013, 2017, 2020 • Evidence level 3.2

NANDA Nursing Diagnosis Definition

Nanda’s nursing diagnosis « risk of spiritual suffering ” is defined as:
Likely to experience a state of suffering related to the deterioration of the ability to integrate the meaning and purpose of life through connections with the self, the others, the world or a superior being.

Risk factors

  • Alteration in religious ritual
  • Alteration in spiritual practice
  • Anxiety
  • Barriers to experience love
  • Cultural conflict
  • Depressive symptoms
  • Difficulty to accept the aging process
  • Control of the inappropriate environment
  • Inadequate interpersonal relationships
  • loneliness
  • Loss of independence
  • Low self -esteem
  • Pain
  • Perception of having pending issues
  • Personal alienation
  • Separation of the support system
  • Social alienation
  • Sociocultural deprivation
  • Stressors
  • Inappropriate use of substances

Risk population

  • People who experience the birth of a child
  • People who experience death of significant people
  • People who experience infertility
  • People who experience vital transitions
  • People who experience racial conflict
  • People who experience an unexpected vital event
  • People exposed to death
  • People exposed to natural disaster
  • People exposed to traumatic events
  • People who receive bad news
  • People who receive terminal care
  • People with low educational level

Associated problems

  • Chronic disease
  • Depression
  • Loss of a body part
  • Loss of the function of a body part
  • Therapeutic regime

Suggestions of use

  • See the suggestions of use for the diagnosis of spiritual suffering.

Suggested alternative diagnostics

  • Chronic affliction
  • Ineffective coping
  • Anxiety, before death
  • Decision conflict (specify)
  • Complicated duel
  • Spiritual suffering

NOC Results

  • To evaluate the presence of spiritual suffering, the following result should be used:
  • Spiritual health: connection with themselves, with others, with a superior power, with life, nature and the universe, which transcends the self and gives power
  • The following are examples of results related to the risk factors of spiritual suffering:
  • Hope: Personally rewarding optimism and in favor of life
  • Gravity of suffering: intensity of anguish related to a disturbing symptom, injury or loss, which has potentially prolonged effects

Evaluation objectives and criteria

  • See objectives/criteria for the diagnosis of spiritual suffering.

NIC Interventions

  • Spiritual support: Help the patient to feel in balance and in communion with a higher power
  • Care at the end of life: promotion of physical comfort and psychological peace in the final phase of life
  • Facilitation of duel expression: Help with the resolution of an important loss
  • Inspiration of hope: Facilitation of the development of a positive perspective in a given situation
  • Improvement of the religious ritual: facilitation of participation in religious practices

Nursing Activities

  • See nursing activities for the diagnosis of spiritual suffering.
  • Nursing interventions and activities focus on eliminating or modifying risk factors to prevent spiritual suffering.


  • • Assess situations that can cause spiritual suffering (for example, low self -esteem, anxiety, lack of support relationships)


  • • Establish the following measures to increase self -esteem:
    • Help the patient identify their strengths
    • Motivate the patient to verbally express their concerns about close relationships
    • Encourage the patient and his family to express their feelings and suffering
    • Provide care without criticism, respecting the privacy and dignity of the patient
  • • (NIC) Spiritual support:
    • Use values ??clarification techniques to help the patient understand their beliefs and values, if necessary
    • Listen carefully to people’s conversations and find the right time for prayer or spiritual rituals.