00066 Spiritual distress

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.