Are You Religious or Spiritual

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(Steinhauser, KE, et al. JAMA 284: 2476-2482, 2000)
Random national survey, March-August, 1999. Importance of 44 attributes of quality at EOL. Patients, bereaved family members, physicians, nurses, social workers, chaplains, and hospice volunteers were surveyed. 26 items rated as important across all groups including pain and symptom management, preparation for death, achieving a sense of completion, decisions about treatment preferences, and being treated as a 'whole person'.
Factors Considered Important at the End of Life…
(Steinhauser, KE, et al. JAMA 284: 2476-2482, 2000)
Patients and families rank ordered 9 prespecified attributes of the end-of-life experience. "Freedom from pain" and "Being at peace with God" were ranked as most important (and were statistically equivalent).
Factors Considered Important at the End of Life…
(Steinhauser, KE, et al. JAMA 284:2476-2482, 2000)
Issues important to patients and others but not so important to physicians (p<0.001):
1) Be mentally aware. 2) Be at peace with God. 3) Not be a burden to family. 4) Be able to help others. 5) Pray 6) Have funeral arrangements planned. 7) Not be a burden to society. 8) Feel one's life is complete.
Are Physicians Out of Step with Their Dying Patients
"It is seldom a medical man has true religious views - there is too much pride of intellect."
George Eliot
Religiousness and Spiritual Support Among Advanced Cancer Patients…
Coping with Cancer Study
Interviews of patients (N=230) with advanced cancer (prognosis <1 yr), failure of first-line chemoRx, and an identified unpaid caregiver Patients rated their religiousness (importance of religion to them and their attendance at religious services or private religious/spiritual activities, i.e., prayer) before and after the cancer diagnosis. They also rated the spiritual support they received from their religious community and from the medical system.
…Religiousness and Spiritual Support Among Advanced Cancer Patients

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