scholarly journals 06 / THE ROLE OF THE SPIRITUAL CARE AS AN ESSENTIAL ASPECT OF PALLIATIVE CARE

Author(s):  
Nensi Lalic
Author(s):  
George Handzo ◽  
Christina Puchalski

Spirituality has been shown to be a key factor in how people understand illness and how they cope with suffering. It is especially important for people who have serious or chronic illness. Standards for palliative care include spiritual care as a required domain of palliative care. Models and recommendations have been developed to facilitate interprofessional spiritual care where all members of the team attend to the spiritual issues of patients with the professional chaplain being the expert in spiritual care in a generalist specialist model of care. Palliative care teams should have a professional chaplain with training in palliative care assigned. This chaplain functions as the spiritual care lead and the spiritual care specialist on the team.


Author(s):  
Johnata da Cruz Matos ◽  
Silvia Maria Ferreira Guimarães

Abstract Objective : To identify the perception of nurses regarding spiritual care for older patients undergoing palliative care. Methods : A descriptive study with a qualitative approach was carried out with 27 care nurses at the Hospital Universitário de Brasília, Brazil, in 2018. The interviews were conducted through a semi-structured script and submitted to content analysis. The discourse structuring for the collective subject technique was applied. Results : Five discourses of the collective subject were constructed and grouped into two categories entitled Spiritual Care Provided By Nurses, and Favorable and Unfavorable Factors For the Provision of Spiritual Care For Older Patients. From the central nuclei contained in the reports, the respondents considered spiritual care and family participation in palliative care important. However, they mainly attributed the role of intervening in spirituality to religious volunteers and the family. Conclusion : The study shows that despite the difficulties in providing spiritual care, family support, moments of listening and the carrying out of activities that motivate inner peace are significant for an improved response to the spirituality of older patients.


Author(s):  
Cornelia Richter

Abstract Defining psychological resilience while taking into account all of its different facets has proven to be a difficult task, requiring an interdisciplinary and transdisciplinary approach. This article will present some of the theologically relevant current findings of the new research group on “Resilience in Religion and Spirituality” (DFG-FOR 2686) working in cooperation between theology, philosophy, psychosomatic medicine, palliative care, and spiritual care (chapter 1). Even though our project builds on factors and mechanisms of resilience already intensively discussed (chapter 2), we will add some further aspects on resilience as a multidimensional and dynamic process of adaption (chapter 3) and on the integration of negative experiences, of endurance, of the formation of powerlessness and of the mediopassive (chapter 4). This will allow for some prospective considerations on understanding challenges and problems of the current SARS-CoV-2 pandemic (chapter 5).


2011 ◽  
Vol 30 (03) ◽  
pp. 158-163 ◽  
Author(s):  
E. Frick ◽  
P. Heußner

ZusammenfassungSpiritual Care und palliative Care machen sowohl auf Seiten des Patienten als auch des therapeutischen Teams eine mehrdimensionale Blickweise erforderlich, die die Grenzen des rein Somatischen überschreitet. Ihnen gemeinsam ist die Sorge für den Betroffenen – eine Perspektive, die der Medizin immanent sein könnte, aber nicht immer als selbstverständliche, nicht zu delegierende Aufgabe angesehen wird. Dabei gilt der Grundsatz der Subsidiarität: Priorität haben immer die Bewältigungsressourcen des Patienten und seines Umfeldes, die von den professionell und ehrenamtlich Helfenden unterstützt werden. In der Herausforderung dieses Arbeitsumfeldes geraten die Professionellen unweigerlich in die Konfrontation mit der eigenen Endlichkeit des Lebens, den damit verbundenen existenziellen Ängsten und den eigenen Widerständen. Diese Auseinandersetzung mit der Unheimlichkeit des Lebensendes, ihr respektvoll zu begegnen und nicht angstvoll zu verdrängen, kann im positiven Sinne als Burnout-Prophylaxe wirksam werden.


2020 ◽  
pp. 55-64
Author(s):  
N. Zarechnov ◽  
A. Kuznetsov ◽  
N. Seliverstova

The article is devoted to the problem of nutrition of patients receiving palliative care. The authors emphasize the importance of nutritional support for this group of patients and describe the experience of enteral and paraenteral nutrition.


2020 ◽  
Vol 9 (2) ◽  
pp. 149-152
Author(s):  
Michael J. Balboni

AbstractThis article offers a brief response to constructive criticism of the book featured in this edition of Spiritual Care. Hostility to Hospitality argues that the role of spirituality within the care of sick patients, despite clear empirical evidence demonstrating its importance, remains deeply contested because of bias against religious communities. Deeply flawed conceptualizations of the nature of religion and the secular camouflage how a society's commitment to immanence functions like a spirituality. A secular framework weakens how spiritual communities can positively influence medical institutions or socialize professional guilds in caring for the whole patient. The diminishment of communities that champion compassion as a chief end, pave a way for hostile economic, technological, and bureaucratic forces to suppress our ability to fully care for patients in body and soul. Rather than being neutral as purported, the secular structures of medicine manipulate and use pastoral care for its own immanent ends. Hostility to Hospitality argues that unless pluralism is embraced, allowing for a diversity of religious communities to influence the structures of medicine, compassionate and holistic care will increasingly become unlikely as impersonal social forces increase.


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