II. Indications

  1. Advanced Care Directives
  2. Palliative Care or Hospice (or other End-Of-Life Care)
  3. Hospitalized Patients (esp. Critical Illness)

III. Exam: HOPE Mnemonic

  1. Hope Sources
    1. What are your sources of hope, strength, comfort and peace?
    2. What do you hold onto during difficult times?
  2. Organized Religion
    1. Are you part of a religious of spiritual community?
    2. Does it help you, and if so how?
  3. Personal Spirituality and Practices
    1. Do you have personal spiritual beliefs?
    2. What aspects of your spiritual practices do you find most helpful?
  4. Effects on Medical Care and End-Of-Life Issues
    1. Does your current situation affect your ability to do things that help you spiritually?
    2. As a doctor, is there anything that I can do to help you access resources that help you?
    3. Are there any specific practices or restrictions that I should know when providing you medical care?
    4. For patients at end of life
      1. How do your beliefs affect the kind of medical care you would like me to provide over the next few days, weeks or months?

IV. Advantages

  1. Decreases clinician barriers to opening the Spirituality assessment
    1. The HOPE tool does not start with faith, Spirituality or Religion

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