II. Indications
- Advanced Care Directives
- Palliative Care or Hospice (or other End-Of-Life Care)
- Hospitalized Patients (esp. Critical Illness)
III. Exam: HOPE Mnemonic
- Hope Sources
- What are your sources of hope, strength, comfort and peace?
- What do you hold onto during difficult times?
- Organized Religion
- Are you part of a religious of spiritual community?
- Does it help you, and if so how?
- Personal Spirituality and Practices
- Do you have personal spiritual beliefs?
- What aspects of your spiritual practices do you find most helpful?
- Effects on Medical Care and End-Of-Life Issues
- Does your current situation affect your ability to do things that help you spiritually?
- As a doctor, is there anything that I can do to help you access resources that help you?
- Are there any specific practices or restrictions that I should know when providing you medical care?
- For patients at end of life
- 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
- Decreases clinician barriers to opening the Spirituality assessment
- The HOPE tool does not start with faith, Spirituality or Religion