II. Definitions

  1. Spirituality
    1. Feelings and beliefs, including sense of purpose and peace, meaning of life, connections to people, nature, energy, music or art
    2. Often includes (but is not limited to) Religion and faith
  2. Pastoral Care
    1. Counseling or comfort by spiritual advisors or clergy (e.g. ministers, priests, rabbis) to address emotional or stressful life events
  3. Religion
    1. Beliefs about the nature, origin and purpose of the universe often as it relates to a superhuman being or god
    2. Associated with worship and ritual observances, as well as a prescribed moral code of conduct

III. Indications

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

IV. Epidemiology

  1. U.S. adult population that believes in God or a universal spirit: 86-92%

V. Evaluation

  1. See HOPE Questions for Spiritual Assessment
  2. Joint Commission (JCAHO) example screening questions
    1. Do you struggle with loss of meaning and joy in your life?
    2. Do you currently have what you would describe as religious or spiritual struggles?

VI. Management

  1. Consider addressing Spirituality at times of major life adverse events (or in preparation for these events)
  2. Spiritual Assessment is individualized for patient and provider
    1. Patients may not wish to address Spirituality, or may wish to limit Spirituality discussions to others (e.g. clergy)
    2. Provider's own Spirituality may dictate whether they wish to address this with a patient and to what level

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Related Studies

Ontology: Pastoral Care (C0030643)

Definition (MSHCZE) Rada nebo útěcha od pastorů, kněží, rabínů atd. těm, kdo potřebují pomoc s emocionálními problémy nebo stresovými situacemi.
Definition (MSH) Counseling or comfort given by ministers, priests, rabbis, etc., to those in need of help with emotional problems or stressful situations.
Definition (PSY) Provision of counseling by religious personnel.
Concepts Health Care Activity (T058)
MSH D010327
SnomedCT 105405003
LNC LP32979-4
English Care, Pastoral, Pastoral Care, pastoral care (treatment), pastoral care, pastoral counseling, Pastoral care (regime/therapy), Pastoral care, Pastoral care, NOS, Pastoral care (regime/therapy)(procedure), Pastoral Counseling
Swedish Själavård
Czech duchovní péče, pastorační péče
Finnish Sielunhoito
Japanese 牧師心理学, 心理学-牧師, 牧師ケア
French Service pastoral, Assistance pastorale, Soin pastoral
Polish Opieka duszpasterska
Norwegian Trøst, Sjelesorg
Spanish cuidado pastoral (procedimiento), cuidado pastoral (régimen/tratamiento), cuidado pastoral, Cuidado Pastoral
German Geistliche Betreuung, Seelsorge
Italian Cura pastorale
Dutch Pastorale zorg
Portuguese Assistência Religiosa

Ontology: Religion (C0035039)

Definition (NCI_NCI-GLOSS) A set of beliefs and practices that center on questions about the meaning of life and may involve the worship of a supreme being.
Definition (NCI) A personal or institutionalized system grounded in belief and reverence for a supernatural power or powers regarded as creator and governor of the universe. (from dictionary.com)
Definition (MSH) A set of beliefs concerning the nature, cause, and purpose of the universe, especially when considered as the creation of a superhuman agency. It usually involves devotional and ritual observances and often a moral code for the conduct of human affairs. (Random House Collegiate Dictionary, rev. ed.)
Definition (PSY) Conceptually broad term. Use a more specific term if possible.
Definition (CSP) set of beliefs concerning the nature, cause, and purpose of the universe, especially when considered as the creation of a superhuman agency; usually involves devotional and ritual observances and often a moral code for the conduct of human affairs; for religious people or denominations use RELIGIOUS GROUP.
Concepts Idea or Concept (T078)
MSH D012067
SnomedCT 160572008, 267121006, 137922005, 137951009
HL7 0006
English Religions, religion, religions, Religion NOS, Religion
Swedish Religion
Czech náboženství
Finnish Uskonto
Polish Religia
Norwegian Religion
French Religion
German Religion
Italian Religione
Dutch Godsdienst, Religie
Portuguese Religião
Spanish Religión

Ontology: spirituality (C0237104)

Definition (ICF) Engaging in spiritual activities or events, outside an organized religion.
Definition (ICF-CY) Engaging in spiritual activities or events, outside an organized religion.
Definition (OMS) Beliefs and practices that involve faith, religion, values, the spirit, and/or the soul.
Definition (NCI_NCI-GLOSS) Having to do with deep, often religious, feelings and beliefs, including a person's sense of peace, purpose, connection to others, and beliefs about the meaning of life.
Definition (MSH) Sensitivity or attachment to religious values, or to things of the spirit as opposed to material or worldly interests. (from Merriam-Webster's Collegiate Dictionary, 10th ed, and Oxford English Dictionary, 2nd ed)
Definition (PSY) Degree of involvement or state of awareness or devotion to a higher being or life philosophy. Not always related to conventional religious beliefs.
Concepts Idea or Concept (T078)
MSH D029181
English Spirituality, Spiritualities, spirituality
Swedish Andlighet
Czech spiritualita
Finnish Hengellisyys
Polish Duchowość
Norwegian Spiritualitet, Åndelighet
French Spiritualité
German Geistigkeit, Spiritualität
Dutch Spiritualiteit
Portuguese Espiritualidade
Italian Spiritualità
Spanish Espiritualidad

Ontology: Spiritual Therapies (C0679674)

Definition (MSH) Mystical, religious, or spiritual practices performed for health benefit.
Concepts Therapeutic or Preventive Procedure (T061)
MSH D026443
SnomedCT 105390002
English Spiritual Therapy, Spiritual Therapies, SPIRITUAL THER, THER SPIRITUAL, spiritual therapy, Therapies, Spiritual, Spiritual therapy (regime/therapy), Spiritual therapy, Spiritual therapy, NOS, Spiritual therapy (regime/therapy)(procedure)
Swedish Själslig behandling
Czech spirituální terapie
Finnish Henkiparannus
Japanese 霊的ヒーリング, 治療-霊的, 霊的療法, 霊的な癒し, スピリチュアルセラピー, スピリチュアルヒーリング, 霊的治療
Croatian Not Translated[Spiritual Therapies]
Polish Uzdrawianie duchowe
Norwegian Sjelelig terapi, Sjelsterapi
Spanish terapia espiritual (procedimiento), terapia espiritual (régimen/tratamiento), terapia espiritual, Terapias Espirituales
French Thérapies mystiques, Thérapies spirituelles
German Spirituelle Therapien
Italian Terapie spirituali
Dutch Therapie, spirituele
Portuguese Terapias Espirituais

Ontology: Spiritual assessment (C0686966)

Concepts Health Care Activity (T058)
SnomedCT 105408001
English spiritual assessment (physical finding), spiritual assessment, assessment spiritual, assessments spiritual, Spiritual assessment (procedure), Spiritual assessment, Spiritual assessment, NOS
Spanish evaluación espiritual (procedimiento), evaluación espiritual