Addressing Spiritual Needs in Outpatient Palliative Care: Lessons Learned
1. Describe spirituality and the role of spiritual care providers in addressing existential distress. It is our hope that learners will be go on to develop a basic spiritual and religious assessment in an ambulatory care setting using evidence-based spiritual care screening models. 2. Describe a mod...
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| Vydáno v: | Journal of pain and symptom management Ročník 69; číslo 5; s. e497 - e498 |
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| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
Elsevier Inc
01.05.2025
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| Témata: | |
| ISSN: | 0885-3924 |
| On-line přístup: | Získat plný text |
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| Shrnutí: | 1. Describe spirituality and the role of spiritual care providers in addressing existential distress. It is our hope that learners will be go on to develop a basic spiritual and religious assessment in an ambulatory care setting using evidence-based spiritual care screening models.
2. Describe a model to integrate a chaplain and spiritual care in an outpatient palliative care clinic. Through a case-based approach, participants will recognize the impact of chaplains in the care of patients with serious illness in outpatient palliative care settings and explore opportunities to further integrate spiritual care.
While palliative care (PC) focuses on holistic patient care, the spiritual component to a patient's distress or adjustment to the effects of a life-limiting illness are complex. Many outpatient PC settings do not include integrated spiritual care providers and would significantly benefit from a collaborative team structure that includes chaplains to adequately address spiritual and religious patient needs.
Spirituality is the way humans seek meaning, purpose and connection in life.1 There is a significant presence of spiritual issues and distress among patients with a serious illness being cared for in the ambulatory setting. Healthcare chaplains are trained to work as members of an interdisciplinary healthcare team to address the spiritual/ religious needs of patients, families and staff.2,3,4 The presence of a spiritual care provider as a core member of a Palliative Care (PC) team has been under-represented in the outpatient setting.5
We present key lessons learned when integrating chaplains in two outpatient palliative care clinics.
We will review a model adapted by two large academic institutions in New York City. A PC chaplain at each institution had established office hours 1-2 days-a-week in an outpatient PC setting. With the input of chaplains, the outpatient PC team adapted three research-based screening tools to assess religious and spiritual needs: 1) Spiritual pain scale, 2) Questions about belief, meaning in illness, coping, and peace 3) Offering descriptive spiritual care provider services as integral to PC team care. Opportunities to debrief and reflect on difficult cases were integrated into outpatient PC interdisciplinary meetings. We present two cases that show the value of chaplaincy within an outpatient PC team. Case 1 is a 75-year-old F of Anglican background, with metastatic breast cancer. Chaplain provided care around Divine, fears and self-forgiveness surrounding her gambling addiction. Patient expressed relief, closure and peace. Case 2 is a 79-year-old female with mucinous lung adenocarcinoma, seeking advice on meditation and spiritual perspectives on illness. Patient utilized chaplain to make meaning from illness and prepare for death.
Chaplaincy can be a valuable addition to outpatient palliative care teams in the treatment of existential or spiritual distress and Total Pain.
1. Puchalski CM, Vitillo R, Hull SK, Reller N. Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus. J Palliat Med. 2014 Jun 1; 17)6): 642-656. 2. Earl BSW, Klee A, Edens EL, et al. Healthcare Providers' Perceptions about the Role of Spiritual Care and Chaplaincy Services in Substance Use Outpatient Treatment. Int J Environ Res Public Health. 2022 Aug 1;19(15):9441. 3. Handzo G, Hughes B, Bowden J, et al. Chaplaincy in the Outpatient Setting-Getting from Here to There. J Health Care Chaplain. 2022 Apr-Jun;28(2):194-207. 4. Sprik PJ, Vanderstelt H, Valenti-Hein C, Denton J, Ashton D. Chaplain Interventions and Outcomes in Outpatient Settings: A Scoping Review. J Health Care Chaplain. 2024 Jun 5:1-23. 5. Benton K, Zerbo KR, Decker M, Buck B. Development and Evaluation of an Outpatient Palliative Care Clinic. J Hosp Palliat Nurs. 2019 Apr;21(2):160-166. |
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| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2025.02.135 |