Abstract
The goals of care are based on the values of each individual: setting the goals of care is a spiritual endeavor. Accordingly, this chapter examines the definition of religion and spirituality, the influence of religion and spirituality on the management of the older person, and the clinical assessment of religion and spirituality. In general religion and spirituality have been associated with better tolerance of chronic diseases and more satisfactory caregiving experience in patients with chronic diseases and their families, and all providers need to recognize that medical emergency that is referred to as spiritual distress can be properly managed by a chaplain. Spiritual distress is a cause of poor quality of life and may lead to treatment failure from desperation and lack of motivation.
Religion and spirituality may play a specially important role in the management of older cancer patient as with aging there is an increased interest in the meaning of life and in spiritual accomplishments (gerotranscendence). Each person should have adequate evaluation of spiritual and religious resources, and the practitioner should be experienced in utilizing these resources appropriately to improve a patient outcome and to support the patient’s quality of life.
References
Balducci L. Cure and healing. In: Cobb M, Puchalski CM, Rumbold B, editors. Oxford textbook of spirituality in health care. Oxford University Press: Oxford; 2012. p. 151–7.
Balducci L. Cancer prevention in older individuals. Semin Oncol Nurs. 2016;32:314–24.
Balducci L, Innocenti M. Quality of life at the end of life. In: Beck L, editor. Dying and death in oncology. Cham: Springer; 2017. p. 31–46.
Bertson GG, Norman GJ, Hawkley LC, et al. Spirituality and autonomic cardiac control. Ann Behav Med. 2008;35:198–208.
Caplan L, Sawyer P, Holt C, et al. Religiosity after a diagnosis of cancer among older adults. J Relig Spritual Aging. 2014;26:357–69.
Carver LF, Buchanan D. Successful aging: considering non-biomedical constructs. Clin Interv Aging. 2016;11:1623–30.
Delkeskamp-Hayes C. Between morality and repentance: recapturing “sin” for bioethics. Christ Bioeth. 2005;11:93–132.
DeRoches CM, Campbell AG, Rao SR, et al. Electronic health records in ambulatory care: a national survey of physicians. N Engl J Med. 2008;359:50–60.
Dolittle BR, Justice AC, Fiellin DA. Religions, spirituality and HIV clinical outcome: a systematic review of the literature. AIDS Behav. 2016. https://doi.org/10.1007/s10461-016-1651-z.
Edlund BJ. Revisiting spirituality in aging. J Gerontol Nurs. 2014;40:4–5.
Erdman SE. Defining “good health”. Aging (Albany NY). 2016;8:3157–8.
Erosheva EA, Kim HJ, Emlet C, et al. Social network of lesbian, gay, bisexual and transgender older adults. Res Aging. 2016;38:98–123.
Freedman VA, Spillman BC. Active life-expectancy in the older US population, 1982-2011: differences between blacks and whites persisted. Health Aff (Milwood). 2016;35:1351–8.
Gielen J, Bhatnagar S, Chaturvedi SK, et al. Prevalence and nature of spiritual distress among palliative cancer patients in India. J Relig Health. 2017;56:530–44.
Gijsberts MJ, Echteld MA, van der steen JT, et al. Spirituality at the end of life: conceptualization fo measurable aspects: a systematic review. J Palliat Med. 2011;14:852–63.
Griebling TL. Sexuality and aging: a focus on lesbian, gay, bisexual and transgender needs in palliative and end-of-life care. Curr Opin Supp Pall Care. 2016;10:95–101.
Haley WE. Family caregiver of older patients with cancer: understanding and minimizing the burden of care. J Support Oncol. 2003;1(4 suppl 2):25–9.
Huntington SF. Cancer-related financial toxicity: beyond the realm of drug pricing and out of pocket cost. Ann Oncol. 2016;27:2143–5.
Jack AI, Friedman JP, Bovatzis RE, et al. Why do you believe in God? Relation between religious beliefs, analytic thinking, mentalizing, and moral concerns. PLoS. 2016;11(3):e0149989. https://doi.org/10.1371/journal.pone.0149989. eCollection 2016.
Jim JS, Pustejovsky JE, Park CL, et al. Religion, spirituality, and physical health in cancer patients. Cancer. 2015;121:3760–8.
Johnstone B, Yoon DP, Cohen D, et al. Relationships among spirituality, religious practices, personality factors and health for five different faith traditions. J Relig Health. 2012;51:1017–41.
Justin RG. The value history: a necessary family document. Theor Med. 1987;8:275–82.
Kim Y, Carver CS, Cannady RS. Caregiving motivation predicts long term spirituality and quality of life of the caregivers. Ann Behav Med. 2015;49:500–9.
Kim HJ, Jen S, Fredriksen-Golden KI. Race, ethnicity, and health-related quality of life among LGBT older adults. Gerontologist. 2017;57(Suppl 1):S30–9.
Kocher R, Chigurupati A. The coming battle over shared shaving: primary care physicians versus specialists. N Engl J Med. 2016;375:104–6.
Koenig HG. Concerns about measuring spirituality in research. J Nerv Ment Dis. 2008;196:349–55.
Koenig HG. Religion, spirituality, and health: a review and update. Adv Mind Body Med. 2015;29:19–26.
Kuluski K, Gill A, Naganathan G, et al. A qualitative descriptive study of the alignments of health care goals between older person with multiple comorbidities, their family physicians, and informal caregivers. BMC Fam Pract. 2013;14:133. https://doi.org/10.1186/1471-2296-14-133.
Kurtz ME, Kurtz JC, Given CW, et al. Depression and physical health among family caregivers of geriatric patients with cancer. Med Sci Monit. 2004;10:CR447–56.
Lac A, Austin N, Lemke R, et al. Association between religious practices and risk of depression in older people in the subacute setting. Australas J Ageing. 2017;36(2):E31–4. https://doi.org/10.1111/ajag.12384.
Lai C, Luciani M, Di Mario C, et al. Psychological and burden impairment and spirituality in caregivers of terminally ill cancer patients. Eur J Cancer Care (Engl). 2017. https://doi.org/10.1111/ecc.12674.
Magnuson A, Wallace J, Canin B, et al. Shared goal-setting in team based geriatric oncology. J Oncol Pract. 2016;12:1115–22.
Mclean G. An integrative professional theory and practice paper: a reflection on the journey through clinical pastoral education. J Past Care Counsel. 2015;69:201–14.
Memaryan N, Joffaei AG, Ghaempana Z, et al. Spiritual care for cancer patients in Iran. Asian Pac J Cancer Prev. 2016;17:4289–94.
Miller L, Wickramaratne P, Gameroff MJ, et al. Religiosity and major depression in adults at high risk: a ten year prospective study. Am J Psychiatry. 2012;169:89–94.
Miller L, Bansal L, Wickramaratne P, et al. Neuro-anatomical correlated of religiosity and spirituality: a study in adult at high and low familial risk for depression. JAMA Psychiatry. 2014;71:89–94.
Minichiello V, Hawkes G, Pitts M. HIV, sexually transmitted infection, and sexuality in later life. Curr Infect Dis Rep. 2011;13:182–7.
Mittnick S, Leffler C, Hood VL, et al. Family caregiver, patients and physicians: ethical guidance to optimize relationship. J Gen Intern Med. 2010;25:255–60.
Orel NA. Investigating the needs and concerns of lesbian, gay, bisexual and transgender older adults: the use of qualitative and quantitative methodology. J Homosex. 2014;61:53–78.
PDQ Supportive and palliative care editorial board. Spirituality in cancer care, published online. PDQ Supportive and palliative care editorial board, NIH, Bethesda, USA; 2016.
Penson RT, Dignan FL, Canellos GP, et al. Burnout: caring for the caregiver. Oncologist. 2000;5:425–34.
Puchalski CM. Restorative medicine. In: Cobb M, Puchalski CM, Rumbold B, editors. Oxford textbook of Spirituality in health care. Oxford: Oxford University Press; 2012. p. 197–210.
Puchalski C, Ferrell B, Virani R, et al. Promoting the quality of spiritual care as a dimension of palliative care: the report of the consensus conference. J Palliat Med. 2009;12:885–904.
Ripamonti CI, Miccinesi C, Pessa MA, et al. Is it possible to encourage hope in non-advanced cancer patients? We must try. Ann Oncol. 2016;27:513–9.
Robins JL, Elswick RK, Sturgill J, et al. The effects of Tai-Chi on cardiovascular risk in women. Am J Health Promot. 2016;30:613–22.
Rodyhouse JK, Wilson IB. Systematic review of caregiver responses to patient health-related quality of life in adult cancer care. Qual Life Res. 2017;26(8):1925–54. https://doi.org/10.1007/s11136-017-1540-6.
Sachdeva A, Kumar K, Anand KS. Non-pharmacological cognitive enhancers – current perspectives. J Clin Diagn Res. 2015;9(7):VE01–6. https://doi.org/10.7860/JCDR/2015/13392.6186.
Salaman JM, Fitchett G, Merluzzi TV, et al. Religion, spirituality and health outcomes in cancer: a case for meta-analytic investigation. Cancer. 2015;121:3754–9.
Salsman JM, Pustejovski JE, Jim HS, et al. A meta-analytic approach to examining the correlation between religion/spirituality and mental health in cancer patients. Cancer. 2015;121:369–78.
Sherman AC, Merluzzi TV, Pustejovsky JE, et al. A meta-analytic review of religious and spiritual involvement and social health among cancer patients. Cancer. 2015a;121:3779–88.
Sherman AC, Merluzzi TV, Pustejovski JE, et al. A meta-analytic review of religion and spirituality involvement and social health among cancer patients. Cancer. 2015b;121:3773–88.
Silbermann M, Khleif AD, Balducci L. Healing by cancer. J Clin Oncol. 2010;28:1436–7.
Temel JS, Greer JA, El-Jawahari A, et al. Effects of early integrated palliative care in patients with lung and GI cancer: a randomized controlled study. J Clin Oncol. 2016;35(8):834–41. https://doi.org/10.1200/JCO.2016.70.5046:.
Tornstam L. Gerotranscendence: a developmental theory of positive aging. New York: Springer; 2005.
Trivedi SC, Subramaniam AA, Kamath RM, et al. Study of spirituality in elderly with subjective memory complains. J Geriatr Psychiatry Neurol. 2016;29:38–46.
Unterrainer HS, Lewis AJ, Fink A. Religious/spiritual well-being, personality, mental health: a review of results and conceptual issues. J Relig Health. 2014;53:382–92.
Vallet-Regi M, Manzano M, Rodriguez-Manas L, et al. Management of cancer in the older aged person: an approach to complex medical decisions. Oncologist. 2017;22(3):335–42. https://doi.org/10.1634/theoncologist.2016-0276.
Van Cappellen P, Way BM, Isgett SF, et al. Effects of oxytocin administration on spirituality and emotional response to meditation. Soc Cogn Affect Neurosci. 2016;11:1579–87.
Vance DE, Brennan M, Enah C, et al. Religion, spirituality in older adults with HIV: critical personal and social resources for an aging epidemics. Clin Interv Aging. 2011;6:101–9.
Waem M, Rubenowitz A, Wilhelsmon K. Predictors of suicide in the elderly. Gerontology. 2003;49:328–34.
Walter LC, Schonberg MA. Screening mammography in older women: a review. JAMA. 2014;311:1336–47.
Yoon KH, Moon YS, Lee Y, et al. The moderating effect of religiosity on caregiving burdon and depressive symptoms in caregivers of patients with dementia. Aging Ment Health. 2016;23:1–7.
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Balducci, L. (2018). The Older Cancer Patient: Religious and Spiritual Dimensions. In: Extermann, M. (eds) Geriatric Oncology . Springer, Cham. https://doi.org/10.1007/978-3-319-44870-1_19-1
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