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Spiritual Issues in Supportive Cancer Care

  • Antonella Surbone
  • Tatsuya Konishi
  • Lea Baider
Chapter

Abstract

In the lifetime of every person, critical life events can make the greatest demands on the person’s coping ability. Cancer is such an event. The progress of medicine does not necessarily contribute to reduce the stress. By contrast, spirituality plays an important role in fighting the alienation of a life-threatening illness and the alleviation of fear of impending death. Cancer patients often raise their spiritual concerns with their cancer care providers, and the expectation for oncology teams to provide spiritual support within the clinical context is increasing.

Defining spirituality is difficult because it encompasses different intangible dimensions and level of expressions. “Spirit” is the life force that vitalizes human life, through which human beings derive meaning and purpose in their lives. The core of spirituality is universal and it connects with transcendent aspects of human lives, such as the Divine, the Universe, Nature, and Others. Expressions of spirituality vary in individuals and groups, as they interrelate with religion and culture, without superimposing. Each individual’s spirituality and religiosity should be respected when the spiritual care is offered.

Whether and how can the oncology team offer spiritual care to cancer patients is still an open question. The role of chaplains, with specific education as experts spiritual advisors in multicultural and multireligious contexts, is increasing. While trained chaplains are in the best position to assume the primary role of spiritual caregiver, every team member, who has the opportunity to communicate with patients, should acquire the basic skills of spiritual assessment and care. The ideal goal is to offer integrative spiritual care as part of supportive care in cancer, consulting among oncology professionals, chaplains, and community members, in order to meet the needs of patients and their families also in low resource contexts.

Keywords

Spiritual Care Spiritual Dimension Spiritual Issue Catholic Priest Oncology Team 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Surbone A, Baider L. The spiritual dimension of cancer care. Crit Rev Oncol Hematol 2010; 73(3):228–235.PubMedCrossRefGoogle Scholar
  2. 2.
    Breitbart W. Spirituality and meaning in supportive care: group psychotherapy interventions in advanced cancer care. Support Care Cancer 2001; 10:272–280.PubMedCrossRefGoogle Scholar
  3. 3.
    Chochinov H. Dignity as the essence of medicine: the A, B, C and D of dignity care. Br Med J 2007; 335:184–187.CrossRefGoogle Scholar
  4. 4.
    Surbone A, Baider L, Weitzman TS, Brames MJ, Rittenberg CN, Johnson J. Psychosocial care for patients and their families is integral to supportive care in cancer: MASCC position statement. Support Care Cancer 2010; 18(2):255–263.PubMedCrossRefGoogle Scholar
  5. 5.
    Holland JC (ed), Psycho-Oncology. New York and London: Oxford University Press, 1998.Google Scholar
  6. 6.
    Levin JS, Larson DN, Pulchaski CM. Religion and spirituality in medicine: research and education. JAMA 1997; 278:792–793.PubMedCrossRefGoogle Scholar
  7. 7.
    Salander P. Who needs the concept of spirituality? Psychooncology 2006; 15:647–649.PubMedCrossRefGoogle Scholar
  8. 8.
    Swinton J. Spirituality and mental health care: rediscovering a forgotten dimension. London and Philadelphia: Jessica Kingsley Publishers, 2001.Google Scholar
  9. 9.
    Miller WR, Thoresen CE. Spirituality, religion and health. Am Psychol 2003; 58:24–35.PubMedCrossRefGoogle Scholar
  10. 10.
    Koenig HG. Taking a spiritual history. JAMA 2004; 291: 2881–2882.PubMedCrossRefGoogle Scholar
  11. 11.
    Daaleman TP, Usher BM, Williams SW, Rawlings J, Hanson LC. An exploratory study of spiritual care at the end of life. Ann Fam Med 2008; 6:406–411.PubMedCrossRefGoogle Scholar
  12. 12.
    James A, Wells A. Religion and mental health: towards a cognitive behavioral framework. Br J Health Psychol 2003; 8:359–376.PubMedCrossRefGoogle Scholar
  13. 13.
    Pargament K, Koenig H, Perez L. The many methods of religious coping. J Clin Psychol 2000; 56:519–543.PubMedCrossRefGoogle Scholar
  14. 14.
    Phelps AC, Maciejewski PK, Nilsson M, Balbone TA, Wright AA, et al. Religious coping and use of intensive life prolonging. JAMA 2009; 301:1140–1147.PubMedCrossRefGoogle Scholar
  15. 15.
    Lee SJ. In a secular spirit: strategies of Clinical Pastoral Education. Health Care Anal 2002; 10:339–356.PubMedCrossRefGoogle Scholar
  16. 16.
    International Committee on Pastoral Care and Counseling Page. http://www.icpcc.net/. Accessed September 10, 2009.
  17. 17.
    Fitchett G, King SDW, Vandenheck A. Education of chaplains in psycho-oncology. Chapter 88 in JC Holland (ed.) Psycho-oncology, 2nd edition. New York: Oxford University Press 2010.Google Scholar
  18. 18.
    Puchalski CM et al. Interdisciplinary Spiritual care for seriously ill and dying patients: a collaborative model. Cancer J 2006; 12:398–416.PubMedCrossRefGoogle Scholar
  19. 19.
    Wintz SK, Handzo GF. Pastoral care staffing and productivity: more than ratios. Chaplain Today 2005; 21:3–10.Google Scholar
  20. 20.
    VandeCreek L, et al. How Many chaplains per 100 inpatients? Benchmarks of health care chaplaincy departments. J Pastoral Care 2001; 55:289–301.PubMedGoogle Scholar
  21. 21.
    Kubotera T. An Outline of the Spiritual Care Studies (in Japanese). Tokyo: Miwa Shoten Publishing, 2005.Google Scholar
  22. 22.
    Lo B, Quill T, Tulsky J. Discussing palliative care with patients. ACP-ASIM End-of-Life Care Consensus Panel. American College of Physicians. American Society of Internal Medicine. Ann Intern Med 1999; 130:744–749.PubMedGoogle Scholar
  23. 23.
    Kristeller JL, Zumbrun CS, Schilling RF. “I would if I could”: how oncologists and oncology nurses address spiritual distress in cancer patients. Psychooncology 1999; 8:451–458.PubMedCrossRefGoogle Scholar
  24. 24.
    McClung E, et al. Collaborating with chaplains to meet spiritual needs. Medsurg Nurs 2006; 15:147–156.PubMedGoogle Scholar
  25. 25.
    Sulmasy DP. Spiritual issues in the care of dying patients. “…It’s okay between me and God.” JAMA 2006; 296:1385–1392.PubMedCrossRefGoogle Scholar
  26. 26.
    Milstein JM. Introducing spirituality in medical care. Transi-tion from hopelessness to wholeness. JAMA 2008; 299:2440–2441.PubMedCrossRefGoogle Scholar
  27. 27.
    Villant GE. Spiritual Evolution. New York : Broadway Books, 2008.Google Scholar
  28. 28.
    Stefanek M, McDonald PG, Hess SA. Religion, spirituality and cancer: methodological challenges. Psychooncology 2005; 14:450–463.PubMedCrossRefGoogle Scholar
  29. 29.
    Graham MA, Kaiser T, Garrett KJ. Naming the spiritual: the hidden dimension of helping. Soc Thought 1998; 18:49–61.CrossRefGoogle Scholar
  30. 30.
    Puchalski C, Ferrel B,Virani R, Otis-Green S, Handzo G, Becker NH, Prince-Paul M, Pugliese K, Sulmasy D. Improving the quality of spiritual care as a dimension of palliative care: the report of the consensus conference. J Palliat Med 2009; 12:885–903.PubMedCrossRefGoogle Scholar

Copyright information

© Society for Imaging Informatics in Medicine 2010

Authors and Affiliations

  1. 1.Department of Medicine, Division of Medical OncologyNew York University Medical SchoolNew YorkUSA

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