Abstract
Hematologic malignancies and blood disorders impact physical, emotional, and spiritual well-being. Attention to multicultural and spiritual considerations in serious illness is correlated with improved outcomes and quality of life for patients and their loved ones. Palliative care addresses and embraces spiritual and cultural aspects of care by caring for patients in their wholeness, with an interdisciplinary team with the expertise to do so. Spiritual and cultural considerations have the potential to impact nearly all aspects of patient care and decision-making. The interdisciplinary approach of palliative care can help identify spiritual and cultural distress and resources for coping. Specifically, social workers and chaplains’ active involvement and leadership in patient care for blood cancers and disorders can facilitate advance care planning, spiritual screening, and assessment and enhance communication and empathy. Ensuring care and appropriate guidance in holistic care for patients also mitigates medical clinician distress. Guidelines for healthcare social work and spiritual care and case studies elucidate the critical nature of multicultural and spiritual consideration in caring for hematologic malignancies and serious blood disorders.
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References
Lesko LM, Holland JC. Psychological issues in patients with hematological malignancies. Recent Results Cancer Res. 1988;108:243–70.
Astrow AB, Kwok G, Sharma RK, Fromer N, Sulmasy DP. Spiritual needs and perception of quality of care and satisfaction with care in hematology/medical oncology patients: a multicultural assessment. J Pain Symptom Manag. 2018;55(1):56–64 e1.
Cain CL, Surbone A, Elk R, Kagawa-Singer M. Culture and palliative care: preferences, communication, meaning, and mutual decision making. J Pain Symptom Manag. 2018;55(5):1408–19.
Givler A, Maani-Fogelman PA. The importance of cultural competence in pain and palliative care. 2020.
A Joint Publication of ACPE A, CASC, NACC, NAJC. The Impact of Professional Spiritual Care. 2019.
O'Hanlon B, Bertolino B. The Therapist's notebook on positive psychology. New York, NY: Routledge; 2012.
Delgado-Guay MO. Spirituality and religiosity in supportive and palliative care. Curr Opin Support Palliat Care. 2014;8(3):308–13.
Crawford GB, Price SD. Team working: palliative care as a model of interdisciplinary practice. Med J Aust. 2003;179(S6):S32–4.
Harr C, Openshaw L, Moore B. Interdisciplinary relationships between chaplains and social workers in health care settings. J Health Care Chaplain. 2009;16(1–2):13–23. https://doi.org/10.1080/08854720903451048.
Handzo G, Koenig HG. Spiritual care: whose job is it anyway? South Med J. 2004;97(12):1242–4.
Fitchett G, Hisey Pierson AL, Hoffmeyer C, Labuschagne D, Lee A, Levine S, et al. Development of the PC-7, a quantifiable assessment of spiritual concerns of patients receiving palliative care near the end of life. J Palliat Med. 2020;23(2):248–53.
Workers NAoS. Standards for social work practice in health care settings 2016. https://www.socialworkers.org/practice/standards/index.asp.
Hughes, Brian & Wintz, Sue & Carbonell, Ellen & Hall, Eric & Hodge, David R. & Mulvaney, Elizabeth & Nelson-Becker, Holly & Shim, Soo & Sormanti, Mary & Stepney, Lois. Spiritual care and social work: integration into practice. Health care chaplaincy network. 2018.
Wolcott DL. The role of psychosocial supportive services in palliative care: a conversation with Deane L. Wolcott, MD. In: Cavallo J, editor. The ASCO Post; 2014.
Adler N, Page A. Cancer care for the whole patient. Washington, D.C.: National Academies Press; 2008.
Managing Stress and Distress. Nccn.org. 2020 [cited 14 May 2020]. https://www.nccn.org/patients/resources/life_with_cancer/distress.aspx.
Governing.com. State population by race, ethnicity data. 2020. https://www.governing.com/gov-data/census/state-minority-population-data-estimates.html. Accessed 7 Feb 2020.
Colón Y. Ethnic diversity and cultural competency in cancer care. Oncol Issues. 2007;22(5):28–31.
Shields M, Joseph D. Spiritual care in the ICU. In: Rocker G, Puntillo KA, Azoulay E, Nelson JE, editors. End of life care in the ICU: from advanced disease to bereavement. New York: Oxford University Press; 2010. p. 140–9.
Shields M, Kestenbaum A, Dunn LB. Spiritual AIM and the work of the chaplain: a model for assessing spiritual needs and outcomes in relationship. Palliat Support Care. 2015;13(1):75–89.
Fitchett G, Risk JL. Screening for spiritual struggle. J Pastoral Care Counsel. 2009;63(1-2):4-1-12:1.
Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, et al. Improving the quality of spiritual care as a dimension of palliative care: the report of the consensus conference. J Palliat Med. 2009;12(10):885–904.
Puchalski CM. The role of spirituality in health care. Proc (Baylor Univ Med Cent). 2001;14(4):352–7.
Kestenbaum A, Shields M, James J, Hocker W, Morgan S, Karve S, et al. What impact do chaplains have? A pilot study of spiritual AIM for advanced cancer patients in outpatient palliative care. J Pain Symptom Manag. 2017;54:707.
Clark E, Lauria M, Stearns N. Social work in oncology. Chicago: American Cancer Society; 2012.
Jankowski KR, Handzo GF, Flannelly KJ. Testing the efficacy of chaplaincy care. J Health Care Chaplain. 2011;17(3–4):100–25.
Ernecoff NC, Curlin FA, Buddadhumaruk P, White DB. Health care Professionals' responses to religious or spiritual statements by surrogate decision makers during goals-of-care discussions. JAMA Intern Med. 2015;175(10):1662–9.
Farsi Z. The meaning of disease and spiritual responses to stressors in adults with acute leukemia undergoing hematopoietic stem cell transplantation. J Nurs Res. 2015;23(4):290–7.
Park CL. Meaning making and psychological adjustment following cancer: the mediating roles of growth, life meaning, and restored just-world beliefs. J Consult Clin Psychol. 2008;76:863–75.
Taira DA. Improving the health and health care of non-English-speaking patients. J Gen Intern Med. 1999;5:322–3.
Novy DM, Aigner CJ. The biopsychosocial model in cancer pain. Curr Opin Support Palliat Care. 2014;8(2):117–23.
Odejide OO, Uno H, Murillo A, Tulsky JA, Abel GA. Goals of care discussions for patients with blood cancers: association of person, place, and time with end-of-life care utilization. Cancer. 2020;126(3):515–22.
Wilkie DJ, Johnson B, Mack AK, Labotka R, Molokie RE. Sickle cell disease: an opportunity for palliative care across the life span. Nurs Clin North Am. 2010;45(3):375–97.
Bergman EJ, Diamond NJ. Sickle cell disease and the "difficult patient" conundrum. Am J Bioeth. 2013;13(4):3–10.
Kretchy I, Owusu-Daaku F, Danquah S. Spiritual and religious beliefs: do they matter in the medication adherence behaviour of hypertensive patients? BioPsychoSoc Med. 2013;7(1):15.
Abbas SQ, Dein S. The difficulties assessing spiritual distress in palliative care patients: a qualitative study. Ment Health Relig Cult. 2011;14(4):341–52.
Bhatnagar S, Gielen J, Satija A, Singh SP, Noble S, Chaturvedi SK. Signs of spiritual distress and its implications for practice in Indian palliative care. Indian J Palliat Care. 2017;23(3):306–11.
Hatamipour K, Rassouli M, Yaghmaie F, Zendedel K, Majd HA. Spiritual needs of cancer patients: a qualitative study. Indian J Palliat Care. 2015;21(1):61–7.
Puchalski CM. Making health care whole: integrating spirituality into patient care. West Conshohocken, PA: Templeton Press; 2010.
Loeffler S, Poehlmann K, Hornemann B. Finding meaning in suffering?-meaning making and psychological adjustment over the course of a breast cancer disease. Eur J Cancer Care. 2018;27(3):e12841.
Tedeschi R, Calhoun L. Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inq. 2004;15(1):1–18.
Simard S, Thewes B, Humphris G, Dixon M, Hayden C, Mireskandari S, et al. Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. J Cancer Surviv. 2013;7(3):300–22.
Mundt-Leach R. End of life and palliative care of patients with drug and alcohol addiction. Ment Health Pract. 2016;20:17–21.
Mossey JM. Defining racial and ethnic disparities in pain management. Clin Orthop Relat Res. 2011;469(7):1859–70.
Leite MA, Nogueira DA, Terra FS. Evaluation of self-esteem in cancer patients undergoing chemotherapy treatment. Rev Lat Am Enfermagem. 2015;23(6):1082–9.
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Kestenbaum, A., Howard, P., Abbott, Y. (2023). Multicultural and Spiritual Considerations. In: Ullrich, C.K., Roeland, E.J. (eds) Palliative Care in Hematologic Malignancies and Serious Blood Disorders. Springer, Cham. https://doi.org/10.1007/978-3-031-38058-7_17
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