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A holistic assessment of the religious and spiritual dimensions of an individual's life can facilitate existential exploration as a part of ACP. A critical aspect of integrating religion and spirituality in ACP is recognizing the individuals' ability to choose wisely based on their own faith journey and acknowledging that each person has unique attributes and conscience to discern what is right for them.

Similarly, health care professionals may have their own meaning in life challenged by their experiences of their patient's struggles and suffering, and by the stresses they encounter while providing health care. The health care professional that accompanies patients and their loved ones on their journey of discerning what is right for them within the given circumstances must recognize that his or her own decisions may have been different. Yet, the health care professional must be willing to be nonjudgmental and remain supportive—to provide compassionate care for people facing very difficult situations.

Health care professionals must be able to help patients and their families explore the religious and spiritual dimensions that guide their decision making, not to be able to convince them of a “right” way, but to be able to guide them in reviewing possible options and resources, and expressing their preferences and values to guide others who may be advocating or speaking on their behalf. Journeying with the individual in the quest to connect more deeply with what is meaningful can enable the patient to engage more fully in ACP. Knowledge of the differences in values, beliefs, and preferences, in addition to the need to partner with the individuals and families to negotiate care within the patient's religion, spirituality, and culture are critical for good health care decision making.


Agudath Israel of America. (2008). Halachic health care proxy. New York, NY: Author.

Balboni, T., Paulk, M., Balboni, M., Phelps, A., Loggers, E., Wright, A., . . . Prigerson, H. (2010). Provision of spiritual care to patients with advanced cancer: associations
with medical care and quality of life near death. Journal of Clinical Oncology, 28(3), 445–452.

Brush, B., & Daly, P. (2000). Assessing spirituality in primary care practice: Is there time? Clinical Excellence for Nurse Practitioners, 4, 67–71.

Candib, L. (2002). Truth telling and advance planning at the end of life: Problems with autonomy in a multicultural world. Families, Systems & Health, 20(2), 13–28.

Catholic Health Association of the United States. (CHAUSA). (2009). Advance directives: A guide to help you express your health care wishes. Washington, DC: Author. Retrieved from ctives

Chrash, M., Mulich, B., & Patton, C. (2011). The APN role in holistic assessment and integration of spiritual assessment for advance care planning. Journal of the American Academy of Nurse Practitioners, 23(10), 530–536.

Cusick, J. (2003). Spirituality and voluntary pain. American Pain Society Bulletin, 13(5). Retrieved from htm

Draper, P., & McSherry, W. (2002). A critical view of spirituality and spiritual assessment. Journal of Advanced Nursing, 39(1), 1–2.

Ehman, J., Ott, B., Short, T., Ciampa, R., & Hansen-Flaschen, J. (1999). Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill? Archives of Internal Medicine, 159(15), 1803–1806.

Gallup Poll. (2011). More than 9 in 10 Americans continue to believe in God. Retrieved from believe-god.aspx

Grodin, M. A. (1993). Religious advance directives: The convergence of law, religion, medicine, and public health. American Journal of Public Health, 83, 899–904.

Holland, J., Geary, N., Marchini, A., & Tross, S. (1987). An international survey of physician attitudes and practice in regard to revealing the diagnosis of cancer. Cancer Investigation, 5, 151–154.

Katerndahl, D. A. (2008). Impact of spiritual symptoms and their interactions on health services and life satisfaction. Annals of Family Medicine, 6(5), 412–420.

King, D. E., & Bushwick, R. (1994). Beliefs and attitudes of hospital inpatients about faith healing and prayer. Journal of Family Practice, 39(4), 349–352.

Leininger, M. (1980). Caring: A central focus for nursing and health care services.

Nursing and Health Care, 1(10), 135–143, 176.

Liu, J., Lin, W., Chen, Y., Wu, H., Yao, N., Chen, L., et al. (1999). The status of the donot-resuscitate order in Chinese clinical trial patients in a cancer centre. Journal Medical Ethics, 25, 309–314.

McCord, G., Gilchrist, V., Grossman, S., King, B., McCormick, K., Oprandi, A., Srivastava, M. (2004). Discussing spirituality with patients: A rational and ethical approach. Annals of Family Medicine, 2(4), 356–361. Martsolf, D. (1997). Cultural aspects of spirituality in cancer care. Seminars in Oncology Nursing, 13(4), 231–236.

Massachusetts Catholic Conference (2012). Appointing a healthcare agent in Massachusetts a Catholic guide. Massachusetts Catholic Conference, West End Place 150 Staniford Street First Floor, Boston, Massachusetts 02114-2511. Retrieved from Care%20Proxy.pdf

Matsumura, S., Bito, S., Liu, H., Kahn, K., Fukuhara, S., Kagawa-Singer, M., et al. (2002). Acculturation of attitudes toward end-of-life care: A cross-cultural survey of Japanese Americans and Japanese. Journal of General Internal Medicine, 17, 531–539.

Pautex, S., Herrmann, F., & Zulian, G. (2008). Role of advance directives in palliative care units: A prospective study. Palliative Medicine, 22, 835–841.

Peters, J. (2010). Module # 10: Introduction to palliative & hospice care. VISN 3 Geriatric Research, Education & Clinical Center (GRECC). Retrieved from

Pew Research Center. (2012). Religion. Retrieved from pollingreport. com/religion.htm

Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., . . . Sulmasy, D. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. Journal of Palliative Medicine, 12(10), 885–904.

Sanders, C. (2002). Challenges for spiritual care-giving in the millennium. Retrieved from–2p107.html

Searight, H., & Gafford, J. (2005). It's like playing with your destiny: Bosnian immigrants' views of advance directives and end-of-life decision-making. Journal of Immigrant Health, 7(3), 195–203.

Steinberg, A. (1989). Bioethics: secular philosophy, Jewish law and modern medicine. Israel Journal of Medical Sciences, 25(7), 404.

Sulmasy, D. P. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. The Gerontologist, 42, 24–33.

Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Healthcare for the Poor and Underserved, 9(2), 117–125.

Watson, M. (2011). Spiritual aspects of advance care planning in advance care planning in end of life care. In K. Thomas & B. Lobo (Eds.), Advance care planning in end of life care (pp. 45–54). New York, NY: Oxford University Press.

Yeo, G., & Hikuyeda, N. (2000). Cultural issues in end-of-life decision making among Asians and Pacific Islanders in the United States. In K. Braun, J. Pietsch,

& P. Blanchette (Eds.), Cultural issues in end-of-life decision making (pp. 101–125).

Thousand Oaks, CA: Sage.

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