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You can give spiritual care
Module 5
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You can give spiritual care
Learning objectives
■ what is meant by spirituality
■ importance of spiritual support
■ how to take spiritual case history
■ HOPE checklist
■ own feelings
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Care for the whole person
■ holistic care
■ physical / psychological / social / spiritual
■ open communication
■ symptom control
■ family support
■ terminal care
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What is spirituality?
■ reflect
■ write thoughts / answers
■ share
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Spirituality
■ Meaning
– Who am I?, Why am I here?, What is life
about?
■ Transcendence
‒ belief in God / spiritual powers / afterlife
■ Harmony
‒ at peace with others, forgiveness,
connectedness
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Who am I?
Why are we here? Who are we?
Self Cosmos
Others
Religion
Finding meaning
Journey Suffering Mortality
Transcending Awe
Wonder
Nature
Mystery
God
Afterlife
Becoming Motivation
Achievements
Self-esteem
Values
Beliefs
Creativity
Connecting Community Culture Relationships
Michael Wright
Int Ob End Of Life Care
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Why is spirituality important?
■ How do people show their spiritual pain?
■ What questions do people ask?
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Total pain
■ Spiritual ■ why has this happened
to me?
■ what is the meaning of
my life?
■ why did God allow this?
■ is there a God who cares?
■ what is the point of it all?
■ am I being punished?
■ what/who has caused this suffering?
■ What will happen after I die?
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Spiritual histories
■ How do we assess spiritual pain?
■ How do we explore a person’s spiritual
journey?
■ What tools have we found helpful?
■ What questions can be useful?
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Spiritual pain ‘case history’
■ Tools
■ awareness of underlying issues
■ opening questions
■ What do you have to help you cope?
■ Do you have a faith to support you?
■ Do you feel frightened of the future?
■ Are you at peace with God?
■ What gives you hope / meaning?
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Spiritual pain ‘case history’
■ Tools
■ reflect answers / questions
■ patients pace
■ care to avoid religious jargon
■ involve other team members if appropriate eg
chaplain, faith leader
■ grace and wisdom
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Spiritual pain ‘case history’
■ Tools
■ nurture your own spiritual being
■ respect others beliefs
■ sensitivity
■ explore vocabulary
■ practice
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Spiritual support
HOPE checklist
■ Hope
■ source of hope, comfort, meaning, peace
■ Organised religion
■ Personal issues
■ questions, doubts, struggles
■ Effect
■ on the way we care and support
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Spiritual support
■ How do we offer spiritual support?
■ ourselves
■ others
■ health care
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Spiritual support
■ Our own feelings regarding spiritual care
■ reflection
■ questions
■ exercise
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The following slides can be used to
illustrate the summary slides
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‘Suffering is not;
a problem that demands a solution
a question that demands an answer;
Suffering is;
a mystery that demands a presence.’ • John Wyatt
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‘Slowly, I learn about the importance of
powerlessness. I experience it in my own
life and I live with it in my work. The
secret is not to be afraid of it - not to run
away. The dying know we are not God.
All that they ask is that we do not desert
them.’
Sheila Cassidy ; ‘Sharing the Darkness’
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‘There is a time to be born and a time to
die, a time for sorrow and a time for
laughter’
Ecclesiastes 3v2
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‘God whispers to us in our pleasures,
speaks to us in our conscience, but shouts
to us in our pains: it is his megaphone to
rouse a deaf world.’
C.S.Lewis
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‘He who has a why to his life can bear
with almost any how.’
Nietzsche
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Man is not destroyed by suffering,
he is destroyed by suffering
without meaning
Victor Frankl
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No man is an Iland, intire of itself;…
any man’s death diminishes me,
because I am involved in Mankinde;
and therefore never send to know for
whom the bell tolls; it tolls for thee.
John Donne 1572-1631
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‘Now at the end of this Valley was another,
called the Valley of the Shadow of death;
and Christian must needs go through it,
because the way to the Celestial City lay
through the midst of it. Now this Valley is
a very solitary place’
John Bunyan ; ‘Pilgrams Progress’
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Deep peace of the Running Wave to you
Deep peace of the Flowing Air to you
Deep peace of the Quiet Earth to you
Deep peace of the Shining Stars to you
Deep peace of the Son of Peace to you
Celtic Prayer
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These resources are developed as part of the THET
multi-country project whose goal is to strengthen and
integrate palliative care into national health systems
through a public health primary care approach
– Acknowledgement given to Cairdeas International
Palliative Care Trust and MPCU for their preparation and
adaptation
– part of the teaching materials for the Palliative Care
Toolkit training with modules as per the Training Manual
– can be used as basic PC presentations when facilitators are
encouraged to adapt and make contextual