Tool | Domains | Examples of content |
HOPE[1] | H: Sources of hope | H: What gives you hope (or strength or comfort or peace) in the time of illness? |
O: Organized religion | O: Are you a part/member of religious or spiritual community? Does it help you? How? |
P: Personal spirituality and practices | P: What aspects of your spiritual beliefs do you find most helpful and meaningful personally? |
E: Effect on medical care and end-of-life issues | E: How do your beliefs affect the kind of medical care you would like me to provide over the next few days/weeks/months? |
FICA: spiritual history[2] | F: Faith | F: What is your faith? |
I: Importance/influence | I: How important is it? |
C: Community | C: Are you a part of a religious community? |
A: Address/apply | A: How would you like me as your provider to address these issues in your care? |
SPIRIT[3] | S: Spiritual belief system | S: Do you have a formal religious affiliation? Do you have a spiritual life that is important to you? |
P: Personal spirituality | P: In what ways is your spirituality important to you? |
I: Integration with a spiritual community | I: Do you belong to any religious or spiritual groups or communities? |
R: Ritualized practices and restriction | R: What specific practices do you carry out as part of religious or spiritual life? |
I: Implications for medical care | I: Would you like to discuss religious or spiritual implications of health care? |
T: Terminal events | T: Are there particular aspects of medical care that you wish to forgo or have withheld because of your religion/spirituality? |