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Instruments for obtaining a spiritual history

Instruments for obtaining a spiritual history
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?
References:
  1. Anadaraja G, Hight E. Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician 2001; 63:81.
  2. Puchalski CM, Romer AL. Taking a spiritual history allows clinicians to understand patients more fully. J Palliat Med 2000; 3:129.
  3. Maugans TA. The SPIRITual history. Arch Fam Med 1996; 5:11.
Reproduced with permission from: Okon T. Spiritual, religious, and existential aspects of palliative care. J Palliat Med 2005; 8:392.
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