Week 11: Spiritual Care

Course length

3 to 4 hours


Week 11: Spiritual Care

Piret Paal

About the course

It introduces basic concepts, such as spiritual dimension, spirituality and presents a comprehensive spiritual care model for managing PD.

Learning Objectives

Understand the concepts of spirituality, spiritual needs and care.
Be able to apply the spiritual care model throughout the illness course.

Summary & Scheduling

It introduces basic concepts, such as spiritual dimension, spirituality and presents a comprehensive spiritual care model for managing PD.

Learning Content

Attitude: Participants will also tap into the spiritual dimension sensibly so as not to cause false hopes or increasing vulnerability in patients with PD and their caregivers.
• The terms spiritual dimension, spirituality, and spiritual care
• The impact of spirituality and unmet spiritual needs to patients‘ and their caregivers lives
• The meaning of patient-cargiver centred care model(s)
• The importance of self-care strategies and support for professionals
Skills: Healthcare professionals will be prompted to explore their own spirituality also as a defence to emotional coolout/burnout whist providing palliative and terminal care.

Teaching Methods

• Presentation (slides)
• Video component
• Self-Assessment
• Reading materials


• Best M. Dignity in Palliative Care. In: MacLeod RD, Van den Block L. editors. Textbook of Palliative Care. Springer Nature Switzerland AG, 2019:1-11.
• Best M, Leget C, Goodhead A, et al. An EAPC white paper on multi-disciplinary education for spiritual care in palliative care. BMC Palliat Care 2020;19:9.
• Centeno C, Arias-Casais N. Global palliative care: from need to action. Lancet Glob Health 2019;7:e815-6.
• CHANG, GITLIN D., PATEL R., 2011, The depressed patient and suicidal patient in the emergency department: evidence-based management and treatment strategies, in Emergency medicine practice, vol. 13, nº 9
• Chirico F. Spiritual well-being in the 21st century: It is time to review the current WHO’s health definition. J Health Soc Sci 2016;1:11-6.
• Chochinov HM, Hack T, Hassard T, et al. Dignity therapy: a novel psychotherapeutic intervention for patients near the end of life. J Clin Oncol 2005;23:5520-5.
• Gamondi C, Larkin P, Payne S. Core competencies in palliative care: an EAPC white paper on palliative care education: part 2. Eur J Palliat Care. 2013.
• Harris DA, Jack K, Wibberley C. The meaning of living with uncertainty for people with motor neurone disease. J Clin Nurs 2018;27:2062-71.
• Kleinman A. Patients and Healers in the Context of Culture. An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. Berkeley, Los Angeles & London: University of California Press; 1980.
• Kleinman A. The Illness Narrative. Suffering, Healing & the Human Condition. New York: Basic Books; 1988.
• Lipscomb J, Gotay C, Snyder C. editors. Outcomes Assessment in Cancer: Measures, Methods and Applications. Cambridge: Cambridge University Press; 2004.
• McSherry W, Smith J. Spiritual Care. In: McSherry W, McSherry R, Watson R, editors. Care in Nursing: Principles, Values and Skills. Oxford Oxford University Press; 2012. p. 118.
• Paal P, Lex KM, Brandstötter C, Weck C, Lorenzl S. Spiritual care as an integrated approach to palliative care for patients with neurodegenerative diseases and their caregivers: a literature review. Ann Palliat Med 2020.
• Penner LA, Roger K. The person in the room: how relating holistically contributes to an effective patient-care provider alliance. Commun Med 2012;9:49-58.
• Piderman KM, Breitkopf CR, Jenkins SM, et al. The feasibility and educational value of Hear My Voice, a chaplain-led spiritual life review process for patients with brain cancers and progressive neurologic conditions. J Cancer Educ 2015;30:209-12.
• Piderman KM, Radecki Breitkopf C, Jenkins SM, et al. The impact of a spiritual legacy intervention in patients with brain cancers and other neurologic illnesses and their support persons. Psychooncology 2017;26:346-53.
• Roger K, Wetzel M, Hutchinson S, et al. "How can I still be me?": Strategies to maintain a sense of self in the context of a neurological condition. Int J Qual Stud Health Well-being 2014;9:23534.
• Sharpe M, Stone J, Hibberd C, et al. Neurology out- patients with symptoms unexplained by disease: illness beliefs and financial benefits predict 1-year outcome. Psychological Medicine 2010;40:689-98.
• Snyder J, Adams K, Crooks VA, et al. "I knew what was going to happen if I did nothing and so I was going to
do something": faith, hope, and trust in the decisions
of Canadians with multiple sclerosis to seek unproven interventions abroad. BMC Health Serv Res 2014;14:445.
• Topic related Discussion/Exercise
• Self-Assessment (20 multiple choice questions)


• Presentation (slides)
• Video component
• Self-Assessment
• Reading materials