This book is a thoughtful, informative, and practical guide for anyone involved in caring for the seriously and chronically ill or dying. The connection between spirituality and medicine has been receiving a lot of attention in both the scientific and lay presses recently, but research and anecdotal evidence all indicate that spirituality is central to the care of the chronically ill and dying. It is therefore critical that healthcare providers who interact with seriously ill patients know how to address their spiritual needs. This book presents current thinking on how spiritual care can be integrated into traditional caregiving. Part one discusses aspects of spirituality, such as presence, ethics, and relationships. Part two delves into a number of specific religious and theological traditions. Part three offers practical applications and tools, including storytelling, psychotherapy, dance, music, and the arts. Part four focuses on patients' stories and reflections. The book concludes with appendices that have sample advance directives for Protestant, Catholic, Jewish, and Muslim patients. Volume editor Christina Puchalski is the director of the George Washington Institute of Spirituality and Health. She is also an associate professor of medicine at the George Washington University Medical Center and an active practicing physician and medical educator. Dr. Puchalski is nationally and internationally recognized as a pioneer in the integration of spirituality and healthcare. Chapters are authored by an impressive group of medical and religious experts, and patients' stories also appear throughout, offering real-world examples. The book features a foreword by the Dalai Lama.

Part I-Spirituality: Beliefs, Ethics, Presence and Relationship 1. The Role of Spirituality in the Care of Seriously-Ill, Chronically-Ill and Dying Patients, Christina M. Puchalski, MD, OCDS 2. Spirituality in Palliative Care: An Ethical Imperative, Laurence J. O'Connell, PhD, STD 3. Spiritual Care: Compassion and Service to Others, Christina M. Puchalski, MD, OCDS 4. Spiritual Stages of Dying, Christina M. Puchalski, MD, OCDS 5. The Spiritual Issues Faced by Children and Adolescents at the End of Life, Patricia Fosarelli, MD, DMin 6. The Healthcare Professional as Person: The Spirituality of Providing Care at the End of Life, Daniel P. Sulmasy, OFM, MD, PhD 7. On Sacred Ground-The Role of Chaplains in the Care of the Dying: A Partnership between the Religious Community and the Healthcare Community, The Reverend Stephen Mann, MDiv, BCC Part II-Theological and Religious Perspectives 8. A Buddhist Approach to End-of-Life Care, Lobsang Rapgay, PhD 9. Spirituality in End-of-Life Care from a Catholic Perspective: Reflections of a Hospital Chaplain, Mary Lou O'Gorman, MDiv 10. Building Bridges: The Protestant Perspective, The Reverend Natalia Vonnegut Beck 11. Spirituality in Palliative Care-A Hindu Perspective, Uma Mysorekar, MD 12. Faith and Islamic Issues at the End of Life, Imam Yusuf Hasan, BCC and Yusef Salaam 13. Spirituality, Suffering and Prayerful Presence with Jewish Tradition, David J. Zucker, PhD, BCC and Bonita E. Taylor, MA, BCC 14. Ojibwe Beliefs and Rituals in End-of-Life Care, Robert Chi-Noodin Palmer, MD and Marianne Leslie Palmer, MA Part III-Application and Tools 15. Spiritual Care: Practical Tools, Christina M. Puchalski, MD, OCDS 16. Caring for Patients at the End of Life: Honoring the Patient's Story, John D. Engel, PhD, Lura Pethtel, MEd, & Joseph Zarconi, MD 17. Meaning-Centered Group Psychotherapy for Cancer Patients, Christopher Gibson, PhD, Alexis Tomarken, MSW, & William Breitbart, MD 18. Reflections on Dance and Music Therapy in Palliative Care, Janet Lynn Roseman, PhD 19. "Walking Dreams"-The Arts: A Nondenominational Tool for Reconnecting Spirituality & Medicine, BetheAnne Deluca-Verley, MD 20. The Role of Music at the End of Life, Michael Stillwater-Korns & Gary Malkin 21. Grief: A Wall or a Door, Paul Tschudi, MA, LCP Part IV-Patient Stories and Reflection 22. Transformation and Redemption through the Dark Night of the Soul, Cornelius Bennhold, PhD 23. Rhonda-Patient as Teacher, Rhonda Oziel and Dennis Oziel 24. Hope for the Future, Christina M. Puchalski, MD, OCDS Appendix A ResourcesNina A. Fry Appendix B Religious and Spiritual Beliefs and Practices Chart Appendix C Authors' Biographies Appendix D Protestant Advance Directives Appendix E Catholic Advance Directives Appendix F Jewish Advance Directives Appendix G Muslim Advance Directives

Christina M. PuchalskiDirector, George Washington Institute of Spirituality and Health, Associate Professor of Medicine, George Washington University Medical Center

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