The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Chapter 13: Spiritual Carereligion in Southeast Florida. The chaplain can also become a mediator between patients andstaff when misunderstandings concerning faith questions occur. It is important that the chaplainhave some knowledge of psychology, so that his interpretive function can be spoken in boththe language26 picasof religion and the language of psychology. The chaplain will then become theliaison between the arena of faith and the arena of science. 23RELIGIOUS AND CULTURAL RITUALS■ Every faith or cultural tradition is rich with practices and rituals that are of great support tothe believer, particularly in moments of crisis. The most common religious ritual is prayer. Manypatients have set times in the day when they pray and are helped by having this practice includedin their care plans so that the ritual is facilitated.It is entirely appropriate (and should be encouraged) to invite caregivers who would like topray with their patients to do so, if the patients agree to it. Prayers need not be formal. Theycan be a single thought or a wish that the patient and caregiver have been talking about. Itmay be a simple blessing or simply the silent presence of the caregiver while the patientarticulates the prayer.Along with prayer, the reading of texts sacred of the patient’s spiritual tradition can be of greatsupport. This too should be included in the care plans so that the patient has time set aside forthis reading. When a patient is too infirm to read texts on his or her own, a caregiver can offer toread to the patient from the selected texts.Both prayer and reading serve as effective methods of relaxation. There are also many ritualsthat patients may find comfort in from their own cultures, and some families and patients haverituals they have created themselves.Other rituals can be provided either by the chaplain or by the patient’s spiritual or culturalleader. It is important that there be good communication between chaplaincy services and thepatient’s community in order to help the patient remain connected with his or her community. 25Religious and cultural beliefs may impact practical decisions as well. For example, diet may bean important aspect of a patient’s religious observances. Many hospitals make provisions tomeet these special dietary needs as long as the patient’s health is not compromised. Some religionsrecommend that articles of clothing be worn in the hospital or offer ways to prepare thebodies of the deceased once death occurs. Chaplains are good resources to find out this information,as is a resource booklet prepared by The University of Virginia Health Sciences Center. 26Whatever form it takes, the active practice of spirituality can bring resolution to existentialconcerns, particularly the fear of death.296U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau
A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Chapter 13: Spiritual CareCONCLUSION■ Spirituality can be an important dimension of a person’s life, particularly when he or she isdealing with26 picaschronic illness and suffering. Spirituality is that aspect of all human beings thatseeks to find meaning in life and, hence, it is a way that people heal.All care providers (doctors, nurses, chaplains, social workers, therapists, family, faith communities)can participate in the spiritual dimension of a patient’s life. Each professional is trained todeal with spiritual issues in a different way. The interdisciplinary model of palliative care thatincludes spiritual support is intended to ensure that patients receive the best care and opportunityfor healing possible in a compassionate, caring health care system.XIIIU.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau 297
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DedicationA Clinical Guide to Suppo
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Lynn A Jansen, RN, PhDAssistant Res
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TABLE OF CONTENTSPart IChapter 1Cha
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IChapter 1.26 picasHIV and Palliati
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IA Clinical Guide to Supportive and
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A Clinical Guide to Supportive and
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IIIChapter 3.Assessment of Physical
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Chapter 6.26 picasPulmonary Symptom
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Chapter 8.26 picasOral ProblemsDavi
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Chapter 10.26 picasPsychiatric Prob
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Chapter 17.26 picasEthical IssuesLy
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Chapter 19.Palliative 26 picas Care
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Chapter 25.26 picas Prevention of S
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Chapter 26.26 picasResourcesMagda B
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DRUGS AND THERAPIES INDEXNOTES: Ent
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