Spirituality in Patient Care

Why, How, When, and What

Harold G. Koenig

Second Edition

This landmark handbook for health professionals interested in identifying and addressing the spiritual needs of patients has been significantly revised and expanded. Over the past five years, since the first edition was written, there has been increased research on the relationships among religion, spirituality, and health, and further discussions on the application of these findings to clinical practice. Every section of the book has been rewritten and updated with current research. "I think this version will be my most important contribution to the field of spirituality and health," says Dr. Koenig. "Every bit of what I know about the integration of spirituality into clinical practice, learned over twenty years, is contained in this book."

Koenig addresses the whys, hows, whens, and whats of patient-centered integration of spirituality into patient care, including details on the health-related sacred traditions for each major religious group. He provides health care professionals with the training necessary to screen patients sensitively and competently for spiritual needs, begin to communicate with patients about these issues, and learn when to refer patients to trained spiritual-care professionals who can competently address spiritual needs.

New sections specifically address mental-health professionals, nurses, chaplains and pastoral counselors, social workers, and occupational and physical therapists.

A ten-session model course curriculum on spirituality and health care for medical students and residents is provided, with suggestions on how to adapt it for the training of nurses, social workers, and rehabilitation specialists.

INTRODUCTION / 3

1. WHY  INCLUDE SPIRITUALITY? / 15

2. HOW  TO INCLUDE SPIRITUALITY / 37

3. WHEN  TO INCLUDE SPIRITUALITY / 59

4. WHAT  MIGHT RESULT? / 72

5. BOUNDARIES AND BARRIERS / 90

6. WHEN RELIGION (OR SPIRITUALITY) IS HARMFUL / 108

7. CHAPLAINS AND PASTORAL CARE / 123

8. SPIRITUALITY IN NURSING CARE / 138

9. SPIRITUALITY IN SOCIAL WORK / 147

10. SPIRITUALITY IN REHABILITATION / 154

11. SPIRITUALITY IN MENTAL HEALTH CARE / 161

12. A MODEL COURSE CURRICULUM / 175

13. INFORMATION ON SPECIFIC RELIGIONS / 188

14. SUMMARY OF KEY POINTS / 228

NOTES / 233

INDEX / 257