Spiritual needs, spiritual distress, and spiritual well-being of patients with terminal illnesses can affect their quality of life. The spiritual needs of patients with advanced cancer have not been widely studied. This study assessed the spiritual needs of 90 patients with advanced cancer who were newly admitted to hospice home care. They completed a demographic data form and the Spiritual Needs Inventory shortly after hospice admission. Scores could range from a low of 17 to a high of 85; study scores were 23 to 83. Results showed great variability in spiritual needs. Being with family was the most frequently cited need (80%), and 50% cited prayer as frequently or always a need. The most frequently cited unmet need was attending religious services. Results suggest the importance of a focus on the spiritual more than the religious in providing care to patients at the end of life.
American Cancer Society. Cancer facts and figures: 2005. Available at http://www.cancer.org/docroot/home/index.asp. Accessed Sept 29, 2006.
2.
National Hospice and Palliative Care Organization (2006). Current statistics about hospice patients. Available at www.NHPCO.org. Accessed Sept 29, 2006.
3.
McClain CS, Rosenfeld B, Breitbart W. Effects of Spiritual wellbeing on end-of-life despair in terminallyill cancer patients. Lancet. 2003;361:1603-1603.
4.
McMillan SC. Pain and pain relief experienced by hospice patients with cancer. Cancer Nurs. 1996;9:298-307.
5.
McMillan SC, Small B. Symptom distress and quality of life in hospice patients with cancer. Oncol Nurs Forum. 2002;29:1421-1428.
6.
McMillan SC, Tittle M. A descriptive study of the management of pain and pain-related side effects in a cancer center and a hospice. Hosp J. 1995;10:89-107.
7.
Moody LE, McMillan SC. Dyspnea and quality of life indicators in hospice patients and their caregivers. Health Qual Life Outcomes. 2003;1:1-7.
8.
Weitzner MA, Moody LE, McMillan SC. Symptom management issues in hospice care. Am J Hosp Palliat Care. 1997;14:190-195.
9.
Hermann C. A guide to the spiritual needs of elderly cancer patients. Geriatric Nurs. 2000;21:324-325.
10.
Fernsler JI, Klemm P, Miller MA. Spiritual well-being and demands of illness in people with colorectal cancer. Cancer Nurs.1999;22:134-140.
11.
Hills J, Paice JA, Cameron JR, Shott S. Spirituality and distress in palliative care consultation. J Palliat Care Med. 2005;8:782-782.
12.
McMillan SC, Mahon M. Measuring quality of life in hospice patients using a newly developed Hospice Quality of Life Index. Qual Life Res. 1994;3:437-447.
13.
Daugherty CK, Fitchett G, Murphy PE, et al. Trusting God and medicine: spirituality in advanced cancer patients volunteering for clinical trials of experimental agents. Psychooncol. 2005;14:135-146.
14.
Tate DG, Forchheimer M. Quality of life, life satisfaction, and spirituality: comparing outcomes between rehabilitation patients and cancer patients. Am J Phys Med Rehabil. 2002;81:400-410.
15.
Peterman A, Fitchett G, Brady MJ, Hernandez L, Cella D. Measuring spiritual well-being in people with cancer: the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp). Ann Behav Med. 2002;24:49-58.
16.
McMillan SC, Weitzner M. Assessing quality of life using a revised hospice tool. Cancer Pract. 1998;6:282-288.
17.
Taylor EJ. Spiritual needs of patients with cancer and family caregivers. Cancer Nurs. 2003;26:260-266.
18.
Moadel A, Morgan C, Fatone A, et al. Seeking meaning and hope: self reported spiritual and existential needs among an ethnically diverse cancer patient population. Psychooncol. 1999;8:378-385.
19.
Murry SA, Kendall M, Boyd K, Worth A, Benton TF. Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers. Palliat Med. 2004;18:39-45.
20.
Taylor E, Outlaw FH. Use of prayer among persons with cancer. Holits Nurs Pract. 2002;16:46-60.
21.
Silvestri GA, Knittig S, Zoller JS, Nietert PJ. Importance of faith on medical decisions regarding cancer care. J Clin Oncol. 2003;21:1379-1382.
22.
Hermann C. Spiritual needs of dying patients: a qualitative study. Oncol Nurs Forum. 2001;28:67-72.
23.
Rabow MW, Dibble SL, Pantilat SZ, McPhee SJ. The comprehensive care team: a controlled trial of outpatient palliative medicine consultation. Arch Intern Med. 2004;164:83-91.
24.
Miller DK, Chibnall JT, Videen SD, Duckro PN. Supportive-affective group experience for persons with life-threatening illnesses: reducing spiritual, psychological, and death-related distress in dying patients. J Palliat Med. 2005;8:333-343.
