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Spirituality. as you ought not to attempt to cure the eyes without the headneither ought you attempt to cure the body without the soul'Plato. Spirituality. What is this life, if full of care, we have no time to stand and stare...'It makes you think'Life's a bitch and then you die'To be or

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1. Spirituality Death, Dying & Spirituality The Revd Dr Barry Clark April 2007

2. Spirituality ‘as you ought not to attempt to cure the eyes without the head…neither ought you attempt to cure the body without the soul’ Plato

3. Spirituality ‘What is this life, if full of care, we have no time to stand and stare...’ ‘It makes you think’ ‘Life’s a bitch and then you die’ ‘To be or not to be, that is the question...’

4. Spirituality ‘Spirituality is concerned with how individuals understand the purpose and meaning of their existence within the universe. It requires an individual to develop a harmonious connection between themselves and their spiritual thought’ (Faull, 1999)

5. Spirituality ‘Connecting the ‘here’ with the ‘there’, the living with the dead, meaning with meaninglessness. This is the territory of spirituality. It is concerned with placing our own existence and extinction within the existence of the cosmos’ (Clark, 2002)

6. Spirituality ‘I do not like the word ‘spiritual’, its is too loaded for me, but for want of a better word, I feel that the spiritual part of us is indestructible and emerges again in some form’ Religion and spirituality

7. Spirituality ‘Spiritual distress experienced by cancer patients may be under addressed due to time constraints, lack of confidence in effectiveness, and role uncertainty’ ‘I hope your visit has inspired you’

8. Spirituality 2004 Nice Guidelines ‘Improving Supportive and Palliative Care for Adults with Cancer’ Chapter 7 – ‘Spiritual Support Service ‘…the search for the existential or ultimate meaning of life…it usually includes reference to a power other than self…’ Great emphasis on TEAM responsibility, with ‘accurate and timely (and regular) evaluation of spiritual issues

9. Spirituality ‘When the going gets tough…..’{Leaflet} Designed to support and encourage the patients and the staff Designed by patients/carers, to be completed by patients Currently being evaluated

10. Spiritual Symptoms Why me? What have I done to deserve this? Am I going to die? Who will look after my family How long have I got? Is there a God? I need to make my peace. How will I be remembered? Will it be painful? I want to go home! I am so angry I am so frightened

11. Spirituality Physically haywire Mentally fragile Emotionally unpredictable Spiritually d y n a m i c

12. Spirituality Question is not, ‘ How am I?’ but rather, ‘Who am I?’ Desperate need to re-establish the self or nurture the damaged self.

13. Practical spirituality Recognise the person, not merely the patient - determine and affirm their hopes and fears. Listen to their story and build a picture Draw alongside - what unites, one human beings concern for another, has greater power than anything that might separate.

14. Practical spirituality Encourage but do not enforce - the spiritually dynamic need space to explore Re-establish roots if possible Be aware of your spiritual pilgrimage Be aware of limitations

15. Practical Spirituality Ted Bowman : Loss of Dreams – a special kind of Grief Material Relationship Health Role or function Systemic

16. Practical Spirituality Ted Bowman Name losses Grieve the losses Be realistic about your losses Keep dreaming Know you are not alone

17. Practical Spirituality NICE Guidelines – Listen to patient experience Affirm humanity Protect dignity & self worth Integrate care Review care

18. Spirituality ‘I have spread my dreams under your feet; Tread softly, for you tread on my dream’ (Yeats) ‘Grief has several coats and many shades’ (Clark)

19. Spirituality BMJ: ‘What is a good death?’ Themed Issue – 26th July 2003 BMJ: ‘Spiritual needs in healthcare’ 2004 (329) 123-124 NICE Guidelines – ‘Improving Supportive and Palliative Care for Adults with Cancer’ March 2004 ‘Spiritual & Religious Care Competencies for Specialist Palliative Care’ Marie Curie Cancer Care – Sept 2004

20. Spirituality European Journal of Palliative Care (2005) 12 (5) ‘A philosophical consideration of attitudes towards death’ Nursing Management – October 2005, 12 (6) – Themed issue on Spiritual care A Time for Listening and Caring – (Spirituality and the care of the chronically ill and dying) OUP 2006 One in Three – Adam Wishart – Profile Books - 2006

21. Spirituality Recognising spiritual needs in people who are dying – Rachel Stanworth – OUP 2004 Spirituality & Palliative Care – Ed: Bruce Rumbold – OUP 2005 Palliative Care for South Asians – Ed: Rashid Gatrad – Quay Books – 2006 Reflections on Spirituality & Health – Stephen Wright – Whurr – 2005 Hidden Aspects of Palliative care – Ed: Brian Nyatanga – Quay Books - 2005

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