In 1995, the SUPPORT (Study to Understand Prognoses and Preferences
for Outcomes and Risks of Treatment) trial stimulated a reexamination of systems
of care for seriously ill and dying patients.1
This study has accelerated efforts to improve end-of-life care and has indirectly
promoted a rapprochement among religion, spirituality, medicine, and health
care.2 The goal of a quality comfortable death
is achieved by meeting a patient's physical needs and by attending to the
social, psychological, and the now recognized spiritual and religious dimensions
of care.3,4 This perspective is
highlighted in a recent consensus statement that includes the assessment and
support of spiritual and religious well-being and management of spiritual
and religious problems as core principles of professional practice and care
at the end of life.5 Yet multiple ethical and
pragmatic issues arise. For example, should physicians identify patients'
spiritual and religious needs and intervene in clinical settings? The roles
and responsibilities of patients and physicians in this scenario are unclear.
An understanding of religion and spirituality within the context of end-of-life
care, quality of life, and patient-clinician interactions may illuminate the
problems and potentialities for both patients and clinicians.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 66
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Care at the Close of Life: Evidence and Experience
Challenges in End-of-Life Care
Users' Guides to the Medical Literature
All results at
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.