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_________________________________________________________________________________________________ ____________________ ELNEC-SuperCore Curriculum Module 5: Cultural Considerations Page M5-40 © COH & AACN, 2007 Supplemental Teaching Materials Revised: June 2008

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Page 1: Cultural Considerations in End of Life Care · Web viewELNEC-SuperCore CurriculumModule 5: Cultural ConsiderationsPage M5-44 © COH & AACN, 2007 Supplemental Teaching Materials Revised:

_____________________________________________________________________________________________________________________ELNEC-SuperCore Curriculum Module 5: Cultural Considerations Page M5-40© COH & AACN, 2007 Supplemental Teaching MaterialsRevised: June 2008

Page 2: Cultural Considerations in End of Life Care · Web viewELNEC-SuperCore CurriculumModule 5: Cultural ConsiderationsPage M5-44 © COH & AACN, 2007 Supplemental Teaching Materials Revised:

Selected Religious Beliefs and Traditions Regarding End of Life

_____________________________________________________________________________________________________________________ELNEC-SuperCore Curriculum Module 5: Cultural Considerations Page M5-41© COH & AACN, 2007 Supplemental Teaching MaterialsRevised: June 2008

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_____________________________________________________________________________________________________________________ELNEC-SuperCore Curriculum Module 5: Cultural Considerations Page M5-42© COH & AACN, 2007 Supplemental Teaching MaterialsRevised: June 2008

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_____________________________________________________________________________________________________________________ELNEC-SuperCore Curriculum Module 5: Cultural Considerations Page M5-43© COH & AACN, 2007 Supplemental Teaching MaterialsRevised: June 2008

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_____________________________________________________________________________________________________________________ELNEC-SuperCore Curriculum Module 5: Cultural Considerations Page M5-44© COH & AACN, 2007 Supplemental Teaching MaterialsRevised: June 2008

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Module 5Table 2: Spiritual Assessment: FICA—Taking a Spiritual History

The acronym FICA can help structure questions in taking a spiritual history by healthcare professionals

F = Faith and belief

“Do you consider yourself spiritual or religious?” or “Do you have spiritual beliefs that help you cope with stress?”IF the patient responds “No,” the physician might ask, “What gives your life meaning?” Sometimes patients respond with answers such as family, career, or nature.

I = Importance

“What importance does your faith or belief have in your life? Have your beliefs influenced how you take care of yourself in this illness? What role do your beliefs play in regaining your health?”

C = Community

“Are you part of a spiritual or religious community? Is this of support to you and how? Is there a group of people you really love or who are important to you?” Communities such as churches, temples, and mosques, or a group of like-minded friends can serve as strong support systems for some patients.

A = Address in Care

“How would you like me, your health care provider, to address these issues in your health care?”

Source: Adapted with permission from Puchalski, C. M., & Romer, A.L. (2000). Taking a spiritual history allows clinicians

to understand patients more fully. Journal of Palliative Medicine, 3(1), 129-137. Copyright, Christina M. Puchalski, MD, 1996.

_____________________________________________________________________________________________________________________ELNEC-SuperCore Curriculum Module 5: Cultural Considerations Page M5-45© COH & AACN, 2007 Supplemental Teaching MaterialsRevised: June 2008