This document discusses the importance of considering culture and beliefs in palliative nursing care. It notes that terminally ill patients often reflect on faith and spirituality as death approaches. From a Christian perspective, death represents the separation of body and soul, though it also signifies entering eternal life. This could lead patients to view their disease as sinful and suffering as punishment. Therefore, palliative nurses must respect patients' beliefs while also boosting morale. Key challenges include differing Christian views on salvation and beliefs that God will provide miraculous healing.

1. Nursing, Death and Palliative Care
A Nursing poster showcasing significance of culture in the context of palliative care nursing
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Abstract
Terminal illness and pending death invokes an individual mind towards a spiritual term
during his last life. Such individuals re-examine their own faith and belief to pass peacefully.
For this reason, inclusion spiritual practices during their illness get first priority in terminally
ill patients. From Christianity point of view, death is a synthesis of sin and leads to temporary
separation of body and soul. It is considered as second term by entering into eternal life and
renouncing the earthly mortal life. This implies, the patient in palliative care might look upon
the disease as sin and suffering as fruits of sin. This could lead to feelings of guilt and low
self-morale. Therefore, from a palliative care nursing point of view, while respecting patient
belief every intervention must target towards upliftment of patient morale.
The first challenge is the belief of Christians that is universalism approach which says there is
another life beyond death. While this is necessary for a palliative care nurse to respect in
order to give hope to the patient and for continuity of care at the same time, those Christians
who do not find salvation in Christ are difficult to handle. In such situation, ethical dilemma
might result into discontinuity of care. The second challenge is the belief that god will heal or
cure miraculously.