Spirituality fulfills specific needs: Meaning to life, illness, crises, and death Sense of security for present and future Guides daily habits Elicits acceptance or rejection of other people Provides psychosocial support in a group of like-minded people Strength when facing life’s crises Healing strength and support

1. Mohammad Bushnaq , MD.
Palliative and pain consultant.
Chairman , Jordan palliative care society .
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2.  The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam

3.  The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam

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6.  Spirituality refers to a belief in a higher power, an
awareness of life and its meaning, the centering of
a person with purpose in life. It involves
relationships with a higher being, with self, and
with the world around the individual.. Spirituality
implies living with moral standards.
(National Center of Continuing Education, Inc. Death and Dying,
pg. 23)

7. Spirituality fulfills specific needs:
Meaning to life, illness, crises, and death
Sense of security for present and future
Guides daily habits
Elicits acceptance or rejection of other people
Provides psychosocial support in a group of
like-minded people
Strength when facing life’s crises
Healing strength and support
George Ann Daniels MS, RN

8.  Religion is an organized and public belief system
of worship and practices that generally has a focus
on a god or supernatural power. It generally offers
an arrangement of symbols and rituals that are
meaningful and understood by it’s followers.

9.  Practice of compassionate presence
 Listening to patient’s fears, hopes, pain, dreams
 Obtaining a spiritual history
 Attentiveness to all dimensions of the patient
and patient’s family: body, mind and spirit
 Incorporation of spiritual practices as
appropriate
 Involve chaplains as members of the
interdisciplinary healthcare team
George Ann Daniels MS, RN

10.  Schools of Medicine have been slow to
recognize & appropriate this model of whole
person care.
 The Nursing profession has long recognized the
spiritual aspects of patient care.
 Chaplains and clergy have often assisted
patients with the spiritual aspects of illness and
the search for meaning & purpose.
George H. Grant,M.Div., PhC.

11. • Those who participated in religious
activities and said their beliefs were
important showed:
 better compliance with follow-up
treatment
 improved physical functioning at the 12-
month
 follow-up
 higher levels of self-esteem
 less anxiety and fewer health worries
Christina Puchalski MD
Hams, RC et.al. Journal of Religion and Health. 1995:
34(1) 17-32

12. Those attending church were half as likely to have
elevated levels if IL-6
• Increased levels of IL-6 associated with increased
incidence of disease
• Hypothesis: religious commitment may improve stress
control by:
- better coping mechanisms
- richer social support
- strength of personal values and world-view may be
mechanism for increased mortality observed in other
studies
Koenig, HG et.al.
International Journal of Psychiatry in
Medicine. 1997 27(3) 233-250
Christina Puchalski MD

13.  Fortunately, there is change.
Scientists are realizing what people
already know, that a personal
spiritual relationship helps us
make sense out of illness. It gives
hope. It changes health-related
behavior and thus reduces the risk
of disease.
 But faith has an even greater
impact. Studies have revealed that
faith improves the immune system,
enhances healing, reduces
complications during major
illnesses and much more.
CMD
S

14. Approach
Addressing the needs
intervention
Christina Puchalski MD

15.  Suspect spiritual pain
 Establish a conducive
atmosphere
 Express interest, ask specific
questions
 Listen for broader meanings
 Be aware of your own beliefs
and biases
EPEC- AMA

16.  FICA (Pulchalski 1999)
 LET GO (Storey and Knight 1997)
 Nurses and MDs should know the patient’s
personal values and wishes. The patients
religion is specified in the medical record.
 “The secret in the care of the patient is in
 caring for the patient.”
 Francis Peabody

17.  H: Sources of hope,
meaning, comfort, strength,
peace, love and connection
 O: Organized religion
 P: Personal spirituality and
practices
 E: Effects on medical care
and end-of-life issues

18.  The patient’s perception of what is going
on.
 What gives meaning and purpose to life?
 How, or whether belief and faith enter in.
 Love: By whom do you feel loved-accepted?
 Forgiveness--need it? Do you need to grant
it to others?
 Prayer--What do you pray for?
 Quiet and meditation--What helps get you
on center?
George H. Grant,M.Div., PhC.

19. Purity
Expended
awareness
Contracted
awareness

20. Passion
(Grace, meaning)
Relations
(Gratefulness, Giving,
communication)
Self acceptance
(self awareness, meditation,
values)

21.  The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam

22.  Started from the beginning as something called
bemarestan that provide care for patients and
sickness.
 It offers pain killers with opioids, healing with Quran,
music therapy, and home care!
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23.  The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam

24. ‫د‬
.
‫بشناق‬ ‫محمد‬
‫الباطنية‬ ‫األمراض‬ ‫أخصائي‬
‫التلطيفية‬ ‫والرعاية‬ ‫الم‬ّ‫ال‬‫ا‬ ‫عالج‬ ‫استشاري‬

25.  The power of
silence..
 Meditation
 Silence
 Isolation

26.  Why fear..??

27.  The first ward..
Read..!

28.  Almudather
 Raise up!
 Change

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31.  The basics of spiritual therapy
 Bemaristan
 Spiritual therapy in Islam