An acronym which can be used to remmemeber what to ask in a spiritual history is F I C A.
F Faith or beliefs
I Importance and influence of faith or beleif .
C Community [faith
in religious community eg fellowship or assemebly]
A Address , how you and or your health care provider will address these issues .
Some specific questions which can be used to address these issues are ;
- What is your faith or belief ? Do you consider your self spiritual or religious ?
What things do you beleif in that give meaning to your life ?
I - Is it important
in your life ? What influence does it have on how you take care of yourself?
How has your beleif influenced your behaviour during illness?
What role do your beleifs play in regaining
C Are you part of a spiritual or religious group community ?
Is this of support to you and how ?
Is there a person or group of people you really love or who are really important
to you ?
A How would you like me , your health care provider to address these issues in your health care ?
The general recommendations when taking a spiritual history .
1 Consider spirituality as a potentially
important component of every patient .s physical wellbeing and mental health .
2 Address spirituality at each complete physical examination and continue addressing it at all folow up visits if appropriate
In patient care , spirituality is an ongoing issue.
3 Respect a patinets ,s privacy regarding spiritual beleifs , donot impose your beleifs on others .
4 Make refferals to chaplains , spiritual directors or community
resources as appriopriate .
5 Be aware that your own spiritual beleifs will help you personaly and will overflow in your encounters with those for whom you care to make the doctor -patient encounter a more humanistic one .
1999 Christiana Puschaski MD with permission .
1 Taking spiritual history allows Clinicians to understand patients more fully .
Christiana Puschaski MD and ANNA L ROMER ,EdD.Journal of paliative care medicine
vol 3, number 1,2000pgs 129-137
2 Spiritual assesment in in clinical practice .
Christiana Puschalski ,psychiatric annals
mar 2006; 36,3psychology module pg 150