1. IMPORTANT HISTORY –IN LATE 19TH CENTURY WE WERE DEBUNKING QAUCKERY AND BECOMING VERY SCIENTIFIC . HOWEVER experiencing cancer and possibly facing the end of life doesn’t think of science as one thing and spiritual issues as something else — they are seen as one and the same.”
  2. The National Cancer Institute defines spirituality as an individual’s sense of peace or purpose and feelings about the meaning of life in general. Religiosity can be a conduit for spirituality in the context of specific beliefs and practices, usually in conjunction with other people who hold the same beliefs. RELIGION AND SPIRITUALITY ARE NOT THE SAME- SPIRITUALOTY IS A DEEP SENSE OF MEANING OF LIFE BEYOND WHAT OUR SENSES SHOW AND BELIEF IN SOMETHING OUTSIDE OF US AND SOMETHING HIGHER On the basis of that construct, an individual can be spiritual, religious, both, or none
  3. Conversely, spirituality tends to be more intrinsic: Peace, purpose, the meaning of life, and connectedness to others
  4. heightened spiritual awareness preserve mental QOL because they help individuals cope with and understand hardship—in this case, a diagnosis of cancer.
  5. patients desire spirituality and religiosity to be addressed and incorporated alongside the medical treatments for their cancer.
  6. DR DO NOT WANT imposition, but rather a genuine exploration with patients about how they understand their illness and their lives, and about how that understanding can be enhanced so as to help each patient live a richer and more fulfilling life despite a difficult diagnosis and circumstance.


  1. each patient is different, we must resist the one-size-fits-all approach in addressing concepts that are so intrinsic, innate, and personal.
  2. it’s CAN BE very intimidating, taboo topic. We’re often taught not to talk about religion and politics. However, genuine curiosity, expressed in a caring, nonjudgmental, and open-ended fashion, is neither abrasive nor offensive.
  3. Eighty-four percent of Americans report a religious affiliation; three quarters of Americans report a sense of spiritual awareness. And that proportion grows to 85%-90% among patients who have cancer.[2] 90% BELIEVE IN GOD


10        But in this era of increasingly holistic care, it has become clear that religious and spiritual beliefs and practices are important AND particularly pronounced in people facing a potentially terminal disease, such as cancer, where one’s own mortality suddenly becomes very real.

  1. chaplains have an important role, BUT everyone involved in the patient’s care has a role to play in addressing the spiritual needs of cancer patients.”THATIS OFTEN WHAT THEY WANT MORE



  1. Helping Patients Cope research ON role of religion and spirituality in medical care focused on cancer care, and some studies suggest that spirituality, in particular, improves a patient’s ability to cope with the illness and manage symptoms.
  2. An exploratory study that examined the relation between spirituality and immune function in 112 women with metastatic breast cancer revealed that the women who rated spiritual expression as important had more circulating white blood cells and higher total lymphocyte counts (Breast J. 2001;7:345-353).WHAT DOES THAT MEAN
  3. I take a spiritual history and to find out if they have a faith, if prayer is part of that WE USE IT. to assist in their care. I tell certain patients that God is not angry with them, it comforts them,” “You do a great disservice to people if you don’t at least ask them,”. “We shouldn’t be afraid of offending someone. If the patient seems to be offended, we should just apologize and move ON
  4. when treading into the spiritual realm, the patient often knows more than the physician.

hurt anyone, and many believe it helps.”

  1. Listen and Refer Some experts believe that the spiritual needs of the patient should be only addressed by those who are trained and qualified in that field.

More Physicians Favor Assisted Suicide

  1. Medscape’s 2014 Physician Ethics Report revealed that among the more than 21,000 respondents, 54% of physicians said that physician-assisted suicide (PAS) should be allowed, compared with only 46% who said that in 2010. Clearly, the concept is gaining ground. (Another 15% said “it depends,” which is kind of a yes). And 31% said a flat-out no.
  3. CASE AGAINST ITGod Is Against It (Religious Beliefs)
“The time of death is up to God,” “Life is sacred, I will not play God,” “

 Support for Palliative Care

A number of doctors noted that suicide should be unnecessary; palliative care could alleviate pain and discomfort. Their assumption was that COMPETENT TRAINED palliative care is available to all and effective in all or most situations.

          “Maybe the Patient Has Treatable Depression


KEY  In Oregon, since the law was passed in 1997, a total of 1173 people have had DWDA prescriptions written; yet fewer (75) patients have died from ingesting medications prescribed under the DWDA. Studies showed that the fact that patients had access to the medication if they needed it gave them a sense of control that actually enabled them to not want to take the dose, and they died from the disease itself.

4. No Prognosis Is Certain

actress Valerie Harper, who was diagnosed with incurable brain cancer in early 2013, and the published prognosis was that she had only months to live. However, it’s now 2015, and Ms Harper still soldiers on and has made some recent public appearances.


1. Medication Barely Helps Intolerable Torment and Prolonged Misery SOMETIMES

2. We Shouldn’t Force Patients to Have to Figure Out How to Kill Themselves

3. Why Shouldn’t We Treat People as Well as We Treat Animals?


The Statement “First, Do No Harm” Was Referenced by Both Sides of the Issue


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