Hope Spiritual Assessment Tool

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HOPE SPIRITUAL ASSESSMENT TOOL

An acronym which can be used to remember what to ask in a spiritual history is:

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 issue

Some specific questions you can use to discuss these issues are:

H
We have been discussing your support systems. I was wondering, what is there in your life that
gives you internal support?
What are your sources of hope, strength, comfort and peace?
What do you hold on to during difficult times?
What sustain you and keeps you going?
For some people their spiritual or religious beliefs act as a source of comfort ad strength in
dealing with life’s ups and downs, is this true for you?
If the answer is YES, go to O and P questions.
If the answer is NO, consider asking, “Was it ever? If the answer is YES, ask “What changed”?
O
Do you consider yourself part of an organized religion?
How much important is this to you?
What aspects of your religion are helpful and not so helpful to you?
Are you part of religious or spiritual community? Does it help you? How?
P
Do you have spiritual beliefs that are independent of organized religion? What are they?
Do you believe in God? What kind of relationship do you have with God?
What aspects of your spirituality or spiritual practices do you find most helpful to you
personally? E.G. prayer, meditation, reading scripture, attending religious services, listening to
music, hiking, communing with nature).
E
Has being sick (or your current situation) affected your ability to do the things that usually help
you spiritually? Or affected your relations with God?
As a NURSE, is there anything that I can do to help you access the resources that usually help
you?
Are you worried about any conflicts between your beliefs and your medical
situation/care/decisions?
Would it be helpful for you to speak to a priest or pastor or your spiritual leader?
Are there any specific practices or restrictions I should know about in providing your medical
care? (dietary restrictions, use of blood products)
IF THE PATIENT IS DYING
How do your beliefs affect the kind of medical care you would like to provide to you over the
next few days/weeks/months?

________________________________ ________________________
Interviewer Interviewee

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