Spiritual Care at the End of Life

by | Jan 2, 2018

To understand spiritual care for hospice patients, one needs to know the subtle differences between spirituality, faith and religion.

When faced with advanced illness or a terminal diagnosis, people tend to rely heavily on their religious beliefs and faith as a coping mechanism. At the same time, questioning faith can also be a focus as many grapple with the meaning of life at the end. Whether a patient follows a religion, spiritual care is of vital importance and integral to the hospice care plan.

Spiritual Care in Hospice

To understand the importance of spiritual care for hospice patients, one needs to understand the subtle differences between spirituality, faith and religion. According to the Oxford Dictionary, spirituality is a broad term defined as the “quality of being concerned with the human spirit or soul as opposed to material or physical things.” On the other hand, faith and religion are used to describe a person’s individual beliefs and practices, which can be part and parcel of spirituality.

More so now than ever before, we live in a society that is diverse. New York City is not the only “melting pot” of different cultures and religions. Throughout Florida, communities are a mix of people with different rituals and traditions. For instance, they can be Christian, Jewish, Muslim, Buddhist or Hindu, or not practice a religion and be agnostic or atheist.

No matter what a patient’s religious beliefs might be, the staff at any of the Chapters Health affiliates — Chapters Health Hospice, Good Shepherd Hospice, Hospice of Okeechobee, HPH Hospice and LifePath Hospice is respectful. The spiritual care staff members develop a unique rapport with patients and their loved ones and get to know their beliefs. By creating this bond of understanding, they can provide spiritual support—with words, prayers and music at crucial moments at the end of life.

End-of-Life Rituals and Traditions

As the end of life approaches, people gravitate to specific religious rituals and traditions. They can be divided into two categories: before and after.

Before death, many religions have rituals that prepare one for death. They can take the form of reading, praying, chanting, lighting candles, burning incense, meditating or playing music. Families and friends often visit and gather around the bed to pray and be with their loved one at the time of death.

After death, religions differ in the preparation of the body, including how it is done and by whom. Additionally, different religions vary when it comes to funerals, burial and cremation. It is also important to understand mourning practices among various religions.

Mourning Practices

Around the world, almost every culture and religion has mourning traditions. These practices are not a new phenomenon as archeologists have uncovered items like tools and jewelry buried with the deceased. Think and picture King Tut for example.spiritual care

In today’s society, we have evolved into more refined mourning practices, which boil down to the same premise: It is our way of dealing with the death of a loved one.

The following are some examples of mourning traditions:

Catholicism: Traditionally, mourners wear black and many hold wakes, which take place between death and burial. Often, especially true in Ireland, the wake is held in the family’s home and is more accurately a celebration of the person’s life. The wake occurs typically along with the viewing of the body.

Judaism: People of the Jewish faith traditionally bury the body within 24 hours following death. The body is ritually washed and never left alone before burial. After the actual funeral, immediate family adheres to a strict mourning period of seven days, known as shiva.

Islam: Muslims also follow a specific period of mourning, which for family and friends spans three days.  For widows, the iddah, or mourning, is longer and lasts four lunar months and 10 days. During this time, she is also not allowed to remarry.

6 Tips for Spiritual Self-Care

Psychiatrist and neurologist Victor Frankl shared his observations as a concentration camp survivor in his “Man’s Search for Meaning.” He discovered that the inmates who survived were not necessarily the strongest but those who realized that, despite the suffering, life can be given meaning. According to Frankl, people can find meaning by giving something back to the world through creativity, interacting with their environment and others, and changing their attitude when faced with a situation that cannot be changed.

It doesn’t matter what your age or circumstance, everyone can create meaning in their lives. You just need time for yourself. Practicing self-care and making time to recharge your batteries can lift your spirits. Here are six simple tips to help you dispel negative energy and replace it with the positive, and thus allowing you to make the most of life.

  1. Read a book. Whether it is a book that you enjoyed in the past or one that someone you trust recommended, take the time to read. And even better, read one that will be meaningful and resonate with you on a spiritual plane.
  2. Tap into your creative side. Whether you enjoy writing, painting or playing an instrument, try capturing your thoughts and feelings on paper or canvas or through music.
  3. Listen to music. Music touches everyone in personal and unique ways. It helps people recall a time in their lives when their hearts were filled with joy and fond memories. Additionally, a study published in the Man’s Search for Meaning found that the multidimensional nature of music resonates with the needs of patients at the end of life.
  4. Take time to watch a sunset, the stars at night or the sun rise. Observing the passage of time as it relates to nature can touch your soul to the core. And if you are able, walk in nature so that you can smell freshly cut grass, watch bees drink nectar from a flower or simply make a wish and blow on a dandelion.
  5. Play your favorite childhood game. As a child, did you love playing Monopoly for hours? Or building wobbling Jenga® towers? Maybe throwing a little rubber ball down to pick up jacks was your favorite past-time? Try playing a game you loved as a child with sheer abandon and without judgment.
  6. Connect with your soul through meditation. When someone feels stressed, it can adversely affect them physically and emotionally. For those who practice meditation, the mind is not as agitated, and thus you can become more focused and your concentration can improve. Meditative practice increases self-awareness and makes people more comfortable in their own skin.

spiritual careWhen you take more time for yourself, your inner spirit will thank you.

Chapters Health System is committed to serving the needs of its patients, families, caregivers, health providers, partners and communities.

Discover more details and information about emotional and spiritual care.

For more information, please call our helpful Chapters Health team at 1.866.204.8611 or Contact Us.

Phoebe Ochman

Phoebe Ochman

Phoebe Ochman, director of corporate communications for Chapters Health System, manages all content and communications for the nonprofit organization. Email: [email protected]

About Us

Established in 1983 as a community-centered, nonprofit entity, Chapters Health has grown exponentially through its radical approach to healthcare that leverages a one-of-a-kind system to support patients, families, and caregivers across the country, while remaining grounded in the mission of taking care of patients, or taking care of those who do®.

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John J. Whyte, MD, MPH

CEO and Executive President,
American Medical Association

John Whyte, MD, MPH serves as the CEO and Executive Vice President of the American Medical Association, the nation’s largest physician organization.

Prior to the AMA, Dr. Whyte served as the Chief Medical Officer at WebMD, leading initiatives that expanded strategic partnerships, created new business opportunities, and positioned WebMD at the forefront of digital health innovation. He was a pivotal force in evolving WebMD’s digital platforms from content delivery engines to powerful tools connecting consumers directly to care, establishing critical new revenue models. He is a recognized leader in healthcare delivery and regulation and is consistently named as one of the Top 20 Health Influencers.

Before joining WebMD, Dr. Whyte served as Director of Professional Affairs and Stakeholder Engagement at the U.S. Food and Drug Administration’s Center for Drug Evaluation and Research. There, he spearheaded groundbreaking initiatives to modernize clinical trial design, expand diversity in research, and advance the regulatory use of real-world evidence — efforts that continue to impact patient-centered drug development today.

Earlier, as Chief Medical Expert and Vice President of Health and Medical Education at Discovery Channel, Dr. Whyte launched educational programming that captured both medical and mainstream audiences, successfully aligning mission-driven health education with corporate funding strategies and building new multimedia brand identities.

At the Centers for Medicare & Medicaid Services (CMS), Dr. Whyte played a pivotal role in formalizing Medicare’s national coverage decision process, directly shaping payment policies and advancing innovative models to improve healthcare outcomes. His experience at CMS demonstrates a deep understanding of health policy, reimbursement strategies, and the critical intersection of clinical innovation and payment models.

A board-certified internist, Dr. Whyte completed his MD at Hahnemann University School of Medicine, his residency at Duke University Medical Center and earned his MPH in Health Policy and Management at Harvard University. He previously served as a health services research fellow at Stanford University. An accomplished author, Dr. Whyte has written extensively for both professional and consumer audiences, including five best-selling book

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Dr. Venki Ramakrishnan

Nobel Laureate

Venki Ramakrishnan is an American and British molecular biologist who shared the 2009 Nobel Prize in Chemistry. He currently works at the world-renowned MRC Laboratory of Molecular Biology in Cambridge, England and from 2015-2020, he served as President of the Royal Society, one of the world’s oldest scientific organizations. He is best known for his work on protein synthesis, the process by which genetic information is used by the ribosome to make the thousands of proteins that make life possible. This process is fundamental to all life and its dysfunction leads to many diseases as well as to aging. He is a member of the US National Academy of Sciences and was knighted by the British government in 2012. In 2022, he received one of Britain’s highest civilian honors, the Order of Merit, which is restricted to 24 people across all fields.

In addition to his academic work, Ramakrishnan is a science partner of the venture capital fund Ahren Innovation Capital, and on the boards of the AI-based drug development company, Isomorphic Labs, and the British Library. He recently co-founded RNAvate, an RNA therapeutics company based on stable, next-generation RNA molecules. In the public arena, he played a leadership role when he was president of the Royal Society, including dealing with the consequences of Brexit and helping convene the Society’s response to provide advice during the covid pandemic and did a significant amount of public engagement including articles in the press and appearances on national media.

Ramakrishnan is the author of two popular books: Gene Machine (2018), a very frank scientific memoir about the race for the structure of the ribosome that led to the Nobel Prize; and Why We Die: The New Science of Aging and the Quest For Immortality (2024), which looks at the biology of aging and efforts to combat it.

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Marwa El-Menshawi, MD, MPH

Chief Operating Officer, PACE Chapters Health System

Marwa El-Menshawi, MD is the Chief Operating Office for Hope PACE. She is a triple board-certified physician, specializing in Family, Geriatric and Hospice Medicine. Dr. El-Menshawi's focus is on improving the lives of those affected by advanced age and serious illness through innovation in high complexity and value-based care. She has almost 20 years of clinical, academic and healthcare leadership experience.

Dr. El-Menshawi is a member of the American Academy of Family Medicine and the National PACE Association. She serves on the Mayor's Committee for Livability and Healthy Aging, focused on serving the community through advocacy and education, recommending and promoting programs and initiatives that benefit older adults.

Dr. El-Menshawi earned her Medical Doctorate as a Magna Cum Laude graduate from the University of Alabama School of Medicine and was awarded the distinguished membership into the Alpha Omega Alpha medical honors society, along with multiple academic achievement awards including the American Medical Women's Association Glasgow-Rubin Achievement Citation, the Merck Manual Award and the Peacock Teaching Fellowship. She completed her residency in Family Medicine and Certificate of Added Qualifications in Geriatric Medicine following a Geriatrics Fellowship at Advent Health in Orlando, FL. She serves as a Clinical Assistant Professor of Geriatrics at the Florida State University College of Medicine and an Assistant Professor of Family Medicine at the University of Central Florida College of Medicine.

Andrew Molosky on podcast

Andrew Molosky

President and CEO, Chapters Health System

Andrew Molosky is the President and Chief Executive Officer of Chapters Health System, the country's defining chronic illness organization, comprised of more than 30 different companies and programs, including the nation's largest nonprofit hospice network, PACE, value-based care such as CareNu, a Medicare Advantage plan, managed services organizations, technology solutions, advanced illness offerings, and more.
Established in 1983 as a community-centered, nonprofit entity, Chapters Health has grown exponentially through Molosky's innovative approach to healthcare, becoming a national leader recognized by Great Places to Work, Fortune, USA Today, and others for being a top place to work.
As a leading voice in healthcare, Molosky is routinely engaged as a consultant, speaker, and mentor. Molosky is modeling and leading across several industries concurrently.
Molosky has more than 20 years of experience spanning an array of geographies and organizations, including publicly traded, privately held, and nonprofit. He completed his undergraduate work at the University of Toledo and his Master of Business Administration from the Ken Blanchard College of Business at Grand Canyon University, additionally holding his Fellowship from the American College of Healthcare Executives.

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