Skip to main content

Spiritual and Religious Considerations in the Care of the Elderly

  • Chapter
  • First Online:
Surgical Decision Making in Geriatrics

Abstract

Religiosity and spirituality are important elements in health determination, particularly in the well-being of elder population who are often reported to be more religious than the younger population. Their interaction is multifaceted and covers great potentials like coping and comfort and guide approaches to sensitive decisions like end-of-life and high-risk consenting. Moreover it has an impact on tolerance and enhancing recovery. They should not be considered as a substitute for a standard care rather as auxiliary to support care from different angles. Such an understanding should be expressed and shared by both entities the patient and the physician or care provider.

It is really hard to develop strong evidence of the impact; nevertheless as part of patient-centered care, health-care professionals should respect patients’ beliefs and respond to their religious services request. The spiritual support is underutilized nevertheless. We need to remember the potential benefits and beware of the possible drawbacks of involving spirituality and religiosity in patient care. At the end: “Religion is more than a collection of views and practices, and its value cannot be determined instrumentally; it is a spiritual way of being in the world (Sloan RP, Bagiella E, VandeCreek L, Hover M, Casalone C, Jinpu Hirsch T, Hasan Y, Kreger R, Poulos P. Should physicians prescribe religious activities? N Engl J Med. 2000;342(25):1913–6).” And so it will remain as such.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Alcorn SR, Balboni MJ, Prigerson HG, Reynolds A, Phelps AC, Wright AA, Block SD, Peteet JR, Kachnic LA, Balboni TA. “If God wanted me yesterday, I wouldn’t be here today”: religious and spiritual themes in patients’ experiences of advanced cancer. J Palliat Med. 2010;13(5):581–8. https://doi.org/10.1089/jpm.2009.0343.

    Article  PubMed  Google Scholar 

  2. Balboni TA, Vanderwerker LC, Block SD, Paulk ME, Lathan CS, Peteet JR, Prigerson HG. Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol. 2007;25(5):555–60.

    Article  Google Scholar 

  3. Tanyi RA. Towards clarification of the meaning of spirituality. J Adv Nurs. 2002;39(5):500–9.

    Article  Google Scholar 

  4. Daaleman TP, Perera S, Studenski SA. Religion, spirituality, and health status in geriatric outpatients. Ann Fam Med. 2004;2(1):49–53.

    Article  Google Scholar 

  5. Jaul E, Zabari Y, Brodsky J. Spiritual background and its association with the medical decision of, DNR at terminal life stages. Arch Gerontol Geriatr. 2014;58(1):25–9. https://doi.org/10.1016/j.archger.2013.08.004.

    Article  PubMed  Google Scholar 

  6. Koenig HG, George LK, Titus P. Religion, spirituality, and health in medically ill hospitalized older patients. J Am Geriatr Soc. 2004;52(4):554–62.

    Article  Google Scholar 

  7. Arrey AE, Bilsen J, Lacor P, Deschepper R. Spirituality/religiosity: a cultural and psychological resource among Sub-Saharan African migrant women with HIV/AIDS in Belgium. PLoS One. 2016;11(7):e0159488. https://doi.org/10.1371/journal.pone.0159488.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Ellison CW. Spiritual well-being: conceptualization and measurement. J Psychol Theol. 1983;11(4):330–40.

    Article  Google Scholar 

  9. Monod S, Brennan M, Rochat E, Martin E, Rochat S, Büla CJ. Instruments measuring spirituality in clinical research: a systematic review. J Gen Intern Med. 2011;26(11):1345–57. https://doi.org/10.1007/s11606-011-1769-7.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Büssing A, Balzat HJ, Heusser P. Spiritual needs of patients with chronic pain diseases and cancer – validation of the spiritual needs questionnaire. Eur J Med Res. 2010;15(6):266–73.

    Article  Google Scholar 

  11. Sharma RK, Astrow AB, Texeira K, Sulmasy DP. The Spiritual Needs Assessment for Patients (SNAP): development and validation of a comprehensive instrument to assess unmet spiritual needs. J Pain Symptom Manag. 2012;44(1):44–51. https://doi.org/10.1016/j.jpainsymman.2011.07.008.

    Article  Google Scholar 

  12. Austin P, Macdonald J, MacLeod R. Measuring spirituality and religiosity in clinical settings: a scoping review of available instruments. Religions. 2018;9(3):70. https://doi.org/10.3390/rel9030070.

    Article  Google Scholar 

  13. Kornfeld DS. The hospital environment: its impact on the patient. Adv Psychosom Med. 1972;8:252–70.

    Article  CAS  Google Scholar 

  14. Bousso RS, Poles K, Serafim Tde S, de Miranda MG. [Religious beliefs, illness and death: family’s perspectives in illness experience]. Rev Esc Enferm USP. 2011;45(2):397–403.

    Google Scholar 

  15. Emblen J, Pesut B. Strengthening transcendent meaning: a model for the spiritual nursing care of patients experiencing suffering. J Holist Nurs. 2001;19(1):42–56.

    Article  CAS  Google Scholar 

  16. World Health Organization. About World Health Organization. Constitution. Available at: http://www.who.int/governance/eb/constitution/en/. Accessed 7 May 2019.

  17. Bulkley J, McMullen CK, Hornbrook MC, Grant M, Altschuler A, Wendel CS, Krouse RS. Spiritual well-being in long-term colorectal cancer survivors with ostomies. Psychooncology. 2013;22(11):2513–21. https://doi.org/10.1002/pon.3318.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Fry PS. Religious involvement, spirituality and personal meaning for life: existential predictors of psychological wellbeing in community-residing and institutional care elders. Aging Mental Health. 2000;4:375–87. doi.org/10.1080/713649965

    Article  Google Scholar 

  19. Slade M. Mental illness and well-being: the central importance of positive psychology and recovery approaches. BMC Health Serv Res. 2010;10:26. https://doi.org/10.1186/1472-6963-10-26.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Grundmann E. Cancer morbidity and mortality in USA Mormons and seventh-day Adventists. Arch Anat Cytol Pathol. 1992;40(2–3):73–8.

    CAS  PubMed  Google Scholar 

  21. Helm HM, Hays JC, Flint EP, Koenig HG, Blazer DG. Does private religious activity prolong survival? A six-year follow-up study of 3,851 older adults. J Gerontol A Biol Sci Med Sci. 2000;55(7):M400–5.

    Article  CAS  Google Scholar 

  22. Mardan H, Hamid T, Redzuan M, Ibrahim R. Correlate of self-care and self-neglect among community-dwelling older adults. Iran J Nurs Midwifery Res. 2014;19(7 Suppl 1):S71–6.

    PubMed  PubMed Central  Google Scholar 

  23. Balboni TA, Balboni M, Enzinger AC, Gallivan K, Paulk ME, Wright A, Steinhauser K, VanderWeele TJ, Prigerson HG. Provision of spiritual support to patients with advanced cancer by religious communities and associations with medical care at the end of life. JAMA Intern Med. 2013;173(12):1109–17. https://doi.org/10.1001/jamainternmed.2013.903.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Cassileth BR. Unorthodox cancer medicine. Cancer Investig. 1986;4(6):591–8.

    Article  CAS  Google Scholar 

  25. Underwood-Gordon L, Peters DJ, Bijur P, Fuhrer M. Roles of religiousness and spirituality in medical rehabilitation and the lives of persons with disabilities. A commentary. Am J Phys Med Rehabil. 1997;76(3):255–7.

    Article  CAS  Google Scholar 

  26. Ellison CG, Bradshaw M, Roberts CA. Spiritual and religious identities predict the use of complementary and alternative medicine among US adults. Prev Med. 2012;54(1):9–12. https://doi.org/10.1016/j.ypmed.2011.08.029.

    Article  PubMed  Google Scholar 

  27. Ross CL. Integral healthcare: the benefits and challenges of integrating complementary and alternative medicine with a conventional healthcare practice. Integr Med Insights. 2009;4:13–20.

    Article  Google Scholar 

  28. Greil A, McQuillan J, Benjamins M, Johnson DR, Johnson KM, Heinz CR. Specifying the effects of religion on medical helpseeking: the case of infertility. Soc Sci Med. 2010;71(4):734–42. https://doi.org/10.1016/j.socscimed.2010.04.033.

    Article  PubMed  Google Scholar 

  29. Atashzadeh-Shoorideh F, Zakaryaee NS, Fani M. The barriers and facilitators in providing spiritual care for parents who have children suffering from cancer. J Family Med Prim Care. 2018;7(6):1319–26. https://doi.org/10.4103/jfmpc.jfmpc_76_18.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Blando J. Spirituality, religion, and counseling. Couns Hum Dev. 2006;39(2):1.

    Google Scholar 

  31. Kim Y, Given BA. Quality of life of family caregivers of cancer survivors: across the trajectory of the illness. Cancer. 2008;112(11 Suppl):2556–68. https://doi.org/10.1002/cncr.23449.

    Article  PubMed  Google Scholar 

  32. Chang BH, Noonan AE, Tennstedt SL. The role of religion/spirituality in coping with caregiving for disabled elders. Gerontologist. 1998;38(4):463–70.

    Article  CAS  Google Scholar 

  33. Draper BM. Risk factors for stress in elderly caregivers. Int J Geriat Psych. 1996;11:227–31.

    Article  Google Scholar 

  34. Oman D, Thoresen CE. ‘Does religion cause health?’: differing interpretations and diverse meanings. J Health Psychol. 2002;7(4):365–80. https://doi.org/10.1177/1359105302007004326.

    Article  PubMed  Google Scholar 

  35. Curlin FA, Sellergren SA, Lantos JD, Chin MH. Physicians’ observations and interpretations of the influence of religion and spirituality on health. Arch Intern Med. 2007;167(7):649–54.

    Article  Google Scholar 

  36. Sulmasy DP. Spiritual issues in the care of dying patients: “… it’s okay between me and god”. JAMA. 2006;296(11):1385–92.

    Article  CAS  Google Scholar 

  37. Sloan RP, Bagiella E. Claims about religious involvement and health outcomes. Ann Behav Med. 2002;24(1):14–21.

    Article  Google Scholar 

  38. Chattopadhyay S. Religion, spirituality, health and medicine: why should Indian physicians care? J Postgrad Med. 2007;53:262–6.

    Article  CAS  Google Scholar 

  39. Yeung WJ, Chan Y. The positive effects of religiousness on mental health in physically vulnerable populations: a review on recent empirical studies and related theories. Int J Psych Rehab. 2007;11(2):37–52.

    Google Scholar 

  40. Caplan LS, Sawyer P, Holt C, Allman RM. Religiosity and function among community-dwelling older adult survivors of cancer. J Relig Spiritual Aging. 2013;25(4):311–25.

    Article  Google Scholar 

  41. Wei D, Liu XY, Chen YY, Zhou X, Hu HP. Effectiveness of physical, psychological, social, and spiritual intervention in breast cancer survivors: an integrative review. Asia Pac J Oncol Nurs. 2016;3(3):226–32.

    Article  Google Scholar 

  42. Nichols SW. Examining the impact of spiritual care in long-term care. Omega (Westport). 2013;67(1–2):175–84.

    Article  Google Scholar 

  43. Rubulotta F, Rubulotta G, Santonocito C, Ferla L, Celestre C, Occhipinti G, Ramsay G. End-of-life care is still a challenge for Italy. Minerva Anestesiol. 2010;76(3):203–8.

    CAS  PubMed  Google Scholar 

  44. Schweda M, Schicktanz S, Raz A, Silvers A. Beyond cultural stereotyping: views on end-of-life decision making among religious and secular persons in the USA, Germany, and Israel. BMC Med Ethics. 2017;18(1):13. https://doi.org/10.1186/s12910-017-0170-4.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Barilan YM. Human dignity, human rights, and responsibility. The new language of global bioethics and biolaw. Cambridge: MIT Press; 2012.

    Book  Google Scholar 

  46. Sloan RP, Bagiella E, VandeCreek L, Hover M, Casalone C, Jinpu Hirsch T, Hasan Y, Kreger R, Poulos P. Should physicians prescribe religious activities? N Engl J Med. 2000;342(25):1913–6.

    Article  CAS  Google Scholar 

  47. Lum HD, Sudore RL. Advance care planning and goals of care communication in older adults with cardiovascular disease and multi-morbidity. Clin Geriatr Med. 2016;32(2):247–60. https://doi.org/10.1016/j.cger.2016.01.011.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Vig EK, Starks H, Taylor JS, Hopley EK, Fryer-Edwards K. Surviving surrogate decision-making: what helps and hampers the experience of making medical decisions for others. J Gen Intern Med. 2007;22(9):1274–9.

    Article  Google Scholar 

  49. DeMartino ES, Dudzinski DM, Doyle CK, Sperry BP, Gregory SE, Siegler M, Sulmasy DP, Mueller PS, Kramer DB. Who decides when a patient can’t? Statutes on alternate decision makers. N Engl J Med. 2017;376(15):1478–82. https://doi.org/10.1056/NEJMms1611497.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Flannelly KJ, Weaver AJ, Smith WJ, Oppenheimer JE. A systematic review on chaplains and community-based clergy in three palliative care journals: 1990–1999. Am J Hosp Palliat Care. 2003;20(4):263–8.

    Article  Google Scholar 

  51. Balboni MJ, Sullivan A, Smith PT, Zaidi D, Mitchell C, Tulsky JA, Sulmasy DP, VanderWeele TJ, Balboni TA. The views of clergy regarding ethical controversies in care at the end of life. J Pain Symptom Manag. 2018;55(1):65–74.e9. https://doi.org/10.1016/j.jpainsymman.2017.05.009.

    Article  Google Scholar 

  52. Puchalski CM. The role of spirituality in health care. Proc (Bayl Univ Med Cent). 2001;14(4):352–7.

    Article  CAS  Google Scholar 

  53. Balboni TA, Paulk ME, Balboni MJ, Phelps AC, Loggers ET, Wright AA, Block SD, Lewis EF, Peteet JR, Prigerson HG. Provision of spiritual care to patients with advanced cancer: associations with medical care and quality of life near death. J Clin Oncol. 2010;28(3):445–52. https://doi.org/10.1200/JCO.2009.24.8005.

    Article  PubMed  Google Scholar 

  54. Balboni MJ, Sullivan A, Enzinger AC, Smith PT, Mitchell C, Peteet JR, Tulsky JA, VanderWeele T, Balboni TA. U.S. clergy religious values and relationships to end-of-life discussions and care. J Pain Symptom Manag. 2017;53(6):999–1009. https://doi.org/10.1016/j.jpainsymman.2016.12.346.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Abdelrahman, H., Asim, M., El-Menyar, A. (2020). Spiritual and Religious Considerations in the Care of the Elderly. In: Latifi, R. (eds) Surgical Decision Making in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-030-47963-3_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-47963-3_32

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47962-6

  • Online ISBN: 978-3-030-47963-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics