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Spiritual pain and its care in patients with terminal cancer: Construction of a conceptual framework by philosophical approach

Published online by Cambridge University Press:  29 April 2003

HISAYUKI MURATA
HISAYUKI MURATA
Affiliation:
School of Health Sciences, Tokai University, Bohseidai, Isehara, Japan
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Abstract

Objective: In discussing spiritual care of patients with terminal cancer, it is important to clarify the structure of spiritual pain to be evaluated.

Methods: In this article, spiritual pain is defined as “pain caused by extinction of the being and the meaning of the self,” and its structure was evaluated according to the three dimensions of the human being, that is, a being founded on temporality, a being in relationship, and a being with autonomy.

Results: As a result, spiritual pain of patients with terminal cancer could be described as meaninglessness of life, loss of identity, and worthlessness of living derived from loss of the future, loss of others, and loss of autonomy of a dying individual.

Significance of results: On the basis of these understandings, the author deduced principles of spiritual care of terminally ill cancer patients as recovery of the future beyond death, others beyond death, and autonomy toward death in each dimension of the human being.

Keywords

Spiritual painSpiritual careDefinitionCoping strategyPalliative medicine
Type
Research Article
Information
Palliative & Supportive Care , Volume 1 , Issue 1 , March 2003 , pp. 15 - 21
Copyright
© 2003 Cambridge University Press

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References

REFERENCES

Akiyama, H. (2000). A message to the Western gerontology from Japan. Japanese Journal of Gerontology, 23, 338–342.Google Scholar
Baldacchino, D. & Draper, P. (2001). Spiritual coping strategies: A review of the nursing research literature. Journal of Advanced Nursing, 34, 833–841.Google Scholar
Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford.
Berg, G.E. (1994). The use of the computer as a tool for assessment and research in pastoral care. Journal of Health Care Chaplaincy, 6, 11–25.Google Scholar
Burkhardt, M.A. (1989). Spirituality: An analysis of the concept. Holistic Nursing Practice, 33, 69–77.Google Scholar
Conrad, N. (1985). Spiritual support for the dying. Nursing Clinics of North America, 20, 415–426.Google Scholar
Dostal, R.J. (1993). Time and phenomenology in Husserl and Heidegger. In The Cambridge Companion to Heidegger, Guignon, C.B. (ed.), pp. 141–169. Cambridge, UK: Cambridge University Press.
Dyson, J., Cobb, M., & Forman, D. (1997). The meaning of spirituality: A literature review. Journal of Advanced Nursing, 26, 1183–1188.Google Scholar
Emblen, J.D. (1992). Religion and spirituality defined according to current use in nursing literature. Journal of Professional Nursing, 8, 41–47.Google Scholar
Fish, S. & Shelly, J. (1988). Spiritual Care: The Nurse's Role. Illinois: IVP.
Fitchett, G. & Handzo, G. (1998). Spiritual assessment, screening, and intervention. In Psycho-Oncology, Holland, J.C. (ed.), pp. 790–808. New York: Oxford University Press.
Frankl, V.E. (1969). The Will to Meaning: Foundations and Applications of Logotherapy. New York: New American Library.
Goddard, N.C. (1995). “Spirituality as integrative energy”: A philosophical analysis as requisite precursor to holistic nursing practice. Journal of Advanced Nursing, 22, 808–815.Google Scholar
Granstrorm, S. (1985). Spiritual care for oncology patients. Topics in Clinical Nursing, 7, 39–45.Google Scholar
Heidegger, M. (1962). Being and Time, Division 2, Chapter 1, pp. 279–311, Macquarrie, J. & Robinson, E. (tr.). Oxford: Blackwell Publishers.
Hermann, C.P. (2001). Spiritual needs of dying patients: A qualitative study. Oncology Nursing Forum, 28, 67–72.Google Scholar
Highfield, M.F. (1992). Spiritual health of oncology patients: Nurse and patient perspectives. Cancer Nursing, 15, 1–8.Google Scholar
Kaye, P. (1989). Notes on Symptom Control in Hospice & Palliative Care, pp. 261–267. Connecticut: Hospice Education Institute.
Kearney, M. & Mount, B. (2000). Spiritual care for the dying patient. In Handbook of Psychiatry in Palliative Medicine, Chochinov, H.M. & Breitbart, W. (eds.), pp. 357–373. New York: Oxford University Press.
Kim, M.J., McFarland, G.K., & McLane, A.M. (1989). Pocket Guide to Nursing Diagnosis, 3rd ed. St. Louis, MO: CV Mosby.
Kissane, D.W., Clarke, D.M., & Street, A.F. (2001). Demoralization syndrome—A relevant psychiatric diagnosis for palliative care. Journal of Palliative Care, 17, 12–21.Google Scholar
Kuhn, C.C. (1988). A spiritual inventory of the medically ill patient. Psychiatry Medicine, 6, 87–100.Google Scholar
Laing, R.D. (1969). Self and Others, 2nd ed., Chapter 6, pp. 81–97. London: Tavistock Publications.
Lazarus, R. & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer Co.
McSherry, W. & Draper, P. (1998). The debates emerging from the literature surrounding the concept of spirituality as applied to nursing. Journal of Advanced Nursing, 27, 683–691.Google Scholar
McSherry, E., Kratz, D., & Nelson, W. (1986). Pastoral care departments: More necessary in the DRG Era. Health Care Management Review, 11, 47–59.Google Scholar
Morita, T., Inoue, S., & Chihara, S. (2000). Desire for death and physical and existential distress in terminally ill cancer patients. The Japanese Journal of Hospice and Palliative Care, 10, 177–178.Google Scholar
Morita, T., Tei, Y., Inoue, S., & Chihara, S. (2001). Care for spiritual/existential pain in terminally ill cancer patients: Integration based on a systematic review. Japanese Journal of Palliative Medicine, 3, 444–456.Google Scholar
Morita, T., Tsunoda, J., Inoue, S., & Chihara, S. (1999). Systematic review on spiritual/existential distress in terminally ill cancer patients. Japanese Journal of Psychiatry, 41, 995–1002.Google Scholar
Murata, H. (1999). A guideline of “spiritual care” possible for medical professionals. Quality Nursing, 5, 449–457.Google Scholar
Narayanasamy, A. (1999). A review of spirituality as applied to nursing. International Journal of Nursing Studies, 36, 117–125.Google Scholar
Pruyser, P.W. (1976). The Minister as Diagnostician. Philadelphia: Westminster Press.
Reed, P.G. (1992). An emerging paradigm for the investigation of spirituality in nursing. Research in Nursing and Health, 15, 349–357.Google Scholar
Rowe, J.W. & Kahn, R.L. (1987). Human aging: Usual and successful. Science, 237, 143–149.Google Scholar
Scott, M.S., Grzbowski, M., & Webb, S. (1994). Perceptions and practices of registered nurses regarding pastoral care and the spiritual needs of hospital patients. Journal of Pastoral Care, 4, 171–179.Google Scholar
Stoddard, G. & Burns-Haney, J. (1990). Developing an integrated approach to spiritual assessment: One department's experience. Caregiver Journal, 7, 63–86.CrossRefGoogle Scholar
Tunetou, S. (1999). Palliation of spiritual pain. Latest Palliative Medicine, 1999, 227–239.Google Scholar
Walton, J. (1996). Spiritual relationships: A concept analysis. Journal of Holistic Nursing, 14, 237–250.Google Scholar