Abstract

Spirituality is recognized by health care providers as having a significant influence on an individual's ability to cope. The role of spirituality in coping with chronic illness as well as what providers need to know about spirituality in advance directive decision making (ADDM), however, are poorly understood phenomena. With the growing population of people with chronic illness combined with escalating costs and disease burden, providers must understand and use the role of spirituality in the care of their patients who have demanding states of health and illness. Research has demonstrated the power of spirituality in managing chronic illness as well as the importance of spirituality during end-of-life care planning. The purpose of this case study is to illustrate the necessity of recognizing and understanding an individual's spiritual beliefs and values during chronic illness and how this knowledge, or lack of knowledge, affects ADDM.

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