SPIRIT

• Spiritual belief system
• Personal spirituality
• Integration in a spiritual community
• Ritualized practices and restrictions
• Implications for medical care
• Terminal events planning

Hope:

• “as you look to the future, what are your biggest fears”?
• “are there things you might hope for even if you cannot be cured”?
• “does the word hope have any spiritual significance for you”?
• “would anything be unfinished if you were to die sooner rather than later”?

Meaning:

• “what gives your life most meaning”?
• “what gives you strength in difficult times”?
• “do you have any thoughts about why this happened to you”?
• “if your time were limited, what would be most important to you”?

Values:

• “are you able to hold on to your sense of dignity and purpose”?
• “how are others treating you since you became ill”?

Relationships:

• “how is your family coping with your illness”?
• “what is it like to be taken care of by others after being a caregiver for so long”?
• “is there anyone you have to make amends with”?
• “(if religious) how are things between you and God”?