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End of life care Resources

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Religion, Risk, and Medical Decision Making at the End of Life

Primary Author: Peter H. Van Ness, Yale University School of Medicine and Yale School of Public Health

Article from the Journal of Aging and Health describing a study about whether religious patients are more or less willing to undergo the risks associated with potentially life-sustaining treatment. The authors concluded that "Not all dimensions of religiousness have the same association with willingness to undergo potentially life-sustaining treatment. Seriously ill older, religious patients are not especially predisposed to avoid risk and resist treatment".

Date Last Modified 08/01/2008 Article

Religion, Spirituality, and End of Life Care

Primary Author: Sara J. Knight, San Francisco Department of Veterans Affairs Medical Center

This is Module 14 of EndLink: Resource for End of Life Care Education, developed as an educational resource for health professionals involved in end-of-life care. Funded by a National Cancer Institute grant.

Date Last Modified 03/25/2004 Website

Spiritual and Cultural Aspects of Palliative Care and The Interdisciplinary Team

Primary Author: Yale School of Medicine

Case 2 of the Yale Interdisciplinary Palliative Care Educational Program is an interactive computer-based clinical case of a woman with metastatic breast cancer. The objectives are for students to:

- Understand the basic precepts and goals of Palliative Care.
- Recognize common misconceptions about opioids (pain medication).
- Identify the importance of addressing the spiritual and cultural needs of a patient with terminal illness and understand how to get these needs met.
- Understand the clinical features of imminent death and how to help the patient and family during this time.
- Recognize the contributions of all health care professionals and understand the importance of the interdisciplinary team in the care of the patient with terminal illness.

Students are asked to reflect on aspects of the case.

Note: The module is accessible to anyone, but you will need to respond to five brief demographic questions.

Date Last Modified 12/31/2008 Tutorial, Case example/study, Standardized Patient Case

Spiritual Care & Emotional Support in Healthcare: Physician's Manual

Primary Author: Mark Reeves, UCSD Medical Center

This physician manual, created by a winner of the GWish Spirituality and Medicine Curricular and Residency Training Program Award, contains much information specific to the UCSD Medical Center but can serve as a model for others.

Date Last Modified 12/31/2008 Manual/guide

Standford End-of-Life Care Curriculum for Medical Teachers

Primary Author: Stanford Faculty Development Center

A complete end-of-life care curriculum designed for small groups of 6-8. A teacher's handbook and 8 modules are provided as PowerPoint slides, with teachers' notes on both the content and teaching process. View the PowerPoint presentation in HTML form or download the PowerPoint files to your own computer.

Module 7, Psychiatric Issues and Spirituality, discusses common forms of mental and emotional suffering that can arise at the end of life (depression, anxiety, terminal confusion, grief, and physician losses) and focuses on spiritual aspects of care with skills practice using a spiritual assessment tool.

Date Last Modified 09/01/2003 Course curriculum, Faculty Development materials, Lecture presentation, Website