What's New 

Author: Keith A. Oelschlager, M.D.
Clinic: Vadnais Heights Clinic

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The events of September 11, 2001 have resulted in significant changes in our lives. Bio-terrorism, anthrax, Taliban, Afghanistan, Bin Laden, and ground zero are now common household words that have resulted in uneasiness in our psyche. Interest in family, friends and spirituality has increased in the wake of this tragedy.

 

      In recent years, there has also been renewed interest in the relationship between spirituality and medicine. Surveys in hospitals and clinics show that 94% of patients believe that spiritual health is important in regaining physical health. In addition to caring for physical and emotional needs. 77% of patients in one survey believe that physicians should also consider spiritual needs in their care plans. Studies have shown a positive relationship between religious commitment and both mental and physical health. There is a strong positive correlation between religious commitment and the prevention of depression, substance abuse, and physical illness. Some studies show a decrease in mortality among ill patients. However, only 20% of physicians discuss spiritual issues with patients.

 

      Spiritual beliefs can shape a patient's decisions and are important in choosing or refusing certain treatments. Spiritual beliefs are important, and often critical, in end of life issues, transplant surgery, contraception, infertility, and pregnancy termination. Spiritual conflicts may be the source of stress in patients as they search for the meaning in their lives. The exploration of personal values, striving for inner peace, understanding tragedy, and submitting to a greater power are all a part of the spiritual journey. Identifying and discussing these issues may give physicians a better understanding of their patients, and help patients resolve their spiritual conflicts. Discussion will also allow the physician to direct patients to other resources for spiritual health.

 

      Since many patients believe that spirituality is important and studies show it is of value in medical care. Why is spirituality not discussed more frequently in the medical setting? Long term, comfortable relationships are required to discuss spiritual issues. With patients moving and changing insurance frequently, this type of relationship rarely has time to develop. Spiritual issue discussions also require time, and our time pressured society just doesn't allow the time often enough. Lastly, many physicians are not trained to discuss spiritual issues and are uncomfortable with the topic of spirituality.    Patients should bring up spiritual concerns that may be affecting their current medical situation with their physicians to promote the most acceptable treatment recommendations.