Reproduced from the Newsletter and Bookshop of the International Association for Hospice and Palliative Care (IAHPC) at www.hospicecare.com
This is my Palliative Care Book of the Year!
`The relationships we form with our patients, clients, and colleagues are born out of a compassionate connection and call to service. From this connection and call comes forth the healing that is so necessary in all of our lives, whether we are currently ill or not. We are not mechanics, taking care of people's broken parts. We are partners with our patients in a therapeutic relationship from which brings forth potential for healing. That healing may manifest itself as a peacefulness, acceptance, better coping, happiness, or contentment. In the end, a life that may be shattered from illness and stress becomes whole again. By our presence, we serve others and walk with them in the midst of suffering and joy. This is why spirituality is essential to health care.'
This book explores all aspects of the spiritual dimensions of medicine in the management of patients who may be chronically ill or dying. Five of the 24 chapters were written by Puchalski, the others by experienced clinicians, chaplains, caregivers and educators. The first part of the book describes the role of spirituality in the healthcare of adults and children, the ethical aspects of integrating spirituality into the care of patients, and the spirituality of the caregiver. Part II describes the theological implications of spiritual care at the end of life from a number of different perspectives including Buddhists, Catholics, Protestants, Hindus, Jews and Muslims. The third part is about practical tools that can be used in clinical practice--spiritual histories, honoring the patient's stories, grief and bereavement, and the role of art, music and dance. The chapter on music therapy is by Michael Stillwater and Gary Malkin who created the wonderful Graceful Passages and Care for the Journey CDs that were reviewed here last year. The closing section presents the stories and reflections of two of Dr Puchalski's patients.
Anybody who works in palliative care will be enriched by reading this book. Although we nod and agree that spiritual care is an important and integral part of holistic palliative medicine, dealing with problems related to spirituality in more than the most superficial way is not easy for many palliative care workers, particularly if their job is busy. If you want to learn about all the other things you can or should be doing at the bedside, read this book. Being able to practice the spiritual dimensions of palliative care will be of benefit to your patients, more of whom will die in peace, with dignity. And it will quite probably enhance the professional satisfaction you get working with the dying.
Thank you, Dr Puchalski.
Roger Woodruff,
Director of Palliative Care, Austin Health, Melbourne, Australia