Posted: April 13th, 2023

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The HOPE Model of Spiritual Assessment
Assessing a patient’s spirituality is just one aspect of a complete health assessment, but it is a very important one. It contributes to one’s total view of the person, and reinforces the notion of holistic care. Ananda rajah & Hight (2001) proposed a model for spiritual assessment that uses the acronym HOPE.

HOPE Sample Questions
H = Sources of hope, meaning, comfort, strength, peace, love, and connection What is there in your life that gives you internal support? ________hope________________________
What are your sources of hope, strength, comfort, and peace? _I believe in God, believing is a way to human life__________________________
What do you hold on to in difficult times? _________faith___________________________________ What sustains you? ____prayers For some people, religious or spiritual beliefs act as a source of comfort and strength: Is this true for you? _____________yes_____________________________

If answer is “Yes”, go on to O and P questions.
If answer is “No”, consider asking: Was it ever? If so, ask, What changed?

O = Organized religion Do you consider yourself part of an organized religion? ___yes I do______________________ How important is this to you? _it helps me understand the world and be part of the historic community of believers. What aspects of your religion are helpful, and not so helpful, to you? _benefits effects on mental health as less depression and great family______________________ Are you part of a religious or spiritual community? ____________yes
Does it help you? ________yes__________ How? ___it provides support to family and myself since it deals with ultimate matters and help people make sense of their lives______________________________________

P = Personal spirituality and practice Do you have spiritual beliefs independent of organized religion? _________no__________________ What are they? ___________________________________________________________________ Do you believe in God? ___________yes__________________
What is your relationship with God? I can term it good.
What aspects of your spiritual practices do you find most helpful? (e.g. prayer, meditation, reading scripture, music, communing with nature) prayers through this we communicate with God

E = Effects on medical care and end of life issues Has being sick affected your ability to do the things that usually help you spiritually? ___yes__________ Is there anything that I can do to help you access the things that usually help you spiritually? _yes, help me in reading some spiritual books_____ Are you worried about any conflict between your beliefs and decisions about medical care? ___no____ Would it help you to speak to a chaplain or community spiritual leader? ______________yes________ Are there any specific practices or restrictions that I should know about in providing your medical care? (e.g. dietary restrictions, use of blood products) no, there are no restrictions

If patient is dying: How do your beliefs affect the kind of medical care you would like me to provide during the next few days / weeks / months?

Anandarajah, G. & Hight, E. (2001). Spirituality and medical practice: Using the HOPE questions as a practical tool for spiritual assessment. American Family Physician, 63, 81-89.

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