Departments within hospitals, HMOs and other health care institutions that provide for the spiritual care of patients with severe, chronic or terminal conditions, their families and staff, regardless of their religious traditions. Pastoral care workers work cooperatively with the health care team; listen, elicit and respond to individual religious/spiritual needs; identify and clarify ethical issues related to end-of-life treatment and care; provide bereavement support for family members, significant others and professional staff; and ensure that treatment addresses the whole person, not just his or her medical needs. The service is provided by licensed clergy or trained, accredited spiritual care volunteers.

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Programs that provide for the comprehensive management of the physical, psychological, social, spiritual and existential needs of patients with the objective of helping them achieve the best possible quality of life through relief of suffering, control of symptoms and restoration of functional capacity while remaining sensitive to personal, cultural and religious values, beliefs and practices. The focus of palliative care is on people with incurable, progressive illnesses who are in the early stages of their illness. Palliative care may be provided in a wide variety of health care settings including hospitals, nursing facilities, hospice facilities and the person's own home; and may be coordinated with other services including curative therapies.

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Programs that provide emotional support, information and guidance for individuals and families who are dealing with the reality of impending death and the stress; the intense feelings of depression, anger, anxiety, fear, guilt and grief; and the resultant strain on family and friendship relationships that arise when an individual is in the terminal stages of an illness.

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