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SPIRITUAL ASSESSMENT

FICA

FICA

FICA

This instrument was developed by and refined by Christina Puchalski, MD.

First published in: Puchalski CM, Romer AL. Taking a spiritual history allows clinicians to understand patients more fully. J Pall Med 2000;3:129-37.

General recommendations when taking a spiritual history

10 minutes

 

QUIZ EXERCISES: FICA

Use the FICA with yourself.

Record your answers for later insertion into the Quiz.

10 minutes

 

Quiz QUIZ EXERCISE 12:

F--Faith and Belief - Do you consider yourself spiritual or religious


[Short Answer Response]

Record your answers for later insertion into the Quiz.

 

Quiz QUIZ EXERCISE 13:

I--Importance What importance does your faith or belief have in our life? Have your beliefs influenced how you take care of yourself in this illness? What role do your beliefs play in regaining your health?


[Short Answer Response]

Record your answers for later insertion into the Quiz.

 

Quiz QUIZ EXERCISE 14:

C--Community Are you part of a spiritual or religious community? Is this of support to you and how? Is there a group of people you really love or who are important to you? Communities such as churches, temples and mosques or a group of like-minded friends can serve as strong support syestems for some patients.


[Short Answer Response]

Record your answers for later insertion into the Quiz.

 

Quiz QUIZ EXERCISE 15:

A--Address in Care How would you like me, your healthcare provider, to address these issues in your healthcare?


[Short Answer Response]

Record your answers for later insertion into the Quiz.

 

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