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Issues of spirituality are paramount for many people as they face the end of their life or the life of someone they love. As humans, we are multi-dimensional, comprised of body, mind, intellect, and spirit. At different points in life, some aspects assume greater priority and meaning. As you face the transition of death, you may experience changes in your awareness of and attention to your spirituality. Spirituality can be described as making meaning of one's relationship with self, others, the world, and, for many, with God. Spiritual issues may include questions about meaningfulness and purpose in one's life that may encompass relationships, work, and other activities. Some people feel the need to reconcile with themselves, with others, or with God - to set relationships right. Some people experience fear¾ of the unknown, of being alone, of not having necessary resources, or of loss of independence and physical abilities. Issues of spirituality surround the notion of a "good death." A good death is generally one that is in keeping with the beliefs, values, and wishes of yourself and your loved ones and one in which pain and distressing symptoms are controlled. There are many resources to help tap into a sense of spirituality, that help connect one's self and the world. These may include music, poetry, art, nature, rituals, or prayer. For many people, spirituality includes, or is shaped by, religious beliefs. If you identify with a particular religious tradition, the practices of your faith may be especially important when dealing with end of life issues. Guidance or support from clergy, chaplains, spiritual counselors, or others specifically prepared to attend to spiritual care, who have an understanding of how to work with questions about God, suffering, faith, hope, and despair, may be extremely valuable. Goals of spiritual care generally include developing an understanding of beliefs and wishes for care at the end of life; developing a sense of having lived a meaningful or good life; and experiencing an end of life that includes joy and has minimal pain or suffering. Spiritual care also extends to support for family members and other loved ones during this time and during bereavement following the death. For many
people, religious organizations can be an important resource when dealing
with end of life issues. The following is a list of resources in Massachusetts
that may be helpful.
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