Bioethics Centre at Melbourne hospital wrestles with issues and answers.
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Greater participation in religious activities is associated with better health outcomes. In the US, most inpatients have religious needs, but physicians address them only occasionally and infrequently refer patients to clergy. US medical students are learning to do spiritual assessments and integrate the findings into patient management, which may reverse this. Religion does not play a central role in the lives of Australians as it does for US citizens. Research is required to better understand the spirituality of Australians, its relationship to health and the benefit, cost and acceptability of doctors enquiring into spirituality compared with spiritual advisers and counsellors.
Religious or spiritual values often influence health care decision-making by patients and their families, particularly in times of crisis. Though religious values might seem to be irrelevant where continuing treatment is judged to be "futile", such clinical assessments should instead serve to open a dialogue about values and beliefs. The six major religious traditions in Australia have some similar values and principles about death and provision of care for the dying, but differ in their processes of ethical reasoning, cosmologies, and key moral concepts. Engaging with religious traditions on the common ground of basic values (such as human dignity, care, the sacredness of human life, non-violence, compassion, and selflessness) promotes negotiation of the manner in which care is provided, even where conflicts exist.
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