Friday 30 December 2011

Why Spiritual Care Should Matter in the NHS


If, as Teilhard de Chardin has said, “We are all spiritual beings trying to express our humanity,” then the holistic definition of health as “a complete sense of physical, mental, social, and spiritual wellbeing” is crucial. For spirituality involves finding  meaning, purpose, and hope in life. Whilst belief in organised religion may have declined belief in a non-material part of life is still prevalent.

Recent developments in quantum physics tend to support the importance of non-material factors in our lives. Through the “interconnectivity of all matter” actions can have an effect at a distance (the “non-local effect”). It has been observed that electrical conductivity in the DNA of isolated human cells can be affected at a distance of 350 miles by the triggering of different emotions in their original donors. Also, studies show human cells grow more quickly in a culture dish when “touched” by positive and empathetic thoughts regularly, even though the cells are not derived from the person “touching.” Thus empathy can influence human DNA.

More significantly the empathetic intentions of spiritual healers have been shown to have a detectable effect on the MRI scans of the brains of recipients at a distance – another “non-local effect.”  The part of the brain affected is also associated with the placebo response, which is now known to be our powerful inner healing drive and not just a positive psychological response towards the doctor’s treatment. So whilst we do not yet have hard scientific evidence that prayer does work for physical and mental healing, the recent study above of healers sending prayers for healing to recipients demonstrates a clear pathway for a healing effect to happen.

Psycho-neuro-immunology is the science of understanding how psycho-social factors in our lives (are we loved? do we suffer discrimination? does our life have meaning, purpose, and hope, etc.) affect the functioning of our immune system through connections with the brain. So factors that affect our spirituality/spiritual wellbeing can influence our immune systems. In this way mind (and all its internal and external influences) and body are not separated, and we should speak of the mindbody.

The evidence base for supporting the positive link between spirituality and health is mushrooming and no longer confined to the palliative care situation with the terminally ill. HIV/Aids patients with positive spiritual wellbeing have been shown to have maintained better functioning immune systems than those without. If patients are struggling spiritually, with life having lost meaning and hope prior to significant cardiac surgery, they will not experience such a good surgical recovery and outcome. Coronary artery stenting (keyhole opening up of blocked/narrowed arteries) does not work so well in patients suffering from a sense of hopelessness.

Even today most disease cannot be cured, so “Health-Related Quality of Life” (HR-QoL) is becoming an important measure of the effectiveness of treatment. Spiritual wellbeing has now been shown to be strongly positively associated with HR-QoL, particularly with chronic long-term conditions such as arthritis, and most cancers.

The Scottish Government has stated that “...spiritual care is integral to the holistic care it provides.” With 60% of patients who use the NHS being over the age of 60 years Faith in Older People has an important role to play in influencing the NHS to care for their spiritual needs.  As the current financial restrictions impact on the NHS it is imperative that we strive for spiritual care not to be neglected.









.