Twelve-Step Programs and Spiritual Support at the End of Life.

MedStar author(s):
Citation: American Journal of Hospice & Palliative Medicine. 36(9):807-811, 2019 Sep.PMID: 30803248Institution: MedStar Washington Hospital CenterDepartment: Medicine/Palliative CareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Adaptation, Psychological | *Alcoholics Anonymous/og [Organization & Administration] | *Spirituality | *Terminal Care/og [Organization & Administration] | *Terminal Care/px [Psychology] | Behavior, Addictive/ep [Epidemiology] | Behavior, Addictive/px [Psychology] | Humans | Palliative Care/og [Organization & Administration] | Palliative Care/px [Psychology] | Substance-Related Disorders/ep [Epidemiology] | Substance-Related Disorders/px [Psychology]Year: 2019Local holdings: Available online from MWHC library: 1999 - present, Available in print through MWHC library:1999-2007ISSN:
  • 1049-9091
Name of journal: The American journal of hospice & palliative careAbstract: Experts estimate that over 25 million Americans are in recovery from addiction to alcohol and other drugs. Many will be confronted with a serious progressive illness necessitating palliative care or hospice services. In current literature, substance use disorder has mostly been examined in relation to appropriate symptom assessment and management, opioid risk screening, and controlled substance prescribing practices. However, as hospice and palliative care (HPC) clinicians strive to provide whole person care for the seriously ill, awareness and facilitation of healthy psychosocial-spiritual coping strategies for recovering addicts should enhance such care. One of the more common support mechanisms to support recovery is the 12-step program, based on Alcoholics Anonymous. Twelve-step programs have been shown to provide effective coping strategies, not only to help facilitate ongoing abstinence but also to support other psychosocial-spiritual crises. The HPC providers may help to serve those living with addiction disorders better by assessing not only patient histories of substance use/abuse and other addictive behaviors but by facilitating their ongoing support recovery efforts. Here, we use 2 HPC cases to illustrate the value of 12-step recovery programs in patient support and provide recommendations for enhancing such healthy coping in HPC clinical settings.All authors: Groninger H, Knapik MOriginally published: American Journal of Hospice & Palliative Medicine. :1049909119832809, 2019 Feb 25Fiscal year: FY2020Fiscal year of original publication: FY2019Digital Object Identifier: ORCID: Date added to catalog: 2019-03-14
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 30803248 Available 30803248

Available online from MWHC library: 1999 - present, Available in print through MWHC library:1999-2007

Experts estimate that over 25 million Americans are in recovery from addiction to alcohol and other drugs. Many will be confronted with a serious progressive illness necessitating palliative care or hospice services. In current literature, substance use disorder has mostly been examined in relation to appropriate symptom assessment and management, opioid risk screening, and controlled substance prescribing practices. However, as hospice and palliative care (HPC) clinicians strive to provide whole person care for the seriously ill, awareness and facilitation of healthy psychosocial-spiritual coping strategies for recovering addicts should enhance such care. One of the more common support mechanisms to support recovery is the 12-step program, based on Alcoholics Anonymous. Twelve-step programs have been shown to provide effective coping strategies, not only to help facilitate ongoing abstinence but also to support other psychosocial-spiritual crises. The HPC providers may help to serve those living with addiction disorders better by assessing not only patient histories of substance use/abuse and other addictive behaviors but by facilitating their ongoing support recovery efforts. Here, we use 2 HPC cases to illustrate the value of 12-step recovery programs in patient support and provide recommendations for enhancing such healthy coping in HPC clinical settings.

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