title: Chaplaincy Visitation and Spiritual Care after Intracerebral Hemorrhage.
abstract: To better understand factors influencing spiritual care during critical illness, we examined the use of spiritual care in patients hospitalized with intracerebral hemorrhage (ICH), a frequently disabling and fatal disease. Specifically, the study was designed to examine which demographic and clinical characteristics were associated with chaplain visits to critically ill patients. The charts of consecutive adults (>18) with spontaneous ICH presenting to a single academic medical center between January 2014 and September 2015 were reviewed. Chaplains visited 86 (32%) of the 266 patients. Family requests initiated the majority of visits (57%). Visits were disproportionately to Catholic patients and those with more severe injury. Even among Catholics, 28% of those who died had no chaplaincy visit. Standardized chaplaincy screening methods and note templates may help maximize access to spiritual care and delineate the religious and spiritual preferences of patients and families.
authors.affiliation: a Department of Emergency Medicine , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Howell
authors.affiliation: b Department of Neurology, J. Philip Kistler Stroke Research Center , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: Kristin
authors.initials: K
authors.lastname: Schwab
authors.affiliation: b Department of Neurology, J. Philip Kistler Stroke Research Center , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: Alison M
authors.initials: AM
authors.lastname: Ayres
authors.affiliation: c Department of Chaplaincy , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: Dean
authors.initials: D
authors.lastname: Shapley
authors.affiliation: b Department of Neurology, J. Philip Kistler Stroke Research Center , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Anderson
authors.affiliation: b Department of Neurology, J. Philip Kistler Stroke Research Center , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: M Edip
authors.initials: ME
authors.lastname: Gurol
authors.affiliation: b Department of Neurology, J. Philip Kistler Stroke Research Center , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: Anand
authors.initials: A
authors.lastname: Viswanathan
authors.affiliation: b Department of Neurology, J. Philip Kistler Stroke Research Center , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Greenberg
authors.affiliation: b Department of Neurology, J. Philip Kistler Stroke Research Center , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Rosand
authors.affiliation: a Department of Emergency Medicine , Massachusetts General Hospital , Boston , Massachusetts , USA.
authors.forename: Joshua N
authors.initials: JN
authors.lastname: Goldstein
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000628:therapy*; D002604:Chaplaincy Service, Hospital / Q000706:statistics & numerical data*; D003422:Critical Care; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010327:Pastoral Care; D011446:Prospective Studies; D012189:Retrospective Studies
keywords: chaplaincy; critical care; intracerebral hemorrhage; spiritual care; stroke