Longitudinal care model
Spiritual Care Continuum
Needs, strengths, language, and referral preferences change across prevention, illness, recovery, survivorship, progression, end of life, and bereavement.
- 1
Prevention and wellness
Values, purpose, relationships, community, healthy aging, and sources of strength.
- 2
Screening
Brief permission-based recognition of strengths, distress, preferences, and care implications.
- 3
Diagnosis
Fear, identity, uncertainty, meaning, family communication, and initial support.
- 4
Active treatment
Coping, adherence, treatment-belief questions, prayer, accommodations, and symptoms.
- 5
Recovery
Adaptation, function, identity, gratitude, grief, and rehabilitation.
- 6
Survivorship
Fear of recurrence, long-term effects, purpose, work, relationships, and healthy aging.
- 7
Recurrence or progression
Renewed grief, hope, decisions, spiritual struggle, and interdisciplinary care.
- 8
Serious illness
Goals, acceptable burdens, uncertainty, symptom relief, caregiver needs, and palliative support.
- 9
End of life
Comfort, relationships, legacy, ritual, reconciliation, presence, and time-sensitive preferences.
- 10
Family bereavement
Grief, memory, meaning, community, children, and continuing support.