In this presentation, I share how I integrate structured spiritual care into daily palliative practice using the Patient Spiritual Well-being Scale (PtSpWBS), a key component of the Hospice-Focused Palliative Outcome Index (HFPOI). Developed within Taiwan’s CUP Model (Context, User, Provider), this tool enables exploration of meaning, peace, transcendence, and forgiveness in ways that are both clinically actionable and culturally responsive.
I use PtSpWBS to initiate conversations that uncover spiritual distress, help patients voice their hopes and regrets, and support them through existential suffering. These dialogues often lead to renewed purpose, family reconciliation, or enhanced clarity in end-of-life planning. I present real-world examples of PtSpWBS-guided care across settings—from inpatient hospice to community visits—and demonstrate how they foster interdisciplinary collaboration.
By creating a shared vocabulary and reflective space among care teams, we address spiritual needs alongside physical and psychosocial concerns. I also describe my efforts in mentoring team members in narrative listening and spiritual assessment, helping them engage with patients’ inner worlds with humility and presence.
Through this work, I have seen how structured spiritual care enhances dignity, eases suffering, and nurtures connection for both patients and families. Tools like PtSpWBS turn spiritual care into a tangible, compassionate, and replicable part of holistic oncology and palliative care.
Keywords: Patient Spiritual Well-being Scale (PtSpWBS), Narrative spiritual care, Hospice-Focused Palliative Outcome Index (HFPOI), Existential distress, CUP Model