Prairie Doc Perspective: Navigating spiritual pain and grief
Prairie Doc Perspective: Navigating spiritual pain and grief
Rawlins Times - Prairie Doc Perspective, Rawlins, WY; by Rev. Kari Sansgaard, Avera Hospice; 7/23/25
After nearly 20 years of parish ministry, I entered the world of health care, which, I learned, abounds in acronyms. My first clue was in chaplaincy training, known as CPE (Clinical Pastoral Education), the required education for most hospital and hospice chaplains. CNA, SoB (Shortness of Breath), PRN, HoH (Hard of Hearing), and a myriad of other acronyms are now part of my own vernacular. QoL (Quality of Life) is the big one in hospice, sometimes called “comfort care.” When quantity of life becomes diminished, it’s all about quality. ... In hospice, when death is impending, spiritual pain can lead us to ponder existential questions, such as the following:
- How has my life been meaningful?
- Is there a God or Higher Power?
- What will be my legacy?
- Have I lived my life to the fullest?
- What do I do about my regrets?
- Will I see my loved ones again?
Chaplains abide with us when we boldly ask these (and other) questions. At our best, we provide both active and reflective listening, safe space, and a supportive presence. In the crying, wrestling, confusion and fear, we remain. ... “Spiritual care is not an optional extra for the dying,” Dame Cicely Saunders said. ... As you tend to your body, mind and spirit through in this complex and beautiful life, may your QoL be well.
Editor's Note: Calling all hospice and palliative care leaders - This powerful read sheds light on the roles, education, and often-overlooked strengths of hospice chaplaincy. As you enter another’s sacred space, pause to set aside assumptions—and any religious biases about spiritual care. Stay open. Be willing to learn, reflect, and grow.