The following recommendations have been formulated at the “First National Symposium on Integrating Spirituality & Religiosity into Clinical Practice: the way forward”, which was held on 2 September at Kosish-the Hospice in Bokaro, Jharkhand. This was a joint effort by Kosish, The Indian Association of Palliative Care(IAPC) and SANDHI, IIT Kharagpur.

  • We acknowledge that spirituality, religiosity, cultural beliefs and practices are important elements of health and well being.
  • There is a need to incorporate awareness of spirituality, religiosity, cultural beliefs and practices into the care of the patients.
  • We acknowledge the need to respond not only to the physical needs that occur at the end of life but also to the emotional, social, cultural and spiritual needs, thus fulfilling the concept of ‘holistic care’
  • An understanding and acknowledgment of the spiritual dimension of people’s lives and honoring their dignity, paves the path for compassionate caregiving.
  • Spiritual care should be integral to a compassionate and patient-centered healthcare system model of care.
  • The ‘planning’ of the caregiving process should comprise of a complete assessment of the patient’s and family needs including their spiritual status.
  • Spiritual distress should be addressed regularly eg as an integral part of the ‘Distress Thermometer’ and analysed further to determine spiritual needs and action needed.
  • Spiritual distress or religious struggle should be treated with the same intent and urgency as treatment for pain or any other medical condition.
  • Spiritual care models should be interdisciplinary involving trained healthcare professionals, trained religious leaders, social workers and volunteers.
  • Spiritual counseling services must be available to both the individual and the family.


Prof. Suhita Chopra Chatterjee Dept. Of Humanities, IIT Kharagpur
Dr. Abhijit Kanti Dam Medical Director, Kosish & Secretary IAPC, Bokaro
Prof. MaryAnnMuckaden President IAPC & Head Pall Care, TMH Mumbai
Dr. Nagesh Simha Medical Director Karunashraya, Bangalore
Dr. Stanley Macaden Hon Palliative Physician, Bangalore Baptist Hospital
Dr. RoopGursahani Neurologist, Hinduja Hospital, Mumbai
Prof. Sukdev Nayak AIIMS, Bhubaneshwar
Mr. Piyush Gupta CEO, Cancer Aid Society NGO, Lucknow
Ms. Neha Tripathi Cancer Aid Society NGO, Lucknow
Mrs. Usha Rani Mohanty Treasurer IAPC, Bokaro
Mrs. Mini Saha NIO, IAPC, Bokaro
Dr. Nivedita Datta Secretary, Kosish & Gynaecologist, Bokaro
Dr. Subrata Dey President, Kosish, Bokaro
Dr. Naveen Salins Editor, IJPC & Asst Prof TMH, Mumbai
Dr. Kamal Das Gynaecologist & Spiritual leader, Brahmakumaris, Bokaro
Dr. Lulu Mathews Academic Coordinator, IAPC, Kerala
Dr. Sanghamitra Mustafi Bora Consultant Pall Oncology North East Cancer Hospital, Guwahati
Dr. Geeta Joshi CEO, Gujrat Cancer Society, Ahmedabad
Col. Yeshwant Joshi Chairman, Unnat Gramsamaj Nirman Kendra, Gujrat
Mr. Radhakrishna Menon Central Council member, IAPC, Kerala
Mrs. Madhura Bhatwadekar Central Council member, IAPC, Pune
Mr. Joydeep Sengupta Asst Prof., SKB University, Purulia
Mr. Natwar Nagar MD South Asia HVS Executive Search , New Delhi,India
Mrs. Radhika Singh Member, DFID
Dr. Poorvaali Sur Geriatrician, Nagpur
Mr. Subrat Tripathi Pharmacologist, AHRCC, Cuttack
Dr. Koushik Das Gynaecologist, Bokaro
Dr. Dilip Bhattacharya Gynaecologist, Bokaro
Dr. K.C. Samanta Gynaecologist, Bokaro
Mr. Sailesh Kumar Lab technician & Volunteer, Bokaro
Dr. Nirmal khanna Gynaecologist, Bokaro
Mr. Ravi Khanna Architect, Bokaro
Dr. Abhinav Singh Central Council member, IAPC, Patna
Dr. Reena Sharma Central Council member, IAPC, Patna