Many patients have expressed the importance of spirituality in their life and the wish that clinicians would discuss this topic with them and have it integrated into their health care. Clinicians also have noted the importance of spirituality, but have struggled with ways to address spiritual issues in medical setting. Barriers to effective communication include: lack of knowledge, physician time, and fear of causing a negative reaction in patients. Understanding these berries and developing an open-ended systematic approach is one key to starting the spiritual dialogue with patients. These dialogues are best conducted in some framework or spiritual care model. The current spiritual care models are derived from Engel’s biopsychosocial model that places an emphasis on understanding and appreciating the patients’ unique story but with the addition of each care team member’s strength and provide a more opportune setting to appreciate the patient story from multiple perspectives.