Secondly, spirituality is defined as related spiritual needs expressed by patients. While there may be ongoing discussions about the reality of spirituality among healthcare professionals, the needs of patients in pain and suffering is of central importance. Patients have indicated wanting help with overcoming fears, finding hope, finding meaning in life, finding spiritual resources; or finding someone to talk to about peace of mind, dying and death (Moadel, et al., 1999). Discussions about spirituality in this group reflect the needs of the people who are suffering.