Mindfulness in Hospice Care: Practicing Meditation-in-Action

Anne Bruce and Betty Davies

In this interpretive study, the authors explore the experience of mindfulness among hospice
caregivers who regularly practice mindfulness meditation at a Zen hospice. They explore
meditative awareness constituted within themes of meditation-in-action, abiding in liminal
spaces, seeing differently, and resting in groundlessness. By opening into nonconceptual,
paradoxical, and uncertain dimensions of experience, hospice caregivers cultivate internal
and external environments in which direct experience is increasingly held without judgment.
This inquiry points to in-between spaces of human experience wherein mindfulness
fosters openness and supports letting go, and creating spaces for whatever is happening in
attending the living-and-dying process.

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Improving the Quality of Spiritual Care as a Dimension of Palliative Care

Christina Puchalski, M.D., M.S., F.A.P.C., Betty Ferrell, Ph.D., M.A., F.A.A.N., F.P.C.N.,
Rose Virani, R.N.C., M.H.A., O.C.N., F.P.C.N., Shirley Otis-Green, M.S.W., L.C.S.W., A.C.S.W., O.S.W.-C.,
Pamela Baird, A.A., Janet Bull, M.A., Harvey Chochinov, M.D., Ph.D., F.R.C.P.C.,
George Handzo, M.Div., B.C.C., M.A., Holly Nelson-Becker, M.S.W., Ph.D.,
Maryjo Prince-Paul, Ph.D., A.P.R.N., A.C.H.P.N.,
Karen Pugliese, M.A., B.C.C., and Daniel Sulmasy, O.F.M., M.D., Ph.D.

Abstract
A Consensus Conference sponsored by the Archstone Foundation of Long Beach, California, was held February
17–18, 2009, in Pasadena, California. The Conference was based on the belief that spiritual care is a fundamental
component of quality palliative care. This document and the conference recommendations it includes builds
upon prior literature, the National Consensus Project Guidelines, and the National Quality Forum Preferred
Practices and Conference proceedings.

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