Religion & Healthy Aging
A STUDY OF THE IMPACT
OF SPIRITUALITY, RELIGION
AND
FUNCTIONAL HEALTH
OF THE ELDERLY
A Dissertation
Presented to the Faculty of the
School of Health Administration
Kennedy-Western University
In Partial Fulfillment of the Requirements for the Degree of
Doctor of Philosophy in Health Administration
by
Kendall Brune
St. Louis, Missouri
Table of Contents
Chapter 1 – Introduction……………………………….1
Introduction………………………………… 1
Statement of the Problem………………… 2
Purpose of the Study……………………… 3
Importance of the Study……………………4
Scope of the Study………………………… 6
Rationale of the Study………………………9
Overview of the Study……………………..11
Definition of Terms………………………..141
Chapter 2 – Review of Related Literature…………..13
History of Religious Studies-Health Care…15
Demographic Trends in Health Care………16
Science & Religion…………………………...23
Review-Religion in Medical School ………..26
The Relaxation Response: Harvard.……26
Aging as a Spiritual Journey: Loyola……27
Faith- life-promoting: Emory……………..30
Physician & Religion: St. Louis…………31
International Center for the Integration of
Health and Spirituality………………… ….34
Centers for Disease Control………………35
Joint Commission on Accreditation of Healthcare
Organizations (JCAHO)
………………………………………………..37
A Review of:
Patient Satisfaction…………….…………..41
Spiritual Directives………………………....42
ii
Health Outcomes……………….………….38
Spiritual & Emotional Needs……….……..40
Clinical Cohorts from Benjamins…………44
Clinical Cohorts from Daaleman………….45
Patients Desire for Religion……………….47
Clergy Issues in Healthcare………………53
Ethical Issues in Healthcare ………….….56
Summaries &Conclusions.………………..57
Chapter 3 – Methodology…………………………….59
Approach of the Benjamins’ Study……….61
Benjamins’ Conceptual Framework………61
Benjamins’ Study Mechanisms……………61
Benjamins’ Control Mechanisms………….62
Benjamins’ Social Resources …………….63
The Database of the Study………………..66
Variables in the Benjamins Study………...71
The Approach of the
OF SPIRITUALITY, RELIGION
AND
FUNCTIONAL HEALTH
OF THE ELDERLY
A Dissertation
Presented to the Faculty of the
School of Health Administration
Kennedy-Western University
In Partial Fulfillment of the Requirements for the Degree of
Doctor of Philosophy in Health Administration
by
Kendall Brune
St. Louis, Missouri
Table of Contents
Chapter 1 – Introduction……………………………….1
Introduction………………………………… 1
Statement of the Problem………………… 2
Purpose of the Study……………………… 3
Importance of the Study……………………4
Scope of the Study………………………… 6
Rationale of the Study………………………9
Overview of the Study……………………..11
Definition of Terms………………………..141
Chapter 2 – Review of Related Literature…………..13
History of Religious Studies-Health Care…15
Demographic Trends in Health Care………16
Science & Religion…………………………...23
Review-Religion in Medical School ………..26
The Relaxation Response: Harvard.……26
Aging as a Spiritual Journey: Loyola……27
Faith- life-promoting: Emory……………..30
Physician & Religion: St. Louis…………31
International Center for the Integration of
Health and Spirituality………………… ….34
Centers for Disease Control………………35
Joint Commission on Accreditation of Healthcare
Organizations (JCAHO)
………………………………………………..37
A Review of:
Patient Satisfaction…………….…………..41
Spiritual Directives………………………....42
ii
Health Outcomes……………….………….38
Spiritual & Emotional Needs……….……..40
Clinical Cohorts from Benjamins…………44
Clinical Cohorts from Daaleman………….45
Patients Desire for Religion……………….47
Clergy Issues in Healthcare………………53
Ethical Issues in Healthcare ………….….56
Summaries &Conclusions.………………..57
Chapter 3 – Methodology…………………………….59
Approach of the Benjamins’ Study……….61
Benjamins’ Conceptual Framework………61
Benjamins’ Study Mechanisms……………61
Benjamins’ Control Mechanisms………….62
Benjamins’ Social Resources …………….63
The Database of the Study………………..66
Variables in the Benjamins Study………...71
The Approach of the
Bibliography: religious issues in the care of their patients (Maugans, 1991. pp.210-13). However, this trend is changing. As reported by Koenig (1999, p patients (Studenski, 2003). Patients underwent a home assessment of multiple health status, performance, and vi Daaleman Study (2002) were embedded during the final data