{"ref":"MO-HSP-CNS-01","title":"Spiritual Care, Dietary Counseling and Other Counseling Services","category":"Hospice care","summary":"Sets out spiritual care (available to all patients and families; a documented spiritual assessment within five days of admission or sooner if indicated, covering religious affiliation and spiritual concerns; a spiritual counselor visit offered to every patient; what happens when visits are declined), the Missouri qualifications and 90-day training for spiritual counselors, dietary counseling planned by a qualified dietary counselor, additional counseling services, and the Department waiver for areas without dietitians or nutritionists.","inShort":["Spiritual care is offered to every patient and family, whatever they believe. It is never forced.","A spiritual assessment, including religious affiliation and spiritual concerns, is documented within five days of admission or sooner if needed.","If the patient says no to the spiritual counselor, another IDG member does the spiritual assessment and the counselor stays available.","Volunteers who pray or read scripture with patients do not do the spiritual assessment.","Dietary counseling is planned by an RN, dietitian, nutritionist, PA or physician, and focuses on comfort and the patient's wishes."],"primaryCitation":"19 CSR 30-35.010(2)(G)4","citations":["19 CSR 30-35.010(2)(G)4","19 CSR 30-35.010(2)(G)6.A, C, D","19 CSR 30-35.010(1)(A)9, 23, 36","19 CSR 30-35.010(2)(F)2.D"],"federalCitations":["42 CFR §418.64(d)(2)-(3)","42 CFR §418.56(a)(1)(iii)-(iv)"],"surveyorAsks":["Show me the spiritual assessment for this patient. Was it done within five days of admission, and does it identify religious affiliation and spiritual concerns?","Was a spiritual counselor visit offered? What happened when the family declined?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 30-35.010(2)(G)4; 42 CFR §418.64(d))","5. Spiritual Care","5.1 Telling patients and families about spiritual care","5.2 The spiritual assessment","5.3 Providing spiritual care","5.4 Spiritual counselor qualifications","6. Dietary Counseling","7. Additional Counseling Services","8. Responsibilities","9. Records and Compliance Monitoring","10. Staff Training","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"mo-hospice","state":"Missouri","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}