This article is learned and erudite. Some people are more comfortable addressing spiritual issues than others. It can be a touchy topic for nurse and patient. That doesn't mean that we can stop trying. Working in oncology made this clear to me. People thrist for the knowledge and comfort of a supreme being, other, or higher power. We all want to know what comes next. In a crisis the patient and family need more from us. Unfortunately, we either can't relate or don't have to courage to engage. In this current climate of cutbacks, the spiritual well being of the patient, is not a priority for most health care professionals. It is all well and good to talk about holistic health care and quite another to put it into practice. Time is money in the health care industry. Spirituality will take a back seat for many reasons.