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Table 2 Example of need for life balance scoring

From: Validation of the spiritual distress assessment tool in older hospitalized patients

Patient interview Interview analysis SDAT scoring
Exploration of patient Need for life balance Identifying unmet Need for life balance Identifying how the patient cope with the unmet Need for life balance Scoring of Need for life balance
A 81 years old woman, hospitalized for rehabilitation after a hip fracture, says: "I know that I will recover and that everything will be fine... I'm sure that I will be able to do with". No unmet spiritual need is identified Not appropriate Score = 0 No evidence of unmet Need for life balance
A 81 years old woman, hospitalized for rehabilitation after a hip fracture, says: "This fracture will change a lots of things in my life. But I know I have the resources to deal with it... I will recover and everything will be fine." An unmet spiritual need is identified: This patient says "This fracture will change a lots of things in my life" This patient identifies how to cope with this unmet spiritual need. She says "I know I have the resources to deal with it... I will recover and everything will be fine." Score = 1 Some evidence of unmet Need for life balance
A 81 years old woman, hospitalized for rehabilitation after a hip fracture, says: "This fracture will change a lots of things in my life. I know that I have some resources to deal with it... but I have more pain than before and I don't really know how it will be at home..." An unmet spiritual need is identified: This patient says "This fracture will change a lots of things in my life" This patient identifies some way to cope with this unmet spiritual need. She says "I know that I have some resources to deal with it..." However, she still has some doubts. She says: "I have more pain than before and I don't really know how it will be at home..." Score = 2 Substantial evidence of unmet Need for life balance
A 81 years old woman, hospitalized for rehabilitation after a hip fracture, says: "This fracture will change a lots of things in my life. I have more pain than before... I feel that I am very down... I can't imagine any future... I don't know what to do..." An unmet spiritual need is identified: This patient says "This fracture will change a lots of things in my life" This patient is not able to identify any way to cope with the unmet spiritual need. She says " I can't imagine any future... I don't know what to do..." Score = 3 Evidence of severe unmet Need for life balance