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Symptoms Assessment Tools - Spiritual

FICA Spiritual Assessment Tool


The FICA Spiritual History Tool was an acronym developed by Dr. Puchalski and a group of primary care physicians to equip physicians and other healthcare professionals with a tool to address s​piritual issues with patients. Spiritual histories are taken as part of the regular history during an annual exam or new patient visit, but can also be taken as part of follow-up visits, as appropriate. The acronym follows as a guide for conversations in the clinical setting by addressing: F - Faith and Belief; I – Importance; C – Community; A – how can the clinician Address this in the patient’s care.



Puchalski C (2006), Spiritual Assessment in Clinical Practice Psychiatric annals; Psychology Module 36 (3): 150.

Puchalski C, Romer AL, (2000) Taking Spiritual History Allows Clinicians to Understand Patients More Fully; Journal of Palliative Medicine 3(1): 129–137.​​​