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1- I can totally see where there would be tension between these
two, especially in today’s world. I am no expert on religion or
science for that matter, but I do feel like some of the tension is
unnecessary. I feel that the two can work to benefit our patients
by balancing them with the needs of the patient. Let’s take my
kids for instance, if they were sick with some known treatable
disease there would be no other option in my mind to treat them
with science and medicine that has been proven to work. I
wouldn’t only pray for them to get better and not do anything
about it, but I would pray for them and do whatever was
necessary to help my family deal with the stress and worry of a
child being sick. Here we have used them both to our benefit
and they each serve a different purpose and effectiveness.
Thanks again for your post!
2-My perception of the tension between science and religion is
founded at first glance and then not when looked at more
closely. Science and religion can coincide in health care if
respected for their own strengths and limitations. I feel that a
healthy balance of both can benefit our patients providing
different needs when they’re needed. I have seen with my own
eyes CRP markers drop in an infant receiving antibiotic
treatment and I have also seen an infant that wasn’t supposed to
live by scientific probability actually make it and thrive with
prayer being the only obvious intervention. So, trying to single
out one over the other as more effective than the other seems
less beneficial than trying to work them both in when the

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patient requires such help.
I feel that science is good for some of the more usual cases and
things we feel we can help with its information, and I also feel
that we can use religion to help a patient with their mental
aspects of healing. We can quantify an improvement in a
patient through lab levels and such, but it's hard to do the same
with religion and how a patient uses that tool as comfort or
however they use it in their lives. “Some observational studies
suggest that people who have regular spiritual practices tend to
live longer. Another study points to a possible mechanism:
interleukin (IL)-6. Increased levels of IL-6 are associated with
an increased incidence of disease. A research study involving
1700 older adults showed that those who attended church were
half as likely to have elevated levels of IL-6. The authors
hypothesized that religious commitment may improve stress
control by offering better coping mechanisms, richer social
support, and the strength of personal values and worldview”
(NCBI, 2001). In this example we see the benefits were
surveyed to be founded, but the exact workings aren’t exactly
known. The great thing about science is that usually we have
some tangible results that are repeatable and there’s safety to be
found in that. The great thing about religion is that we can have
faith in whatever we believe in and that’s all that’s needed. It's
our faith and belief that drives the comfort in religion.
I understand how people will want one to win over the other and
I feel that it depends on the person and how they view it. I feel
that there doesn’t need to be this tension because they both can
serve separately but benefit the patient when both are utilized.
If you have multiple tools in the box, why not use a variety of
them and pick whichever is most appropriate for the task at
hand? Each tool has their own specialty and doesn’t mean one
has to be better than the other or tension between the two, they
just need to work for the purpose they’re intended.

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Reference
Puchalski, C. 2001. The role of spirituality in health care.
Retrieved from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305900/
3-I was able to develop a greater understanding of the tension
between science and religion based on the article, the role of
spirituality in health care and the lecture notes this week. I have
always believed in God and often pray in silence for my patients
or families in the Peds ED. Many times, it will be for something
as small as obtaining an IV on a patient that has been deemed a
“hard stick.” However, what I refrain from doing is addressing
my patients' spiritual beliefs throughout their stay. My thoughts
include “what if they don’t believe?”, “will they be offended?”
Today there is often tension in any conversation. Politics,
healthcare, beliefs in God, what to post on your social media
account, etc.. Everyone has an opinion but verbalizing that
opinion can cause tension with your closest family member.
Specific to healthcare in the West, scientism and relativism has
exacerbated the perceived tension between scientism and
religion ("Worldview Foundations of Spirituality and Ethics",
2018) . If we base all healthcare beliefs off scientism and
relativism, there is no room for hope or belief that God (or the
patient's higher power) has any room for preforming a miracle
or comforting the patient in their time of need. As Puchalski
(2001) said, “Healing can be experienced as acceptance and
peace with one’s life. This healing, I believe is at its core
spiritual.” Patients need to understand the science and reality
behind any diagnosis, whether acute or chronic. However, they

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need the opportunity to heal as a whole person which includes
their spirituality. “It is critical that we as physicians and health
care providers listen to all aspects of our patients’ lives that can
affect their decision making and their coping skills” (Puchalski,
2001).
I believe that it is important to have a balance between science
and religion without the tension. One were our patients can
express their spirituality and we can be honest with our
professional knowledge and offer our presence and compassion
at the same time.
Reference:
Puchalski C. M. (2001). The role of spirituality in health care.
Proceedings (Baylor University. Medical Center)
,
14
(4), 352-7.
Worldview Foundations of Spirituality and Ethics. (2018).
Retrieved from https://lc-
ugrad3.gcu.edu/learningPlatform/user/users.html?operation=log
gedIn#/learningPlatform/loudBooks/loudbooks.html?viewPage=
current&operation=innerPage&currentTopicname=Worldview
Foundations of Spirituality and Ethics&topicMaterialId
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efe8f3c85261&contentId=6775b54b-52b8-4bb1-b4de-
a5bd34e39a90&