This literature review highlights the relationship between spirituality and/or religion and how people respond in the face of impending death. Attitudes toward physician-assisted suicide and hospice are explored. The author also offers recommendations to counselors for addressing religious and spiritual concerns.

Many adults search for spiritual guidance and direction and persist in seeking answers to life in today's fast-paced world. With burgeoning economic challenges, political corruption, war in Iraq, poverty, health care concerns, environmental concerns, rising fuel costs, violence, racism, and oppression, many adults seek solace and greater…