The quality of palliative care is best when it's offered through a team-based approach, and spiritual care is a part of that approach and very important. Nurses know that first-hand, when we are listening to our patient's conversation at three o'clock in the morning, when they're in distress.
Distress has different meanings, especially when you are living those circumstances of end of life. You are either having physical symptoms of distress, or it could be spiritual. It could be symptoms that you need to discuss. It's part of a quality palliative approach to care.