The goal of hospice care is to relieve patient’s physical, psychological, social, and spiritual stress who are nearing the end of life, thereby ultimately improving the quality of life because hospice care views humans from a holistic perspective. Spirituality is a dynamic and essential aspect of humanity that includes the search for highest meaning, purpose in life, transcendence and connection with oneself, family and others which is manifested in beliefs, values, traditions and practices. This has had a positive impact that includes spiritual well-being, quality of life, adaptation, physical and psychological health which ultimately meets the needs of patients and families in finding meaning and purpose in life, restoring relationships and love and being able to accept death and maintain hope and support a dignified death. Mean center and Dignitiy psychotherapy has been tested as a psychotherapy that focuses on the patient's meaning and dignity. Spirituality is a concept that is not limited to religion and is a key concept in the care of terminal illness. Therefore, spiritual care is an important element of hospice care that significantly influences the quality of all care provided. The spiritual care guidance and assessment model was developed as a care guide in the fundamental and spiritual aspects of human beings in hospice care. Spiritual Health Assessment Scale (SHAS) is a scale developed to assess spiritual health that is used for the entire community and is not based only on religion which contains 3 domains in the form of self-development, self-actualization and self-realization.