Objective: The aim of our research was to determine the current situation at Praguean hospitals and hospitals of the Central Bohemia Region regarding the replenishing of spiritual needs in patients with infaust (unfavorable) prognosis. Design: Pilot study. Participants: The criteria for selection of respondents were age (people over the age of 65), diagnosed with chronic disease with complications, infaust prognosis of their health condition and hospitalization in a healthcare facility in Prague and the Central Bohemia Region. Methods: Investigation and evaluation of the current situation regarding this research problem was conducted using the FICA questionnaire, a tool of spiritual assessment that helps to discover personal spiritual history and provides guidelines for pastoral care in clinical practice. The research was conducted in hospitals in Prague and the Central Bohemia Region. Results: During the research, we identified that the satisfaction of spiritual needs is at an insufficient level, and this deficit leads to a deterioration of the mental state of the patients. Conclusion: In line with the research, the authors describe the appropriate forms of spiritual care that can be provided in the context of health care.