For many people, spirituality is found in religion but for others spirituality can be found in nature, art or music. There are also those who will reflect on spirituality as being what occurs in everyday life through their association with friends and the family. Religion and spirituality are two causes of deep apprehension and pain. Discussing this area of care is difficult to separate so the two need to be intertwined. Religion and spirituality are often blended together, but they are in fact not the same and it is possible to have either a secular spirituality or a religious spirituality.