Makes me sad to be british :-(

The craziest part is, she wasn't saying a prayer for them, she was offering.

Saying a prayer for them without their permission, that may be something to object to.
Offering a prayer, it's an offer, nothing is actually done or performed unless they want it.

If we go with this rule, as diversity, we should respect the diversity of patients who don't like to speak, and not speak to a patient unless spoken to first, or.... I could come up with some more creative stuff, but I'll leave that to you.

This is why I've left the western world and come to Asia, things are so much simpler here.