Thursday, April 30, 2020
A Simple Guide to Self-Care
Check out this article in The Atlantic on self-care
https://www.theatlantic.com/health/archive/2015/10/internet-self-care/408580/
"Tiny Buddha" Self-care Practices for mind, body and soul
This website has lots of great ideas to care for self.
https://tinybuddha.com/blog/45-simple-self-care-practices-for-a-healthy-mind-body-and-soul/
Wednesday, April 29, 2020
Aligning with Love from SDI: a spiritual practice
ALIGNING WITH LOVE
This month Passover, Good Friday and Easter all took place as the world slipped further into a profound health and economic crisis. Around the world, we understandably struggle to recognize the relationship of loss and renewal in this pandemic. This simple practice is about grounding ourselves - and refreshing ourselves - in that which transcends all limitations, the creative force of the universe, love.
PRACTICE
1) Find a safe and warm place. Welcome stillness. Greet all thoughts as old friends. But tell them - Maybe another day. Tell them today you need to make space for another old friend right now..... When you feel ready, welcome God, or however you name the ground of all being.
2) Read this prayer. Then close your eyes, and say it in your own words. Change anything you like. Just honour what arises deep within you as you read it:
PRAYER
"I will always keep trying. I will never give up.
I will be present with you, God, and with all beings. In every moment. This is my intention.
I will be grateful for all you give, God. I will be grateful for all I experience. I will be grateful in every moment.
I will make of my heart an open window to shine your love and light.
I will make of my life an open window to share your love and light.
I will make of my soul an open window to be your love and light.
This is enough. This is abundance. To shine, share and be your love and light. To shine, share and be the love and light inherent in all beings.
I will acknowledge - and let go - all negativity I create and carry.
I will align with love.
I will align with love.
I will align with love.
And like the prodigal son, I will feel the wonder and joy of coming home to you, God, and being accepted as I am.
No matter how far I stray, no matter how often I stray, I will return home. Your infinite welcome calls me. And I will infinitely respond.
I will choose love. I do choose love. I am love.
And love never ends."
Peace to you all, brothers and sisters. Blessings to you in all you do.
Tuesday, April 28, 2020
Caring for Those Who Care - a link to an on-line resource
https://chaplaincyinnovation.org/wp-content/uploads/2020/04/Staff-care-eBook-042220-SD-for-Final-with-MS-links-updated.pdf
Grief, Dying and Death during a Pandemic
http://www.wellbeingwaterloo.ca/blog/grief-dying-and-death-during-a-pandemic/
Thursday, April 23, 2020
Caring for Self and Others in Times of Trboule: Some Spiritual Tools and tips
Caring for Self and Others in Times of Trouble: Some Spiritual Tools and Tips
1. Breathe. Breathe. Breathe some more. Take time in your day, at any moment, to take ten deep even breaths. Carve out 5-10 minutes to meditate or practice mindfulness or contemplative prayer. Start here, now, wherever you are.
2. Ground yourself in the present moment. Focus your awareness on something real, enduring, or beautiful in your surroundings. Look up often. Discover the wonder and awe that is already here.
3. Acknowledge your fears, anxieties, concerns. Offer them up in prayer, if you pray. Write them in your journal. Share them with others. Feel what you feel, honor it, and know that it is not the final word.
4. Remember you are not alone. Ever. You are surrounded by care and support. Reach out.
5. Create and sustain community. Show up for one another. Listen compassionately. Practice empathy. Even while avoiding “close physical contact,” message the people you care about. Stand with those most vulnerable and those who suffer the brunt of prejudice and fear. Check in on folks. Call your mother, father, guardian, mentor, little sibling, long-lost friend.
6. Unplug, judiciously. While staying aware of developments, do not let the Corona-chaos govern you, but forgive yourself when and if it does.
7. Practice kindness. There is a temptation in health scares to view others as potential threats. Remember we are in this together. While practicing health guidelines and appropriate caution, remember to engage one another. Smile when you can. Bring good deeds and good energy into our world.
8. Stay healthy through sleep, diet, exercise. See healing and wellness holistically—mind, body, and spirit.
9. Make art. Discover, imagine, engage your hopes and fears, the beauty and ugliness of our world. Write, paint, sing, dance, soar.
10. Practice gratitude. In the face of crises, make note of the things for which you are grateful: your breath, the particular shade of the sky at dusk—or dawn. The color blue, the color green, the gifts and strengths you have, other people in your life, the ability to laugh. A pet.
11. Connect with your spiritual, religious, humanist, cultural, or other communities. Find strength and solace and power in traditions, texts, rituals, practices, holy times and seasons.
12. Pray as you are able, silently, through song, in readings, through ancestors. Remember the long view of history, the rhythms and cycles of nature, the invisible threads that connect us all.
13. Practice hope. Trust in the future and our power to endure and persist, to live fully into the goodness that awaits.
—Alexander Levering Kern
Director of the Center for Spirituality, Dialogue, and Service
Northeastern University
March 11, 2020
Thursday, April 16, 2020
Three Wishes for post- COVID-19 health care - article
John A. Hovanesian, MD, FACS, focuses his blog on new technologies and innovations and how ophthalmic practices can best incorporate them to benefit patients. BLOG: Three wishes for post-COVID-19 health care April 14, 2020 So many frustrating unknowns surround us in this health care crisis. Whether we are a doctor or a staff member, an industry employee or a researcher, at this writing we have no real idea how much our loved ones might suffer, when we will return to work and how government subsidies will help us support our families and our employees. But like those who lived through the Great Depression, we are quickly learning lessons in resilience that will color the rest of our lives. Without knowing the rest of this story, I do know what I wish for in the post-COVID-19 world: COVID-19 is impacting health care professionals’ information needs COVID-19: Limited health care access further divides ‘haves’ from ‘have-nots’ AHA updates CPR guidelines to address patients with COVID-19 Leaner, more efficient practices and drug/device makers and a quick economic recovery. Buoyed by patients with pent-up demand for our services combined with workforce streamlining from natural attrition, we will all perform with the bare necessities. We will work harder and longer. This summer, if we are back to work by then, will bring few vacations, but in the wake of the worst financial impact of our professional lives, practices and suppliers of drugs and devices will spring back quickly to health. And to think just a few months ago we were worried about reductions in reimbursement. Those will still be a challenge, but we have overcome so much more. Virtual care will be here to stay. By the time this issue of Ocular Surgery News reaches mailboxes, most of our colleagues will have tried telemedicine to perform some level of service for patients. Most of us who have already tried have become quite pleased with how much good doctoring can be done, even without our diagnostic instruments. The world will know that patients deserve to see our faces and hear our reassuring voices without leaving home. Elimination of COVID-19 will not eliminate the viability of virtual care but enhance its possibilities. Smart industry players will bring us better tools that integrate better with our EHR systems, automate billing and allow solid documentation of services performed. We will all learn the meaning of quality time. Having our schedules cleared is now giving us more time with loved ones, more time with pets, more time for exercise and more time for personal reflection. We will become closer to family and friends who are farther away. We will understand that a full schedule does not mean a full life and that we don’t need to be “the richest guy in the graveyard.” Travel will still be exciting, but so will be looking out the window, enjoying a warm drink. We will be able to laugh at adversity we can’t control and help neighbors through the difficulties that we can. We will return to work with the right priorities, a clearer sense of purpose and a kinder approach to our patients and staff, whom we will appreciate more than ever. The outcome of many of these wishes we can’t control, but the measure of our wisdom may lie in how we use this time to shape the quality of our future. We can be simply reactive, reading and getting absorbed in the news, or we can be proactive, using our downtime to recalibrate our life compass. Whatever your wishes for the post-COVID-19 world, I hope you too are doing what you can to make them come true.
Wednesday, April 15, 2020
Tuesday, April 14, 2020
Caring Community on CASC website
For CASC members: Login to view:
https://spiritualcare.ca/members/caring-community/
https://spiritualcare.ca/members/caring-community/
Thursday, April 9, 2020
Grief is the Response to loss of something meaningful - from the Centre for Complicated Grief
From the following article:
https://complicatedgrief.columbia.edu/professionals/complicated-grief-professionals/overview/
"Grief is the response to loss of something meaningful Grief is the natural response to losing a loved one. Most people don’t need grief therapists, even when the loss is sudden and unexpected and very, very sad. People have natural ways of adapting to attachment loss, usually with the support of friends and relatives, and everyone does it in their own way. You can think of healing after loss as analogous to healing after a physical wound. The loss, like the injury, triggers a pain response which can be very strong. Injuries also activate a healing process. Loss does too. However, a wound complication, like an infection, can interfere with healing. So, too, maladaptive thoughts, dysfunctional behaviors or inadequate emotion regulation can interfere with adaptation to loss.
CG is not less likely after loss of a rewarding relationship Mental health training does not usually include learning about the syndrome of complicated grief. However, trainees often are taught that grief is complicated if there was an ambivalent relationship to the person who died. This is a misconception. Adapting to a loss is more difficult if a person can imagine how things could have been different. People might do this because the relationship was conflictual. However, this is uncommon. Most people with complicated grief have had an especially strong and rewarding relationship to the person who died.
Key definitions
Grief is the response to loss that contains thoughts, behaviors, emotions and physiological changed; if the loss is permanent, so too is the grief, but its form evolves and changes as a person adapts to the loss
Acute grief occurs in the early period after a loss and often dominates the life of a bereaved person; strong feelings of yearning, longing and sorrow are typical as are insistent thoughts and memories of the person who died. Other painful emotions, including anxiety, anger, remorse, guilt or shame are also common. Activities are often focused on doing or not doing things to try to deal with the loss.
Integrated grief is the lasting form of grief in which loss-related thoughts, feelings and behaviors are integrated into a bereaved person’s ongoing functioning; grief has a place in the person’s life without dominating.
Complicated grief is a persistent form of intense grief in which maladaptive thoughts and dysfunctional behaviors are present along with continued yearning, longing and sadness and/or preoccupation with thoughts and memories of the person who died. Grief continues to dominate life and the future seems bleak and empty. Irrational thoughts that the deceased person might reappear are common and the bereaved person feels lost and alone.
Adapting to loss entails accepting the reality of the death, including its finality, consequences and changed relationship to the person who died; adapting means seeing the future as holding possibilities for a life with purpose and meaning, joy and satisfaction.
Examples of Grief “Complications”
Maladaptive thoughts are typically counterfactual, grief-focused or catastrophizing; its natural to second guess a loved one’s death, especially if it was sudden, unexpected or untimely; most people worry about whether they are grieving in “the right way” and many dread the future in a world without their deceased loved one. People with complicated grief ruminate over these kinds of thoughts.
Dysfunctional behaviors are typically related to avoiding reminders of the loss and/or escaping from the painful reality. A bereaved person may try to feel close to the person who died through sensory stimulation and day dreaming about being with them – looking at pictures, listening to their voice, smelling their clothes, trying to recall what it was like to be together. Bereaved people are often inclined to avoid places, people or activities that hold reminders of the person who died. These behaviors are problematic when they become the only way of managing painful emotions.
Inadequate emotion regulation is another common problem for people with complicated grief. Acute grief is typically highly emotional. Most people have a range of ways to regulate these emotions. They balance the pain with periods of respite, giving themselves permission to set the grief aside for a time. People with complicated grief have trouble doing this; instead, they often focus on things that increase emotional activation. Regular routines including adequate sleep, nourishing meals, adequate exercise and social contacts may be disrupted, making emotions more difficult to manage."
https://complicatedgrief.columbia.edu/professionals/complicated-grief-professionals/overview/
https://complicatedgrief.columbia.edu/professionals/complicated-grief-professionals/overview/
"Grief is the response to loss of something meaningful Grief is the natural response to losing a loved one. Most people don’t need grief therapists, even when the loss is sudden and unexpected and very, very sad. People have natural ways of adapting to attachment loss, usually with the support of friends and relatives, and everyone does it in their own way. You can think of healing after loss as analogous to healing after a physical wound. The loss, like the injury, triggers a pain response which can be very strong. Injuries also activate a healing process. Loss does too. However, a wound complication, like an infection, can interfere with healing. So, too, maladaptive thoughts, dysfunctional behaviors or inadequate emotion regulation can interfere with adaptation to loss.
CG is not less likely after loss of a rewarding relationship Mental health training does not usually include learning about the syndrome of complicated grief. However, trainees often are taught that grief is complicated if there was an ambivalent relationship to the person who died. This is a misconception. Adapting to a loss is more difficult if a person can imagine how things could have been different. People might do this because the relationship was conflictual. However, this is uncommon. Most people with complicated grief have had an especially strong and rewarding relationship to the person who died.
Key definitions
Grief is the response to loss that contains thoughts, behaviors, emotions and physiological changed; if the loss is permanent, so too is the grief, but its form evolves and changes as a person adapts to the loss
Acute grief occurs in the early period after a loss and often dominates the life of a bereaved person; strong feelings of yearning, longing and sorrow are typical as are insistent thoughts and memories of the person who died. Other painful emotions, including anxiety, anger, remorse, guilt or shame are also common. Activities are often focused on doing or not doing things to try to deal with the loss.
Integrated grief is the lasting form of grief in which loss-related thoughts, feelings and behaviors are integrated into a bereaved person’s ongoing functioning; grief has a place in the person’s life without dominating.
Complicated grief is a persistent form of intense grief in which maladaptive thoughts and dysfunctional behaviors are present along with continued yearning, longing and sadness and/or preoccupation with thoughts and memories of the person who died. Grief continues to dominate life and the future seems bleak and empty. Irrational thoughts that the deceased person might reappear are common and the bereaved person feels lost and alone.
Adapting to loss entails accepting the reality of the death, including its finality, consequences and changed relationship to the person who died; adapting means seeing the future as holding possibilities for a life with purpose and meaning, joy and satisfaction.
Examples of Grief “Complications”
Maladaptive thoughts are typically counterfactual, grief-focused or catastrophizing; its natural to second guess a loved one’s death, especially if it was sudden, unexpected or untimely; most people worry about whether they are grieving in “the right way” and many dread the future in a world without their deceased loved one. People with complicated grief ruminate over these kinds of thoughts.
Dysfunctional behaviors are typically related to avoiding reminders of the loss and/or escaping from the painful reality. A bereaved person may try to feel close to the person who died through sensory stimulation and day dreaming about being with them – looking at pictures, listening to their voice, smelling their clothes, trying to recall what it was like to be together. Bereaved people are often inclined to avoid places, people or activities that hold reminders of the person who died. These behaviors are problematic when they become the only way of managing painful emotions.
Inadequate emotion regulation is another common problem for people with complicated grief. Acute grief is typically highly emotional. Most people have a range of ways to regulate these emotions. They balance the pain with periods of respite, giving themselves permission to set the grief aside for a time. People with complicated grief have trouble doing this; instead, they often focus on things that increase emotional activation. Regular routines including adequate sleep, nourishing meals, adequate exercise and social contacts may be disrupted, making emotions more difficult to manage."
https://complicatedgrief.columbia.edu/professionals/complicated-grief-professionals/overview/
Wednesday, April 8, 2020
Tuesday, April 7, 2020
Monday, April 6, 2020
Sample Script- Supporting Healthcare Workers during COVID19
I cut all of this information out of the patient script and have copied it into its own script ideas for use when supporting healthcare workers either by phone or in-person:
Specific Responses to Specific Concerns During COVID19:
(Adapted from the resource found at file:///C:/Users/Dell%20User/Documents/Spiritual%20Care%20Education/Telehealth%20Chaplaincy/VitalTalk-COVID19.html / It is a free resource that can be downloaded and you may wish to review the whole document.)
Specific Responses to Specific Concerns During COVID19:
(Adapted from the resource found at file:///C:/Users/Dell%20User/Documents/Spiritual%20Care%20Education/Telehealth%20Chaplaincy/VitalTalk-COVID19.html / It is a free resource that can be downloaded and you may wish to review the whole document.)
When coping needs a boost, or emotions
are running high
What they say
|
What you
say
|
I’m scared.
|
This is such a tough situation. I think
anyone would be scared. Could you share more with me?
|
I need some hope.
|
Tell me about the things you are hoping
for? I want to understand more.
|
Nobody cares about us. You people are
incompetent!
|
I can see why you are not happy with
things. I am willing to do what is in my power to improve things for
you. What could I do that would help?
|
I want to talk to your boss.
|
I can see you are frustrated. I will ask
my boss to come by as soon as they can. Please realize that they are juggling
many things right now.
|
Do I need to say my goodbyes?
|
I’m hoping that’s not the case. And I worry time
could indeed be short. What is most pressing on your mind?
|
Anticipating
When you’re worrying about what might
happen (or when you’re supporting a healthcare provider who is worried about
something that might happen)
What you fear
|
What you
can do
|
That patient’s son is going to be very angry.
|
Before you go in the room, take a moment for one
deep breath. What’s the anger about? Love, responsibility,
fear?
|
I don’t know how to help this family understand
why their loved one isn’t being transferred to the ICU like they want/expect.
|
Remember what you can do: you can hear what she’s
concerned about, you can explain what’s happening, you can help her prepare,
you can be present. These are gifts.
|
I am afraid of burnout, and of losing my heart.
|
Can you look for moments every day where you
connect with someone, share something, enjoy something? It is
possible to find little pockets of peace even in the middle of a maelstrom.
|
I’m worried that I will be overwhelmed and that I
won’t be able to do what is really the best for my patients.
|
Check your own state of being, even if you only
have a moment. If one extreme is “wiped out,” and the other is “feeling
strong,” where am I now? Remember that whatever your own state, that
these feelings are inextricable to our human condition. Can you
accept them, not try to push them away, and then decide what you need
|
Grieving
Supporting
Healthcare Workers Who are Grieving Over the Limitations Imposed on Them by
COVID19
What they are saying or thinking
|
What you
can do
|
I should have been able to do more to support
that person.
|
Notice: am I talking to myself the way I
would talk to a good friend? Could I step back and just feel? Maybe
it’s sadness, or frustration, or just fatigue. Those feelings are normal. And
these times are distinctly abnormal.
|
OMG I cannot believe we don’t have the right
equipment / how mean that person was to me / how everything I do seems like
its blowing up
|
Notice: am I letting everything get to
me? Is all this analyzing really about something else? Like how sad
this is, how powerless I feel, how puny our efforts look? Under these
conditions, such thoughts are to be expected. But we don’t have to let them
suck us under. Can we notice them, and feel them, maybe share them?
And
then ask ourselves: can I step into a less reactive, more balanced
place even as I move into the next thing?
|
Sample Script for SCP when visiting a hospital patient by phone or other electronic means
Revised script following the April 1 Supervision Zoom Meeting (also can be emailed by Joan to you as a WORD/PDF document)
Definition of a Phone Visit:
A phone visit can include phone, SKYPE, WhatsApp, Facetime or other electronic platform depending on what makes sense for you and the individual.
Consent:
Because spiritual care visits are traditionally provided in-person, it is important to obtain explicit consent to hold the visit by this alternative means and to document that consent was obtained from the patient/family member.
Two Scripts Included In this Guideline:
Preparing for a Phone Visit:
As much as is possible and reasonable:
If speaking with the nurse before the patient you might ask - What do I need to know about their health status today? - Do they have any hearing or speaking impediments? – is there anything else I need to know before I make this call? - Who are their emergency contacts?
Introduction:
Hello, is this [patient name]?
If the person who answers the phone is NOT the person you have been asked to speak with…
If the person who answers the phone is the person i.e. “Yes, this is (patient name):
“Hello [name]. My name is [name]. I’m from the Spiritual Care Department. I am not calling with any medical or urgent news. I’m part of the team that provides emotional and spiritual support to patients and families. Is now a good time to chat for a few minutes?
If the person says this is NOT a good time:
No worries. I will call you back at a later time. Is there a time of day that works best for you? OK. I will try to call you back at that time. If you find you could use some spiritual or emotional support in the meantime, ask you nurse to contact me. Otherwise, I will talk with you soon.
If they say “Yes this is a good time,” continue below.
Wonderful. Usually I come around to visit people in the hospital to offer spiritual and emotional support. But, to help prevent the spread of the Corona Virus, we are reaching out to people by phone. I just wanted to check-in. (select phrase that feels most natural to you) How are you holding up?/How you are doing?/How have things been going for you?
We recognize that hospitalizations can be stressful and affect you spiritually and emotionally as well as physically. Has anything been particularly challenging for you lately?
Other questions you might ask to deepen the conversation:
If this lead to conversation/pastoral interventions, proceed with conversation.
Suggestions if this comes up at the beginning of the conversation:
ONLY If they ask about the purpose of the call during the conversation.
The reason I was calling you is that upon your admission to the hospital, you or somebody who was with you, indicated that you might want to talk to a chaplain. I was calling to see how I could support you.
OR
The reason I was calling you is because [name] referred you. They thought that you might benefit from talking to a chaplain.
If a follow up appointment seems appropriate
We have talked about some pretty important things today. Would it be helpful to you for me to follow up with you on another day? Would that be okay with you?
Closing:
Close the conversation Well, thank you for talking with me on the phone today. If appropriate, offer prayer/blessing/song etc.
Introduction If the person who answers the phone is NOT the person you have been asked to speak with…
Is [patient’s name] currently available?
If yes
Proceed with conversation as listed above.
If no. No worries. I will try back at another time to reach [patient’s name].
If yes. Wonderful. Is this a good time to speak with them?
Refer back to the general script on Page 2
If this lead to conversation/pastoral interventions, proceed with conversation.
We recognize that hospitalizations can be stressful and affect families/friends spiritually and emotionally, as well as the patient. Has anything been particularly challenging for you lately?
Other questions you might ask to deepen the conversation:
If a follow up appointment seems appropriate:
We have talked about some pretty important things today. Would it be helpful for me to follow up with you again? Would that be okay with you?
What is the best way to reach you?
Closing:
Thank you for talking with me today and please know that Spiritual Care is available to you whenever you might need it. You can reach me by asking a nurse. I will also call back at another time to try to reach [patient’s name].
Hi I’m ……. The On-call chaplain. I understand from the nurse/Dr. that you are going through a very difficult time right now. How might I be of help to you?
Can you tell me a bit about the person you are concerned about and what they might hope for or want now?
How can we best honour them?
Things to offer:
Definition of a Phone Visit:
A phone visit can include phone, SKYPE, WhatsApp, Facetime or other electronic platform depending on what makes sense for you and the individual.
Consent:
Because spiritual care visits are traditionally provided in-person, it is important to obtain explicit consent to hold the visit by this alternative means and to document that consent was obtained from the patient/family member.
Two Scripts Included In this Guideline:
A. Referral made by patient, family member or
staff member (non-emergency) –
B. On-Call Emergency (usually involving
end of life situations) –
Preparing for a Phone Visit:
As much as is possible and reasonable:
If speaking with the nurse before the patient you might ask - What do I need to know about their health status today? - Do they have any hearing or speaking impediments? – is there anything else I need to know before I make this call? - Who are their emergency contacts?
A. General Script: For referral or patient-generated request
Introduction:
Hello, is this [patient name]?
If the person who answers the phone is NOT the person you have been asked to speak with…
·
See
suggested script on page 3
If the person who answers the phone is the person i.e. “Yes, this is (patient name):
“Hello [name]. My name is [name]. I’m from the Spiritual Care Department. I am not calling with any medical or urgent news. I’m part of the team that provides emotional and spiritual support to patients and families. Is now a good time to chat for a few minutes?
If the person says this is NOT a good time:
No worries. I will call you back at a later time. Is there a time of day that works best for you? OK. I will try to call you back at that time. If you find you could use some spiritual or emotional support in the meantime, ask you nurse to contact me. Otherwise, I will talk with you soon.
If they say “Yes this is a good time,” continue below.
Wonderful. Usually I come around to visit people in the hospital to offer spiritual and emotional support. But, to help prevent the spread of the Corona Virus, we are reaching out to people by phone. I just wanted to check-in. (select phrase that feels most natural to you) How are you holding up?/How you are doing?/How have things been going for you?
·
If
this leads to conversation/pastoral interventions, proceed with conversation.
We recognize that hospitalizations can be stressful and affect you spiritually and emotionally as well as physically. Has anything been particularly challenging for you lately?
·
If
this leads to conversation/pastoral interventions, proceed with conversation.
Other questions you might ask to deepen the conversation:
·
On
the other hand, has anything been helping you cope?
·
Have
you had people call you while in the hospital? –
·
As
I said, one of the things that I am here for is spiritual support. That can mean different things for different
people. Sometimes it means supporting
people in a certain religion and praying for them. Sometimes it means helping them connect to
their meaning and purpose, but not a certain religion. Are you of a certain religious or spiritual tradition?
·
Can
you tell me a little bit about what you find most meaningful? - Any other
thoughtful questions/statements that work during in-person visits.
If this lead to conversation/pastoral interventions, proceed with conversation.
Suggestions if this comes up at the beginning of the conversation:
ONLY If they ask about the purpose of the call during the conversation.
The reason I was calling you is that upon your admission to the hospital, you or somebody who was with you, indicated that you might want to talk to a chaplain. I was calling to see how I could support you.
OR
The reason I was calling you is because [name] referred you. They thought that you might benefit from talking to a chaplain.
If a follow up appointment seems appropriate
We have talked about some pretty important things today. Would it be helpful to you for me to follow up with you on another day? Would that be okay with you?
Closing:
Close the conversation Well, thank you for talking with me on the phone today. If appropriate, offer prayer/blessing/song etc.
Introduction If the person who answers the phone is NOT the person you have been asked to speak with…
Is [patient’s name] currently available?
If yes
Proceed with conversation as listed above.
If no. No worries. I will try back at another time to reach [patient’s name].
If yes. Wonderful. Is this a good time to speak with them?
Refer back to the general script on Page 2
If this lead to conversation/pastoral interventions, proceed with conversation.
We recognize that hospitalizations can be stressful and affect families/friends spiritually and emotionally, as well as the patient. Has anything been particularly challenging for you lately?
·
If
this lead to conversation/pastoral interventions, proceed with conversation.
Other questions you might ask to deepen the conversation:
·
On
the other hand, has anything in particular been helping you cope?
·
As
I said, one of the things that I am here for is spiritual support. That can mean different things for different
people. Sometimes it means supporting
people in a certain religion and praying for them. Sometimes it means helping them connect to
their meaning and purpose, but not a certain religion. Are you of a certain religious or spiritual
orientation?
·
I
like to know a little bit more about people.
Can you tell me a little bit about what you find most meaningful?
·
Any
other thoughtful questions/statements that work during in-person visits.
If a follow up appointment seems appropriate:
We have talked about some pretty important things today. Would it be helpful for me to follow up with you again? Would that be okay with you?
What is the best way to reach you?
Closing:
Thank you for talking with me today and please know that Spiritual Care is available to you whenever you might need it. You can reach me by asking a nurse. I will also call back at another time to try to reach [patient’s name].
B. For On-Call Situations Involving End
of Life Situations:
Hi I’m ……. The On-call chaplain. I understand from the nurse/Dr. that you are going through a very difficult time right now. How might I be of help to you?
Can you tell me a bit about the person you are concerned about and what they might hope for or want now?
How can we best honour them?
Things to offer:
·
Bereavement
support
·
Funeral
planning assistance and information
·
Prayers
·
Scripture
reading
·
Song/hymn
as appropriate
·
Blessing
of the body – scan, remembrance and prayers
·
5
Finger prayer
·
Invite
the family to gather around the bed and place a hand on the deceased, as
appropriate, or hover above
“LOVE”
When you need to talk a
family member on phone or video through saying goodbye to a patient who is in their
last hours or minutes.
Lead the way forward
“I am [name], one
of the [professionals] on the team.”
“For most people,
this is a tough situation.”
“I’m here to walk you through it if you’d like.”
“Here’s what our institution / system / region is doing for
patients with this condition.”
(State the part directly relevant to that person.)
(State the part directly relevant to that person.)
Offer the four things that matter to most people
“So we have the
opportunity to make this time special.”
“Here are five
things you might want to say. Only use the ones that ring true for you.”
“Please forgive me”
“I forgive you”
“Thank you”
“I love you”
“Goodbye”
“Do any of those
sound good?”
Validate what they want to say
“I think that is a beautiful thing to say”
“If my [daughter] were saying that to me, I would feel so valued
and so touched.”
“I think he/she can hear you even if they can’t say anything back”
“Go ahead, just say one thing at a time. Take your time.”
Expect emotion
“I can see that
he/she meant a lot to you.”
“Can you stay on the line a minute? I just want to check on how
you’re doing”
Thinking About Your Will
Hi everyone,
In these pandemic times, it is even more important that each of us, and the people we work with, have thought about and created a will. This is true, and yet, when we need it most, there are fewer social workers around to help our patients do this (this may be less true in the hospital setting where Social Workers are still working. There is a huge shortage of SWs in the community setting.)
Based on an Ontario will checklist I found on-line, I put together this document. It is NOT legal advice. It's just 'things to think about.' We have used it with some PCOT patients and hope that you may find it useful. Remember that it does not replace a visit or consultation with a lawyer. On the other hand, if someone is very ill and a lawyer cannot get to them, it provides some help as they put something down on paper. As long as it is signed by the individual and witnessed, signed and dated by two people who are not named in the will, it will be considered a legal will from what I understand.
Please feel free to use as you see appropriate.
May blessings abound,
kathy
In these pandemic times, it is even more important that each of us, and the people we work with, have thought about and created a will. This is true, and yet, when we need it most, there are fewer social workers around to help our patients do this (this may be less true in the hospital setting where Social Workers are still working. There is a huge shortage of SWs in the community setting.)
Based on an Ontario will checklist I found on-line, I put together this document. It is NOT legal advice. It's just 'things to think about.' We have used it with some PCOT patients and hope that you may find it useful. Remember that it does not replace a visit or consultation with a lawyer. On the other hand, if someone is very ill and a lawyer cannot get to them, it provides some help as they put something down on paper. As long as it is signed by the individual and witnessed, signed and dated by two people who are not named in the will, it will be considered a legal will from what I understand.
Please feel free to use as you see appropriate.
May blessings abound,
kathy
Thinking
About Your Will
Note: This document does not provide legal advice.
Resources
used to provide this document were accessed on Monday April 6, 2020 and are as
follows:
Anyone
developing a will should always make sure that the resources being used are for
residents of Ontario (as these are).
Checklist
For Making A Will
Steps
To Help You Prepare
1.
Gather and review all the documents related to your estate.
2.
List key documents such as”
a.
Birth, death, marriage & divorce certificates;
b.
Deeds & mortgages;
c.
Bank account numbers;
d.
Investment portfolio account numbers;
e.
Insurance policy numbers;
f.
Funeral plans and burial lot information.
3.
List your advisors such as your banker, lawyer, accountant,
investment dealer, and insurance agent. Include their company names and
addresses
4.
Make sure you family and executor(s) know where this information
is located. Some of it may be needed right after your death. Don't keep it with
your will.
What
To Consider When Making Your Will
5.
Who will you select as executor and, if you wish, co-executor? (this is the person who will make sure that
what you put in your will is honoured.) Consider naming an alternate executor
in case the executor is not able to act. Speak to these people to be sure they
will agree to act.
6.
Do you want to leave bequests? Bequests are specific items of personal
property (such as a car, jewelry, china, silver, art, furs, etc.) or a sum of
money that you wish to leave to a specific person.
7.
To whom do you wish to leave the remainder of your estate? Spouse?
Children? Charities? Is it to go directly or through a trust? If it is being
left to children, are they to receive it immediately or at some future time?
Note:
If the children are minors, you might want to specify a certain age.
8.
How do you want your estate distributed (your estate is anything
that is left over after the specific bequests have been distributed.)
9.
If one of your children has died, do you want his or her children
to
receive
that share, or do you want it to go to your other children?
10.Who will you
name as a guardian for dependant children or disabled
adult
children? Make sure the guardian agrees to act!
11.If you are in
a second marriage and both of you have children from previous marriages you may
wish to consider the available options. For
example, the remainder of your estate can go to:
a.
your spouse absolutely;
b.
your children absolutely;
c.
your spouse for his or her use while alive, and then, after your spouse
dies, to your children;
d.
your children and the children of your spouse.
It is very
important that you and your spouse discuss the various
options and
agree upon your plans.
12.In the event
that a minor (child, grandchild, niece or nephew) inherits a share of your
estate, who do you want to receive their share?
13.If one of
your beneficiaries is dead, who do you want to receive their share?
Friday, April 3, 2020
Feast and Fast in the Time of an Epidemic
Feast and Fast in the Time of an Epidemic
Let us fast from hugging and handshaking
And let us feast on bowing and waving.
Let us fast from hoarding food and toilet paper
And let us feast on the food in the back of our pantries.
Let us fast from gathering physically
And let us feast on communing virtually.
Let us fast from obsessing about the future
And let us feast on the everyday wonders of the present.
Let us fast from casting blame for our troubles
And let us feast on showing compassion for the most vulnerable.
Let us fast on being scared
And let us feast on getting prepared.
Let us fast from fear
And let us feast on the perfect Love that casts it out.
MindfulChristianity
Jim Burklo
Let us fast from hugging and handshaking
And let us feast on bowing and waving.
Let us fast from hoarding food and toilet paper
And let us feast on the food in the back of our pantries.
Let us fast from gathering physically
And let us feast on communing virtually.
Let us fast from obsessing about the future
And let us feast on the everyday wonders of the present.
Let us fast from casting blame for our troubles
And let us feast on showing compassion for the most vulnerable.
Let us fast on being scared
And let us feast on getting prepared.
Let us fast from fear
And let us feast on the perfect Love that casts it out.
MindfulChristianity
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