chaplaincy

David Mills: Death Dignified by Christ

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I’ve been trying to write a post about the “death with dignity” movement, but found it very difficult to write something that didn’t turn into a book.

While there has been a great deal of discussion about the rightness or wrongness of physician-assisted suicide and euthanasia, I’ve found less discussion about what “dignity” means in this context. I found this post by David Mills and wanted to share them in regards to what it might mean for a Christian to die with dignity. The biggest takeaway may be that while one side sees neediness, exposure and helplessness as antithetical to human dignity, Mills sees these at the very heart of Jesus’ own death. His attitude towards the indignities placed upon Him actually made His death more dignified. It’s a lesson we can take away as we seek to conform to Christ.

He was a dignified man suffering all the embarrassing ways cheerful young women the age of his granddaughter deal with the body’s failure as cancer begins shutting down the organs. Dying in a hospice, you lose all rights to modesty as you lose control of your body.
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A. James Rudin: Clergy education for end-of-life questions inadequate

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Rabbi A. James Rudin recently wrote about the growing need for clergy of all faiths to be prepared to help those dealing with tough choices related to end of life care. He asserts that often the questions being asked at the bedside of the dying are not as much related to deep metaphysical questions but are much more pragmatic and ethical:

Rather, [the] questions, usually asked in a hospital room, go like this. “My beloved family member is gravely ill. The doctors are recommending some extraordinary and complex medical treatments. I am confused and I am being asked to make a decision. As my spiritual leader, please tell me, what should I do?”

Unfortunately many clergy are not provided much opportunity for education in medical ethics and how it relates to their particular faith. Some denominations require some clinical pastoral education which, depending on the training center, would provide invaluable insights into the day-to-day decisions encountered in trauma units and hospices. But this represents only a very small group of those in ministry training, and an even smaller percentage of those currently in ministry. Other seminaries offer courses in medical ethics, but these are almost always elective. Because of these deficits, Rudin concludes:

Medical science and technology will move forward with or without the religious community. Major decisions about health care in the U.S., including the staggering question of withdrawing and withholding life support systems from desperately ill or comatose patients, will be made with or without the “benefit of clergy.”

If the best thinkers within our faith communities do not address these issues in a thoughtful and informed way, others will decide for us, and that would be an abdication of religious leadership. If that happens, rabbis, priests, pastors and imams will have no one to blame but themselves, and worst of all, desperately ill patients and their troubled families will be the losers.

What has been your experience as a minister or as a chaplain? Did you have adequate training to help others cope with complex end of life issues?

Kelsey Dallas: “What caretakers can do when their patient believes God has abandoned them”

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Deseret News National reported a study in which the health outcomes of those with positive beliefs about God were compared to those with more negative beliefs and found some striking differences. Reporter Kelsey Dallas wrote:

Researchers behind the study, published this past summer, concluded that caretakers should try to intervene to help patients gain a more positive spiritual outlook to guard them against harmful physical and mental health consequences. However, experts who have studied how people cope with negative spiritual beliefs said shifting someone’s spirituality is a difficult process, which can’t be undertaken lightly.

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Ten Signs a Chaplain is Becoming a Pastor

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Church growth consultant Thom Rainer recently wrote about the ten “warning signs” that a Pastor might be becoming a Chaplain. This drew a lot of attention among professional Chaplains as well as Pastors. Reading the post made me realize that it’s just as important to recognize the warning signs that your Chaplain might be heading down the slippery slope of becoming a – gulp – Pastor.

Here are ten (okay, seven) warning signs to look out for. Supervisors, take heed! (And please read on afterward – warning: sarcasm ahead) Continue reading →

Improving Clinical Documentation for Heathcare Chaplains

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Cedars-Sinai Medical Center head chaplain Rabbi Jason Weiner talks with patient Michele Rauch. Photo courtesy of Cedars-Sinai Medical Center

Documentation is often seen as the bane of Chaplains who work in clinical settings, especially hospitals and hospices. I know when I first started I had no idea what most of those medical signs and symbols meant. I still remember early on in my career putting my hand up to ask our reporting nurse what she meant when she said our patient had a “cabbage” (hint: it’s a CABG, or coronary artery bypass graft). While it can draw a chuckle at team it can also be very intimidating to wander from our world of Greek exegesis into a land of vague Latin contractions and abbreviations. Continue reading →

Chaplain Tom Becraft on Caregiver Burnout

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***Update*** Additional resources added below: 2/7/18

I recently read a fantastic article by Tom Becraft on managing the seemingly unmanageable barrage of stress and grief that can come in heathcare chaplaincy. He begins with the summary of the first hour of one day:

  • 6:30 a.m.   The morning shift is just starting. I have just entered the office and am taking off my coat. The desk phone rings. It is from the nighttime hospital supervisor regarding an unfolding situation in Room 1040. A 34 year-old mother of four small children has had a massive stroke apparently caused by a sudden dissecting carotid artery. Brain death is likely. Considerations: how to emotionally and spiritually support this large non-English speaking family; how to facilitate the organ donor requester process; how staff, some of whom are young mothers, might experience this death; how to prioritize. I clip my cell phone and pager to my belt and head out.

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The Chaplain and Mental Illness: When religion makes healing “sinful”

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The issue of how Christians deal with mental illness has been on my mind as of late. One reason is that I’ve been going through my own therapy for anxiety and depression, which rears its head from time to time in my life. Second is that I came across a LinkedIn discussion in a pastor’s network group that had some pretty ugly things to say about mental illness and psychotherapy.

Writer and musician Shaun Groves recently posted his own reflections on depression and faith on his blog, and while I can’t repost the whole article, I would certainly recommend it to you (here’s the link). He had written about his father-in-law’s death as a result of suicide and while many offered their sincere condolences some of the responses were a bit shocking. One wrote, “Did he not believe the words from scripture he read to his church?”. Another wrote, “The Bible tells us not to worry, not to fear, be afraid, etc. 366 times, one for every day of the year including leap year! What can stinkin thinkin do, but make a person sick?”. Continue reading →

Problems in Caregiving Relationships: Neglect of God

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We’ve seen how neglect can happen in caregiving relationships between the Chaplain and the person being cared for. For example the caregiver can neglect the other in the relationship by taking away their power and authority regarding healing, and the caregiver may neglect their own needs as well. These problems often show themselves in co-dependency, overcompensating and undercompensating, burnout and meaninglessness.

Now to the third member of the therapeutic relationship, God. It’s interesting to note that we tend to relate to God similarly to how we relate to others, yet God does not relate to us in the way others do. Perhaps this is why our relationship to God can be so puzzling and frustrating at times! Continue reading →

Problems in Caregiving Relationships: Neglect of the Other

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Last time I wrote about how caregivers, including Chaplains, can neglect themselves in caregiving relationships. This happens when Chaplains, clergy and others who are providing care to another don’t recognize or reject their own power and authority, and also when caregivers don’t recognize their own needs and therefore neglect themselves. Continue reading →

Problems in Caregiving Relationships: Neglect of the Caregiver or Chaplain

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***update 9/15/17: I received a link to an excellent, comprehensive article by Rachelle Slotman on identifying and coping with burnout. The link is here and I have also posted the full article here. Thanks to John Hawthorne for the link!***

 

I wrote previously about what I call the Therapeutic Triad, describing how any counseling or caregiving relationship includes three elements: myself, the other and God.

What I’ve experienced in my years of counseling and chaplaincy is that often the relationships between these three can be problematic and can malfunction. Where ideally the relationships between the three elements should flow freely in both directions, it seems that problems arise when these relationships only flow in one direction or when one of the three elements is neglected. This neglect can impact the counselor’s effectiveness and also create stress, tension and helplessness in both the counselor and the counselee. Continue reading →