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Spiritual care; chaplain; hospice; pastoral care

Hillel Bodek
In 1948, Dame Cicely Saunders, the founder of the modem hospice movement, established a core principle of palliative care, Total Pain, which is defined as physical, spiritual, psychological, and social suffering. In 2009, a consensus panel (Puchalski, Ferrell, Virani, Otis-Green, Baird, Bull, et al., 2009) was convened to address the important issue of integrating spirituality in palliative care, which led to renewed efforts to focus on spiritual care as a critical component of quality palliative care. This project is a combination of advocacy for the importance of spiritual care, training chaplains, seminarians, community clergy, and healthcare professionals in palliative care, and creating a spiritual care curriculum which can be self-taught or taught to members of transdisciplinary teams...
2013: Omega
Emily M Cramer, Kelly E Tenzek
Hospitals and hospice organizations who are hiring chaplains to provide spiritual care for terminally ill patients post online job advertisements with specific qualifications and communication skills that applicants should possess. An examination of job advertisements can uncover trends in credentials and responsibilities expected of hospice chaplains. Results of a framework analysis of 71 hospice chaplain job advertisements indicated that 44% of chaplain job advertisements did not require chaplain applicants to have completed clinical pastoral education (CPE) and 41% did not required ordination and/or endorsement from a recognized denomination...
2012: Journal of Health Care Chaplaincy
Philip Browning Helsel
The article explores the disenfranchised grief of the chaplain from the perspective of the author's own experience in hospice chaplaincy. Borrowing from the works of Kenneth J. Doka on disenfranchised grief, Robert C. Dykstra on crisis ministry, and James Dittes on grief work in ministry, this article focuses on the grief work of chaplains. In doing so, it analyzes the theological perspective of remembrance, explaining how personal remembrances connect the chaplain with his or her own repressed grief in a way that communal events can not accomplish because of the chaplain's responsibility for the grief of the community in these settings...
2008: Journal of Pastoral Care & Counseling: JPCC
Martha R Jacobs
No abstract text is available yet for this article.
November 2008: Hastings Center Report
W George Kernohan, Mary Waldron, Caroline McAfee, Barbara Cochrane, Felicity Hasson
Palliative care encompasses spiritual as well as physical, social and psychological aspects. Spiritual care has been identified as a key concern of dying patients. During an audit of the Northern Ireland Hospice chaplaincy service against the national Standards for Hospice and Palliative Care Chaplaincy (2003), 62 patients' spiritual needs along with their interactions with the hospice chaplains were assessed by using a questionnaire survey and reviewing data recorded on their pastoral care notes. Findings suggest that the Standards were useful for assessing and addressing spiritual needs...
September 2007: Palliative Medicine
Mari Lloyd Williams, Mark Cobb, Chris Shiels, Fiona Taylor
Although comparatively few people have regular contact with a church or spiritual leader, during times of terminal illness or bereavement, clergy are expected to be available and able to provide support. This study was carried out to determine the perceptions of clergy on the training they had received in supporting the dying patient and the bereaved. A sample of clergy working in the diocese of Sheffield was sent a questionnaire to assess what skills and knowledge clergy believed they had in this area, together with areas where they would wish for further training...
July 2006: Journal of Pain and Symptom Management
Daniel B Hinshaw
The key points of this article are: Spirituality gives meaning and purpose to life. Spiritual issues that may lie dormant for many years often surface at the end of life. Not all people are religious, but all are spiritual. Suffering affects the whole person and often is connected to the meaning that a patient associates with a symptom or symptoms. Spiritual history validates the importance of a patient's spirituality and gives permission to the patient for future discussion/questions. Spiritual care is the job of all members of the interdisciplinary team(including surgeons), not just chaplains...
April 2005: Surgical Clinics of North America
Kevin J Flannelly, Andrew J Weaver, Walter J Smith, Julia E Oppenheimer
A systematic review of all articles appearing between 1990 and 1999 in the American Journal of Hospice and Palliative Care, the Hospice Journal, and the Journal of Palliative Care was conducted. Articles citing at least one reference were categorized as scholarly, included in the study, and divided into either research or nonresearch categories. Scholarly articles were classified as research if they contained clearly defined methods and results sections, even if these headings were not used. Research and nonresearch articles were subdivided into qualitative and quantitative research and general reviews or program descriptions, respectively...
July 2003: American Journal of Hospice & Palliative Care
E Chandler
At the present time, there is a widening search for spirituality as distinct from organized religion, particularly as it relates to well-being, wholeness, and healing. In both professional and lay contexts, spirituality has come to the forefront of public consciousness. The place of spirituality within the hospice movement is not unaffected by this shift in popular priorities. Once the prerogative of chaplains and clergy, the nurturing of spiritual journeys is now becoming a common concern. Experiencing sensory spirituality can provide both caregivers and those for whom they care a blessed respite for bodies, minds, and spirits...
1999: Hospice Journal
S Burns
Attention to the spiritual dimension of a person is essential in a holistic approach to hospice care. Although other hospice team members may be involved in matters of faith with patients, chaplains are the primary professionals concerned with the transcendent nature of life and the integrative role that spirituality plays in care for the dying. Understanding spirituality in a person's living and dying requires an understanding of religion and theology. Religion is meant to connect us to a caring community and to give us a place on which to stand--a tradition...
September 1991: Health Progress
M D Harris, L R Satterly
Hospice care is dedicated to the alleviation of pain. It is imperative for the interdisciplinary team to determine the presence of spiritual and/or religious pain in order to create a plan of care that will provide the necessary resources to meet patients' needs. Spiritual and/or religious wholeness or pain is a highly personal concept and concrete measurements are almost impossible to determine with consistent accuracy. However, it is important to include these assessments as part of the total patient assessment (Abington Memorial Hospital Home Care Hospice Manuual, 1998)...
September 1998: Home Healthcare Nurse
J Hatgidakis, E R Timko, G A Plotnikoff, C Gale
What are "spiritual matters?" Are "spiritual matters" the same as "religious matters?" What is spiritual inquiry? Are such questions appropriate for those of us in the caring professions, other than clergy, to consider? If we accept that role, how far should we go? When should we call for help? Whom should we call? We convened a gathering of a hospital chaplain, a social worker, a hospice nurse and a physician to discuss many of the dimensions of spirituality and then to apply their personal and professional paradigms of care to a discussion of an actual case...
1997: Creative Nursing
S E Hall
Spirituality is a critical component of the holistic mind-body-spirit model embraced by Hospice. Hospice chaplains, as part of the caregiving team, must understand their abilities and limitations in providing spiritual guidance to others who may differ in religious and spiritual beliefs.
September 1997: American Journal of Hospice & Palliative Care
T Walter
The development of holistic, multidisciplinary care of the terminally ill has prompted discussion of what spiritual care might mean, but how can this be done in what is largely a secular context? This paper analyses the three options. (1) The idea of the hospice as a religious community enables total care to be given, but conflict can develop as such institutions expand and take on less devout staff. (2) An organizationally less problematic approach, fitting a widespread understanding of religion, is that only some people are religious and they may be referred by staff to the chaplain--but this undermines the goal of holistic care...
January 1997: Palliative Medicine
T Perrino
The article describes the creation of a Chaplain Associates Network of clergy volunteers over a period of two and a half years. It reports on how more than 50 clergy were located, contacted, recruited and trained (including four Chaplain Interns from local seminaries.) It also describes the ongoing educational programs conducted to maintain the skills and commitment of the large diverse clergy network. Finally, it reports on a recent survey conducted to ascertain the quality of the spiritual care being provided by the volunteer Chaplains...
1996: Hospice Journal
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