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SPIRITU ALITY




                                                          The Evolving Role of


                                                     Chaplains in Health Care





                                                  he role of the chaplain has evolved  and Protestant traditions who are able to
                                                  significantly from historical models.  screen patients for possible faith specific
                                             TToday’s chaplain often is armed with  needs that may arise upon their request.
                                             graduate degrees, units of Clinical Pastoral  Given that we are entering into the holiday
                                             Education and perhaps even national cer-  season, a chaplain often plays an impor-
                                             tifications and related advanced degrees.  tant role in helping patients to find com-
                                             Chaplains may even be integrated into  fort and solace in their spiritual and reli-
                                             hospital interdisciplinary clinical treat-  gious traditions.                   BY CHAPLAIN YOSEF
                                             ment teams. Such is the case for chaplains  Chaplains at the VA Medical Center are   GRODSKY
                                             working at the West Palm Beach Medical  available twenty-four hours a day, 365
                                             Center. Chaplains may also be involved in  days per year to handle any emergency.  mention a few.
                                             committees that relate to our core compe-  Chaplains are available for both inpatients  Our goal is that patients have the oppor-
                                             tencies and activities. Examples include  and outpatients for religious, spiritual or  tunity to practice his or her faith to the
                                             serving on committees such as palliative  moral concerns. Spiritual care and min-  greatest extent possible, including wor-
                                             care, bioethics and patient relations.  istry are provided to immediate family  ship services, ceremonies and observanc-
                                               This model shifts the emphasis to  members as well. We work with people of  es, as well as dietary needs and religious
                                             some degree from simply serving in a  all faiths and those who do not align them-  literature. Other goals include protecting
                                             sacramental role to that of clinical chap-  selves with any faith group. Each chaplain  patients against unwanted religious solici-
                                             laincy. Clinical chaplains may also be  is sensitive to the religious needs of a  tations and safeguarding privacy rights.
                                             involved in pastoral counseling depend-  broad spectrum of religious denomina-  The greatest asset that a chaplain pos-
                                             ing on their skills and background thus  tions and faiths.               sesses is his or her ability to comfort a
                                             contributing further to the well being of  All VA Medical Centers are guided by  patient in times of extreme difficulty and
                                             patients from the standpoint of a holistic  the leadership of the National Chaplain  stress. This is especially true during the
                                             framework. This is certainly true in the  Center in order to achieve excellence in  holiday season when so many patients feel
                                             area of recovery from chemical and alco-  meeting the spiritual needs of veterans  a sense of loneliness or even despair.
                                             hol dependency.                      receiving health care. Their mission
                                               At the West Palm Beach VA Medical  includes field services, educational pro-  Chaplain Grodsky, West Palm Beach VA
                                             Center, we are blessed to have a skilled  gramming, spiritual care, accreditation  Medical Center, can be reached at
                                             group of chaplains of the Catholic, Jewish  standards, and employment services to               561-422-6872.



                                                                                  Cover Story: Holidays Present


                                                                                  Challenges, Rewards for


                                                                                  Hospice Chaplains



                                                                                  Continued from page 1                 The rabbi has noticed that, in addition
                                                                                    In another case, a rapidly declining  to his VITAS patients, the facility staff
                                                                                  patient was waiting for her first grand-  members and other residents tend to
                                                                                  child to arrive from the West Coast for  gather around. Patients sitting in wheel-
                                                                                  the holidays. The baby’s family was  chairs with their eyes closed often come
                                                                                  delayed several hours, but the patient  alive, their eyes growing bright with the
                                                                                  kept saying, “I hear the baby crying.” Her  awareness of a sacred occasion.
                                                                                  anxious family explained that the baby  Another VITAS chaplain, who is from
                                                                                  hadn’t arrived yet, but the patient repeat-  the Philippines, tells me that, when he
                                                                                  edly insisted that she could “hear the  talks about the holidays with his patients
                                                                                  baby.”                              and families, he remembers food. In his
                                                                                    The VITAS chaplain intervened, reas-  culture, the favorite foods of deceased
                                                                                  suring the patient that her grandchild  family members are cooked in their
                                                                                  was coming. The chaplain taught the  honor during the holidays and on special
                                                                                  family to offer comfort rather than cor-  occasions. A plate is prepared for them in
                                                                                  rection. By the time the grandchild  their memory. This is a way for the living
                                                                                  arrived, the grandmother had slipped  to reconnect with the departed.
                                                                                  into unconsciousness. Nonetheless, the
                                                                                  baby was placed in her arms, and pic-  Create Rituals
                                                                                  tures of their faces side-by-side remind  Not every custom is for everyone.
                                                                                  the family of the generations of love  Each patient and family member must
                                                                                  shared.                             create ways to make the holidays mean-
                                                                                                                      ingful. That’s where hospice chaplains
                                                                                  Honor the season’s tastes and       come in; by listening and observing, they
                                                                                  sounds                              help patients and families identify the
                                                                                    A VITAS chaplain and rabbi brings his  best ways to celebrate the holidays—
                                                                                  wife with him during the High Holy Days  even as they face death and loss.
                                                                                  to visit his patients who live in nursing  Martha Rutland, D Min, BCC, ACPE,
                                                                                  homes. His wife blows the shofar, a tradi-  Director of Clinical Pastoral Education at
                                                                                  tional Jewish horn, and they both sing  VITAS Innovative Hospice Care®, can be
                                                                                  songs and share rituals of remembrance.         reached at (305) 350-5946.


         10            December 2007                                      hospitalnews.org                                      South Florida Hospital News
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