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Chaplaincy in Palliative Care Settings

Next Reply: Re:Re: Assessment tools
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Post Re: Assessment tools
Author: kengokjohn
Date: Jun 18, 2008 3:22 am
When I read through the assessment tools for chaplain for palliative care, I saw that the assesment tools were nice and easy to use on a patient. My question is that if due to pains the patients is unable to response to this assessment tools. What are other resources that a palliative care chaplain can effectively use in order to give care and hope to such a patients?
Replies: order by [Date] [Author] [Subject]
Re:Re: Assessment tools (by SharolHerr on 06/18/2008)
Often spiritual care transcends the spoken word and is communicated via presence. Familiarizing yourself with the patients' beliefs and values and needs by interviewing the family or others near to the patient can be helpful. When looking at a patient's needs we must also start with the most basic needs to be able to move toward the emotional and spiritual needs. I would encourage you to work closely with the nurses and physicians to assure that they are aware of the physical needs so that an appropriate plan can be put in place. One of the key successes to palliative care is the collaboration of the different team members. Sharol Herr, RN, MSEd, CHPN; Palliative Nurse Clinician/Education Coordinator; Mt. Carmel Health Palliative Care Leadership Center; Columbus, Ohio.
Re:Re: Assessment tools (by ghandzo on 06/20/2008)
If I understand Ms. Herr correctly, I agree that working with the team is key. What does the family know about the patient's hopes and beliefs? The comment about working with the staff around pain is also germane. Where does the pain come from? We often assume that pain that is manifest through body movements, moaning, and grimacing, etc, is physical in origin. The pain could be emotional and/or spiritual that we should attend to. The again points up the importance of an interdisciplinary assessment of which chaplaincy is an integral part. The Rev. George Handzo, BCC Vice President Pastoral Care Leadership & Practice The HealthCare Chaplaincy New York, NY

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