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Spiritual Care. Harvey A. Elder, M. D. Spiritual:. Searching the sacred for meaning and purpose Who am I? Where did I come from? Where am I going? What is there after death? Relating to the Sacred, Ultimate, to God Faith is the name of the relationship.

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spiritual care

Spiritual Care

Harvey A. Elder, M. D.

spiritual
Spiritual:
  • Searching the sacred for meaning and purpose
    • Who am I?
    • Where did I come from?
    • Where am I going?
    • What is there after death?
  • Relating to the Sacred, Ultimate, to God
    • Faith is the name of the relationship

Medical Strategic Network

spiritual care3
A Christian view of spiritual brokenness and illness

Critical principles

What about the non-Christian patient?

Problems

Outcome

Spiritual Care

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created
Created
  • Hard-wired
    • Relationships:
    • Love, acceptance, worth
  • Human spirit harmonious with the Holy Spirit
    • Emotion Peace

Multifaceted, integrated harmonious unity

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god gifted humans
God Gifted Humans

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dys trust
Dys-trust
  • On their own, without
    • Meaning, purpose
    • Worth, acceptance, love
  • Naked:
    • Physically
    • Emotionally ashamed
    • Socially blaming
    • Mentally ignorant
    • Spiritually hiding
  • Dominant emotion Fear
  • Our patient’s condition

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the new reality
The New Reality
  • Separated from God
  • Trusting self
    • Pseudo-gods
    • Unable to provide love, acceptance or self-worth
    • Seeking these by achievement
  • Failing despair

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they need healing
They Need Healing
  • Physical: anatomic and physiologic restoration
  • Mental: understand disease prevention
  • Emotional: own their role
    • Forgiveness: confession, repentance, amends
  • Faith: restoration of relationship with God
  • Internalizing God’s
    • Unconditional love and acceptance
    • His gift of self-worth
    • Forgiveness, restoration to relationship with Him

Medical Strategic Network

spiritual care9
A Christian view of spiritual brokenness and illness

Critical principles

What about the non-Christian patient?

Problems

Outcome

Spiritual Care?

Medical Strategic Network

critical principles
Critical Principles
  • Heart: in prayer and guided by the Holy Spirit
    • Christian spiritual care can only be given by a growing, Spirit filled Christian practitioner
    • Ask the Holy Spirit for passion--love and caring for your patients/clients
    • Heart: weeps with their suffering, free of Judgment
  • Hear: listen and hear what the patient and the Holy Spirit are telling you
  • Heavenward: allow the light to shine through

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meet mary
Meet Mary
  • Mary comes to clinic with her 6 wk. old baby. At her first prenatal visit she learned she was HIV infected.
    • While separated from her husband, she had a “fling”
  • What is your first response?
    • How might you pray?
    • How does God see Mary?
    • What does God want you to see?
    • What does your heart say?
  • What heart work do you need done?

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slide12
Hear
  • Listen to what the patient and the Holy Spirit are telling you
    • Separated from God, living as a pseudo-god
    • Without self-worth, love or acceptance
  • Hear her/his anguished cry lament
    • Stressed, unable to cope, anxious fearful

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ask some questions
Ask Some Questions

Depend on the Holy Spirit to guide you

  • What problems do you face?
  • How have you coped with all of this?
  • What’s your source of strength?
  • How does this affect the way you see yourself?
  • “If I had HIV, I would be scared. What about you?”
  • Where has God been in all of this?

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as you listen
As You Listen
  • Not a questionnaire, listening for the lament
    • May only have a clue or two (Note for next visit)
    • Listen, as with clinical history, to identify attempts to cope, the brokenness and suffering
  • Synthesize and test your spiritual hypothesis
    • Mary, do you have a religious heritage?
    • How do you see yourself? Are you a self critic?
    • How does God see you?
  • What does Mary need to know and experience?
    • How will you get there?

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heavenward
Heavenward
  • Allow the light to shine through
    • “Make them hungry for what you have”
    • “One beggar telling another where the bread is”
  • Help them find:
    • Self-worth She is a child of the King (Rom. 8:15-16)
    • Loved and accepted (John 3:16, Rom. 6:8-11)
    • Forgiveness (1 John 1:9)
  • God selects your patients,
    • “Been there, done that”
    • Share what He has done for you

Medical Strategic Network

spiritual care16
A Christian view of spiritual brokenness and illness

Critical principles

What about the non-Christian patient?

Problems

Outcome

Spiritual Care?

Medical Strategic Network

what about non christian
What about: non-Christian?
  • Same process as the Christian patient
    • Heart: be guided by the Holy Spirit
    • Hear: Listen to their anguish
      • Use the suggested questions
        • When they tell you how they cope,
        • “How well is it working for your?”
      • Hear the story, listen for justice, compassion, caring evidences of the Holy Spirit at work
        • Strength your relationship by listening!
        • Be free to say, “God is working in your life”

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heavenward18
Heavenward
  • They are looking for:
    • Unconditional love, complete forgiveness, acceptance, self-worth, changed behavior
    • These are critical for their healing
  • They can’t achieve these on their own!
    • Share what God has done for you using the language of the patient’s culture, not christian-ese!
    • You are not trying to win an argument
    • Conviction is the work of the Holy Spirit
  • Ask, “Would it be helpful to you if I pray for you before I leave”?

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spiritual care19
A Christian view of spiritual brokenness and illness

Critical principles

What about the non-Christian patient?

Problems

Outcome

Spiritual Care?

Medical Strategic Network

problems
Problems
  • Time
  • Fear: issues will come up you can’t handle God can!
  • Ethics: mandated by JCAHO
    • Not doctrine, trying to convert or proseltize
  • Prayer at the end
  • Follow-up

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spiritual care21
A Christian view of spiritual brokenness and illness

Critical principles

What about the non-Christian patient?

Problems

Outcome

Spiritual Care?

Medical Strategic Network

outcome
Outcome
  • Effective spiritual care enhances clinical outcome
    • Heal faster
    • Removes many therapeutic problems
    • Identifies etiologic issues
  • Patient’s response:
    • Drawn to clinician
    • Better compliance
    • Visits go smother; patients share their concerns knowing you are interested.

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