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Chaplaincy and Pastoral Care

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Basim Beiruti M.D.

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Page 1: Chaplaincy and Pastoral Care

With respect to personal financial relationships contracted research includes research funding where the institution gets the grant and manages the funds

and the person is the principal or named investigator on the grant

Conflict of Interest Circumstances create a conflict of interest when an individual has an opportunity to affect

CME content about products or services of a commercial interest with which heshe has a financial relationship

The ACCME considers financial relationships to create actual conflicts of interest in CME when individuals have both a financial relationship with a commercial interest and the opportunity to affect the content of CME about

the products or services of that commercial interest The ACCME considers ldquocontent of CME about the

products or services of that commercial interestrdquo to include content about specific agentsdevices but not necessarily about the class of agentsdevices and not

necessarily content about the whole disease class in which those agentsdevices are used

With respect to financial relationships with commercial interests when a person divests themselves

of a relationship it is immediately not relevant to conflicts of interest but it must be disclosed to the

learners for 12 monthsThe provider collects disclosure information from all Individuals in control of content Those who refuse to

disclose this information are disqualified from participating For any

person who reports a relevant financial relationship the

provider uses a peer review process to resolve the potential conflict of interest For presentations that have the greatest

potential for bias the provider asks an independent third party

reviewer to conduct a second peer review as an additional

mechanism to resolve conflicts of interest (SCS 21 SCS 22 SCS 23)

disclose relevant financial relationships to me and to the learners who participate in my activities

In compliance with the guidelines established by

ACCME

I have NO actual or potential conflict of interest in relation

I have no relevant financial interest

to this program or presentation

Q1 Are we a comprehensive cancer center providing a holistic patient carersaquo A1 Yes and we should be so

Q2 Do we have all the requirements to be a comprehensive center with holistic care rsaquo A2 No but we should have them all

Q3 Chaplaincy Service is the standard of care are we there rsaquo A3 No but we should reach there

Q4 Why do we need chaplaincy service in our department and for our patients

A4 Because we do not have this service in our department for our patients and their families who are in bad need for this vital service

Q5 What do we need to establish this service in our department for our loved patients

A5 Departmental Meeting Decision and Follow up amp This what we are doing today

Examples of bad examples Angry Families beating our staff Examples of good examples Begging families asking for religious

support from our staff

In Canada In USA In Riyadh In Jeddah

Advantages of Having Chaplaincy Services

Patientsrsquo Right Time Saving Life Saving Rewarding Holistic Care

Disadvantages of not having Chaplaincy Service

Violation of patientsrsquo right Time Consuming More family complaints Patient dissatisfaction It is a shame in the leader

of Islamic countries not to have such service for such vulnerable group who are in bad need for this service

Our Palliative Care Service is a Single Man and a Single Women Show and they are really doing a great job

BUT Palliative Care as we all know is a

multidisciplinary Team composed of many services including nursing pharmacy nutrition chaplaincy etc

I am here requesting more support and staffing for our Palliative care department

Palliative care does not mean morphine

Spiritual care professionals are healthcare providers who help people

to (re)discover meaning and significance in times of illness crisis and loss through mindful and heart-felt listening

by assisting to identify and access inner resources for coping

by providing end-of-life and bereavement support by providing guidance and support through challenging

ethical and moral decision-making processes by facilitating connections between patients families or

staff and spiritual leaders from diverse religious communities

through mediation support in situations of conflict by leading and facilitating ceremonies rites of passage

religious rituals meditation and prayer

On-call Chaplain The on-call chaplain is available 24 hours a day by request

through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain

Religious Support We help you to access religious support from diverse faith

communities Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman

Catholic patients and upon request to patients of other Christian traditions

Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays upon request

Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 2: Chaplaincy and Pastoral Care

Q1 Are we a comprehensive cancer center providing a holistic patient carersaquo A1 Yes and we should be so

Q2 Do we have all the requirements to be a comprehensive center with holistic care rsaquo A2 No but we should have them all

Q3 Chaplaincy Service is the standard of care are we there rsaquo A3 No but we should reach there

Q4 Why do we need chaplaincy service in our department and for our patients

A4 Because we do not have this service in our department for our patients and their families who are in bad need for this vital service

Q5 What do we need to establish this service in our department for our loved patients

A5 Departmental Meeting Decision and Follow up amp This what we are doing today

Examples of bad examples Angry Families beating our staff Examples of good examples Begging families asking for religious

support from our staff

In Canada In USA In Riyadh In Jeddah

Advantages of Having Chaplaincy Services

Patientsrsquo Right Time Saving Life Saving Rewarding Holistic Care

Disadvantages of not having Chaplaincy Service

Violation of patientsrsquo right Time Consuming More family complaints Patient dissatisfaction It is a shame in the leader

of Islamic countries not to have such service for such vulnerable group who are in bad need for this service

Our Palliative Care Service is a Single Man and a Single Women Show and they are really doing a great job

BUT Palliative Care as we all know is a

multidisciplinary Team composed of many services including nursing pharmacy nutrition chaplaincy etc

I am here requesting more support and staffing for our Palliative care department

Palliative care does not mean morphine

Spiritual care professionals are healthcare providers who help people

to (re)discover meaning and significance in times of illness crisis and loss through mindful and heart-felt listening

by assisting to identify and access inner resources for coping

by providing end-of-life and bereavement support by providing guidance and support through challenging

ethical and moral decision-making processes by facilitating connections between patients families or

staff and spiritual leaders from diverse religious communities

through mediation support in situations of conflict by leading and facilitating ceremonies rites of passage

religious rituals meditation and prayer

On-call Chaplain The on-call chaplain is available 24 hours a day by request

through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain

Religious Support We help you to access religious support from diverse faith

communities Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman

Catholic patients and upon request to patients of other Christian traditions

Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays upon request

Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 3: Chaplaincy and Pastoral Care

Q4 Why do we need chaplaincy service in our department and for our patients

A4 Because we do not have this service in our department for our patients and their families who are in bad need for this vital service

Q5 What do we need to establish this service in our department for our loved patients

A5 Departmental Meeting Decision and Follow up amp This what we are doing today

Examples of bad examples Angry Families beating our staff Examples of good examples Begging families asking for religious

support from our staff

In Canada In USA In Riyadh In Jeddah

Advantages of Having Chaplaincy Services

Patientsrsquo Right Time Saving Life Saving Rewarding Holistic Care

Disadvantages of not having Chaplaincy Service

Violation of patientsrsquo right Time Consuming More family complaints Patient dissatisfaction It is a shame in the leader

of Islamic countries not to have such service for such vulnerable group who are in bad need for this service

Our Palliative Care Service is a Single Man and a Single Women Show and they are really doing a great job

BUT Palliative Care as we all know is a

multidisciplinary Team composed of many services including nursing pharmacy nutrition chaplaincy etc

I am here requesting more support and staffing for our Palliative care department

Palliative care does not mean morphine

Spiritual care professionals are healthcare providers who help people

to (re)discover meaning and significance in times of illness crisis and loss through mindful and heart-felt listening

by assisting to identify and access inner resources for coping

by providing end-of-life and bereavement support by providing guidance and support through challenging

ethical and moral decision-making processes by facilitating connections between patients families or

staff and spiritual leaders from diverse religious communities

through mediation support in situations of conflict by leading and facilitating ceremonies rites of passage

religious rituals meditation and prayer

On-call Chaplain The on-call chaplain is available 24 hours a day by request

through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain

Religious Support We help you to access religious support from diverse faith

communities Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman

Catholic patients and upon request to patients of other Christian traditions

Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays upon request

Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 4: Chaplaincy and Pastoral Care

Examples of bad examples Angry Families beating our staff Examples of good examples Begging families asking for religious

support from our staff

In Canada In USA In Riyadh In Jeddah

Advantages of Having Chaplaincy Services

Patientsrsquo Right Time Saving Life Saving Rewarding Holistic Care

Disadvantages of not having Chaplaincy Service

Violation of patientsrsquo right Time Consuming More family complaints Patient dissatisfaction It is a shame in the leader

of Islamic countries not to have such service for such vulnerable group who are in bad need for this service

Our Palliative Care Service is a Single Man and a Single Women Show and they are really doing a great job

BUT Palliative Care as we all know is a

multidisciplinary Team composed of many services including nursing pharmacy nutrition chaplaincy etc

I am here requesting more support and staffing for our Palliative care department

Palliative care does not mean morphine

Spiritual care professionals are healthcare providers who help people

to (re)discover meaning and significance in times of illness crisis and loss through mindful and heart-felt listening

by assisting to identify and access inner resources for coping

by providing end-of-life and bereavement support by providing guidance and support through challenging

ethical and moral decision-making processes by facilitating connections between patients families or

staff and spiritual leaders from diverse religious communities

through mediation support in situations of conflict by leading and facilitating ceremonies rites of passage

religious rituals meditation and prayer

On-call Chaplain The on-call chaplain is available 24 hours a day by request

through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain

Religious Support We help you to access religious support from diverse faith

communities Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman

Catholic patients and upon request to patients of other Christian traditions

Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays upon request

Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 5: Chaplaincy and Pastoral Care

In Canada In USA In Riyadh In Jeddah

Advantages of Having Chaplaincy Services

Patientsrsquo Right Time Saving Life Saving Rewarding Holistic Care

Disadvantages of not having Chaplaincy Service

Violation of patientsrsquo right Time Consuming More family complaints Patient dissatisfaction It is a shame in the leader

of Islamic countries not to have such service for such vulnerable group who are in bad need for this service

Our Palliative Care Service is a Single Man and a Single Women Show and they are really doing a great job

BUT Palliative Care as we all know is a

multidisciplinary Team composed of many services including nursing pharmacy nutrition chaplaincy etc

I am here requesting more support and staffing for our Palliative care department

Palliative care does not mean morphine

Spiritual care professionals are healthcare providers who help people

to (re)discover meaning and significance in times of illness crisis and loss through mindful and heart-felt listening

by assisting to identify and access inner resources for coping

by providing end-of-life and bereavement support by providing guidance and support through challenging

ethical and moral decision-making processes by facilitating connections between patients families or

staff and spiritual leaders from diverse religious communities

through mediation support in situations of conflict by leading and facilitating ceremonies rites of passage

religious rituals meditation and prayer

On-call Chaplain The on-call chaplain is available 24 hours a day by request

through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain

Religious Support We help you to access religious support from diverse faith

communities Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman

Catholic patients and upon request to patients of other Christian traditions

Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays upon request

Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 6: Chaplaincy and Pastoral Care

Advantages of Having Chaplaincy Services

Patientsrsquo Right Time Saving Life Saving Rewarding Holistic Care

Disadvantages of not having Chaplaincy Service

Violation of patientsrsquo right Time Consuming More family complaints Patient dissatisfaction It is a shame in the leader

of Islamic countries not to have such service for such vulnerable group who are in bad need for this service

Our Palliative Care Service is a Single Man and a Single Women Show and they are really doing a great job

BUT Palliative Care as we all know is a

multidisciplinary Team composed of many services including nursing pharmacy nutrition chaplaincy etc

I am here requesting more support and staffing for our Palliative care department

Palliative care does not mean morphine

Spiritual care professionals are healthcare providers who help people

to (re)discover meaning and significance in times of illness crisis and loss through mindful and heart-felt listening

by assisting to identify and access inner resources for coping

by providing end-of-life and bereavement support by providing guidance and support through challenging

ethical and moral decision-making processes by facilitating connections between patients families or

staff and spiritual leaders from diverse religious communities

through mediation support in situations of conflict by leading and facilitating ceremonies rites of passage

religious rituals meditation and prayer

On-call Chaplain The on-call chaplain is available 24 hours a day by request

through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain

Religious Support We help you to access religious support from diverse faith

communities Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman

Catholic patients and upon request to patients of other Christian traditions

Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays upon request

Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 7: Chaplaincy and Pastoral Care

Our Palliative Care Service is a Single Man and a Single Women Show and they are really doing a great job

BUT Palliative Care as we all know is a

multidisciplinary Team composed of many services including nursing pharmacy nutrition chaplaincy etc

I am here requesting more support and staffing for our Palliative care department

Palliative care does not mean morphine

Spiritual care professionals are healthcare providers who help people

to (re)discover meaning and significance in times of illness crisis and loss through mindful and heart-felt listening

by assisting to identify and access inner resources for coping

by providing end-of-life and bereavement support by providing guidance and support through challenging

ethical and moral decision-making processes by facilitating connections between patients families or

staff and spiritual leaders from diverse religious communities

through mediation support in situations of conflict by leading and facilitating ceremonies rites of passage

religious rituals meditation and prayer

On-call Chaplain The on-call chaplain is available 24 hours a day by request

through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain

Religious Support We help you to access religious support from diverse faith

communities Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman

Catholic patients and upon request to patients of other Christian traditions

Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays upon request

Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 8: Chaplaincy and Pastoral Care

Spiritual care professionals are healthcare providers who help people

to (re)discover meaning and significance in times of illness crisis and loss through mindful and heart-felt listening

by assisting to identify and access inner resources for coping

by providing end-of-life and bereavement support by providing guidance and support through challenging

ethical and moral decision-making processes by facilitating connections between patients families or

staff and spiritual leaders from diverse religious communities

through mediation support in situations of conflict by leading and facilitating ceremonies rites of passage

religious rituals meditation and prayer

On-call Chaplain The on-call chaplain is available 24 hours a day by request

through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain

Religious Support We help you to access religious support from diverse faith

communities Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman

Catholic patients and upon request to patients of other Christian traditions

Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays upon request

Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 9: Chaplaincy and Pastoral Care

On-call Chaplain The on-call chaplain is available 24 hours a day by request

through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain

Religious Support We help you to access religious support from diverse faith

communities Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman

Catholic patients and upon request to patients of other Christian traditions

Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays upon request

Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 10: Chaplaincy and Pastoral Care

One to two thirds of patients in acute care want to receive spiritual care

Religion and spirituality are often cited as major sources of support and coping

Spiritual care can support increased health and shorten recovery periods

Patients reported their spiritual wellbeing is linked to their overall quality of life

Spiritual Care enhances patient connection with community support

Staff feel directly and indirectly supported by the presence of a chaplain on the unit thus reducing compassion fatigue

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 11: Chaplaincy and Pastoral Care

Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital

Location Chapel Main Floor Room 519Office Main Floor Room 517

Chaplains visit people from all faiths and offer a variety of spiritual services for patients family and friends

Conway Chapel the multi-faith chapel is open 24 hours for prayer and quiet meditation

Visitation chaplains are available weekdays from 830 am to 430 pm To contact the chaplain office please call 946-4501 ext 5652 A 24-hour on-call chaplain is available please call 416-946-2000 and have the chaplain paged

For more information on UHNs Chaplaincy department visit their Web site

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 12: Chaplaincy and Pastoral Care

Contact the Chaplain in the following situations Patient or family request religious presence pastoral or

sacramental Patient or family indicates strong religious affiliation with any faith

group Religious concerns or questions voiced by patient family or staff

whether or not any religious affiliation noted Crisis trauma diagnosis or illness where medical science is not

likely to provide cure or consolation Occasions where religious traditions or teachings would help staff

to understand and care for patient and family more compassionately

Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices

Ethical consultations with patients families and staff from a theological perspective

Wherever there is opportunity for incorporation of the spiritual into the healing process

In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 13: Chaplaincy and Pastoral Care

Chaplaincy amp Pastoral EducationMissionTo provide spiritual care to patients families and staff through assessment intervention education and researchVisionTo exemplify the highest standards of professional chaplaincy and pastoral education in health careFor many people cancer is more than just a disease - itrsquos a test of faith At MD Anderson we know that finding or reaffirming a belief in God or a Higher Power is part of the healing processMD Anderson chaplains are here to guide patients on their spiritual journey whatever path it may take Chaplains are available at any hour to patients and their family members with worship services bedside visits prayer requests and support groupsPediatric Chaplaincy Blessings for All Children

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 14: Chaplaincy and Pastoral Care

Spiritual Care Through all stages of cancer treatment

and survivorship our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 15: Chaplaincy and Pastoral Care

Oncology Chaplaincy At the Cancer Center we recognize that meeting our patientsrsquo spiritual

and religious needs is often an important part of caring for the whole person

The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families Ministry is available to people of all faiths as well as those of no religious affiliation Our oncology chaplain specializing in and familiar with the unique needs of those with cancer is available weekdays during daytime hours

Frequent situations to which chaplains are called include Patientsfamilies in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain support guide and help people in their search for

meaning in illness and for reconciliation in relationships Chaplains offer consultation and counsel regarding spiritual emotional and ethical matters They support by listening without judging sharing without preaching and offering the resources of tradition sacraments scripture ritual and personal presence Spiritual care of patientsfamilies is always done in collaboration with the multidisciplinary care team

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 16: Chaplaincy and Pastoral Care

Welcome to the Chaplaincy Services Department Website The Chaplaincy Services Department of the Brigham and Womens Hospital provides patients their friends and family as well as the BWH staff with emotional spiritual and religious support

Our staff consists of many interfaith chaplains ready to serve you as best they can

Please join us for our daily Interfaith Worship Service at 1200pm

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 17: Chaplaincy and Pastoral Care

Chaplaincy and Spiritual Support After receiving a diagnosis of cancer you may be faced with questions of

faith meaning purpose forgiveness or hope We recognize that pastoral and spiritual care is an integral part of the

healing process It provides an important source of comfort and strength to patients and families faced with serious illness andor difficult decisions

UCSD Health Systems Chaplain Service provides a variety of services Spiritual and emotional support is administered by an interfaith team of

clergy lay ministers and spiritual representatives Our goal is to provide compassionate caring and spiritual support to

patients family members and friends which respects their beliefs culture traditions and value systems

Pastoral and spiritual care services are available at no charge Request a visit You can request a Spiritual Care visit through your physician nurse social

worker or by contacting UCSDs Hospital Chaplain Office (619) 543-2103 You can also e-mail Chaplain Mark Reeves or request an inspirational

material books or recordings

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 18: Chaplaincy and Pastoral Care

J Relig Health 2012 Oct 11 [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly

Diagnosed Male Veterans Affairs Colorectal Cancer Patients Zullig LL Jackson GL Provenzale D Griffin JM Phelan S Nieuwsma JA van

Ryn M Source Health Services Research and Development (152) Center for Health

Services Research in Primary Care Durham Veterans Affairs Medical Center 508 Fulton St Durham NC 27705 USA leahzulligvagov

Abstract The aim of the study was to examine utilization of chaplain services

among Veterans Affairs patients with colorectal cancer (CRC) In 2009 the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 response rate) Multivariable logistic regression examined factors associated with chaplain utilization Of 918 male respondents 36 reported utilizing chaplains Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1017 95 CI = 0999-1035) younger age (age OR = 0979 95 CI = 0964-0996) and later cancer stage (early stage OR = 0743 95 CI = 0559-0985) Chaplain services are most utilized by younger sicker patients

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 19: Chaplaincy and Pastoral Care

copy 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured

Multidisciplinary Intervention A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology Health Sciences

Research Womens Cancer Program Chaplain Services Physical Medicine and Rehabilitation Mayo Clinic Cancer Center and Medical Social Services Mayo Clinic Rochester MN

Address reprint requests to Teresa A Rummans MD Department of Psychiatry and Psychology Mayo Clinic College of Medicine 200 First St SW Rochester MN 55905

Abstract Purpose The primary goal of this study was to evaluate the feasibility and

effectiveness of a structured multidisciplinary intervention targeted to maintain the overall quality of life (QOL) which is more comprehensive than psychosocial distress of patients undergoing radiation therapy for advanced-stage cancer

Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0 to 50 were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm The eight 90-minute sessions addressed the five domains of QOL including cognitive physical emotional spiritual and social functioning The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale) QOL was assessed at baseline week 4 (end of multidisciplinary intervention) week 8 and week 27

Results Of the 103 participants overall QOL at week 4 was maintained by the patients in the intervention (n = 49) whereas QOL at week 4 significantly decreased for patients in the control group (n = 54) This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = 009) Intervention participants maintained their QOL and controls gradually returned to baseline by the end of the 6-month follow-up period

Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy control participants experienced a significant decrease in their QOL Thus a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 20: Chaplaincy and Pastoral Care

Curr Opin Support Palliat Care 2012 Jun6(2)259-68 doi 101097SPC0b013e3283521ec9

The role of chaplains within oncology interdisciplinary teams Sinclair S Chochinov HM Source Alberta Health Services Tom Baker Cancer Centre University of Calgary

Calgary Alberta Canada Abstract PURPOSE OF REVIEW The role of chaplainsspiritual care professionals and the importance of

addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal This review focuses on four key areas basic concepts of spirituality within the healthcare domain the relevance of spirituality within cancer care the role of spiritual care within interdisciplinary cancer teams and the current status of spiritual care professionals in interdisciplinary cancer teams

RECENT FINDINGS Addressing cancer patients spiritual issues is recognized as a component of

comprehensive cancer care Spirituality has a positive effect on subjective and emotional aspects of cancer patients health including quality of life wellbeing and distress Failing to address cancer patients spiritual needs impacts patient wellbeing satisfaction with care perceived quality of care and is associated with higher healthcare costs Although a variety of disciplines address spiritual issues spiritual care professionals are recognized by patients clinicians researchers and within best practice guidelines of national health councils as specialists within this domain

SUMMARY Spiritual care professionals are increasingly recognized as integral members of

interdisciplinary oncology teams However the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking as spiritual care services continue to be treated as ancillary services within cancer care organizations

PMID 22453286 [PubMed - indexed for MEDLINE]

  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You
Page 21: Chaplaincy and Pastoral Care
  • PowerPoint Presentation
  • Slide 2
  • Disclosure Information
  • There is no conflict of interest
  • Slide 5
  • Chaplaincy Service is the Standard of Care Are We There
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Why It Matters
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Publications
  • Slide 25
  • Slide 26
  • Books Also helliphellip
  • Thank You