“Filled with compassion, Jesus reached out his hand and touched the man"

MARK 1 : 4 1

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Opportunit ies and Chal lenges:

Spir i tual Care

Chap la i n K r i s t i e ZahnAugu s t 2 6, 2 0 1 6

The Emerging Interest in

Complementary Healing and

Spirituality

Complementary Healing

And Spiritual Care

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Vision

Begin to foster equal respect for newand emerging modalities in spiritual

care that can address andcompliment traditional medicine;

enable healing, inclusive of preventionand regard for the whole person.

Intention

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• Clarify dimensions of Complementary Care: Understand the role of Spiritual Care

• Examine the influence of governing bodies on theregulation and ethics of Complementary care

• Explore select modalities of Complementary carethat are successfully utilized within healthcaretoday

• Broaden your repertoire of spiritual careinterventions that resonates with your faith tradition& ministry

Defining Complementary AndAlternative Medicine

Complementary Medicine

Healing practices and products thatwork in conjunction with traditionalmedicine. For example, a cancerpatient receiving chemotherapy mayalso undergo acupuncture to helpmanage chemo side effects likenausea and vomiting.

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Not used as a complement to, but rather asa substitute for traditional therapy.

An example would be a cancer patientwho forgoes recommended chemotherapyand instead chooses to treat the diseasewith specific dietary changes.

Alternative Medicine

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Draws from both complementary medicine and alternative medicineand combines these with traditionalWestern therapies.

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Integrative Medicine

Curing : Restoration of health; an absence of symptoms; a remedy of disease. What physicians seek to offer you.

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Difference Between

Healing and Curing

Healing : Restoration of wholeness that is new, different, and better, that transcends the physical to includemental, emotional, and spiritual vitality and wellness. Comes from within; what “we” bring to the table. Living inrelationship to “what is”

Difference Between

Healing And Curing

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Healing Takes

Time:

Challenges you to be a partner; to look within andchange going forward.

Work:

Address the root causes.

Healing May Be The Cure:

Take your mind off fixing, and direct attention towards wholeness.

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1. Shifts focus from illness to Well Being, personalgrowth, transformation

2. Care for the whole person: Mind-Body-Spirit as three interacting elements that together resultin health

3. Help individuals craft healthy relationships with their physical bodies, mental outlook, and emotional well being

4. Treats nutrition as medicine5. Embraces the latest discoveries of

neuroscience and mind-related health6. Creates a partnership that joins the best of

Western medicine with ancient healing traditionsand complementary modalities

7. Values psychological and spiritual forces as foodfor the soul; feeling valued, having purpose, andfinding meaning

Complementary Care

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Shifts In Patient Care

• The National Center for Complementary and Alternative Medicine (NCCAM): information from more than 20,000 adults and nearly 10,000 children, found that about 40 percent of adults and 12 percent of children use some form ofcomplementary and alternative medicine.

• Women, people ages 40 to 60, and adults with higher levels of education and income tended to use complementary and alternative therapies more frequently.

• Estimated $ spent per year in the USA on Complementary Care: $39 BILLION

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“Daughter;

thy faith hath made thee whole; go inpeace.”

-Mark 5: 25-34

Faith

Complementary MEDICINE: WHAT ARE THE CATEGORIES?

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Mind-body medicine:

Mind-body medicine includestreatments that focus on how ourmental and emotional status interactsand affects the body's ability to function. Examples include Mindfulness, Meditation and various therapiesexpressed through art and music.

Whole Medical Systems:This category refers to complete systemsof medical theory and practice, many ofwhich go back thousands of years andhave roots in non-Western cultures. Examples include Traditional Chinese Medicine and Ayurveda, a therapy thatoriginated in India. Whole medicalsystems from the West includehomeopathy and naturopathy.

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Energy Medicine:

This form of alternative medicine uses energy fields to promote healing. Biofield therapies affect energy fieldsthat are said to encircle the humanbody — forms include Reiki/ Healing Touch and qi gong,Bioelectromagnetic-based therapies, such as magnet therapy, involve themanipulation of electromagnetic fields

Biologically Based Practices:

The focus is on herbs, nutrition, andvitamins, dietary supplements andherbal medicine to replace or compliment pharmacology.

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Ethical and Legal Issues of

Complementary Care

1. Is the physician neglecting conventional care or creating unduealliance on spiritual care and malpractice?

2. Are important boundaries being crossed? (i.e touch)

3. Evidence based practice?4. Advertising of services can be

misleading, fraudulent?5. Working within patients spiritual

framework vs coercing the patient?6. Explicit consent of patient receiving

treatment?

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Spirituality

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• Belief in something bigger than self.• Sense of interconnectedness to self, others, sacred.• Seek and express meaning/purpose.• Deepest values & meanings by which people live.• Inner peace; search for the sacred.

Religion is a cultural system of behaviors and practices, worldviews, sacred texts, holy places, ethics, and societalorganization that relate humanity to what an anthropologist hascalled "an order of existence".

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Religion

Spiritual, but Not Religious?

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Spirituality:Where do I personally find meaning, connection, value?

Religion:

What is true and right?

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SPIRITUALITY OVERLAP RELIGION

Where do I find meaning?

BeliefWhat practices, rites,rituals should I follow?

How do I feel connected?

ComfortWhat is right and wrong?

How should I live? Reflection, Ethics, AweWhat is true and false?

Either / Or vs. And / Both

Spirituality and Emotional Health

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Spirituality and emotions are distinct but linked, deeplyintegrated with each other.

Spirituality and Emotional Health

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Spirituality:

Seeking meaningful connection with something bigger than yourself, which can result in positive emotions, such as peace, awe, contentment, gratitudeand acceptance.

Emotional Health:

Cultivating a positive state of mind, which can broaden your outlook to recognize and incorporate a connection to something larger than yourself.

Complementary Healing

and Spirituality

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• Embraces a clinical partnership with health care providers who offer carein MIND, BODY, and SPIRIT in pursuit ofthe patients optimal health.

Complementary Healing

and Spirituality

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• Not dependent solely on the"expert”.

• Patients and Health Care providersembrace healing and wholeness withcuriosity, emotional support, collaboration, humor and the ability toarticulate options and alternativeswithout judgment.

• Multiple dimensions of what causes illnessand possible healing beyond "pills or theknife".

“He spat on the ground, and made clay of the spittle,

and he anointed the eyes of the blind man with clay.”

John 9 :6 -7

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Spiritual Care Opportunities

• Bridge the cultural, political, social and demographic divide by becoming moreintentional, inclusive, and aligned withhealing and wholeness.

• Explore processes for cultivatingresilience, for generating hope and courage, and for bringing healing tospiritual and emotional wounds.

• Profound respect for the "God" within• Deepened sense of compassion and forgiveness.

• Heightened spiritual consciousness.• Become a more integral member ofinterdisciplinary team to contribute to thehealing and wellbeing of patients/ residents.

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Challenges of Spiritual Care

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• Naming shifting realities in spiritual care and creating a commonlanguage

• “Soul" not as something to beredeemed, but as the essence of humanity

• The ability to measure, metric and value spiritual care contribution

• Reframe focus from illness towellness; from cure to healing.

• Broaden the services of spiritual care beyond patient visits

Catholic Position in Media

The truth, as taught by the Catholic Church:

"Our wisdom does not save us, but the humility to surrender to God's

grace as the source of salvation is essential for the Christian self-

transformation. We are not saved by our own merits or our wisdom,

but with God's assistance. In other words, self- transformation is

impossible, but transformation by God's grace is possible."

Online article: Catholic Culture.org

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Council of Bishop’s Report 2009

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The Bishops of the Catholic Church state inno unclear terms in their document on Reiki published in 2009:

“Without justification from faith or natural

science, a Catholic who puts his or her trust in

Reiki would be operating in the realm of

superstition, the no-mans-land that is neither

faith, nor science, [Therefore], it would be

inappropriate for Catholic institutions, such as

Catholic health care facilities and retreat

centers, or persons representing the church,

such as chaplains, to promote or provide

support for Reiki Therapy”

Consideration For Spiritual Care:

Modalities

• Mindfulness

• Meditation

• Aromatherapy

• Sound Therapy

• Healing Touch

• Other?

Consideration for Spiritual Care:

Implementation

• How to initiate?

• How to spiritually assess?

• Outpatient vs Inpatient?

• Staff vs Patients/Residents?

• How to explore modalities further?

• What is our intention in today’s discussion?

Key Messages

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1. An Inclusive Spiritual/Pastoral Ministry needs to recognize shifts in perceptions and expectations for spiritual comfort.

2. The presence of Complementary/Integrative/Alternative Healing isa growing trend in health care/hospice/long term care.

3. Spirituality is a prominent, pivotal component of manycomplementary healing modalities.

4. Evidence based research affirms the value of spiritual care as anintegrative, interdisciplinary contribution to wholeness and healing.

5. Chaplains are encouraged to be self- reflective and discerning with choices to explore and utilize complementary spiritual care for their personal ministry, aligned with their faith tradition.

6. Many involved forms of complementary spiritual care require study/ credentialing; chaplains need to be mindful to honorethical liabilities and organizational/institutional boundaries,

L u ke 1 7 : 2 1

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“For the Kingdom of God is within.”

Canticle of Brother Sun and Sister Moon of St. Francis Assisi

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Praised be You, my Lord,

with all your creatures especially Sir Brother Sun,

who is the day through whom You give us light,

and he is beautiful and radiant with great splendour,

of You Most High, he bears the likeness.

Praised be You, my Lord,

through Sister Moon and the stars,

in the heavens you have made them

bright, precious and fair.

Praised be You, my Lord,

through Brothers Wind and Air,

and fair and stormy, all weather's moods,

by which You cherish all that You have made.

Praised be You, my Lord, through Sister Water,

so useful, humble, precious, and pure.

Praised be You, my Lord, through Brother Fire,

through whom You light the night

and he is beautiful and playful

and robust and strong.

Praised be You, my Lord, through our Sister Mother Earth,

who sustains and governs us,

producing varied fruits

with coloured flowers and herbs.

Praise be You, my Lord,

through those who grant pardon for love of You

and bear sickness and trial.

Blessed are those who endure in peace,

by You, Most High, they will be crowned

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QUESTIONS, COMMENTS, BEST PRACTICES

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