Monday, December 11, 2006

The Discipline (my handout)

The “Discipline of Pastoral Care” Cycle

Needs, Hopes, Resourcesemphasizes that the patient is not just a need (or problem); the patient also has hopes and resources.

  • Examples: Feelings, vocation, family, purpose, faith, community, world view, religious history, journey, ultimate values, dreams.


  • Concept of Holy

  • Meaning (illness?)

  • Hope

  • Community

Contributing outcomes

  • Shared (with the patient)

  • Sensory-based –(eg maintained more eye contact, as opposed to patient was less withdrawn/sad)

  • Communicable – one sentence rule of thumb

  • How to know you’re done for now


  • Clear

  • Communicable

  • Responsibilities distinguished – who does what? the chaplain? the patient? another team member?

  • Mutual (consent?)

  • Integrated (with the medical care team)

Interventionscan range from questions to confrontation to prayer to silent hand holding to reading scripture to personal sharing and and everything in between. (p. 24)

  • Resources

  • Presence

  • Relational

  • Intentional

  • Non-judgmental

  • Faithful

Applying the discipline does not explicitly change [these behaviors], but it does raise our consciousness and intentionality. . . it blunts tendencies to “do what we always do” and keeps us focused. (p. 25)


  • Sensory-based (as it was with outcomes)

  • Indicies

  • Communicable

  • Reflected

Spiritual care providers are so accustomed to picking up on what’s going on right now and imagining what’s next [that we overlook] the distance we have come. . . This “overlooking leads to a lot of unnecessary anxiety [and] extra work. (p. 25)

If the chaplain is not organized enough [and] does not have the courage . . . to look back on goals set [then targeted interventions can’t be made]. (p. 27)

[W]e need to realize that even as we go about assessing, we are effectively giving pastoral care. (p. 27)

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