Pastoral Relations with Medical Staff in the Hospital

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The price of the novitiate
The hospital: Place of tension and pastoral restrictions:
Elements intrinsic to the pastoral ministry
Elements intrinsic to the hospital
Approach, reasoning and objectives of the book
II. Pastoral Theology
Biblical images of collaborative pastoral care
III. Pastoral authority before medical personnel
The ethics of the relationships between the health care provider and the patient
The rights of the patient:
Your rights as a patient
Your responsibilities as a patient
Around confidentiality
The patient's right to consent to the disclosure of private information
Elements of consent to disclose private information
IV. The Pastoral Relationship with Nursing Staff
Typical organization of nurses in a hospital floor
Prior to the patient's visit
Areas of collaboration between the head nurse and the pastor
V. The Pastoral Relationship with Case Managers
Functions of case managers
Areas of collaboration between the case manager and the pastor:
Facilitating the relations of the family system to the possible areas of tension between the family and the patient
Exploring the adverse factors that affect family relationships with the patient:
Polarization of spouses and other members of the family
The total displacement and loss of focus of the auténtico problem
Collective denial
Facilitating the decision-making process in the family in the face of the challenge of providing patient care at home:
Pastoral evaluation of the family situation: The challenge and dilemma of providing care to the patient at home
SAW. The pastoral relationship with the doctor
Typical organization of doctors in a hospital floor
The doctor: Formative aspects that have influenced the personality and the working model of the doctor
The patient: The dilemma of patients who show some type of difficulty to the doctor:
The patient clinging
The demanding patient
The manipulative patient who refuses any kind of help
The self-destructive patient in denial
Areas of collaboration between doctors and pastors:
Pastoral mediation between the patient showing some type of difficulty and the doctor
Basic concepts of Carl Rogers' client-centered therapy:
The process of exploring the patient's feelings
Limits and limitations of client-centered therapy: The dilemma of people with active abuse of addictive substances
Providing the physician with substantial information about the emotional and spiritual state of the patient
Presenting to the doctor the fears and concerns of the patient and the family
Providing living space for the family
In preparation for making difficult decisions:
Exploring the patient's present health condition and medical options
Exploring the will of the patient and the family
Exploring the notion of the family about the will of God
VII. The pastoral relationship with the chaplain
Organization of the chaplains in a hospital flat:
A Center for Pastoral Clinical Education (ECP)
A pastoral care department
A chaplain working alone without the previous structures.
The conceptual dilemma between the pastoral ministry of the circunscrito church and the chaplaincy. Similarities and differences:
Focus on theological education
Functional freedom
Pastoral identity
Ministerial context
Type of pastoral relationships
Resources used to provide pastoral care
Pastoral theologies and pastoral care theologies:
Ministerial context and professional training: Influential factors in the formation of pastoral theology and the theology of pastoral care of chaplains:
The process of clinical pastoral education as such
The exhibition shows the interconfessional element
The exhibition continues to the experience of suffering:
Carroll Wise: The meaning of "Pastoral Care"
John Wesley: Quadrilateral method
Paul Tillich: Correlation analysis
Dilemmas posed by exlusivist theologies
Areas of ministerial collaboration between chaplains and pastors:
With the patient
With the relatives of the patient
With the person of the pastor
VIII. Exploring the spirituality of the patient
Differences between religion and spirituality
Use and purpose of spiritual counseling models
Diagnostic model of Paul Pruyser:
Guidelines for the pastoral diagnostic method
Holistic Model of George Fitchett:
Holistic dimension
Spiritual dimension
Alternative model of direct questions

Prior to the patient's visit
Once the pastor has received his pass or permission to visit a patient, it is advisable to go to the nurses' station. Each floor has its own station. It is precisely there where the cultivation of pastoral relationships with medical personnel will begin. The following recommendations will be helpful:
• Upon arrival at the nurses station you will notice that, just like in a battlefield, the nurses' station is the tactical operations center from where all the functions of the floor are controlled. Note also that all those who are there, are extremely busy discussing a case or performing other tasks inherent to their positions. Occasionally, it is likely that moments before one arrives at this station the medical personnel present have had to intervene in a situation of crisis and even death. When such situations occur on a floor, usually all staff are irritated, hyperactive and tense. This type of situation is less likely in a General Medical Care Unit than in an Intensive Care Unit, Coronary Unit, Critical Care Unit, and Surgery. In these units, crisis management is routine. The point I want to emphasize here is the need for pastors to be sensitive to the levels of tension that may be occurring on the floor and, therefore, in the nurses' station.
• Approach this station and wait quietly for your attention. Usually, the receptionist of the station will be the person who will attend it first, and then refer you to the EC. If the receptionist is not present at the moment, a nurse will be the person who will assist you. If the nurses are busy wait for them to address you. They already saw it. Now give them time to finish what they are doing and they can attend to it.
• If you have a card that identifies you as a pastor, use it.
• Indicate clearly and with kindness what comes and who comes to visit.
• If you want to talk to the EC about the patient, use a phrase such as: "After it is vacated, can I speak with the Head Nurse? I would like to ask you a question related to one of your patients. " Communicate these phrases in the form of a question and not a claim. Usually, if the CE is busy, the person treating you can direct you to the nurse who is assigned to care for the patient in question. This nurse can also offer you the information you need. In either case, have the questions you want to ask prepared in advance. Remember that this is a professional-technical staff, that's how they think and that's how they respond in militar.
• This is also the time to ask if there are health precautions to be observed. By asking this question, the nurses will realize that you are coming to the hospital demonstrating respect for the rules of the hospital, rules that others may have broken in the past. Usually, when the patient has a condition that requires isolation, the universal health precautions to be observed are placed on the door of the patient's room. In some cases these signs offer some indication of the patient's condition and the type of precautionary measure to be observed, such as wearing protective gloves or masks. Follow these instructions to the letter. These measures not only protect your health, but also that of the patient who may be endeble to the bacilo we carry.
• At the conclusion of your visit, try to locate the nurse you spoke with initially. Communicate briefly your perception of the patient. This action of the pastor will suggest that you have an open and collaborative work style, and that you understand the professional value of keeping the personnel involved with the patient informed.

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