Chaplaincy Practice: Supporting an Elderly Patient

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Table of Contents

Introduction
Context and Background
Critical Commentary on The Case Study
Issues about Chaplaincy
Conclusion
References

Introduction

This assignment highlights the role and importance of supporting an elderly patient who was emotional, disappointed, and sad due to circumstances in her, although she was a Christian.

The assignment also examines how the patient’s spirituality was impacted by his health deterioration due to age. An emotional theme that came up during this visit was disappointment and sadness. It seemed her disappointment and sadness reported before the visit made the staff wonder if the chaplaincy team would support the patient.

This assignment is about critical commentary on the case study, drawing out key issues about chaplaincy and pastoral care. Furthermore, to discuss issues about the literature on chaplaincy and pastoral care to draw out what the issues contribute to approaches to models of chaplaincy/pastoral care, starting with an introduction in section 1, section 2 is the context and background, section 3 is the critical analysis on the case, and section 4 discusses issues about chaplaincy and section 4 concludes the assignment.

Context and Background

The chaplain’s primary responsibility is collaborating with others in the hospital community to provide comprehensive care. Through their caring presence, chaplains work to develop trusting relationships with a variety of people, providing them with assistance and support. Such assistance could, for instance, concentrate on the search for meaning and purpose during trying times or on the adjustment to the illness on an emotional or spiritual level (Nolan, 2018). Chaplaincy engagement is daily in crises, including support for grief and family/relationship concerns. Chaplains collaborate with other healthcare specialists to give patients and their families psycho-social-spiritual services. By regularly participating in and liaising with members of multidisciplinary teams, chaplains contribute to patients’ overall care and receive frequent patient referrals from medical staff.

Providing emotional comfort can make someone feel supported and less isolated. To provide supportive care, a visiting priest must listen without passing judgment and react empathically. This action may stifle the desire to step in and modify someone’s feelings. Emotional support enables people to control their emotions and experiences better while also realizing that they are not alone. It may have a significant effect on someone’s health and happiness. There are many different ways that emotional support can be provided, depending on the situation, the people involved, and societal or cultural norms. However, several characteristics of quality emotional support hold in all circumstances.

Everyone occasionally experiences disappointment for various reasons. They may still need to achieve the position they hoped for. The dissatisfactions people can face include discovering that their partner, child, or colleague did something they believed they would never do. Perhaps they received unexpected news from their doctor during their visit. Whatever the reason, what the individuals had anticipated did not happen, and they got disappointed. Even after people discuss their displeasure, study the Bible, and seek godly advice, things may not turn out as they had hoped or intended. Hence, they get left helpless, unsure of how to put things back together and proceed.

The Bible contains dissatisfied people, including Moses, David, Jacob, Gideon, the Disciples, Hannah, and others. When the disciples wrestled with uncertainty, when people rejected his message, and when he confronted the legalistic and harsh mindset of the religious leaders, to name a few, even Jesus felt disappointment on several dimensions during his life. The good news is that those Biblical figures rose above their disappointment and did marvellous activities for God. Life will inevitably bring people to regret, but they must be able to handle it so that emotions do not ride high and low with each unmet expectation. It is crucial to remember that God did not let anyone down; instead, people and situations in their life did. When horrible things happen, it is not the time to point the finger at God; it is the moment to seek him out.

Since everyone experiences disappointment, knowing how to handle it effectively is critical. Feeling sad, angry, or frustrated is normal after a significant event. Patients must allow themselves to experience sadness but rise from it, which could take some time because it is not often a natural or immediate reaction. However, the disappointed person must overcome their disappointments instead of avoiding them. They should face their challenge and let them go. Chaplains and patients pray about their issues and tell God honestly how they think and what they are going through. It is beautiful when people express their emotions and admit they are depressed and unhappy. However, as a long-term strategy, a disappointed person should refrain from wallowing in self-pity since there is no time limit on how long this should take. However, they can advance as soon as they adapt and think optimistically.

Critical Commentary on The Case Study

When most people think of the healthcare staff, only doctors and nurses emerge; nevertheless, the health services are more complex. It consists of those who physically look after the patients daily and those who operate behind the scenes. Chaplaincy is not a medical specialty that people might not be familiar with. To serve and care for the patient, the chaplaincy department, like all others in the patient-facing departments, needs a lot of heart, passion, and personal connection (Vandenhoeck et al., 2021). Time, expectations, emotional exhaustion, the fix-it syndrome, coping with toxic people, aging congregations, communication breakdown, Pastor-only pastoral care, and the unique circumstances of bi-vocational pastors are among the significant issues in the case study. These difficulties impact chaplaincy, spiritual and pastoral care; as a result, it is essential to avoid them by paying close attention, empathizing, understanding, maintaining confidentiality, and being available to those who need it.

Throughout the visit, disappointment and hopelessness kept coming up. The medical staff was concerned about the patient, thus why they contacted the chaplaincy team after knowing about her dissatisfaction and unhappiness. The staff learned that she was a Christian who loved hymns and the Bible and appeared to be by herself. Her condition deteriorated without evident cause other than a general decline that may be attributed to aging when she was admitted to the hospital and diagnosed with a decline in clinical status. The patient’s nurse suggested that a daily visit might benefit the patient if feasible.

After a lengthy session with another new patient, the nurse looking after the patient was mentally and physically exhausted. She had a quiet moment to think before walking into the room. She had just put the patient in bed since she claimed to be a little drowsy and wanted to rest on the bed. The room was dark, and the patient was in bed. Family photos, cards, and the TV were in the patient’s room. The nurse introduced the chaplain, and the patient seemed confused and did not know what was happening. It was often hard to understand her because she spoke slowly and did not wear dentures. Due to the patient’s advanced age, the clinician assumed she would not be as alert and focused. She was brilliant and perceptive, which seemed extraordinary since most patients with similar symptoms have at least some signs of dementia.

Readjusting expectations for what a person wants in life might begin with being truthful with themself and evaluating their disappointment. Patients may feel disappointed due to their fixation on what they believe reality should be. To desire certain things and do well in particular ways is normal and natural. However, problems come when people’s fulfillment and pleasure depend on a single thing, person, or circumstance, and disappointment happens when aspirations are, perhaps, unreasonably high. Therefore, managing expectations is vital to effectively handling disappointment (Gericke et al., 2021). Nurses demonstrate compassion by caring for patients and spending time with them (Baxendale et al., 2015). Nurses might be able to express their dissatisfaction, rage, anxiety, and depressing mood by writing down their ideas and feelings. By doing this, these healthcare staff can shift their attention away from their disappointment and recognize that things are not as awful as they imagined.

The specialization of the chaplain is to have a specific awareness of the relationship between illness, spirituality, and potential emotional and mental difficulties. The chaplain’s function is supportive, as a guide and counselor for the patient’s and staff’s psycho-spiritual needs. The primary duty of a chaplain is to support patients, their families, and staff. Being a chaplain means constantly dealing with distressing feelings of fear, grief, and rage. Multiple exposures to various emotional situations can lead to mental health problems for chaplains. Most chaplains have deep compassion and understanding for the people they serve. It is emotionally draining to keep carrying out other people’s suffering. The chaplaincy department’s burdens can make chaplains more prone to emotional disorders when combined with the added responsibility of managing their anxiety, grief, and sadness.

The issues of sorrow, loneliness, unmet dreams, and pessimism frequently appeared throughout the case study. At the beginning of the conversation, there were recurring themes of melancholy, loneliness, abandoned dreams, and pessimism. The victim avoided direct eye contact most of the chat, instead choosing to look down or out of the corner of her eye. The doctor had a feeling that her eyes might be the issue. Doctors understand that it has been difficult for victims to determine if their life has been meaningful and valuable or unsuccessful and disappointing. Her age was a milestone that needed to be acknowledged and could be reframed in a way that turned it from a “disappointment” to a source of fulfillment and purpose.

Most of the time during the conversation, the patient avoided eye contact by looking down or out of the corner, making the medical staff think the issue was with her eyes. Her body language and occasionally direct statements revealed more awareness during the talk, including paying close attention. The nurse understood that numerous people had difficulty deciding whether their lives had been fruitful and gratifying or pointless and disappointing. The patient needed to recognize her age as a turning point that could be restated to become a form of fulfillment and purpose rather than a “disappointment.” The medical staff felt a great connection with her and eventually realized that she was a remarkable individual who was incredibly lonely. After the visiting session, one nurse immediately reviewed the clinical notes at the nurse’s station and saw that other healthcare staff had mentioned the loneliness they had noticed.

The doctors offered the patient psychological support to ensure his already deteriorating health did not worsen. For instance, the health practitioners made efforts to ensure the client saw the value and meaning of life through the love and care they showed the patient. The nurses had a close connection with the patient, and, in the end, one nurse had the impression that she was a remarkable individual experiencing a great deal of loneliness. After the appointment, nurses quickly glanced over the clinical notes at the station and saw that other people had mentioned the loneliness they had noticed. A note indicated that she occasionally refused medical attention and was not eating, suggesting that she was depressed and needed moral provision.

The patient’s four children, of whom only one is presumed to be involved, and the other three are not, were included in the records, indicating how countless families can be crucial in lifting a patient spiritually. The visit went well and turned out to be the nurse’s finest one all week. When an individual s lonely, they need company and close people such as family and friends to comfort them. The patient’s four children and the nurses ensured the client was not lonely and tried their best to make sure the client’s health improved. Therefore, other than playing a role in decision-making, aiding the medical workers provide care, and fulfilling the demands of the surgical team and the broader community, families play an essential part in patient care.

During the brief encounter, the patient valued her affiliation with the Baptist church and the wider religious community. She appeared to have a close relationship with the minister and other congregation members. This instance demonstrates the potential for spiritual care to be given through extensive meetings. Even if some brief spiritual care encounters might not be wholly satisfactory and it is possible to discern areas of the care that could grow further, the care in this instance was attentive to the demands of the time. Using the straightforward spiritual principles of love, faith, and hope, the doctor tried to keep track of and evaluate the patient is changing spiritual requirements during the visit. She encouraged the patient to tap into her inner spiritual resources and abilities through prayer and talk. Doctors looked for the spiritual community through dialogue and presence. They thought both were crucial components of the patient’s comprehensive treatment and were curious how they may affect a favorable response that would increase her sense of worthiness of the support and care.

Issues about Chaplaincy

In times of hospital crisis, particularly medical-related challenges, a chaplain’s duty to others is to offer solace, hope, and stability. However, there are several significant issues with hospital chaplaincy employment, including how often chaplains feel ignored by other staff members or how little they comprehend their responsibilities (Cobb, 2005). Other than acute crises, there is plenty of time to process grief. Thus, the chaplain is less affected by it. Grief that is not addressed leads to unresolved emotional problems. The combined effect worsens to the point where it can make it difficult for chaplains to provide adequate pastoral care. Military chaplains must inevitably intervene in crises when serving in a conflict area, which is essential in the emergency rooms where they assist patients under crises. Patients in crises are afraid for their lives and could need chaplains to intervene with them. Their mental health is more severely affected.

Pastors and ministry leaders regularly develop goals like any other type of leader in an organization. These goals become relate to the issue of comprehending chaplaincy roles since chaplainship objectives keep changing with time (Swift et al., 2015). Goals are essential to time management because they generate drive and momentum. Conversely, SMART objectives can help an individual stay motivated, on task, and successful (Dubbelt et al., 2019). They satisfy specific requirements, which makes them “smart”: The objective is not very broad. The objective can be “Start a homeless ministry by the end of the year” instead of “Develop a heart for the homeless at the church.” Smart objectives are frequently measurable. Expanding the church is admirable hence a clear, quantifiable goal to increase the church membership. Individual goals should be things people can delete from their list or achieve. It is a beautiful objective to advance the Kingdom of God in a city but assessing whether it has “been achieved can be challenging.” There needs to be a separation between short-term objectives and long-term vision components.

Churches have a mission only God can accomplish through His strength and grace. Whe a leader’s roles become undoable, they may feel exploited and hence end up not doing their roles effectively, whch relates to the issue of feeling ignore. Because a chaplan’s function result in scheduled action steps that result in the desired hospital outcome, time-bound goals are particularly beneficial for efficient time management. The phrase “Raise two new college ministry leaders by the end of the summer” is an example of a time-bound objective. Good time management begins with setting SMART goals (Engin & Treleaven, 2019). Depending on the demographic situation, some pastors dedicate most of their day to a single hospital visit (Namale et al., 2020). However, people may need a few crucial habits and tools to achieve goals. Even if a concept is untrue, having great expectations and an internal conviction about the future can cause the untrue idea to materialize. Patients may have a few areas in their life where they desire to thrive, whether they are academics or employment. Hence, people want to demonstrate to the public that they are capable of doing their job better and deserve to be compensated for it.

Setting goals to eliminate various issues can motivate chaplains. While hardwork can be stressful due to chaplains being misunderstood, taking more hospital duties can contribute to the effectiveness of the chaplain. Hence, their social skills, leadership abilities, organizational skills, and efficiency on how they attend to patients will quickly improve. Productivity is crucial when a person has much work to get done. Having goals can inspire individuals to keep going, whether to finish a written work by the due date or get an A on the test (Schippers & Ziegler, 2019). Dopamine, “the feel-good” hormone, is said to be released when a happy event occurs. A person’s level of dopamine determines how alert and concentrated they are, motivating them to keep looking for rewards as they progress toward their objectives.

Healthcare workers negotiate a religiously and culturally diverse workplace. Hospital chaplains and other medical professionals work daily with patients and families with various religious and spiritual commitments. Religious traditions are complicated, and it can be challenging to predict how a patient or family member will understand or apply them in healthcare or how a chaplain is understood. Medical providers must inspire patients and their loved ones to convey how their religious and cultural values may affect personal needs, interactions with staff, and treatment decisions. The fact that several chaplains and medical professionals have roots in just one religious tradition may complicate navigating such religious diversity and impede their ability to provide care. From the hospital perspective, the chaplaincy’s work can be navigating a “both/and world.” While dealing with clients who practice a virtually infinite variety of religions, chaplains are rooted in a particular belief system. The same dynamics apply to other medical professionals who work with patients with various hold a wide range of spiritual or religious beliefs.

Chaplaincy can be impacted by religion and spirituality depending on an individual’s mental health. Religion educates how people should relate to the environment, mainly how humans and creatures should interact with their God to avoid comprehension issues. In any religion, moral teachings are similar, but human beings who act as religious doctrines possess numerous variances in obtaining the essence of spiritual teachings (Dewi et al., 2020). This challenge implies that people’s diversity is distinct, but everyone has a religious sense. Religion may be linked to adverse consequences, such as worsened physical and mental conditions, inadequate coping mechanisms, improper utilization of health services, and apparent positive effects on health. It is reasonable that medical systems and professionals regularly struggle to deliver care that complies with patients’ and households’ religious requirements, given the range of spiritual beliefs among the members of society. Healthcare providers and the industry can tackle this problem and respect the right to practice one’s religion freely by providing staff training and developing policies and guidelines that encourage culturally sensitive care and incorporate attention to religious beliefs in healthcare.

Chaplaincy requires a person to set a high standard that benefits everyone and encourages them to work harder in providing care if they witness an individual overcoming an obstacle to prevent ignorance issues. High expectations can be beneficial in numerous ways but going too far and being overly pedantic can have adverse effects. High expectations can occasionally result in mental problems like anxiety and sadness within the healthcare. Having high standards for oneself does not inevitably lead to despair. However, the additional stress may cause people to feel guilty if they fail or make them easily agitated and restless from anxiety (AlAteeq et al., 2020). Huge disappointments can result from enormous expectations, which is especially valid when people place demands on others whose behavior they cannot control. For instance, if an individual call a friend when they are feeling lonely, their natural anticipation is that they will help them feel better and take away their loneliness. People become disappointed and angry with their friends when things do not go as planned.

One can avoid falling into chaplaincy issues by avoiding a friend’s lofty aspirations and wishes. Chaplains should accept the issues for who they are and base their expectations on reality and the things about their friends they know to be true. The symptoms of emotional exhaustion in a pastor can include dreading the upcoming phone call or meeting (Thimmapuram et al., 2019). Dealing with people has become another issue; being too worn out to do anything more than the bare minimum necessary for the job, lacking passion and fulfillment in ministry accomplishments, withdrawing from personal relationships, being unsure of one’s calling, and perceiving everything as darker than it is. Fixer types feel compelled to “rescue” people and believe they can find solutions to all of life’s issues brought on by an invasive and selfish nature. These people tend to be insecure, and it is simpler for them to help others than to help themselves.

Setting boundaries is another solution that eliminates chaplaincy issues by helping the church eliminate harmful members and safeguarding individuals, their family, and their church community. Victims should set boundaries to help guarantee everyone’s needs and the best possible ministry. Additionally, there will be more potential for their church to expand. While countless Christians are ready to cite biblical passages about love, sacrifice, and selflessness to support their boundaryless lives, they ignore several texts that instruct Christians to exercise discernment in their daily lives. For love to be honest, sincere, and driven solely by motivation, boundaries must exist in partnerships (Dusdal & Powell, 2021). Proverbs 25:17, for instance, advises against frequently entering a neighbor’s home to avoid infuriating him.

If an individual believes that as members of the Christian community, they have the right to enter their neighbor’s home without permission, the Bible says differently. It implies that if a person ventures outside their neighbor’s bounds, they are to blame for the hatred. Proverbs 26:4 advises against responding foolishly to fools for fear of becoming just like them. This one has a few additional subtleties. Christians feel compelled to converse with and interact with anyone approaching them (Case, 2019). While it is essential to be aware that God can bring people into contact at any time and place, this does not obligate them to get involved with everyone they encounter.

The foundation of the bridge builder concept is the chaplain’s conscious identification with two overlapping but distinct groups, namely the church community and the school community. The chaplain serves as a channel between the two communities (Graham, 2005). The chaplain’s strong presence and long-lasting relationships within healthcare are the foundation of the presence, prayer, and personhood paradigm (Malbon, 2020). The chaplain must be someone with whom patients, nurses, and the management can easily connect and have casual conversations.

The chaplain provides the pastoral support team with a spiritual and existential perspective, assisting them in seeing the broad picture and providing “spiritual care” when needed. Working with students, teachers, or parents who value spirituality highly or struggle with life’s deeper existential concerns may fall under this category. By “feeling the pulse of the community,” the chaplain addresses these issues via the various structures mentioned. Someone with experience in youth work and a modus operandi that allows them to relate to young people “on their level” is an obvious choice for this type of position. This priest will typically try to use any free time before, after, or during the school day so that kids can be. The chaplain will seize opportunities to engage with a patient’s life through extracurricular activities, including school outings, plays, sporting events, and residentials. The chaplain will view all these as chances to forge deep connections with students.

Conclusion

An essential component of emotional support is empathizing with another person’s experiences to the greatest extent possible. By letting other people know that their feelings are normal and acceptable, confirming their sensations goes one step further. Refraining from offering unsolicited advice immediately when someone is opening up is crucial. They want to communicate and analyze their feelings. In these circumstances, attempting to “fix” the issue for them may result in frustration or a sense that it is terrible for them to be unhappy about it. Feeling sad, angry, or frustrated is normal after a significant event. Individuals must allow themselves to experience sadness but rise from it. It could take some time because this is not often a normal or immediate reaction, but people must overcome their disappointment instead of avoiding it if they are supported and enabled to face it and let it go.

Every patient has spiritual needs, which may or may not be related to a predilection for a particular faith. The patient may explicitly state this need, or it may be implicit. It is likely that the person seeking spiritual assistance—or their family—is not even conscious that they are doing so. While in emotional distress, individuals or their families may express a lack of control over their life, a loss of hope, anxiety about the future, a feeling of aimlessness, or a belief that they are being chastised. These are only a few conversations nurses might have with the patients or their families; this list is not exhaustive. Dedication to the psychotherapy connection, strong interpersonal skills, trust, compassion, self-awareness, and recognition of broad views are nursing traits that are necessary for providing practical, compassionate support. The nurse actively listens during the therapeutic relationship, attending to spoken and unsaid words. While physical therapy treatments like medications or treatments are used by nurses to fulfill the demands, such as those of the mind, nurses frequently find it challenging to address the requirements of the spirit.

Chaplains should help individuals to pray for their sadness and honestly tell God what they think and are going through, encouraging them to resist disappointment ruling their life. It is beautiful to express emotions and admit that a person is depressed and unhappy. However, as a long-term strategy, there is no time limit on how long this should take, but people can go forward as soon as they start to adapt and think optimistically. Readjusting expectations for what individuals want in life might begin with being honest with themself and evaluating their disappointment (Matthews, 2018). Numerous people feel disappointed due to their fixation on what they believe reality should be.

To desire certain things and do well in particular ways is normal and natural. However, problems come when a particular fulfillment and pleasure depend on a single thing, person, or circumstance, and disappointment happens when their expectations are unreasonably high. Therefore, managing expectations is a vital component of effectively handling disappointment. Everyone encounters the disappointments, challenges, and hardships of life. They do not have to go through things alone, which is terrific news. Through prayer, the social support of the Christian community, viewing hardship as a reward and huge relief from God in illusion, hope that inspires courage to live and anticipation of the arrival of a better world, forgiveness that promotes trauma recovery, letting go to conquer loss and adore to overcome entrenched helplessness.

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