Hospital Handbook. James T. Wagner

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СКАЧАТЬ to the Sick.

      The authors of The Hospital Handbook have demonstrated that the hospital is a community. Your own sense of what a community is will be informed richly as to the nature and composition, stresses and strains of a community like a hospital. Furthermore, they give guidance as to how the pastor can multiply his or her effectiveness when he or she becomes personally and not just anonymously related to the members of this hospital community. Many references are made to physicians, nurses, and others who are members of both the hospital community and the church community of which one may be the pastor. In the last chapter they move the two communities into even closer relationship with each other. They give specific guidance for selecting, motivating, and educating lay persons in the church also to participate effectively in the care of the sick. Thus both pastor and chaplain become facilitators of the expression of the gifts of lay persons in their ministry to the sick. Moreover, they become catalysts of community at both places—the hospital and the church. Underneath these strategies of Reimer and Wagner is and implicit if not explicit appreciation of a systems approach to both hospital and church, both patient and family, both medicine and ministry.

      A point of unusual concern in this book is its emphasis upon the pastoral care of the sick child and his or her family. One of the most profound passages in the book for me is as follows:

      All gifts and skills of the ministry come to focus in the experience of a child seriously ill. Perhaps no other life event renders persons so vulnerable. Deep within us there is a primitive if not profound notion that everyone should have a past. Any threats to a child's accruing a past become symbols of how unfair life can be and how injustice is woven throughout the fabric of creation. Parents and other adults experience threats to the child as a feeling of having lost their future, their immortality. Offering faith in God must be done in the face of these realities, not as a means to remove them. Having an adult faith means affirming life despite the world being harsh at times. Creation may be “good,” but it is not perfect. In the child's illness there is a great challenge for pastor, patient, family, and the entire caring community to undergird one another with faith, hope, and love. In time, hope and faith will return. Love, however, must never be absent. (p.65)

      This poignant expression is especially true of the sick child but is to some extent true of any serious illness of anyone. The theological perception of the persistence of love in the face of the mystery of human suffering that eclipses for a time hope and faith is not just a jewel to be admired. It is a working principle for the pastor as he or she travels between life and death with fellow mortals, as Richard Baxter said, “as a dying person speaking to dying persons.”

      Reimer and Wagner, in this passage and in this book, present the hospital as a powerful arena for genuine spiritual enquiry in the face of the inscrutable mysteries of human suffering. It is an honor for me to be permitted to present their work to you as a reader.

      Wayne E. Oates, Ph.D.

      Professor of Psychiatry and

      Behavioral Sciences

      School of Medicine,

      University of Louisville

      Louisville, Kentucky 40292

      July 14, 1984

       Acknowledgments

      Our first acknowledgment is to each other as co-authors. Reimer is listed before Wagner in the title page out of deference to alphabetical order. We are friends and professional colleagues who have remained so throughout the writing of this book. This is a fully collaborative effort divided as evenly as anything could be divided. Secondly, we thank Charles A. Williams, M.D., who supplied the glossary of medical terms. We deeply appreciate his gift of making the obscure understandable to those of us who must cope with unfamiliar terms in the hospital environment.

      We are also grateful to other clergy who have offered the benefits of their experiences in hospital visiting. They represent a broad range of denominations, geographical settings, and ministerial styles. Their stories and insights appear throughout the book. Therefore we thank A. Russell Ayre, Richard Bailar, Donald Bain, Robert Besalski, Richard Dietrich, Sue Gallagher, Rabbi Allan Lehmann, Donald Miller, Richard Sebastian, William Tuck, and John Rutland-Wallis. We thank the following mental health professionals from community and university settings who gave us useful perspectives on community resources and psychiatric hospitalization: Dr. James Archer, Dr. Mary Anna Hovey, and Dr. Douglas Starr. We appreciate the medical advice on technical questions supplied by Robert McCollough, M.D., and David Paulus, M.D.

      Wayne Oates read this manuscript and immediately found those places we needed to fill gaps, make the vague specific, and add data. Barbara Beynon did much of the typing, and Ann Terrell managed the difficult task of final typing for two different authors. Stephen Wilburn of Morehouse Barlow had a contagious enthusiasm for this book which gave us just the encouragement we needed. We thank them all.

      Finally, we wish to express our deep gratitude to the many patients and parishioners who have enriched this book by sharing themselves with us.

      Acknowledgments are appropriate for contributions made to the revision. At Shands Hospital and the University of Florida's College of Medicine, Bill Treloar, Director of Case Mix Management, Loretta Fauerbach, Director of Infection Control, and Ray Moseley, Ph.D., Director of the Medical Humanities Program, made thoughtful and informed suggestions. Russell Clifton, Ph.D., of HCA Grant Center Hospital, and Tom Erney, Ph.D. of the Quest National Center, both reviewed information on adolescence and psychiatric hospitalization. Carolyn O'Boyle typed the revised portion of the manuscript.

       Introduction

      As Director of Pastoral Care at a major health care referral center, I continue to spend a great deal of time “keeping up” with what is happening in my own hospital. After fourteen years I keep having this fantasy that people will start coming to me to learn what is going on. It never happens. Somehow it goes with my role that I am the one who must initiate and maintain the working relationships.

      For parish ministers, the difficulties of hospital visitation and ministry to the physically ill are certainly compounded by the fact that they are “outsiders” to the hospital staff. Unless a minister took clinical pastoral education courses in seminary, it is not likely that s/he had formal training in how to do hospital visitation. Consequently I am impressed that while ministers value pastoral care during the crisis of illness, many find hospital visiting frustrating.

      And that is understandable. Physicians, nurses and other staff may appear somewhat unconcerned, if not abrupt with information and/or directions. Even when the pastor has traveled some distance, as is often the case at our hospital, the patient may be in x-ray, having a test run, or be inaccessible for any number of reasons. Even parking is sometimes difficult. All of this is frustrating for the clergyperson, if not intimidating, and adds additional stress to an already busy schedule.

      The Hospital Handbook is an effort to provide the divinity student, the beginning pastor, and perhaps the experienced minister seeking a resource for lay visitors with practical guides to hospital ministry. Included are sections which discuss hospital organization, how to gain access to the system, and knowing what behaviors lead to cooperation with staff.

      James T. Wagner, Ph.D.

      In my first position as a parish minister, it suddenly dawned on me that I did not know where to begin in hospital visitation. I had attended a thoroughly respectable divinity school. I had taken the suggested courses. I knew the finer points of pastoral counseling, СКАЧАТЬ