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2010 Statistics:2,589 patient …

2010 Statistics:2,589 patient consults. 6,527 visits to patients. Daily Average 25 patient visits. 172 after-hours pages. 34 Staff supported

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NCS completed 3 Strategic Planning Sessions with Score

NCS completed 3 strategic planning meetings with SCORE http://bit.ly/fydlD8

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End of the Year News Letter!

Click this link to read our end of the year newsletter!

A letter from a patients daughter

God didn’t promise days without pain, laughter without sorrow, sun without rain, but He did promise strength for the day, comfort for the tears, and light for the way.

Dear Larry,

The day we met was a pivotal point in my life, as I am sure the majority of your introductions are. I am generally not a crier. I tried very hard to hide my tears in a stairwell here at NMRH after visiting my Dad on CVU after a AAA repair. As I look back, even though at that point nothing was seemingly awry, the wheels of his fate were in motion, somehow I felt the wrongness of it all and God sent me you. Your voice from above (literally) on those stairs that day was symbolic. You truly are a conduit of our Lord, that moment is testimony.

You met me in the ICU that very same night when Dad aspirated. I had no fear for him that night, or in days to come. You were there throughout his journey to his recovery this past 6 months. All the sedation/intubation, tubes, surgeries, moments of anxiety and questioning. You never failed to ask how he was doing, how my family was doing…how I was doing. Your impact on my life, my Mon’s life and my Dad’s life will forever resonate in our remaining years.

I ponder at times, more so since working here at NMRH, why some and not others? I have always believed God has his plan and his players. Its not up to us to figure out that plan or the players but to be aware of the pronounced events of our lives, what comes humanly and spiritually natural to us at those moments and to accept the presence of those who cross our paths at those moments. Your presence in my life at that time gave me the strength to walk into ICU everyday, to talk to my Dad even though he was not conscious and to move through his trials by his side; holding that strength for him when he could not. Holding that strength for my Mother when she could not. I found acceptance made a difference, created a natural path, after all that’s life, right? I heard you that day. I heard your words, your sincerity, compassion and kindness. You set the tone…I was listening.

There is such a selfishness that is overwhelming at the moment of possible loss or the loss of someone we love. No matter if they are 86 or 2 minutes old. Despite the fact that death is a part of life there are times when there is no consolation for the emptiness it brings. It seems there is nothing that can fill the void. These are the times that hone our skills to love and be loved. The emptiness left in our hearts, in our souls, we should fill with that love and we should share it as often as possible. Your are the epitome of this love. I am so grateful you were in the stairwell that day. I am so grateful you met me in ICU that night. I am grateful for the love you have for the people you meet here at NMRH at their weakest moments and the love you carry for those you have yet to meet.

If ever you doubt yourself, please start at the top and read this again!.

Thank you for changing my life, Larry.

Dr. John Grebe, PsyD. Trinity Associates of Northern Michigan, expresses appreciation of Northern Chaplain Services

Dr. John Grebe, PsyD, Director of Petoskey Behavioral Health (P.C.) “As a psychologist, I have always supported the idea of chaplaincy.  However, it wasn’t until my father lay close to death following a recent surgery that I came to fully appreciate the vital role they play in providing care.  I recall a particular point in the intensive care unit when the Chaplain tended to my family’s needs.  So helpless to change events ourselves, we were adrift in the realization of pending loss when the Chaplain came to listen.  The time, prayers, and caring that was offered buoyed us through the worst.  Even as our fear eased with my father’s recovery, the Chaplain continued to be vigilant on our behalf.  Later, with my spirits lifting, I once again saw the Chaplain, though this time beyond our situation,  again communicating the love and care of the divine to another shocked family as life’s tug of war with death was being played out in its next chapter.  Chaplains are dedicated colleagues standing in the gap, holding with/onto us in that time when our own strength is inadequate to sustain.  God Bless them and their extraordinary ministry.  We are fortunate to have them.”

CNN’s Anderson Cooper Presents New Video: Caring for a City’s Soul, a Bold Vision for America’s First Palliative Care Campus

http://www.healthcarechaplaincy.org/about-us/enewsletter/issue-20-november-2010.html

The Palliative Care Campus will be located in lower Manhattan overlooking the FDR Drive and East River. It will be housed in a beautifully-designed, environmentally-sustainable, iconic building that will add grace and elegance to the New York City skyline.

A bereaved spouse expresses gratitude for spiritual support

“Northern Chaplain Services brought such comfort during our darkest hour.  It was such a relief to have the heartfelt support and grace they provided to my husband and family when we all needed it the most.  It is such a blessing to know that they are there to help bring solace and guidance through their spiritual strength.”
— A Patient’s Spouse

Read more testimonies now, click here

Chaplains Launch New Standards of Practice

Chaplains Launch New Standards of Practice

Medical Staff at Northern Michigan Regional Health Services Values Spiritual Care

Linda Sheppard, RN, BSN, Clinical Nurse Manager Women and Children’s Care Center at Northern Michigan Regional Hospital

The Women and Children’s area of the hospital is always thought of as the happy and fun place to be.  The majority of the time, it is.  When a baby or child is ill or does not survive, it is extremely sad for the families and the staff.  There are times when a child has to be transferred to a downstate hospital.    When an unexpected event happens, we often call on the Chaplains for comfort for our families and staff.  The Chaplains have been extremely supportive of our patients and staff and provide great comfort to everyone.  There are times when patients have their own pastor or priest and our chaplains have also assisted in getting them to the bedside and providing that support.  They provide a great service to us and are always considered an important part of the team.


Dr. Tim Ismond, MD, Internal Medicine of Northern Michigan

“Chaplain Services at Northern Michigan Regional Hospital provide support for patients and family members who are asking the question, “Why is this happening to us?” Physical illnesses raise many difficult to answer questions about the “purpose” and “meaning” of life. The Chaplaincy Service has been excellent at avoiding simplistic answers; instead, they choose to focus on being a physical and spiritual presence during a time of crisis. I have also referred outpatients to the Chaplain for grief and loss issues.”


Study Finds Early Palliative Care Extends Life and Improves Quality of Life for Cancer Patients

Issue 17, September 2010

Study Finds Early Palliative Care Extends Life and Improves Quality of Life for Cancer Patients

A landmark study by researchers at Massachusetts General Hospital and reported in the New England Journal of Medicine found that receiving palliative care early in treatment not only improved quality of life but also survival in patients with newly diagnosed metastatic non small-cell lung cancer. Patients receiving palliative care intervention experienced less depression and survived approximately 2.7 months longer.

Palliative care is provided by a team consisting of doctors, nurses, nutritionists, social workers, chaplains, pharmacists and others, who focus on the whole person to provide comfort, ease pain and help the patient, family and caregivers make important decisions.

Commenting on the study, Diane Meier, MD, director of the Center to Advance Palliative Care wrote: “The results of the study show that palliative care is appropriate and potentially beneficial when it is introduced at the time of diagnosis of a serious or life-limiting illness – at the same time as all other appropriate and beneficial medical therapies are initiated.”

Dr. Meier said in The New York Times: “It shows that palliative care is the opposite of all that rhetoric about ‘death panels.’ It’s not about killing Granny; it’s about keeping Granny alive as long as possible — with the best quality of life.”

Doctors and patients “traditionally see palliative care as something extended to a hospitalized patient in the last week of life,” said Dr. Jennifer S. Temel, an oncologist and co-author of the paper. “We thought it made sense to start them at the time of diagnosis. And we were thrilled to see such a huge impact.”

The Rev. George Handzo of HealthCare Chaplaincy notes, “While the results are impressive and worthy of great note, we should be aware that there is no report of psychosocial-spiritual care in either study condition. We would assume that chaplaincy care would have improved quality of life for those in the study who received palliative care and those who did not.”

Chaplain Holly Gaudette of HealthCare Chaplaincy has had considerable palliative care clinical experience. “Palliative care at its best,” she says, “involves intensive communication between medical teams, patients, and families. It involves long conversations, emotional investment, and real relationship-building, in ways that other medical specialties may not. We know that patients receiving adequate pain management, spiritual and emotional support, and good symptom control have better quality of life. What is crucial in this study is the benefit of early palliative care.”

She adds, “Finally, we would do well to remember that, as chaplains, we offer spiritual and emotional support not only to patients and their families, but also to staff.

NBC Nightly News with Brian Williams on September 10th featured a segment on the research reported in the New England Journal of Medicine which you can find here: http://bit.ly/93tR1Z plus interviews with a palliative care physician and a patient. For even more information, please click on the following: http://bit.ly/c2bVwH, http://nyti.ms/cVSeTY, http://bit.ly/cE4PPL and http://bit.ly/b1z9yM

New York State Law Now Mandates Palliative Care Information for Terminally Ill Patients

Patients’ rights in New York State gained a large boost last month with the passage of the Palliative Care Information Act.

The law requires New York doctors and nurse practitioners to offer terminally ill patients information and counseling that includes a full range of information about end of life care options, including hospice care, aggressive pain management, and palliative sedation. The patient is then empowered to control his or her own medical care decisions.

Where the patient lacks the capacity to reasonably understand and make informed choices related to palliative care, “the attending health care practitioner shall provide information and counseling under this section to a person with authority to make health care decisions for the patient.”

The law reflects the growing realization of the value of palliative and end-of-life care, and that patients and their families often do not know what options for palliative care and pain management are clinically and legally available to them at the end of life. Further, patients and families may be reluctant to initiate conversations with physicians and nurses on this topic.

Claire Haaga Altman, HealthCare Chaplaincy COO, says, “HealthCare Chaplaincy has consistently supported this type of legislation within New York State and at the national level. We and many other organizations take exception to the malicious ‘death panel’ charges, and support the new bill introduced by Congressman Earl Blumenauer (D-OR) – ‘Personalize Your Care Act of 2010.’ Also, we disagree with the Medical Society of the State of New York which objects to the new bill saying it would intrude ‘unnecessarily upon the physician-patient relationship’ and mandate ‘a legislatively designed standard of care.’”

HealthCare Chaplaincy staff chaplain Holly Gaudette, adds, “Ideally, this law will help to stimulate conversations in which patients receive accurate information about treatment options for palliative and end of life care. These are not simple conversations, however, and many physicians hesitate to broach the subject. Yet with the interdisciplinary team model serving the patient, no physician need feel that he or she is operating alone.”

Palliative Care: “To Relieve Suffering While Maximizing Life”

This letter to the editor of the Journal of Palliative Medicine from two leading palliative care physicians explains well the benefits of palliative care and addresses directly the misconception that palliative care is solely end-of-life care:

From Journal of Palliative Medicine
“Branding Our Field”
Volume: 13 Issue 9: September 13, 2010
http://bit.ly/dkAE7m

Dear Editor:

Our white doctor’s coat says Palliative Care. As patients read the name and title, we are often asked to define palliative care and to distinguish it from hospice care. Our elderly parents still do not understand what we do. The cover of the April issue of Journal of Palliative Medicine has two of the six feature articles with “end-of-life care” in their title while the current issue of Journal of Pain and Symptom Management has three cover articles about “end-of-life care” or “death.” If our goal is to maximize the benefit to all patients in need of palliative care, we do them a dreadful disservice through our choice of words. To facilitate the inclusion of palliative care in the care of patients with advanced illness, no matter how long they may have to live, we cannot have the door jammed by misconceptions of what we offer that result from the very words we ourselves use to talk about what we do. We are more than end of life physicians.

One of us was recently asked to rename our Palliative Care Unit to something without the word palliative because people think it is a hospice unit or limited to those who are clearly dying. Our field should strive to align treatments with patient preferences, early in the disease trajectory. Our mission is to relieve suffering while maximizing life. If we continue to tattoo ourselves as end of life doctors, we limit our ability to help patients in need, earlier in their disease. As a member of a local Heart Failure Task Force, or when we are speaking to professional audiences, we must constantly educate colleagues that palliative care is perfectly appropriate for those patients with New York Heart Association Class IV symptoms, or persons with Alzheimer’s disease, or chronic lung disease, or frailty; even though they are not actively dying. Patients with advanced illness benefit from palliative care well before their terminal hospital admission; when we generally are called to see them in consultation two days before death.

Dana Lustbader, M.D. — Hofstra Medical School, North Shore LIJ Health System, Manhasset, New York.

Diane E. Meier, M.D. — Lilian and Benjamin Hertzberg Palliative Care Institute, Department of Geriatrics and Adult Development, Department of Medicine, Center to Advance Palliative Care, Mount Sinai Medical School, New York, New York.

Check Out The Latest Beacon

Check out the latest news of HealthCare Chaplaincy in our bulletin The Beacon, which you can find online here. Among the stories you’ll discover:

  • The New Palliative Care Campus — A Dream Begins to Take Shape
  • Bev’s & Joe’s Palliative Care Story
  • HealthCare Chaplaincy in Keynote Address at George Washington University
  • Summer Students Give HealthCare Chaplaincy High Marks

Follow us on for the latest news about HealthCare Chaplaincy and the growing fields of palliative care and professional multifaith chaplaincy care.

We appreciate your interest and support. Please feel free to send any questions or comments to comm@healthcarechaplaincy.org.

Sincerely,

The Rev. Dr. Walter J. Smith, S.J.
President & CEO