caring for the whole person god, medicine, and miracles (gmm) - chpt 1 helping hurting people (hhp)...
TRANSCRIPT
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CARING FOR THE WHOLE PERSON
God, Medicine, and Miracles (GMM) - chpt 1
Helping Hurting People (HHP) – lesson 1
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The Overall Goal : Healing
• Curing the physical disease(s)
• Resolving the psycho-social and spiritual problems Healing the heart, mind, soul, and spirit. This helps in curing the disease
• Restoring the sick person to full life
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The spirit of a person
The inner core of the personality that deals with :• Relationships with the spiritual dimension of life
– God, or other spiritual powers• The Will – where we make basic life decisions • Where we ask the basic questions of life :
Who am I? – identity Why am I here? - meaning, purposeWhat has gone wrong?How am I to live?
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Spiritual care – What is it?
• Personal and spiritual assessment - history• Discerning personal and spiritual problems• Inviting a person into a personal relationship
with Jesus Christ – salvation• Resolution of inner problems to restore peace• Helping a person find true identity – a positive
self image – and find meaning and purpose in life• Prayer for healing
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Spiritual care is back IN
• JCAHO requires hospitals to provide spiritual care
• It must be “patient directed”
• It is “evidence-based”– “The Faith Factor,” Dale Matthews– “The Link Between Religion and Health,”
Harold Koenig and Harvey Cohen
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Anger at God
• You are examining a man with severe coronary artery disease. You ask him about his faith, and he replies angrily:
• “How can I believe in a God who allowed a drunken driver to kill my 5 year old grandson?!”
• Do you think this is affecting his heart disease?• How would you reply to him?
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In ancient times
• Illness was thought to be primarily a spiritual issue
• Faith and healing were together
• The priest was the healer
• The temple was the place of healing
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With the rise of Science
• Faith and science became separated• Religion and healing went separate ways• Faith is now “spiritual,” private, for
eternity • Medicine is “secular,” practical,
impersonal, and scientific• Few people see the interface between
physical and spiritual realms
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WESTERN BIO-MEDICAL MODEL
• Isaiah 28:20 – The bed is too short to stretch out on, the blanket too narrow to wrap around you.
• Why is the bio-medical way of healing too short and too narrow?
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BIO-MEDICAL MODEL OF HEALING
• Focus is on disease, not on the person who is ill
• Focus is on cure of the disease, not on restoration of the sick person to health
• Neglects emotional, social, and spiritual concerns of the sick person
• It is a fragmented approach
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Results
• Evidence-based medicine – this is good• Depersonalization of sick persons : we
treat organs, lab results, not people – this is bad
• Depersonalization of health professionals : we become technicians – this is bad
• Commercialization of medicine : a pill for every pain – this is worse
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1. BODY Physical
2. SOUL Psycho-logical
4. SOCIAL Relationships
3. SPIRIT Spiritual
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BODY SOUL
SOCIAL SPIRIT
PHYSICIAN COUNSELOR
SOCIAL WORKER
PASTORS PRIESTS
CAREGIVERS
Office:
2800 Medical Park Blvd
Office:
194 Broadway.
Office: 1260 Quillen Blvd.. Suite 201
Office: Christ Community Church.
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Divided Care
• Care for each of these four dimensions is separate
• Different caregivers for each dimension
• Different locations, appointments, fee structures, etc.
• Therefore no unified care
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Interactions
• What happens in one dimension of life affects the other three
• The relationship may be cause or effect
• Without care for all dimensions, healing and restoration to wholeness do not occur
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BODY
SOUL
SOCIAL SPIRIT
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BODY SOUL
SOCIAL SPIRIT
Hypertension; Heart Disease
Chronic pain; inflammation
Auto-immune disorders
Digestive problems
Diabetes
Malignancies
Many infections
Fear; Worries; Anxiety
Anger; Bitterness
Resentment; Hostility
Shame; Guilt
Jealousy; Envy
Grief
Dysfunctional relationships
Loss of significant other
Divorce
Abuse
Poverty
Unemployment
Lack of identity
Meaninglessness
Poor self-image
Depression
Sense of rejection
Loneliness
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BODY SOUL
SOCIAL SPIRIT
Hypertension; Heart Disease
Chronic pain; inflammation
Auto-immune disorders
Digestive problems
Malignancies
Many infections
Fear; Worries; Anxiety
Anger; Bitterness
Resentment; Hostility
Shame; Guilt
Jealousy; Envy
Grief
Dysfunctional relationships
Loss of significant other
Divorce
Abuse
Poverty
Unemployment
Distorted view of God
Lack of identity; Meaninglessness
Poor self-image
Depression
Sense of rejection
Loneliness
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Conclusion
• Problems of soul, spirit, or relationships can affect the body by
• 1. Producing physical symptoms and illness
• 2. Aggravating existing diseases
• 3. Impeding recovery from illness
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What can we do to care for the whole person?
• Learn how to take a personal and spiritual history
• Learn how to explain these dynamics to sick persons
• Train spiritual caregivers to work in the clinic as part of the team
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A team approach
• Health providers who understand wholeness
• Lay caregivers trained in spiritual care
• Regular consultations between them
• Remove the lines between physical, psychological, social and spiritual care
• Much prayer
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The Team
Medical staff
Spiritual caregivers
Nursing staff
Administrative staff
Religious communities
Family
Social services Friends
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Whole person care in the clinic
MEDICAL
SPIRITUAL
SOCIAL EMOTIONAL
J E J E S U S U
S
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BODY SOUL
SOCIAL SPIRIT
Hypertension; Heart Disease
Chronic pain; inflammation
Auto-immune disorders
Digestive problems
Malignancies
Many infections
Fear; Worries; Anxiety
Anger; Bitterness
Resentment; Hostility
Shame; Guilt
Jealousy; Envy
Grief
Dysfunctional relationships
Divorce
Loss of significant other
Abuse
Poverty
Unemployment
Lack of identity; meaninglessness
Poor self-image
Depression
Sense of rejection
Loneliness
CARE
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Results of Whole Person Care
• Improvement or healing of the whole person
• Restoration to partial or complete functional wholeness
• Bringing faith and science, the church and medicine back together
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We must make a huge paradigm shift
• From thinking technologically to thinking wholistically
• From a focus on disease to a focus on the person
• From curing to healing
• Shifting paradigms IS NOT EASY
• It involves changing thinking and habits
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A Wholistic Clinical Attitude
• “God, what are you doing in Mrs. Smith’s life?”
• “Where do you want me to fit in?”
• “What medical and spiritual care should I use with her?”
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Conclusion
Healing of the heart -
mind, soul, spirit,
and relationships -
FAVORS
[not guarantees]
healing of the body.
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Question
• How do you see this fitting into your own practice or situation?
• List the advantages and difficulties • When you were sick in the past, who were your
caregivers and what did they do for you?• Did you have other personal concerns that were
not addressed?• How do you feel that could have been done?