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In this issue: 1 Greetings from Wendell Oman 1 Grace Notes 2 Advocate Christ Medical Center’s Heart and Vascular Institute 3 Hospice Corner 4 Understanding advance care planning Office for Mission & Spiritual Care The Office for Mission & Spiritual Care provides spiritual care for patients, their families and associates 24 hours a day every day of the year. The office is open Monday through Friday from 8:30 a.m. to 5 p.m. To contact us, call 708.684.5175. Evenings and weekends, ask for the paging operator and request #2296 for the house chaplain or #2299 for the emergency department chaplain. Advocate Christ Medical Center Hope Children’s Hospital Oce for Mission and Spiritual Care Spring 2012 Volume 3, Issue 1 Bridges to Our Faith Communities It is very important to generate a good attitude, a good heart, as much as possible. From this, happiness in both the short term and the long term for both yourself and others will come. Dalai Lama And then . . . As we plan each issue of Connections, we keep you front of mind. We seek to provide you with information about our hospital, insights about pertinent health topics and news about significant future events here at Advocate Christ Medical Center. And then . . . we like to go a bit beyond. • On page 2, we give you information about the strengths and services of our hospital’s Institute of Heart and Vascular Health. It has such renown and so much to offer our community. And then . . . we go on to provide resources for you to use to improve your own heart health or to help a congregant dealing with heart issues. • On page 4, we offer a full review of advance care planning, including a glossary of common terms and a brief history of advance directives. This is a critical topic. And then . . . because some faith leaders have had questions about it, we go on to include a straight-forward, easy-to-understand review of the revision Illinois recently made to its power of attorney for health care. On each page, in every article, your interests and your needs are at the top of our list. Connections is an important link our Mission & Spiritual Care Office has with our community, its people and its faith leaders. Rev. Wendell Oman, Vice President Office for Mission & Spiritual Care Connections The passage portrayed in the stained glass window from our 8th floor is Luke 8:43-48. A woman who had unsuccessfully spent 12 years and all her money seeking a cure for her illness turned to Jesus for help. “And he said to her, ‘Daughter, your faith has made you well; go in peace.’” Grace Notes are readings, poems or quotes from a variety of faith traditions and writers. Each reflection tries to touch on the heart of being human in this world. To receive Grace Notes five or seven days a week, please click here or contact [email protected] . Grace Notes In this issue: Resources for clergy

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  • In this issue:1 Greetings from Wendell Oman1 Grace Notes2 Advocate Christ Medical Center’s

    Heart and Vascular Institute

    3 Hospice Corner 4 Understanding advance care

    planning

    Office for Mission &Spiritual Care

    The Office for Mission & Spiritual Care provides spiritual care for patients, their families and associates 24 hours a day every day of the year. The office is open Monday through Friday from 8:30 a.m. to 5 p.m. To contact us, call 708.684.5175. Evenings and weekends, ask for the paging operator and request #2296 for the house chaplain or #2299 for the emergency department chaplain.

    Advocate Christ Medical CenterHope Children’s Hospital

    O!ce for Mission and Spiritual Care

    Spring 2012Volume 3, Issue 1

    Bridges to Our Faith Communities

    It is very important to generate a good attitude, a good heart, as much as possible. From this, happiness in both the short term and the long term for both yourself and others will come.

    Dalai Lama

    And then . . .As we plan each issue of Connections, we keep you front of mind. We seek to provide you with information about our hospital, insights about pertinent health topics and news about significant future events here at Advocate Christ Medical Center.

    And then . . . we like to go a bit beyond.

    • On page 2, we give you information about the strengths and services of our hospital’s Institute of Heart and Vascular Health. It has such renown and so much to offer our community.

    And then . . . we go on to provide resources for you to use to improve your own heart health or to help a congregant dealing with heart issues.

    • On page 4, we offer a full review of advance care planning, including a glossary of common terms and a brief history of advance directives. This is a critical topic.

    And then . . . because some faith leaders have had questions about it, we go on to include a straight-forward, easy-to-understand review of the revision

    Illinois recently made to its power of attorney for health care.

    On each page, in every article, your interests and your needs are at the top of our list. Connections is an important link our Mission & Spiritual Care Office has with our community, its people and its faith leaders.

    Rev. Wendell Oman, Vice PresidentOffice for Mission & Spiritual Care

    ConnectionsThe passage portrayed in the stained glass window from our 8th floor is Luke 8:43-48. A woman who had unsuccessfully spent 12 years and all her money seeking a cure for her illness turned to Jesus for help. “And he said to her, ‘Daughter, your faith has made you well; go in peace.’”

    Grace Notes are readings, poems or quotes from a variety of faith traditions and writers. Each reflection tries to touch on the heart of being human in this world. To receive Grace Notes five or

    seven days a week, please click here or contact [email protected] .

    Grace Notes

    In this issue:

    Resources

    for clergy

    http://visitor.r20.constantcontact.com/d.jsp?llr=5q68jbeab&p=oi&m=1103850501662&id=previewhttp://visitor.r20.constantcontact.com/d.jsp?llr=5q68jbeab&p=oi&m=1103850501662&id=previewmailto:[email protected]:[email protected]

  • Connections - Advocate Christ Medical Center Office for Mission and Spiritual Care Spring 2012 - Page 2

    Advocate Christ Medical Center’s Heart and Vascular Institute

    Clergy play an important role in supporting heart health in congregations while also providing pastoral care to individuals who are struggling with heart conditions as well as their caregivers.

    Paying attention to their own heart health is also important for clergy. Over the last decade, researchers and church officials alike have expressed concern about the high rate of obesity, stress and chronic disease, including heart disease and high blood pressure, among spiritual leaders.

    General resources on heart health

    The American Heart Association: The American Heart Association’s website offers extensive information on heart health as well as the treatment of heart conditions. Users can also use the site to find information on local American Heart Association programs and activities. [heart.org]

    National Heart, Lung and Blood Institute (NHLBI): NHLBI is a part of the National Institutes of Health. Its website provides educational resources and news about its initiatives, including We Can®, an initiative to encourage people to maintain a healthy weight and The Heart Truth®, a campaign to increase awareness of heart disease in women. [www.nhlbi.nih.gov/index.htm]

    Support for caregivers

    Advanced Congestive Heart Failure: A Guide for Family Caregivers: This free e-book includes information on congestive heart failure, how to care for someone with this condition at home and suggestions for managing stress and getting help. [medicaring.org/educate/download/chfbookfinal.pdf]

    Caring for Seniors with Heart Disease: Advice for Families and Caregivers: This article on Care.com answers many common concerns of family members who are caring for parents or other relatives who are living with heart conditions. [care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.html]

    Clergy self-care

    Clergy Health Initiative at Duke Divinity School: While this program specifically focuses on the health of United Methodist clergy in North Carolina, its website is rich with resources for clergy who want to address their own physical, mental and spiritual health. [divinity.duke.edu/initiatives-centers/clergy-health-initiative]

    Cardiovascular services address the needs of patients from the time that a patient’s physician diagnoses a condition. In addition to testing, patients can receive comprehensive heart care through the Heart and Vascular Institute, including surgery and ongoing rehabilitation services.

    The physician teams at Advocate Christ Medical Center’s Heart and Vascular Institute perform over 1,300 open-heart surgeries annually. One of these teams was the first in the United States to implant a HeartMate II® ventricular assist device. Another team was the first to perform robotic mitral valve repair surgery in Illinois. Advocate

    Christ Medical Center was also the first healthcare organization to receive Advanced Certification in Heart Failure from The Joint Commission and has earned the Sustained Performance

    Award from the American Heart Association for its ongoing commitment to heart health.

    Services available

    Credentials

    Advocate Christ Medical Center’s Heart and Vascular Institute provides comprehensive cardiovascular diagnostic and treatment services to the community. Our patients receive education and support in preventing heart disease along with state of the art treatment, including transplants, and the opportunity to participate in clinical trials.

    Resources for clergy

    http://divinity.duke.edu/initiatives-centers/clergy-health-initiativehttp://www.heart.org/HEARTORG/http://www.heart.org/HEARTORG/http://www.nhlbi.nih.gov/index.htmhttp://www.nhlbi.nih.gov/index.htmhttp://medicaring.org/educate/download/chfbookfinal.pdfhttp://medicaring.org/educate/download/chfbookfinal.pdfhttp://medicaring.org/educate/download/chfbookfinal.pdfhttp://medicaring.org/educate/download/chfbookfinal.pdfhttp://www.care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.htmlhttp://www.care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.htmlhttp://www.care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.htmlhttp://www.care.com/senior-care-caring-for-seniors-with-heart-disease-p1143-q317306.htmlhttp://divinity.duke.edu/initiatives-centers/clergy-health-initiativehttp://divinity.duke.edu/initiatives-centers/clergy-health-initiative

  • Connections - Advocate Christ Medical Center Office for Mission and Spiritual Care Spring 2012 - Page 3

    Staff Chaplains:Refat Abukhdeir, Moslem MinistriesCathy Arsenault, MennoniteFr. Bill Browne, Roman CatholicMary Anne Cannon, Roman CatholicP.V. Chandy, QuakerFr. Casimir Eke, Roman CatholicChristy Howard-Steele, Christian Richard James, Southern BaptistStacey Jutila, Evangelical Lutheran ChurchMarjorie Kooy, Christian ReformedEliza Leatherberry, United Church of ChristSr. Peggy Nau, Roman CatholicDavid Safeblade, United Church of ChristTyron Smith, Baptist

    Clinical Pastoral Education SupervisorsAngie Keith, Pentecostal ACPE Supervisory Candidate/ChaplainJanet MacLean, United Church of Christ

    ACPE Supervisory Candidate/ChaplainPhyllis Toback, Jewish ACPE Supervisor/Chaplain

    Clinical Pastoral Education Chaplain ResidentsPaschalis Agu, Roman CatholicKathryn Cook, Baptist

    Carla Powell, Evangelical Lutheran ChurchKifah Shukair, Muslim

    Secretarial StaffKaren Darr, 708.684.4189

    CPE, Ethics Committee, Office of Vice PresidentFran Genender, 708.684.5175

    Eucharistic Ministers, the Department, Office of Manager of Spiritual Services

    Administrative StaffCorky DeBoer, Christian Reformed

    Manager of Spiritual Services, ACPE SupervisorWendell Oman, Evangelical Free Church of America

    Vice-President, Mission & Spiritual Care

    To subscribe to Connections, call 708.684.5175 or email [email protected] with your name and email address. You’ll receive an electronic edition of Connections every three months.

    To continue receiving Connections, your email address must be current. Please inform us of any changes of email address or other contact information. Email [email protected] or call 708.684.5175.

    Daybreak Bereavement ProgramsAdvocate Hospice

    1441 Branding Lane #220 • Downers Grove, IL 60515

    Widow to Widow Ongoing support groupMeets 3rd Saturday of each month, 10 a.m. to 12 noonSupport and guidance is offered to and by women who have lost their partners. There is no charge, but registration is required. Call Penelope Gabriele at 630.829.1753 to register.

    Second Year of Grief Workshop – Guest speaker: Coach Enge Wednesday, Feb. 29, 6:30 to 8:30 p.m.For those with one year or more since the death of their loved one. Most people expect it will be easier after the first year. In some ways, the second or third years can be better, but they can be difficult in different ways. While the emotional pain of the primary loss may subside, the resulting secondary losses are becoming more obvious. Explore the various ways of managing grief. Call Penelope Gabriele at 630.829.1753 to register.

    Service of RemembranceSiemers Chapel

    Advocate Christ Medical Center

    Special Memorial Service for Recently BereavedSun., Feb. 19, 4 p.m.A special memorial service will be held for the hospice and patient families of Christ Medical Center and Hope Children’s Hospital who have recently lost a loved one. Christ Mission & Spiritual Care and Advocate Hospice join together in leading this service as a comfort for the families they serve. For more information, contact Penelope Gabriele at 630.829.1753.

    (The next service will be May 20.)

    Hospice Corner

    Advocate Christ Medical Center • Advocate Hope Children’s Hospital4440 West 95th Street, Oak Lawn, IL 60453 708.684.8000

    ACMC’s Cancer Institute

    Preparing for emergencies In the Summer 2012 Issue

    mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]

  • Connections - Advocate Christ Medical Center Office for Mission and Spiritual Care Spring 2012 - Page 4

    Advance care planning (ACP) begins with exploring and understanding your personal goals and core values so that future health care decisions – should you become unable to make those decisions yourself – align with your beliefs.

    At its best, ACP includes a discussion of those goals with the person who represents your preferences for you (your surrogate or agent) and a written plan that clearly and accurately represents them (advance directive).

    Choose your surrogate thoughtfully. He/she can be your spouse, an adult child (not necessarily your eldest), a sibling or a close friend. Choose someone you trust with your health care decisions who will respect your wishes and put them into action regardless of his/her own attitudes. Your surrogate needs be prepared to make these

    decisions and act during a stressful, difficult time. He/she deserves to know this up front. Not everyone wants this responsibility.

    Discuss your wishes in detail until your surrogate fully understands them. The conversation may cover types of medications and treatments you desire, the care you do and don’t want if you are seriously ill or injured and your concerns about end-of-life issues. You may also want to talk about funeral plans. Share with your family who your surrogate is, and explain to them that he/she does not have any power unless you are unable to make health care decisions for yourself.

    Begin before ACP is needed. Don't wait for a medical crisis to make decisions about advance care planning. Make decisions while you are able to process information easily and are not under pressure to make hard choices right away.

    Many people are unaware of their end-of-life preferences regarding medical treatment simply because they haven’t taken the time to consider them, but once they do, their personal values and spiritual beliefs often lead them smoothly through the process. (Clergy can clarify ethical decisions for people of faith.)

    Continued on next page.

    Advance care planning (ACP) glossaryAdvance care planning – All communication – both oral and written – that contributes to building a personal plan of your wishes for your future medical care.

    Advance directive – A written statement telling how you want your medical decisions to be made in the future if you are unable to make them for yourself. ADs may include:

    • Power of attorney for health care – You name someone (a surrogate or agent) to make health care decisions for you if you are unable to make them yourself. (Power of attorney, different from power of attorney for health care, deals with financial decisions and is not empowered to make health care decisions on your behalf.)

    • Living will – Directs your physician and indicates your wishes about death-delaying procedures. Not a Last Will and Testament. It applies only when you have a terminal illness from which your doctor thinks you cannot recover and you are unable to make decisions for yourself.

    • Do not resuscitate order (DNR) – A medical treatment order saying that cardiopulmonary resuscitation (CPR) will not be used if your heart and/or breathing stops. This form also requires a physician’s signature.

    A brief history of advance directives (ADs)1967 – Chicago attorney Luis Kutner suggested the first living will to facilitate the rights of dying people to control decisions about their own medical care.

    1968 – Living will legislation presented to a state legislature. The Florida bill failed to pass in 1968 and again in 1973.

    1976 – The Karen Quinlan Case raised awareness of right to privacy and appointment of surrogates as end-of-life decision-makers. The concept of an ethics committee was introduced.

    1976 – California established rights of patients and surrogates to forego life-sustaining treatments through a written document.

    1977 – Forty-three states considered living will legislation; seven states passed bills.

    1980s – Legal rulings applied right to forgo treatment to more routine treatments, based on benefits and burdens to individual.

    1990 – U.S. Supreme Court’s Nancy Cruzan decision supported an individual’s right to refuse treatment, even life-sustaining.

    1991 – The House of Representatives passed the Patient Self-Determination Act (PSDA) that requires hospitals ask patients being admitted if they have or wish to have ADs.

    1992 – All states passed legislation legalizing some form of ADs.

    Understanding advance care planning

    April 16th

    National Healthcare Decision Day

  • Connections - Advocate Christ Medical Center Office for Mission and Spiritual Care Spring 2012 - Page 5

    Advocate Health CareAdvocate Health Care Facilities:

    Advocate BroMenn Medical Center, Normal Advocate Christ Medical Center, Oak LawnAdvocate Condell Medical Center, LibertyvilleAdvocate Eureka Hospital, EurekaAdvocate Good Samaritan Hospital, Downers GroveAdvocate Good Shepherd Hospital, BarringtonAdvocate Illinois Masonic Medical Center, ChicagoAdvocate Lutheran General Hospital, Park RidgeAdvocate South Suburban Hospital, Hazel CrestAdvocate Trinity Hospital, Chicago

    Children’s hospitals:Advocate Hope Children’s Hospital, Oak LawnAdvocate Lutheran General Children’s Hospital, Park Ridge

    Share the news! This publication may be copied for use by others if printed acknowledgment of source is included.

    Looking for a previous issue? To read back issues of Connections, please go to: advocatehealth.com/newsletters

    Forms can lead into conversations. Basic forms are readily available to complete the living will and health care power of attorney, two frequently used documents. The forms themselves can serve as excellent starting points for conversation. But there is so much more to ACP than simply filling out forms! After all, these are very important decisions, so both knowing your own mind and expressing your specific preferences are critical.

    Sometimes these conversations are uncomfortable. Discussing your beliefs and values is personal, and strong emotions often

    erupt, touching on deep feelings and exposing fears you may want to avoid. But taking the necessary time, working through complex

    issues and talking with loved ones about your true wishes is, in fact, an essential part of good care. Not only does it leave your family feeling relieved because they are following your wishes, ACP also ensures respect for your well-being and your right to self-determination.

    Preparation is comforting. A family is comforted when they have direction. For some families, forgoing treatment becomes an act of caring. For other families, continuing treatment (perhaps based on cultural or religious beliefs) comforts them because they know it is consistent with their loved one’s wishes.

    Guessing a person’s preferences without knowing them can be torture to a family. Families face difficult decisions when ill loved ones become unable to communicate their preferences regarding medical procedures. Dedicated children and siblings can become distraught trying to guess what a loved one might want, and well-meaning relatives seeking to do what’s right may disagree because of lack of concrete direction.

    If you become critically ill, are unable to speak for yourself and have not named an agent, Illinois provides guidance for physicians to determine a surrogate for you. This person may or may not be the one you would choose and is less empowered to make decisions than one you have chosen yourself.

    Statutory short formIllinois has revised its form for power of attorney for health care. It is a little longer than the previous form, has a few organizational changes and includes more legal jargon.

    One of the significant changes is the inclusion of the phrase, “in accordance with reasonable medical standards” as relates to

    life-sustaining/death delaying options. With this phrase, the agent who has power of attorney for health care can reflect on what would be beneficial to the patient. If a procedure or treatment does not seem reasonable, the agent can, in good conscience, elect not to use it.

    How ACP happens. After considering your wishes, you can complete the AD forms on your own (forms are readily available on line; see Resources above) or with guidance from your faith leader, doctor or trusted advisor. This can be done without a lawyer, but the forms do need to be signed by witnesses. GIve copies to your loved ones and physician.

    At Advocate hospitals, each patient is asked at admission if he/she has an AD or wishes information about one. Our chaplains are trained to discuss these decisions compassionately with patients.

    Faith leaders themselves sometimes lead a general information session about ACP for their congregants and introduce them to the AD forms. They follow that up with individual conversations and further guidance for those who so wish. This personal touch often removes the barriers to completing advance directives.

    Our chaplains can also give congregations presentations on ACP. (For information, call 630.990.5650.)

    Continued from previous page.

    Resources for ACP• Fivewishes.org (Aging with Dignity – Five Wishes)

    • Abanet.org/aging/toolkit (ABA tool kit for ACP)

    • www.Idph.state.il.us/public/books/advin.htm

    • Isms.org (Illinois State Medical Society)

    • aarp.org/families/end_life (AARP - Information on caregiving, long-term care, wills, end-of-life, grief support)

    • Cecc.info (Chicago End-of-Life Care Coalition)

    • ACP International Conference, Donald E. Stephens Convention Centre, Rosemont, IL, May 31 – June 2.

    • Respectingchoices.org (How to develop an ACP program)

    • Advocatehealth.com

    There is so much more to ACP than simply

    filling out forms!

    http://advocatehealth.com/newslettershttp://advocatehealth.com/newslettershttp://Fivewishes.org/http://Fivewishes.org/http://www.americanbar.org/groups/law_aging.htmlhttp://www.americanbar.org/groups/law_aging.htmlhttp://www.Idph.state.il.us/public/books/advin.htmhttp://www.Idph.state.il.us/public/books/advin.htmhttp://www.isms.org/patients/Pages/personaldecision.aspxhttp://www.isms.org/patients/Pages/personaldecision.aspxhttp://www.aarp.org/relationships/caregiving-resource-center/endoflifecare.htmlhttp://www.aarp.org/relationships/caregiving-resource-center/endoflifecare.htmlhttp://www.cecc.info/http://www.cecc.info/http://Respectingchoices.org/http://Respectingchoices.org/http://www.advocatehealth.com/http://www.advocatehealth.com/

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    The

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    Hea

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    ne T

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    r th

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    even

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    fect

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    men

    .

    http://cdc.gov/ncbddd/pregnancy_gateway/index.htmlhttp://cdc.gov/ncbddd/pregnancy_gateway/index.htmlhttp://jewishgeneticscenter.org/http://jewishgeneticscenter.org/http://www.easylearngenetics.net/easy/default.aspxhttp://www.easylearngenetics.net/easy/default.aspxhttp://dietarysupplements.nlm.nih.gov/dietary/http://dietarysupplements.nlm.nih.gov/dietary/http://householdproducts.nlm.nih.gov/products.htmhttp://householdproducts.nlm.nih.gov/products.htm

  • Prac

    tica

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    men

    .

    http://www.advocatehealth.com/http://www.advocatehealth.com/http://findahealthcenter.hrsa.gov/Search_HCC.aspxhttp://findahealthcenter.hrsa.gov/Search_HCC.aspxhttp://www.webmd.com/digestive-disorders/picture-of-the-stomachhttp://www.webmd.com/digestive-disorders/picture-of-the-stomachhttp://www.advocatehealth.com/http://www.advocatehealth.com/http://womenheart.org/http://womenheart.org/http://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://www.nhlbi.nih.gov/health/public/heart/other/hhw/hdbk_wmn.pdfhttp://healthierchicago.org/http://healthierchicago.org/http://knowyournumbers.com/heart/advocate.htmlhttp://knowyournumbers.com/heart/advocate.htmlhttp://knowyournumbers.com/heart/advocate.htmlhttp://knowyournumbers.com/heart/advocate.html