Saturday, March 9, 2019

Partners in Pastoral Care


These are the fourteen competencies for Palliative Care chaplaincy.  This specialization is very popular at the moment, but I'm not sure its for me.  I like the variety of my present ministry.  The workshop at the National Association of Catholic Chaplains conference this year was sold out months in advance. 

  1. Understanding of the history of the hospice movement and the subsequent expansion of palliative care while differentiating between the current philosophy and goals of palliative care and hospice in practice.
  2. Familiarity with state and federal laws regarding Advance Directives and other end of life practices.
  3. Knowledge of implications of medical treatment for life-threatening or life limiting illness as it impacts a patient’s physical, psycho-social, emotional, and spiritual pain.
  4. Utilization of family systems theory incorporated in the practice of palliative care and hospice as applied to care recipients, families and health care providers.
  5. Application of culturally appropriate, evidence-informed strategies for addressing the breadth and depth of multifaceted grief including complicated and anticipatory grief to extend to bereavement resources.
  6. Incorporation of a working knowledge and integration of psycho-socio, emotional and spiritual perspectives to function as a communication and emotional expert in the practice of palliative and hospice care.
  7. Communication and facilitation of goals of care family meetings that align treatment plans with patient’s values and or advanced care plans.
  8. Collaborative and facilitative leadership with care recipients, family, teams and organizations.
  9. Application of best practices in palliative care and hospice spiritual assessment and documentation to facilitate aligning patient values and goals with the treatment plan.
  10. Working knowledge of the difference in the provision of advanced practice chaplaincy care as care recipients and families negotiate through the trajectory of a life-threatening illness in various settings.
  11. Skill in addressing ethical dilemmas at end of life and concerns as related to spiritual and/or religious issues.
  12. Ability to attend to the physical, emotional, social and spiritual well-being of the transdisciplinary team.
  13. Ability to teach and educate through articulating and integrating current research of best practices for the provision of palliative care and hospice chaplaincy care.
  14. Participation in quality improvement projects and/or research to increase standard of palliative care and hospice care provided.