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H3130292827C302631R3129232223212019B312923311819Table of ContentsChurch of Jesus Christ of Latterday Saints faith communityJehovah146s Witness faith communitySeventhday Adventist faith community1For ID: 883635

care 146 church spiritual 146 care spiritual church god x00660069 patient life faith organ health death family don jesus

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1 HC
HCRB Second Edition Table of ContentsChurch of Jesus Christ of Latter-day Saints faith communityJehovah’s Witness faith communitySeventh-day Adventist faith community 1 Foreword A growing realization in health care is that this Alberta Health Services’ Spiritual Care Advisory Committee in Calgary As a group of interfaith community patien

2 ts’ spiritual carepopulation of Cal
ts’ spiritual carepopulation of Calgary and area, there is an ever-growing need for frontline The Spiritual Care Advisory Committee has noted the lack of In an effort to deal with the most pertinent issues of a patient’s spiritual and religious carethe results of the survey, the project of creating a resource was bornHealth Care and Religious BeliefsWith the co-operation and hard work of every member of the Spiritual Care As a committee we 2

3 I wish to thank the Spiritual Care Advis
I wish to thank the Spiritual Care Advisory Committee for its participation Ramsden (Social Work and Spiritual Care)Since the release of the �rst edition in 2011, we have received many requests from hospitals in the United States as well as organizations in religious communities I would like to acknowledge Conny Betuzzi, Manager, Patient Care of Allied Health for her assistance during the completion of this Spiritual Care Advisory Committee 3 AB

4 ORIGINAL FAITH COMMUNITY Canada’s A
ORIGINAL FAITH COMMUNITY Canada’s Although much diversity exists between Aboriginal Peoples in both the content and interpretation of worldview and philosophical thought, it is generally accepted Teachings of Courage, Honesty, Wisdom, Humility, and Truth A that all things are inter-connected, inter-dependent The Medicine Wheel or Circle adult, elder, individual, family, community, nation; mental, summer, fall, winter, etcValue of the community members

5 ‘Elders’ Winter markers for
‘Elders’ Winter markers for Aboriginal 4 wisdom, or spirituality, is For Aboriginal people health The Medicine WheelAboriginal traditional approaches grass, sage, cedar, tobacco, etcWestern medicine and traditional healing practices are both embraced Web Site: http://wwwFor Aboriginal people, death is a completed The Circle of Life - a the ‘Land of Souls’ or is reunited Grandmothers’ in the afterlifedeath among traditional Abor

6 iginal ‘smudge’ (igrass, sage,
iginal ‘smudge’ (igrass, sage, cedar, etcjourney (for some Aboriginal usually be a large gathering of 5 Also, family will usually spend time with the body and sometimes assigned family members (usually women) will ceremonially wash the body as a sign of affection and Traditional burial is more commonly practiced than cremation, Decisions about autopsy are usually not an issue, if medically or legally required (for still births, if possible, some

7 Aboriginal families’ communities t
Aboriginal families’ communities traditionally bury, on the same day, the fetus/A feast will be served to the whole exists among Aboriginal people Generally, Aboriginal people Do’s and Don’tssage, cedar, tobacco; medicine pouches/bags; pipes; traditional Interpreters may be needed for elderly patients whose only 6 Respect for, and inclusion of, If uncertain of Aboriginal of Canada’s colonial Medical TreatmentGenerally, most medical

8 Organ donation or harvesting of organs (
Organ donation or harvesting of organs (ioption for Aboriginal families There Organ donation of a living Organ transplantation is 7 FAITH COMMUNITYlargest religions in the world The the sacred Triple Gem all Buddhists teachings of the Four Aspects of Reality, which are also known as the Four Noble Truths They explain the reality of one’s different human different human negative feelings, and, lastly, the overcoming of disease by following Truths2)

9 Developing a deep awareness and understa
Developing a deep awareness and understanding of the impermanence and inherent dissatisfaction of Taking only what is givenEarning one’s livelihood in 11) 8 and East Asia, with each country Many Westerners are adopting When illness occurs, They with suffering and illness so it can that’s rare and dif�cult.They believe if one dies in a good state of mind, he or she is more As a result, it is important to provide a quiet environment for

10 the dying Family and friends may assis
the dying Family and friends may assist in reciting mantras or prayers to help maintain a good state of However, for other Buddhists, the impinging death becomes an After death, Tibetan Buddhists believe a person’s consciousness 9 In the hospital, family members may request the body not be disturbed for as long as possible and may wish to wash and wrap Among many Buddhists, Within various groups, there There may be some, however, who prayer, man

11 tras and a variety A quiet environment i
tras and a variety A quiet environment is valuedOrgan donation is acceptable 10 Do’s and don’tsThere are different Buddhist DO understand that the Buddhists come from various ETHNIC backgrounds and have different degrees of language dif�culties in English. With Vietnam patients, French may be a better language, but DON’T assume that our FAITH COMMUNITY There is an emphasis on the practice of spiritual (prayer- The most complete

12 in 1866 and later founded The There are
in 1866 and later founded The There are no ordained clergy in the church 11 interference with an individual’s Consequently, A Christian Scientist who enters Any decisions about transfusions, organ transplants, organ donations, life support, etcA Christian Scientist brought to a There, facilities: in Toronto and Victoria The parents A few may have The church supports There is no church They do drink tea or coffee 12 Do’sTalk with the pat

13 ient and see A worldwide directory org/O
ient and see A worldwide directory org/Offer the patient time and a Abide by the patient’s request JESUS CHRIST OF LATTER-DAY FAITH COMMUNITYof Latter-Day Saints (LDS) is believe in God the Father, His The Church of Jesus Christ of Latter-Day Saints considers itself Christian but is neither Catholic The Church of Jesus Christ of Latter-Day Saints is the “restored” Church of Jesus After centuries of apostasy, the Lord restored the fullness

14 of the gospel The Church’s message
of the gospel The Church’s message to the world is that the same organization and gospel that Christ died for, and the apostles spilled their blood to vindicate is once again established With apostles and 13 prophets to whom has been given the holy priesthood and authority to administer in the ordinances of His As taught by the Church, the �rst principles and ordinances of the gospel are: 1) faith in the Lord Jesus Christ, 2) repentance,

15 3) baptism by immersion, and 4) laying
3) baptism by immersion, and 4) laying on of Children are not baptized until the age of eight when they become The Book of Mormon: Another Testament of Jesus Christ is The Church embraces the moral standards taught by Jesus Christ, including personal honesty, integrity, obedience to law, chastity outside of marriage and �delity within Abortion, pornography A health code revealed to Joseph Smith in 1833 cautions against using tobacco or consumi

16 ng alcohol, tea or coffee It also emphas
ng alcohol, tea or coffee It also emphasizes the positive bene�ts of wise eating habits and both physical and spiritual �tness. The Church interprets the misuse of drugs, illegal, legal, prescription or controlled, as a There are no special Other than a funeral and/or grace side service, there are no special services or rituals at the time of The Church believes in the resurrection of all who live and die while upon this earth, and

17 that families will live together beyond
that families will live together beyond The Church believes that death is an important part of life and, thus, members get great comfort in knowing that they will meet their friends, relatives, and family Do’s and don’ts 14 or the authority to act in God’s They will Blood transfusions, organ that contain alcohol or caffeine ORTHODOXFAITH COMMUNITYNew Testament church, begun by Christ’s disciples in accordance The term of the wester

18 n half of Constantine’s The Roman
n half of Constantine’s The Roman Catholic 15 the Holy Trinity - Father, Son, and Holy Spirit - three divine persons in At Adam and Eve’s fall, that Despite the fall, God’s image body, and on a person’s relationship prayer, participation in community Forgiveness), Communion and Basil offers a statement on the The important to be open to God’s willadministrators of God’s healing, the deceased person’s loved onesA prie

19 st should be noti�ed to pray
st should be noti�ed to pray 16 This includes cremation, autopsy, and dissection from certain foods, however, is At certain times Do’s and don’tsculture, local traditions and whether Implantation of animal organs 17 FAITH COMMUNITYthird largest following of around a different forms, ways, and aspects commonly recognized by Hindus as and representative of different aspects of the same universal beingin�nite number of dif

20 ferent paths All the paths are The thr
ferent paths All the paths are The three Vishnu and Shiva, who represent represent the Hindu Trinityof union, or merging, of one’s with Parmātman. A completely make a soul eligible to merge with Parmātman. Thus, a truly devoted of Atman for further improving his A Hindu recognizes various his society and family, devotion The Vedas, Bhagavd-Gita and 18 The law of karma Therefore, illness may be viewed as the result of one’s karma, the resid

21 ue of one’s past home; however, whe
ue of one’s past home; however, when this is These the patient’s head Sometimes, members of the family may want the body to face south, which symbolizes facing A few drops of holy water are trickled into During this period the incense near the head of the The family of the deceased normally prefers the death certi�cate to be signed as soon as possible so embalmed, nor should any organ be Among certain groups However, cremation 19

22 effect on the individual Vegetarian foo
effect on the individual Vegetarian food However, Hindus are free to Those who Yogurt is a Coffee and Do’s and don’ts Women often look to The preferred method of handling terminal illness is to When it comes to arti�cially prolonging life there is no prohibition and it is left to the and has to ful�ll its destiny.Organ donation is considered 20 FAITH COMMUNITYMore than one billion people, or 20 per cent of the world

23 46;s Of this number, only 10 per cent a
46;s Of this number, only 10 per cent are of Muslims are found throughout the world in all cultures and races but are found in majority populations in the Middle East, North Africa, East Asia and the Paci�c Islands. They are also found in large numbers in the former Soviet Republic, Western Europe and North Americato the Almighty God, who is called Allah in Arabic Allah has many His description as the All-MercifulMuslims believe in Jesus’

24 virgin Mary, and his miracles They 5 pe
virgin Mary, and his miracles They 5 per cent of one’s 21 Muslims believe their bodies are given to them as a trust by God to use appropriately for the attainment The consumption of alcohol or any intoxicant is Smoking or using any other substance that is harmful to Ablution before prayer is mandatory and includes washing of the hands, arms, face and feet. Islam af�rms human sexuality as a gift from God Sexual activity outside of marri

25 age is condemned and believed to damage
age is condemned and believed to damage Overall, leading a healthy lifestyle is seen as a pricking of a �nger, if endured patiently and piously, will wash workers are considered God’s tend to buffer a sick family member The family They may be visit by a Muslim doctor or clergy 22 their �ve daily prayers. Assistance prayer, especially if the patient Arrangements at Quran and offering copies of the care of one’s parents i

26 s the second surrounding birth, which ma
s the second surrounding birth, which may differ substantially, especially for recent They need to be However, those with Western backgrounds, involved in their wives’ careimposing on staff, so help needs to be offered 23 A �rst-time mother or one with other children and without extended family will need more Arranging for home Male circumcision is expected, often Genetic defects are considered to be God’s will but families will n

27 eed as They may request consultation wi
eed as They may request consultation with a Muslim scholar before making any This does not detract this is God’s will and the natural suffering is not warranted with acceptance of God’s will Organ offer comfort Animal meat Adherence to The sharing of food is associated 24 Do’s and don’tsWhenever health-care workers of the opposite gender enter the patient’s room, warning should be given so the individual may arrange their atti

28 re appropriately, especially for Muslim
re appropriately, especially for Muslim women Western medicineabortion unless the mother’s Blood transfusions and organ patient’s life JEHOVAH’SFAITH COMMUNITYJehovah’s Witnesses are members personal name of Almighty God, as Christ is God’s SonWitnesses believe God’s kingdom mentioned in the Lord’s Jehovah’s Witnesses remain neutral in political affairs and believe God will soon intervene in man’s affairs to bri

29 ng about world peaceJehovah’s Witne
ng about world peaceJehovah’s Witnesses seek quality 25 allogeneic (donor-derived) blood They request medical and surgical care using clinical of Jehovah’s Witnesses does not interferons, platelet-derived wound-healing factor, immunoglobulins Each Witness patient The congregation offers comfort Witnesses avoid anything to Animal products Do’s and don’tsJehovah’s Witnesses abstain If at the time of childbirth a choice must be m

30 ade between the life of the mother and t
ade between the life of the mother and that 26 of the child, it is up to the individuals concerned to make Witnesses believe donor blood Organ transplantation is regarded as a person’s FAITH COMMUNITY The Jews accepted this There found in the written Torah, the �ve The Talmud is a written Torah A baby girl gets 27 Organ donation beliefs vary and A body should not be left Upon death, staff should call the 24-hour emergency phone of the

31 over, so arrangements can be made to st
over, so arrangements can be made to store the body in the morgueCalgary region of Alberta Health Do’s and don’tsJewish patients should be made aware Jewish clergy and volunteers are available for visiting, spiritual care, counseling and other needed Contact the Spiritual Care Department for names and Jews are not familiar with chaplains and will think a chaplain is Christian and therefore would not be travel, use electricity, handle off 28 T

32 hey involve bread, be discharged during
hey involve bread, be discharged during Sabbath Some medications are made with non-kosher product Though most hospital patients can take most medicines, Jewish patients should be made aware of these medications and encouraged to discuss Passover, a special kosher diet new year, takes place in the a shofar (ram’s horn) for Tabernacles, a nine-day There is a 29 PROTESTANTFAITH COMMUNITYProtestant Christians believe in the Trinity and the sovereignty o

33 f They believe God forgives freely and
f They believe God forgives freely and will save all who accept the gift of Jesus’ death for salvationChristians look forward to a time when they will live forever and cause of suffering and the They 30 Do’s and don’tsOrgan donation is acceptableWithdrawal of treatment and Spiritual practices may include scripture reading, prayer, offerings, anointing CATHOLICFAITH COMMUNITYBlessed Trinity of Father, Son and The Church believes The Ch

34 urch believes As part of that body, Chr
urch believes As part of that body, Christ’s continued presence here 31 The Church recognizes that all are in need of healing and grace throughout their lives and that a holistic understanding that embraces and validates the human person as body, mind and soul, is the most effective means The Church sees and relates to all peoples �rst and foremost as individual persons with the right One of the basic tenets is that the human person sho

35 uld never be treated as an object but ra
uld never be treated as an object but rather respected and honored as a subject, an image and Treating individuals as human beings and caring for all aspects of their being is paramount to living the Gospel, The Church also feels a special call from God to be present to the sick, the elderly, the poor, the needy and Thus, in times of illness or death, the Church through its members, laity and clergy, feels called to be present to all peoples in their pa

36 in and to communicate a sense of solidar
in and to communicate a sense of solidarity in their suffering and plight Sacramental signs such as Holy Communion, the Sacrament of Anointing and all �nal rites of forgiveness and healing can be a true source of hope to members of the faithful However, a mother may undergo medical Emergency Baptism of the dying Thus, death The 32 strengthen the Christian’s hope in The general The Church has only two days within the year, Ash Wednesd

37 ay and Good Friday, on who are suffering
ay and Good Friday, on who are suffering from illness, The question of “life support” and in particular choices of withholding or withdrawing life-prolonging treatment is a question that comes The Church does not This life is transitory and thus, it does not need to be sustained with The rejection of treatment due to it being too burdensome, risky, ineffective or disproportionate to the expected outcome does not The duty of the faithful now sh

38 ifts from avoiding death to providing co
ifts from avoiding death to providing comfort and strengthening the hope of eternal Excellent pain management while calculating the risks of death, without bringing Where death appears to be inevitable then palliative care rather than what might be termed ‘extraordinary’ means of prolonging life is the preferred form of support to the Active treatments that are seen as measures calculated to end pain and suffering by killing the patient are se

39 en as a violation of the basic right to
en as a violation of the basic right to human life and Participation in organ and tissue donation and transplantation is encouraged as an expression of solidarity, charity and 33 SEVENTH-DAYFAITH COMMUNITYThe Seventh-day Adventist The denomination was organized in the mid-1800s The Bible is the source The Sabbath is This is a are God’s temple (1 Cor care for one’s health by exercising From the church’s founding in the 1860s, there has

40 been a Many Adventists choose to work in
been a Many Adventists choose to work in health care and many churches offer seminars and classes on Adventists believe people who die do not know anything until Jesus comes to this Earth and resurrects all the dead who have They will then be taken to heaven to live with It is important to refer to the person who died as being dead or asleep, rather than in heaven with There are no special rituals Autopsies are 34 Cremation and burial one’s body

41 in top condition, many They also refra
in top condition, many They also refrain from alcohol and caffeinated beverages Those Dos and don’tsMany who are seriously ill will wish for prayer by anointing The sanctity of human life The church does not condone abortions for reasons of birth control, gender However, the personal liberty of women is guarded Seventh-day Adventists value However, it is permissible to 35 FAITH COMMUNITYlargest religion in the world with followers live in North A

42 mericaearn one’s living in an hones
mericaearn one’s living in an honest and A Sikh means a disciple Southeast Asia spreading the key He spread the message of In 1604, the 10th Sikh Master, Supreme Authority of the Religion 36 The Siri Guru Granth Sahib Ji’s writings include writings from Hindu and Muslim saints of the time, as well as the Sikh Gurus symbolizing aspect of human life and experience Historically, Sikhs have faced God’s creation of the 2)Kunga (small wooden com

43 b) to maintain the hair but also 4)Kirpa
b) to maintain the hair but also 4)Kirpan (small sword) symbolizing commitment and a Sikh’s individual commitment and further one’s connection 37 Prayer gives power, courage, Sikhs believe God’s will is With its roots and origin in India, many Sikhs combine Western to pursuing God’s way of lifeLife is considered to be sacred from The baby’s name often will be 38 an opportunity for the Sikh’s soul to merge with the AlmightyT

44 he physical body is then returned Sikhs
he physical body is then returned Sikhs also believe in reincarnation such that the individual soul comes and goes according to the balance of its karmic deeds - positive Dos and don’tsscarf from a Sikh’s head allow the patient to take it off Do not place the head dress in the same place as the patient’s shoesidentity, especially the hair and A patient must be Treatment by a health-care (Nitnem) must be handled only 39 A Sikh may refuse tr

45 eatment healthcare providers Generally,
eatment healthcare providers Generally, it is FAITH COMMUNITYPeople who are a part of The Jesus is God’s unique revelation to Christians about life, death Other religious traditions offer 40 cause of suffering, as well as the support person to offer comfort However, in an emergency, a child name of the Father, the Son, ushered into their new, transformed 41 Visiting congregants and Offering prayers, Holy Organ donation is acceptable Withdrawal of

46 treatment and scripture reading, prayer
treatment and scripture reading, prayer, Their inclusion should The United Church encourages, as much as possible, full involvement and consultation with the patient when decisions are being 42 Ideas for multicultural, multifaith care There are two Each person’s experience helps to create a view of Awareness of religious and cultural traditions An attitude of cultural and religious Understanding Cultural Difference in Caring For Dying Barbara Ko

47 enig and Jan Gates-Williams suggest thes
enig and Jan Gates-Williams suggest these guidelines Assess the language used to discuss this patient’s illness and disease, Determine whether decisions are made by the patient or a larger social 43 Assess the patient’s degree of fatalism versus an active desire for the both within the patient’s family and in interactions with the health-care poverty, refugee status, past discrimination and lack of access to care;To aid the complex effort o

48 f interpreting the relevance of cultural
f interpreting the relevance of cultural Spiritual care assessment toolwithin Alberta, it is neither comprehensive in scope nor does it take into While this manual has highlighted the beliefs of major faith groups within Alberta, there are many other faith groups that are not included in this Additionally, there is a growing number of Albertans who identify assessment might bene�t. We encourage health-care providers to contact their institution

49 ’s spiritual care provider or chapl
’s spiritual care provider or chaplain, most of whom are multifaith 44 45 Religious Beliefs and Practices Affecting Health Care, University of Virginia Health System, 2003Ontario Consultants on Religious ToleranceorgorgBaluff, JohnThe Morality of Refusing Medical TreatmentsTrevalon, MCultural Humility versus Cultural Competence: A Critical Distinction in De�ning Physician Training Outcomes 9: 117-125Koening BA, Gates-Williams J: Underst

50 anding Cultural Difference in issue), We
anding Cultural Difference in issue), West J & Romer, ATaking a spiritual history allows clinicians to understand patients more fullyBalboni, T, Vanderwerker, L, Peteet, JReligiousness and Spiritual Support Among Advanced Cancer Patients and Associations With End-of-Life Treatment Preferences and Journal of Clinical Oncology, 25, 555-560, Short, T (1999)Do patients want physicians to inquire about spiritual or religiou beliefs if Archives of Internal Med

51 icine, 159, 1803-1806 46 Balboni, T, Van
icine, 159, 1803-1806 46 Balboni, T, Vanderwerker, LReligiousness and Spiritual Support Among Advanced Cancer Patients and Associations With End-of-Life Treatment Preferences and Quality of Life Journal of Clinical Oncology, 25, 555-Baluff, JohnThe Morality of Refusing Medical Treatments, Short, TDo patieints want physicians to inquire about their spiritual or religiou Archives of Internal Medicine, 159, Care and Wholeness DepartmentOntario Consultants on

52 Religious Toleranceorgorg & Romer, ATak
Religious Toleranceorgorg & Romer, ATaking a spiritual history allows clinicians to understand patients more fully.Sinclair, Shane Spiritual Care Assessment Tool, 2008Tuer, Marty 47 Special thanks to the members of the Spiritual Care Advisory Committee Wilma Clark in consultation with the Calgary Presbytery, Harjot Kaur Singh – Sikh Dharma International and Sikh Youth Marty Tuer in consultation with Pritam Arora, Chairman, Board of Trustees for the H

53 indu Society of CalgaryMaureen Venzi 48
indu Society of CalgaryMaureen Venzi 48 49 If you are personally involved with one of these faith traditions and have suggestions for improving this booklet, please contact your local Spiritual Care department. H C  R B H C  R B&#