2018 Caring for the Human Spirit Conference

Michael Rabow

Keynote Address:

Spirituality and Meaning in the Context of Relationship-Centered Care

Michael W. Rabow, M.D., FAAHPM, the Helen Diller Family Chair in Palliative Care, is a Professor of Clinical Medicine and Urology in the Division of General Internal Medicine, Department of Medicine, at the University of California, San Francisco

 

Keynote Session Summary

This keynote session will explore spirituality in health care by examining the nature of the patient-clinician relationship in the setting of serious illness. Looking at outpatient palliative care in particular, this session will describe common spiritual issues for patients facing serious illness and review recommendations for how clinicians might address patient spiritual distress.

This session will explore major issues including empathy and compassion, care at the end of life, clinician grief, the role of the chaplain in outpatient palliative care, and clinician self-care. The session will also explore: How does spirituality manifest as part of routine medical care? How does palliative care help elevate spirituality to having a place among the list of “patient problems” addressed? And, what are the implications of relationship-centered care for clinicians?

Upon completion of this session, you will be able to:

  • Define relationship-centered care
  • Compare and contrast what spirituality means for patients and clinicians in the context of the patient-clinician relationship
  • List three recommendations for clinicians to care for themselves while participating in intense relationships with patients facing serious illness

 

Michael Rabow

Plenary Session:

I Hear You Saying You Need Leaders

Robert Kidd, BCC, System Director, Spiritual Care and Values Integration, The Methodist Hospital

 

Plenary Session Summary

Over the past decades, professional chaplaincy organizations and clinic pastoral educators have mostly produced very effective clinical chaplains. While this accomplishment is laudable, our discipline nonetheless faces a critical shortage of chaplain leaders who are able to speak credibly and compellingly to hospital executives. Chaplain Kidd will share some of the reasons for this deficit, the consequences of ignoring it, and offer suggestions for cultivating new chaplain leaders.

Upon completion of this session, you will be able to:

  • Examine the scope of this leadership deficit and the reasons behind it.
  • Consider the consequences of failure to address this leadership deficit.
  • Identify characteristics of effective spiritual care leaders.
  • Consider to actions to enhance the number of effective leaders in professional spiritual care.

 

Michael Rabow

Plenary Session

Spiritual Care in Palliative Care: An Overview of Recent Evidence and Directions for Future

Lucy Selman, Ph.D., Research Fellow (Qualitative Research in Randomized Trials), Bristol Medical School, University of Bristol

Bio Summary

Dr. Selman originally studied Philosophy (BA (Hons), MPhil), specializing in epistemology and philosophy of science. In 2005 she moved into social science research in end of life care, and in 2011 was awarded her PhD in Palliative Care at King’s College London, UK. Her doctoral research explored spiritual well-being and its assessment among patients receiving palliative care in Uganda and South Africa. On the basis of her doctoral work, she received the 2012 European Association of Palliative Care (EAPC) Early Researcher Award, which honors a young scientist or clinician in the field of palliative care who has made an outstanding contribution to research. She was Co-Chair of the Research Subgroup of the EAPC Spiritual Care Taskforce from 2011-2016, and has been a member of the HealthCare Chaplaincy Network Research Advisory Committee since November 2015. In addition to spiritual care, her research interests encompass staff-patient communication around end of life issues, healthcare provider education and support, psychosocial aspects of palliative care, and patient empowerment. She is author of over 50 journal publications, as well as several book chapters and reports. Dr. Selman is currently a Research Fellow at the University of Bristol, UK.

 

Plenary Session Summary

Dr. Selman will give a state-of-the-science overview of spiritual care research, focusing on recent evidence related to the provision of spiritual care in palliative care. While much research in spiritual care originates from the USA, this overview will take a broad, international perspective. The presentation will outline evidence, and identify as-yet unanswered questions, regarding patients' and caregivers' spiritual care needs and experiences, the effectiveness of spiritual care, healthcare providers' attitudes to it, and their roles in its provision. She will also discuss priorities in research in this field from patient, family and healthcare provider perspectives, drawing on the findings of two international studies she led as Principal Investigator.

Upon completion of this session, you will be able to:

  • Outline some of the key recent research related to spiritual care provision in palliative and end of life contexts
  • Describe limitations and gaps in the existing evidence
  • Recognize questions and priorities for future research

 

Michael Rabow

Rev. Kevin Massey Vice President, Mission and Spiritual Care Advocate Lutheran General Hospital

Prove It: Developing True Measures of Chaplain Outcomes

Upon completion of this session, you will be able to:

  • Distinguish between measurable outcomes and anecdotal evidence
  • Apply a theory of health care chaplaincy focusing on treating primary diagnoses
  • Discover how to incorporate true measures of chaplain outcomes into the disciplinary conversation

 

 

 

 

Torrie Fields, MPH, Senior Program Manager, Advanced Ilness & Palliative Care, Healthcare Quality & Affordability, Blue Shield of California

Gaining Hope, Finding Purpose: The Power of a Chaplain in Improving Quality of Life for Patients and Families

Plenary Session Summary

 

All too often, the role of a chaplain is misunderstood in healing the pain of a serious illness. Whether alone or as part of an interdisciplinary team, chaplains can provide relief from suffering for patients and families beginning at the point of diagnosis, and through end-of-life or survivorship. This session will focus on the critical role of the empowered chaplain as part of a family’s journey through illness and in healing after the illness’ completion. Using an in-depth case study, this session will explore the difference in the role of a chaplain and a social worker on an interdisciplinary palliative care team, the impact of chaplaincy consultations in grief and survivorship, and the impact a healthcare chaplain can have on healing existential and spiritual suffering. In addition, quality standards, innovative models of care delivery, and innovative payment models for healthcare chaplains will be explored and highlighted.

 

Upon completion of this session, you will be able to:

  • Examine the role of a health care chaplain as part of a team and individually.
  • Analyze the impact of a chaplain in the course of a serious illness, in survivorship, and after death.
  • Describe ways in which healthcare chaplains are partnering and reimbursed for services provided to seriously ill patients and families