Rev’d Hilary Reddrop
Thank you, Peter, for once again giving me the opportunity to speak about Chaplaincy and my hospital chaplaincy ministry.
Having preached on this topic this time last year I feel very tempted to ask you, as I ask straight up to social work students that I give presentations to on Spiritual Care, what do you understand the word spirituality to mean? Any one brave enough to call out?
Spirituality, simply put, is about what gives us meaning and purpose in life, the reason for getting up in the morning, what motivates us into action, our values and our hope. For some people it is their family, their pets, or it could be their various activities such as walking on the beach or in the bush, gardening, craft work or tinkering in the shed. These are some of the things that gives meaning and purpose to their lives, our lives. For some, like us, their spirituality includes a belief in a deity.
I am one of the Spiritual Care chaplains in the Southern Adelaide Local Health Network, commonly known as SAHLN. SALHN covers the Flinders Medical Centre, Noarlunga Hospital, the Repat Health Precinct and the Jamie Larcombe Centre, the mental health unit for veterans and first responders. In SALHN the Chaplaincy team works on a ward basis. I’m at Flinders three days a week and my assigned wards there are Laurel Hospice and the Older Persons Mental Health Unit. I’m at the Repat one day and visit the rehab wards. When a visit for an Anglican chaplain is requested, I share visiting these patients with my Anglican colleague, Zinkoo Han, who joined the team this year.
The Spiritual Care Chaplains are available to all patients, family, friends and all staff. When cold calling, which we all do on occasions, I introduce myself to patients with the greeting Hello I’m Hilary. I’m from Spiritual Care, some people respond immediately with, I’m not religious, I’m not spiritual, I don’t go to church, or something similar. Some are surprised, and others sceptical, when I say, I haven’t come to visit you to talk about religion. Some invite me to stay and conversation flows from there. Others don’t want to engage. I leave them usually saying, I hope your day is as peaceful and calm as possible. A few do understand that spirituality is more than belief in a deity.
Chaplaincy is about relationship. We visit people who don’t know us, nor we know them, but somehow we build a relationship of trust in a very short space of time. We are often told things that have been long forgotten, deep hurts from the past or perhaps more recent hurts, things they’ve never shared before with anyone. Our primary role is to listen, to listen deeply to what is being said, and unsaid, observing what is happening for the person as they talk to us, as they share their needs, their life stories, their joys and sadnesses, their fears, their determination, their hope. Many visits are to people who are feeling lonely, family might live a long way away, or they have no family, and their friends are not able to visit them. We sit and listen to them sharing their life stories, joining in where appropriate acknowledging their joys and sadness, gently encouraging them to share their fears, exploring how they have coped with these feelings in the past by enquiring what helped them then or what might help them now, always allowing the person to share as much or as little as they feel comfortable to share, to give them the time and space to think things through, to come to their own conclusions and to make their own decisions. It’s not our place to give advice or instruct them, we’re there as a gentle, listening, guiding presence. For all who we interact with we are the hands of Christ, at the bedside, in the corridor, and occasionally in the Chapel.
My ministry in the Hospice brings me alongside people with a life limiting illness, approaching the end of their life, which could be months, weeks, days or hours away. They are receiving palliative care. Their big questions may be, Why me? What have I done with my life? What do I do with my life now? Or they may express sadness, I don’t want to leave my family. Some elderly patients are worried about their partner, How will they manage when I’ve gone, I’ve always done everything. Another question might be, What’s going to happen now? That question might mean what’s going to happen right now or for those who are imminently dying, what is after death. Some of these questions and thoughts are no different for patients in other wards. They may have been in an accident or have an illness that has changed their mobility, their quality of life. What will I be able to do? What work will I be able to do? I’m going to be a burden.
Do chaplains have the answers to any of these questions? We might have some answers, but we’re there to listen. It’s not our role to give direct answers, especially if a patient is asking about their illness and treatment. We are not allowed to give medical advice. What has your dr told you? Have you asked your nurse? are questions I put to the patient. Or I might suggest they ask to see the social worker if that is more appropriate.
Chaplains are not allowed to proselytise. If a patient asks questions about faith matters we can talk about religion in general terms, and only in direct response to their conversation. We can’t disagree with their theology or try to change their beliefs or thoughts. We are there to support them, not add to their anxiety when they are in a vulnerable state. If I’m asked a direct question about faith I try and reflect it back to them, I’m interested in hearing what you think. Occasionally I will be challenged and asked about my belief in the nature of God. That’s when I tread very carefully. I don’t agree or disagree with their theology even if it is different from mine! Some push back, they want to know about me, what I believe and ask very direct questions, most often about God, and frequently the God of judgement. Sadly, some associate their illness or their prolonged death as being imposed on them by God. If I feel pushed to answer what I feel about God I say, I believe in a loving God, adding more to that if conversation flows from that, or gently exploring with the patient what they believe. When patients are feeling low, they may feel God is distant from them, not listening, not answering their prayers. I might explore what has made them feel close to God in the past and let them decide what might be helpful for them now to help them restore their closeness to God. Reading a Bible passage and praying with patients and family are also important parts of our ministry. Attending to patients at the end of their life, responding to requests from family to pray for the dying person forms a greater part of our ministry.
Some patients spend weeks, sometimes months, in hospital. These are the metaphorical prisoners we visit, trapped in a bed, some attached to medical equipment, others just not healing due to their illness or their age, perhaps recovering slowly in rehab or waiting for a bed in residential care. These long term patients need company. Staff often ask us to go and visit these patients. We have the time to be at the bedside, to be present and listen. We aren’t under the time pressure other staff are under. We might stay a few minutes, or it may be an hour or more. In the Repat dementia wards there are many patients who are not accepted into residential care or who have been made to leave residential care because the facility cannot cope with their behaviour. They remain in hospital care until a suitable place is found for them. This can be months or years. The staff welcome the visits from spiritual care to spend time with the patients.
Some visits are just one-off visits while others may go on over a matter of weeks and some for months. It is a privilege to spend time with patients, especially those in these situations. I might get to know the family and friends of some of the patients, spending time with them listening to their life stories. Families or friends can’t always be present all the time. In the hospice I sometimes visit sleeping or unresponsive patients if they are on their own. If I haven’t met the patient or family, I don’t presume they will want me to be present. I stand by the bedside and pray silently for a few minutes. For those I’ve spent time with I’ll sit with them in silent prayer or pray aloud if I’ve gained their permission to pray with them on a previous visit. Recently I visited a patient in the Hospice and she asked me to pray for her, which I did. A couple of days later there was a request from her family to visit her. I went but the patient was alone and unresponsive. I spoke to her and prayed for her and sat with her for a while. I left a note for the family to let them know I’d visited. I was on call that day and a while later I had a phone call from the patient’s son. He wanted me to visit and spend time with him and his sister and brother. I returned to the Hospice and spent time with them listening to them talk about their mother and praying once more as they requested. They appreciated me being with them. The patient died early the following morning. A timely visit with them all.
People often say to me, It must be sad being in the Hospice. I don’t always know how to respond because it’s not a sad place. There’s a lot of love and laughter. Yes, sometimes it’s very sad especially there’s a connection been made with a patient. All staff have these experiences and are well supported on the ward, including me.
My very sad feelings are more for the patients in the Older Patient Mental Health Unit. Many are there for months, some are admitted and after they’re discharged there back again a little while later. Yes, I spend time with these patients and regularly they are the people I spend the most time with, often an hour. The staff are grateful for my presence on the ward as spiritual care makes a big difference for the patients on the day they are visited. The staff regularly check with me about the patient I’ve visited, and I share what I may have noticed without breaking the bond of trust and confidentiality. We also check in on each other, how are you and we listen to each other. Some patients, and not just in the Older Persons Mental Health Unit, are so unwell that you can’t help feeling emotional after you’ve left them and a check in is helpful. And yes, I sometimes break the guidelines for personal wellbeing and carry a patient home in my mind and heart.
I’m fortunate that I am part of a supportive team. We listen to each other, debrief and encourage each other to care for ourselves when we’ve had a challenging visit or day. We know each other well and can pick up when support, a listening ear is needed. We encourage each other by listening, supporting, hugs and on occasions time out to sit and chat.
I know, like me, my fellow chaplains within SALHN, and across the diocese, feel so privileged to be Chaplains, spreading God’s love to all we meet, not only in words but also in actions, prompted and guided by the Holy Spirit, to go where we need to be, often arriving at the perfect moment for the patient or their family member, or meeting a staff member who just needs to talk. I can recall the first time I was prompted by the Holy Spirit to go to a particular patient. It was in the old RAH and I was a lay volunteer. Some of you may recall the layout of the old RAH with various levels having three corridors at right angle to each other. I can recall standing at the place where they met. On my list I had patients down each of the corridors. I stood looking at the list and then down each corridor. I then I felt I need to go this way. I don’t recall the patient, just the experience of arriving at the perfect time for that person. I knew I’d had what I call a Holy Spirit moment and yes, I’ve had more such experiences.
A couple of weeks ago thinking about preaching both here and at St Augustine’s Para Hills last week, I asked my colleagues if they are ever greeted with You’re the chaplain, even when we haven’t said a word. Yes, they have. One colleague shared that just that day she’d visited a patient who said after she introduced herself said, sunshine and love has just walked into the room. What a beautiful experience. We wonder how it is possible to receive such reactions. I can only think, and believe, it is the working of the Holy Spirit in and through us, our advocate, prompt and guide.
Thank you Peter, for putting the flyer about the Chaplain’s Service next Sunday in your weekly. If you haven’t met the Archbishop yet this will be an opportunity for you as he will be preaching. I’d love to see you there to say hello to at afternoon tea. Please come if you are able. Amen