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Wholistic CareThis issue of Connections provides you with information about caring for people who suffer from addiction and those who are grieving a loss. These two things may seem unrelated until you consider that all disease and illness have a component of debilitation or loss. Left untreated, addiction causes significant distress and eventual death. Those afflicted and those who are affected by their behaviors experience loss. Achieving on-going sobriety also means grieving the loss of the addictive substance that had come to dominate one’s life, spirit and relationships.
Advocate Good Samaritan’s Hospital’s mission is to embrace the whole person, created in the
image of God, responding to emotional, ethical and spiritual concerns, as well as their physical needs. Patients come into our care already
having experienced suffering or loss before they arrive and may well continue to recover, struggle to cope or grieve after they leave the hospital.
Our support for you and your support for us ensures the many ways that God’s loving embrace of His children is whole and
complete before, during and after patients leave our care. Thank you for this partnership in caring.
Rev. Jim Christian Vice President, Mission & Spiritual Care
Advocate Good Samaritan Hospital
Winter 2012/13Volume 3, Issue 4
Office for Mission & Spiritual CareAdvocate Good Samaritan Hospital630.275.1185GSAM-SpiritualCare
@Advocatehealth.com
Our hours: The Office for Mission and Spiritual Care provides spiritual care for patients and their families 24 hours a day every day of the year. The office is open from 8:30 am to 5 pm Monday through Friday. During those times, you may contact us at 630.275.1185. Evenings and weekends, call 630.275.5900, and ask the operator to page the on-call chaplain.
to our faith communitiesConnections
In this issue:1 Greetings from Jim Christian
1 Grace Notes
2 Hope for those dealing with addiction
2 Resources for clergy
3 2013 Spirituality and Wellness Five-Session Series
3 Hospice Corner
4 Grief processes across the life cycle: pre-school children, school-age children, adolescents, young adults, adults in mid-life and older adults
4 Definitions of grief
5 Aztec prayer
7 Grief – the journey from memory to meaning
7 Tasks of mourning
Everyone prays in his or her own language and there is no language
that God does not understand. Duke Ellington
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:
Grief at all
ages
Connections - Advocate Good Samaritan Hospital Office for Mission and Spiritual Care Winter 2012/13 - Page 2
Karen Fergle began working in addiction 26 years ago was when hired as the first addiction nurse at the 97th General Hospital in Frankfurt, Germany. She loved the work and has continued working in addictions ever since.
Paula Moore has worked in behavioral health for over thirty-three years, always within the Advocate system. She has been a manager in behavioral health since 1999, and in April began managing the medical unit that specializes in detoxification services.
Jeff Pollack has worked in behavioral health and addictions for over 25 years. As a nurse and social worker (MSW), he has managed both inpatient units and outpatient programs.
This spring, something significant has changed for those seeking help for addiction at Advocate Good Samaritan Hospital: In April, a dedicated, 8-bed unit that focuses on detoxifying patients was opened.
Now those addicted to alcohol and opiates (heroin and prescription narcotics) find themselves in a dedicated part of the hospital and are treated by a specialized staff and encouraged by volunteers who have sought to serve in that particular unit.
Prior to this specialized unit, such a patient could be placed in any number of different medical units within the hospital. “Now they receive standard care from those who are familiar with detox protocol,” says Karen Fergle, certified addictions registered nurse.
“Our unit staff wants to work with addiction specifically, we offer continuity of care between admissions, we are better able to suggest resources for future treatment (both in-patient and out-
patient) . . . and we offer hope.”
This change in organization came about as part of Good Samaritan Hospital’s LEAN process. The core idea of LEAN is to maximize customer value while minimizing waste – creating more value for patients using fewer resources.
“Part of LEAN is a rapid improvement event (RIE) in which we look at a population and how it is being served,” recalls Jeff Pollack; coordinator, Partial Hospital and Intensive Outpatient Programs, at Good Samaritan Hospital.
“We brought in administrators, direct care workers and former detox
patients who had experienced the system as it was.”
“We looked at how help was currently given and how it would
be given ideally. Then we looked for the gap,” adds Paula Moore; manager, Behavioral Health Services Access and
Outpatient Services. “Providing hope was what people wanted. There is a lot of shame and guilt that goes along with addiction, and we wanted to offer hope not only for the patient but for the family, too.”
Volunteers from AA, NA
(Narcotics Anonymous) and CA (Cocaine Anonymous) visit patients, link them with meetings and share their personal experiences, strengths and hope in recovery.
The professional staff shares the passion of the volunteers. “Each member of our detox staff has gravitated toward this unit, and we’re working together as a new team, going for the same goal,” says Fergle.
“If a patient returns, the staff already knows him, and on that return visit some barriers have already been removed. We understand that people don’t always get it the first time around. We feel humble and don’t give up. The result is that we’re seeing more patients go from detox into treatment than when they were scattered. There are more success stories than ever before. There is more hope.”
“We understand that people don’t always get it the
first time around.”
Hope for those dealing with addiction
On-line resources for clergyHandbook for Pastoral Use by Clergy Counselors in Clergy Education. A downloadable book with the sub-title, Spiritual Caregiving to Help Addicted Persons and Families. nacoa.org/pdfs/clergy%20handbookfrom%20toolkit.pdf
Helping People Who Struggle with Addictions. Article from The Enrichment Journal, published by Assemblies of God. enrichmentjournal.ag.org/200804/200804_130_Addictions.cfm
Understanding and Counseling the Alcoholic. An on-line book by Howard J. Clinebell, Jr., Professor of Pastoral Counseling at the School of Theology at Claremont, CA. www.religion-online.org/showbook.asp?title=576
Substance abuse treatment for clergy: drug-rehab-experts.org/special-programs/substance-abuse-treatment-for-clergy-members
Connections - Advocate Good Samaritan Hospital Office for Mission and Spiritual Care Winter 2012/13 - Page 3
Advocate Good Samaritan Hospital3518 Highland AvenueDowners Grove, IL 60515630.275.5900www.advocatehealth.com/gsam
Good Samaritan Health and Wellness Center3551 Highland Ave., Downers Grove, IL
630.275.2879
Advocate Good Samaritan Outpatient Facilities:6840 S. Main St., Downers Grove, IL, 630.275.684015900 W. 127th St., Lemont, IL, 630.243.7100
Office for Mission & Spiritual [email protected]
Vice President:Rev. Jim Christian
Chaplains:Barbara Burkhardt Donald FryeJohnny Gillespie Kathy GingrichAnna Lee Hisey Pierson Sally MillerKim Neace Cathy StewartLaura Williams Linnea WinquistAdrienne Zervos
Chaplain Educators:Amy Snedeker Jeni Porche
Department Secretary:Julie LaFayette
To continue receiving Connections, your email address must be current. Please inform us of any changes in your email address or other contact information: Call 630.275.1185 or email to [email protected].
Service of RemembranceAdvocate Good Samaritan Hospital Chapel
Sun., Dec. 16, 4 p.m.Good Samaritan Mission & Spiritual Care and Advocate Hospice join together in leading this service as a comfort for families they serve who have recently lost a loved one. For more information, call 630.829.1753 or email [email protected].
Hospice CornerAdvocate Hospice
1441 Branding Lane #220 • Downers Grove, IL 60515
Blankets for grieving families
Greater wellness for children
In upcoming issues
Rev. Bobbie McKay, Ph.D. is an ordained minister in the United Methodist Church and has authored several books and publications on the faith, healing and relationships.
2013 Spirituality and Wellness Five-Session SeriesMission & Spiritual Care Office, Advocate Good Samartian Hospital
Session 1: Spirituality Across the Life Span
Our spiritual lives grow and change in each season of our lives. New research, blending facts with stories, will take us through the life cycle, helping us recognize our God experiences and the powerful growth potential they contain. We will look at adolescence and young adult spirituality; the critical role of spiritual life in our Baby Boomers and the
ways of looking at the exciting reality of spiritual life through the entire aging process. Strategies for spiritual growth will be offered for each age.
Five-Session Series
For faith leaders, parish nurses, medical professionals, caregivers and others interested in the relationship of spirituality and wellness:
✦ To appreciate the connection of body, mind and spirit in healing and wellness
✦ To learn how spirituality affects the health and wellness of individuals, congregations, caregivers and communities
✦ To consider ways to move toward greater wellness, purpose and meaning for oneself, within families, congregations and society
Spirituality Across the Life Span, Jan.8, Rev. Bobbie McKay, Ph. D.
Why Faith? Scientific Evidence of the Healing Effects of Religion & Spirituality, Feb. 12, Jan Remer Osborn, Ph.D., Neuropsychologist
Healing From Different Faith Traditions, Mar.12, Interfaith Panel
Alternative and Complementary Approaches to Healing, Apr. 16, Advocate Parish Nurses
The Power of Prayer and Healing Ritual, May 14, Advocate Good Samaritan Hospital Chaplains
All sessions are on Tuesdays 7 - 8:30 p.m. in the Oak Rooms of Good Samaritan Hospital. To register and for more information, contact Julie LaFayette at [email protected] or 630.275.1185.
Save
the Dates
Connections - Advocate Good Samaritan Hospital Office for Mission and Spiritual Care Winter 2012/13 - Page 4
Grief processes across the lifecycleBy the Rev. Bonnie Condon
Grief is indeed a journey that is a part of the human condition. Human beings embark upon this journey each day for a variety of reasons. Certainly the primary grief issue is death, but grief is a journey that may be the result of many life transitions or losses. Looking at the grief process from the perspective of the lifecycle (as put forth in “Bereavement: Counseling the Grieving Throughout the Life Cycle” by David A Crenshaw, Ph.D.) allows a developmental approach and addresses the unique issues and needs of individuals at different ages.
Even very young infants who have lost their mothers show signs of bereavement. These reactions may include shock protest, despair and detachment. There is controversy in this area of bereavement work. Many believe that infants do not
have the memory capacity to respond to loss.
Children under age two have little capacity to develop a concept of death. However, loss of a parent at this age affects the child’s
capacity to form a trust bond.
Children begin at age three to enter the “magic” years where they have a great
feeling of omnipotence. This is a key age where feelings of guilt develop if a child feels that somehow he or she has caused the loss and should be able to fix it.
Children in the toddler years are beginning a process of individuating from their parents. Loss of a parent early in a child’s life requires that the remaining family members offer the physical, emotional and spiritual support that the missing parent would have supplied.
Children who are verbal need the chance to express their feelings and thoughts verbally. It is often helpful to begin this dialogue with puppets or art or play therapy. Children also need to be given permission to use their own coping mechanisms. Young children will grieve actively in short time segments and then run off and play.
It is often helpful to begin this dialogue with puppets or art or
play therapy.
Elementary school-age children are moving to a developmental stage of concrete thinking. Children can begin to develop more of a concept of death. They are also increasingly
open to peer influence.
The loss of a parent at this age may stir up mixed emotions as the child is moving
away from parents toward social relationships.
Loss of a sibling can be especially difficult and stir up feelings of anger at the sibling for deserting the child as well as anger toward the parents for spending so much energy on the deceased child.
Simple and honest explanations are important in supporting children in this age group. Play therapy, art, talking, journaling, poetry and music may be good methods for children to process their pain and struggle. It is difficult for them to express their mixed feelings about the loss of a parent or sibling. Helpers can give them permission to do so and may also aid the healing if they assist the child in realizing that these feelings are normal. As with very young children, maximizing the remaining family support is very important.
Simple and honest explanations are important in
supporting children in this age group.
Pre-school children and grief
School-age children and grief
Connections - Advocate Good Samaritan Hospital Office for Mission and Spiritual Care Winter 2012/13 - Page 5
Grief in the pre-teen/teen years is especially difficult. Peer influence is paramount, and youth in this age group are often conflicted with parents and siblings. The normal changes and transitions that occur during adolescence are magnified when a significant loss happens during these years.
Loss of a parent at this time is critical. Adolescents need a firm person to
bounce off of and to identify
themselves over and against.
Parental boundaries and structure form the primary backdrop for adolescent search for identity. The remaining parent is often overwhelmed at the prospect of single- parenting a teenager. Teens sometimes develop deep conflict about their role in the remaining family structure.
Loss of a sibling can result in similar dynamics mentioned for school-age children.
Helpers can assist teens by listening attentively to the deep outpourings of feelings as well as by helping them understand a “normal” grieving process. Teens need a safe place to grapple with not only the pain but the meaning and the abstract mystery of death. Helpers may need to assist the family in understanding the teen’s need for solitude and the difference in the manners in which boys and girls generally react at this age to loss. Males typically react more aggressively, while females will exhibit a need for increased reassurance and comfort. In the important work of individuation, teens need to be free to express their negative as well as positive feelings about the deceased. It is also critical to be supportive of the vulnerable adolescent sense of self. Adolescent youth in grief often express acute feelings of guilt, anger and hostility.
At this age, boys and girls react differently
to loss.
Adolescents and grief
At this stage of life, losses often center around pregnancy or infertility issues.
Research shows loss of a child is
the most difficult type of loss to cope with.
Another serious issue in this age group is the early death of a spouse/partner. In this phase of life, one often develops a sense of intimacy and understanding. When a spouse is lost to death or divorce, it can deeply impact the remaining spouse’s sense of self and connection.
Loss of a parent at this age can result in unfinished business as young adults continue to struggle with their own unique identity and begin to confront how they want to be like and different from their parents.
Loss of friends or siblings interrupts the notion that life is good and filled with promise and possibility.
According to many psychoanalysts, this young adult phase is one of critical identity development. Only after a person is clear about who he or she is can true intimacy occur. Thus the loss of a spouse or child at this age can seriously impact identity and intimacy development. The helper needs to support a person who is grieving at this age by being sensitive to where the person is on his or her journey of identity formation and intimacy establishment. It is not helpful to pull or push someone to a place where he or she is not yet ready to go.
Loss of a spouse or child at this age can impact
identity and intimacy development.
Young adults and grief
DefinitionsAnticipatory grief: The process of grief which happens when loss is inevitable but has not yet occurred.
Bereavement: The state of having suffered a loss. (DSMIV)
Grief: The process of psychological, social and somatic reactions to the perception of loss. This implies that grief is:a) manifested in each of the
psychological, social and somatic realms;
b) a continuing development involving many changes;
c) a natural expectable reaction; d) the reaction to the experience
of many kinds of loss; and e) based upon the unique,
individualistic perception of loss by the grieving person, that is to say that it is not necessary to have the loss recognized or validated by others for the person to experience grief.
(Rando, 1984, 15)
Mourning: This term has two historical meanings. The first, derived from psychoanalytic theory, is a wide array of intrapsychic processes that are prompted by loss, The second is the cultural response to grief. (Rando, 1984,15)
Unresolved grief: Grief which seems to go on for too long. There are as many unique reactions to grief as there are people. To determine how long one should grieve is probably unrealistic. There does seem to be, however, some agreement that one can grieve too long. The forms of unresolved grief include absent grief, delayed grief, conflicted grief, unanticipated grief and abbreviated grief. (Rando, 1984, 15-16)
Connections - Advocate Good Samaritan Hospital Office for Mission and Spiritual Care Winter 2012/13 - Page 6
Mid-life is often a time of intense questioning. Parents are often retiring and dying, and children are moving out and beginning their own families. In this stage of life, most people have finished the tasks of growing up and begin to grow out.
The most difficult loss at this stage of life is the loss of adolescent children. It is helpful for the parents to be able to express the mixed feelings that they have about their
adolescent child.
The death of a spouse is also difficult at mid-life. The loss is even more difficult to process if the death was
sudden or unexpected or if the remaining spouse was
dependent upon the lost spouse. The loss of a spouse at this age can represent a significant threat to a person’s characteristic way of functioning, to the sense of self.
Loss of friends and siblings can certainly impact a person’s sense of life’s fullness and can cause some deep questioning of priorities and one’s life direction.
Loss of parents often occurs in this age group, and people may have to deal with becoming the matriarch or patriarch of
the family. It is often difficult for people to name what they feel and how alone they feel without either parent living. Some feel like orphans and wonder to whom they will turn for wisdom and guidance.
The helper must understand the family relationships, especially in the loss of a spouse or an adolescent child. The feelings that the grieving person has about the lost person may be quite conflicted at this stage, and it is important that the person be able to find a safe place to name and express this ambivalence. Issues of guilt about the conflicted feelings and the experience of a shaky sense of self are paramount at this age.
This is a phase of life where a person reflects back upon his or her whole life and decides that he did his best. A sense of integrity evolves if a person can accept his life as the only one
he could have lived and accepts the significant people in his life
just as they are. Studies show that meaningful relationships and activities
are crucial to healthy and satisfying retirement years. Those who cannot arrive at a sense of integrity regarding their life often feel a sense of despair and disconnection.
Older adults face a growing number of losses. In contrast to young mourners, older adults may not be willing or able to experience the deep pain that grief work involves. This may be due to the fact that not much time is left. They also may not wish to withdraw the emotional investment in the lost relationship that lasted most of their lifetime.
The loss of a child continues to be difficult – even older adult children who die before their parents are grieved in a deep way. The loss of a child before a parent never makes sense.
The helper must be careful not to push too hard with persons in this age group. It is important to be aware of the growing numbers of depressed older adults. Many older adults will
want a dependent relationship with a helper, and the helper must be able to help empower the grieving adult without overwhelming him or her. Follow-up is essential with the older bereaved person. Grieving at this age will normally take longer and will more frequently manifest in somatic ways.
Helpers should be especially sensitive to the compounding effect of multiple losses with the older person’s sense of vulnerability and loneliness. The many losses that older adults experience seem to have the effect of desensitizing them – as a sort of preparation for their own deaths.
Some feel like orphans and wonder to whom they will turn for wisdom and guidance.
Adults in mid-life and grief
Helpers should be especially sensitive to the compounding effect of
multiple losses.
Older adults and grief
PrayerOh, only for so short a while you
have loaned us to each other, because we take form in your act of drawing us, and we take life in your painting us, and we breathe in your
singing us.
But only for so short a while have you loaned us to each other,
because even a drawing cut in obsidian fades, and the green
feathers, the crown feathers, of the Quetzal bird lose their color, and
even the sounds of the waterfall die out in the dry season.
So, we too,because only for a short while have
you loaned us to each other.
– Aztec Prayer
Connections - Advocate Good Samaritan Hospital Office for Mission and Spiritual Care Winter 2012/13 - Page 7
The Reverend Bonnie Rodgers Condon is system vice-president for faith outreach at Advocate Health Care. After graduating from Purdue University with a degree in humanities, she earned her M.S. from Indiana University and her M.T.S. from Beeson Divinity School in Birmingham, Alabama. She serves on the National Board for the Council of Health and Human Services Ministries of the United Church of Christ (UCC), Advocate Bethany Hospital Community Health Fund Board, Community Renewal Society Board, Chicago Metropolitan Association Council of the UCC, Advocate Home Health Professional Advisory Committee, Advocate Health Care Alzheimer’s Advisory Council and Advocate Health Care Parish Nurse Advisory Council. Bonnie is the proud mother of five and grandmother of three.
Reflect upon the charts above and you may recognize that there is a similar flow of emotion and experience in each. The problem is that each is a generalization and simplifies what the individual process may be. Just as intellectual or emotional ability is impacted by developmental processes, so is our capacity to grieve. Generally, however, as one moves through
the grief journey, one moves from disorientation and numbness toward remembering and making sense of the loss experience. In fact, simply stated, the goal of grieving is to be able to remember and live with the memory.
Initial phase
What’s going on: Emotional stress is at its highest. People in this phase often describe themselves as numb. The initial emotional stress is
both a chemical and emotional reaction which shuts down a part of our being so we do not feel all the pain.
What’s needed: Individuals need caring and supportive people around them. It is not a good time to make life decisions.
Second phase
What’s going on: Individuals begin to function again in the tasks of everyday living. There is still much of the stress and
confusion of the earlier stage, but a person is able to function more normally.
What’s needed: Individuals need to talk about their confusion and struggle. It is helpful to listen to a person in this stage but not to engage in deep philosophical or theological discussion.
Third phase
What’s going on: Individuals begin to wrestle with the why questions and often contemplate their own lives and priorities. It is common in this phase for people to truly wonder about God and “why bad things happen to good people.”
What’s needed: Individuals need supporters who listen without offering solutions or answers, because it is important for them to construct their meaning and memory in their own personal way.
Fourth phase
What’s going on: While coming to a new understanding of one’s life and goals, individuals begin to relate to the world in their new normal manner.
What’s needed: A supportive person can encourage the grieving person to reinvest in new activities and relationships that make sense in his or her new life.
Tasks of mourningDavid Crenshaw
➡ Acknowledge the reality of the loss.
➡ Identify and express the emotions of grief.
➡ Commemorate the loss.
➡ Acknowledge the ambi-valence around the loss.
➡ Resolve the ambivalence.
➡ Let go.
➡ Move on.
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
Phases of griefG.W. Davidson
Shock and numbness
Searching and yearning
Disorganization
Reorganization
Stages of dyingKubler-Ross
Denial and isolationAnger
BargainingDepressionAcceptance
Phases of crises
Impact
Transitional state
Recoil
Awareness
Grief – the journey from memory to meaningFlow of emotion and experience through phases of grieving
Prac
tica
l Gui
de t
o th
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ealt
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are
Syst
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Prep
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day
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to b
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prep
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Hos
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end
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for
long
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m c
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deci
sion
s.
Keep
thes
e st
eps
in m
ind
as y
ou p
repa
re fo
r yo
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isch
arge
:
Star
t a
note
book
(if y
ou h
ave
not a
lrea
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one
so).
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hos
pita
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ill c
erta
inly
giv
e yo
u m
any
pape
rs a
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ay g
ive
you
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book
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p ev
eryt
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toge
ther
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e th
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tebo
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doct
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tore
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nam
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ab r
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stru
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Car
eful
ly r
evie
w y
our
med
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ions
list
– o
ld a
nd n
ew –
with
yo
ur n
urse
or
doct
or. H
ave
the
hosp
ital f
ax y
our
final
med
ica-
tion
list t
o yo
ur p
rim
ary
care
phy
sici
an (i
f he/
she
has
not t
aken
ca
re o
f you
dur
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this
sta
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o m
inim
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conf
usio
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se o
nly
one
phar
mac
y.
Prep
are
for
follo
w u
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efor
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ave,
ask
you
r nu
rse
or c
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man
ager
to m
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follo
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you
so
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doct
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enda
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you
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look
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spec
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mbe
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cas
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Whi
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are
res
pons
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for
getti
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ou th
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st in
form
a-tio
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that
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can
con
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rec
over
ing
at h
ome,
kee
ping
trac
k of
it is
up
to y
ou. A
n or
gani
zed,
wri
tten
note
book
hel
ps c
onsi
d-er
ably
. A lo
ving
fam
ily m
embe
r or
hel
ping
frie
nd s
ervi
ng a
s yo
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advo
cate
is a
ble
ssin
g in
deed
.
Com
ing
in N
ovem
ber:
How
to v
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som
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in th
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spita
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One
way
to
redu
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he r
isk
of S
IDS
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fect
a fa
mily
mor
e th
an lo
ss o
f a c
hild
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DS
(sud
den
infa
nt d
eath
syn
drom
e) is
the
lead
ing
caus
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dea
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fant
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2,0
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gard
ing
its c
ause
is e
spec
ially
frig
hten
ing.
But
the
risk
can
be
grea
tly r
educ
ed b
y fo
llow
ing
one
high
ly r
ec-
omm
ende
d st
ep: P
lace
infa
nts
on t
heir
bac
ks w
hen
they
sle
ep.
This
idea
(the
Bac
k to
Sle
ep c
ampa
ign)
beg
an in
19
92 w
hen
stri
king
evi
denc
e em
erge
d ab
out
the
corr
elat
ion
betw
een
stom
ach
slee
ping
and
cr
ib d
eath
s. In
the
two
deca
des
sinc
e th
e A
mer
ican
Aca
dem
y of
Ped
iatr
ics
mad
e its
rec
-om
men
datio
n fo
r su
pine
(bac
k) s
leep
ing,
the
rate
of
SID
S ha
s dr
oppe
d by
mor
e th
an 5
0%.
Just
the
sam
e, s
ome
rem
ain
relu
ctan
t to
follo
w th
is s
ound
ad-
vice
. Par
ents
, gra
ndpa
rent
s or
car
egiv
ers
may
be
conc
erne
d ab
out a
bab
y’s
chok
ing
or v
omiti
ng; h
owev
er, t
here
is n
o in
-cr
ease
d ri
sk o
f thi
s fo
r he
alth
y in
fant
s w
ho s
leep
on
thei
r ba
cks.
Oth
ers
are
afra
id b
abie
s w
ill d
evel
op a
flat
spo
t on
the
back
of
the
head
from
spe
ndin
g to
o m
uch
time
lyin
g on
thei
r ba
cks.
Thi
s ca
n ha
ppen
, but
it is
eas
ily tr
eata
ble
by c
hang
ing
a ba
by’s
posi
-tio
n of
ten
and
allo
win
g m
ore
“tum
my
time”
whi
le a
wak
e. (P
ut-
ting
infa
nts
on th
eir
side
s to
sle
ep is
n’t g
ood
beca
use
they
can
ro
ll ov
er o
nto
thei
r st
omac
hs.)
Oth
er w
ays
to r
educ
e th
e ri
sk o
f SID
S: P
ut a
chi
ld to
sle
ep in
a
crib
onl
y; a
void
sof
t bed
ding
mat
eria
ls; o
ffer
a ba
by a
pac
ifier
at
bedt
ime;
nev
er g
ive
a yo
ung
child
hon
ey.
10-12
Res
ourc
es: a
dvoc
ateh
ealth
.com
• c
dc.g
ov/s
ids
• si
dsill
inoi
s.or
g •
first
cand
le.o
rg •
si
dsfo
unda
tion.
org
• si
dsce
nter
.org
Oct
ober
Is
SID
S A
war
enes
s M
onth
Pray
er:
Ever
last
ing
God
, be
with
thos
e w
hose
chi
ld d
ies
sudd
enly
as
they
str
uggl
e w
ith a
nger
and
grie
f. H
elp
me,
too,
God
, to
be tr
uly
pres
ent w
ith th
ese
grie
ving
par
ents
. Am
en.
Prac
tica
l Gui
de t
o th
e H
ealt
h C
are
Syst
em:
How
to
visi
t so
meo
ne in
the
hos
pita
lW
hen
a fr
iend
or
love
d on
e is
hos
pita
lized
, pay
ing
a vi
sit i
s a
won
derf
ul w
ay to
sho
w s
uppo
rt. H
ere
are
thin
gs to
rem
embe
r so
yo
ur ti
me
toge
ther
is th
e ve
ry b
est i
t can
be:
✦Li
mit
your
vis
it to
15-
30 m
inut
es –
esp
ecia
lly if
it is
you
r fir
st.
✦To
not
ove
rtax
the
patie
nt w
ith s
ever
al v
isito
rs a
t onc
e, a
rran
ge
your
vis
it in
adv
ance
.
✦A
lthou
gh m
ost h
ospi
tals
try
to b
e as
fam
ily-f
rien
dly
as p
ossi
-bl
e, c
hild
ren
are
not a
lway
s al
low
ed to
vis
it al
l floo
rs. F
ind
out
the
spec
ifics
bef
ore
you
brin
g al
ong
a ch
ild.
✦D
on’t
visi
t if y
ou a
re il
l. H
ave
a te
leph
one
visi
t ins
tead
unt
il yo
u ar
e fe
elin
g w
ell y
ours
elf.
✦Fl
ower
s, la
tex
ballo
ons
and
swee
ts a
re o
ff lim
its fo
r so
me.
✦O
ften
fam
ily m
embe
rs w
ith u
nusu
al s
ched
ules
can
talk
with
th
e nu
rse
to a
rran
ge v
isiti
ng h
ours
out
side
the
stan
dard
.
✦R
espe
ct th
e pa
tient
:
-K
nock
bef
ore
ente
ring
the
room
.
-D
on’t
sit o
n th
e pa
tient
’s be
d or
lean
on
his/
her
whe
elch
air.
-If
the
patie
nt is
asl
eep
whe
n yo
u ar
rive,
ask
the
nurs
e if
you
may
aw
aken
him
/her
.
-Le
t the
pat
ient
set
the
tone
and
pac
e of
the
conv
ersa
tion.
-D
on’t
try
to ta
lk h
im/h
er o
ut o
f any
feel
ings
he/
she
may
ex-
pres
s. S
impl
y lis
ten.
Tha
t may
be
the
best
gift
you
can
giv
e.
✦B
e aw
are
of y
our
own
feel
ings
. Eve
n if
you
are
anxi
ous
or s
ad,
acce
ptin
g w
here
you
are
allo
ws
you
to fo
cus
on th
e pa
tient
.
✦Yo
u ne
ed a
chie
ve n
othi
ng w
ith th
is v
isit.
You
r m
ere
pres
ence
sp
eaks
vol
umes
. It i
s a
mos
t wel
com
e ba
lm to
you
r lo
ved
one.
Car
egiv
ing
and
depr
essi
onC
arin
g fo
r a
fam
ily m
embe
r in
nee
d is
an
age-
old
act o
f lov
e an
d lo
yalty
. Bec
ause
peo
ple
live
long
er a
nd m
ore
peop
le li
ve
with
chr
onic
con
ditio
ns, t
oday
ther
e ar
e m
ore
than
50
mill
ion
care
give
rs in
Am
eric
a. T
he d
eman
ds o
n th
em c
an b
e re
lent
less
an
d so
met
imes
lead
to d
epre
ssio
n.
Rec
ent Y
ale
rese
arch
rev
eale
d th
at n
earl
y on
e-th
ird
of p
eopl
e ca
ring
for
term
inal
ly il
l lov
ed o
nes
suffe
r fr
om d
epre
ssio
n th
em-
selv
es. A
noth
er s
tudy
foun
d th
at 4
1 pe
rcen
t of t
hose
who
car
ed
for
a sp
ouse
with
dem
entia
exp
erie
nced
dep
ress
ion
up to
thre
e ye
ars
afte
r th
at s
pous
e di
ed.
Cha
nges
in e
atin
g or
sle
epin
g pa
ttern
s, lo
ss o
f ene
rgy,
bec
omin
g ea
sily
ang
ered
or
agita
ted,
low
-lev
el s
adne
ss fo
r m
onth
s –
thes
e ar
e so
me
of th
e sy
mpt
oms.
Ea
rly
atte
ntio
n to
them
may
kee
p a
mild
de
pres
sion
from
bec
omin
g m
ore
seri
ous.
Mai
ntai
ning
goo
d he
alth
is im
pera
tive
for
care
give
rs. S
leep
, exe
rcis
e an
d a
heal
thy
diet
can
w
ard
off p
hysi
cal p
robl
ems,
but
em
otio
nal h
ealth
is c
ritic
al a
lso.
Fa
mily
and
frie
nds
can
offe
r su
ppor
t and
som
etim
es a
re ju
st
wai
ting
to b
e as
ked
to h
elp.
A c
areg
iver
sup
port
gro
up o
n th
e In
tern
et o
r in
per
son
may
offe
r ne
eded
rel
ief.
But
sel
f-ca
re M
UST
com
e fir
st. T
he lo
ving
kin
dnes
s th
at c
areg
iv-
ers
offe
r th
eir
love
d on
es c
an c
ontin
ue o
nly
if th
ey r
emai
n ph
ysic
ally
and
em
otio
nally
hea
lthy
them
selv
es. T
his
self-
care
is
anyt
hing
but
sel
fish.
It is
yet
ano
ther
gen
erou
s ac
t of l
ove
be-
caus
e it
redu
ces
the
risk
of e
mot
iona
l bre
akdo
wn.
Dep
ress
ion
need
not
be
a by
-pro
duct
of c
areg
ivin
g.
11-12
Res
ourc
es: a
dvo
cate
hea
lth.c
om
(C
hec
k yo
ur
nea
rest
Advo
cate
ho
spit
al f
or
care
give
r su
pp
ort
gro
ups,
adult d
ay c
are
cente
rs a
nd o
ther
hel
pfu
l re
sourc
es f
or
care
give
rs)
• ca
regi
ver.o
rg •
nim
h.n
ih.g
ov
(Fre
e in
form
atio
n o
n d
epre
ssio
n in
Engl
ish a
nd S
pan
ish)
• w
ells
pouse
.org
(Su
pport
for
spouse
s/par
tner
s of th
e ch
ron
ical
ly ill
and d
isab
led)
Nov
embe
r Is
Fa
mily
Car
egiv
ers
Mon
th
Pray
er:
Lovi
ng G
od, I
than
k yo
u fo
r th
ose
who
tire
less
ly c
are
for
the
ill a
nd in
firm
. Kee
p m
e m
indf
ul o
f the
m s
o th
at I
can
ease
thei
r bu
rden
s w
ith m
y fr
iend
ship
and
my
offe
rs o
f hel
p. A
men
.
Com
ing
in D
ecem
ber:
How
to s
eek
supp
ort f
rom
yo
ur c
ongr
egat
ion
whi
le y
ou a
re h
ospi
taliz
ed
Wor
ld A
IDS
Day
Dec
embe
r 1s
t is
Wor
ld A
IDS
Day
, a d
ay to
rem
embe
r liv
es lo
st
to H
IV in
fect
ion,
cel
ebra
te th
e ad
vanc
es o
f sci
ence
in tr
eatin
g th
ose
livin
g w
ith H
IV/A
IDS
and
rene
w a
com
mitm
ent t
o ed
ucat
ion
and
prev
entio
n. H
ere
are
som
e w
ays
you
and
your
fa
ith c
omm
unity
can
sho
w y
our
supp
ort:
✦Su
ppor
t AID
S ed
ucat
ion.
If yo
ur c
ongr
egat
ion
offe
rs a
hea
lth c
are
prog
ram
, par
ish
nurs
e pr
ogra
m o
r se
xual
ity e
duca
tion,
incl
ude
info
rmat
ion
abou
t H
IV/A
IDS
prev
entio
n, d
etec
tion
and
trea
tmen
t.
✦Su
ppor
t HIV
test
ing.
Cle
rgy
and
layp
eopl
e al
ike
can
offe
r su
ppor
t to
cong
rega
tion
mem
bers
who
ch
oose
to g
et te
sted
for
HIV
. Com
pass
ion
at
this
tim
e ca
n m
ake
a bi
g di
ffere
nce
to b
oth
thos
e be
ing
test
ed a
nd th
eir
fam
ilies
. Suc
h su
ppor
t als
o re
duce
s th
e st
igm
a of
ten
asso
ciat
ed w
ith th
e di
seas
e.
✦C
ontr
ibut
e to
HIV
/AID
S pr
even
tion
proj
ects
.B
oth
loca
l and
inte
rnat
iona
l HIV
/AID
S pr
even
tion
effo
rts
bene
fit fr
om fi
nanc
ial c
ontr
ibut
ions
. Con
trib
utio
ns a
re u
sed
to
educ
ate
peop
le a
bout
HIV
/AID
S, p
rovi
de tr
eatm
ent f
or th
ose
who
are
alr
eady
infe
cted
and
, in
the
deve
lopi
ng w
orld
, foc
us
on p
reve
ntin
g th
e sp
read
of t
he tr
ansm
issi
on o
f the
HIV
vir
us
from
mot
her
to c
hild
.
By
rais
ing
awar
enes
s in
our
con
greg
atio
ns a
nd c
omm
uniti
es, w
e ca
n pr
ovid
e lif
e-pr
olon
ging
car
e an
d su
ppor
t for
thos
e al
read
y liv
ing
with
the
cond
ition
, and
we
will
be
help
ing
with
HIV
/AID
S pr
even
tion
as w
ell.
Dec
embe
r 1s
t Is
W
orld
AID
S D
ay
Res
ourc
es: a
dvoc
ateh
ealth
.com
• a
idsc
hica
go.o
rg •
wor
ldai
dsca
mpa
ign.
org
• cd
c.go
v/hi
v •
aids
.gov
Pray
er:
Dea
r Lo
rd, t
oday
we
rem
embe
r th
ose
who
are
livi
ng w
ith
AID
S. B
less
them
and
the
heal
thca
re w
orke
rs a
nd r
esea
rche
rs w
ho
stan
d w
ith th
em in
thei
r st
rugg
le. A
men
.
Prac
tica
l Gui
de t
o th
e H
ealt
h C
are
Syst
em:
Seek
ing
supp
ort
from
you
r fa
ith
com
mun
ity
whi
le
you
are
in t
he h
ospi
tal
Hos
pita
lizat
ion
is a
str
essf
ul ti
me
for
both
pat
ient
s an
d th
eir
fam
ilies
, who
ofte
n ne
ed a
nd a
ppre
ciat
e th
e su
ppor
t of t
heir
lo
cal f
aith
com
mun
ities
. Unf
ortu
nate
ly, h
ospi
tal a
nd c
lerg
y co
nfide
ntia
lity
prac
tices
can
stifl
e co
mm
unic
atio
n ab
out y
our
cond
ition
, and
mem
bers
of y
our
cong
rega
tion
may
not
eve
n kn
ow th
at y
ou’v
e be
en h
ospi
taliz
ed.
HIP
AA
. The
fede
ral H
ealth
Insu
ranc
e Po
rtab
ility
and
A
ccou
ntab
ility
Act
(H
IPA
A) p
rote
cts
patie
nt p
rivac
y. W
hile
ho
spita
l wor
kers
and
hea
lth c
are
prof
essi
onal
s ca
n ge
nera
lly
com
mun
icat
e be
twee
n th
emse
lves
abo
ut y
our
cond
ition
, the
y ne
ed p
erm
issi
on fr
om y
ou to
dis
cuss
you
r co
nditi
on w
ith
frie
nds,
fam
ily m
embe
rs o
r cl
ergy
.
Tips
for
Get
ting
Sup
port
. Her
e ar
e a
few
tips
for
letti
ng p
eopl
e kn
ow a
bout
you
r co
nditi
on a
nd s
tatu
s:
✦Ex
plai
n pr
efer
ence
s to
cle
rgy.
Let
you
r cl
ergy
per
son
know
the
leve
l of p
rivac
y th
at y
ou w
ant d
urin
g an
d af
ter
your
ho
spita
lizat
ion.
Cle
rgy
ofte
n ta
ke p
rivac
y is
sues
ver
y se
riou
sly,
so
it’s
impo
rtan
t tha
t you
tell
him
/her
if y
ou w
ant m
embe
rs o
f yo
ur c
ongr
egat
ion
to k
now
that
you
are
in th
e ho
spita
l.
✦C
onta
ct h
ospi
tal p
rior
to a
dmitt
ance
. Eac
h ho
spita
l has
its
own
priv
acy
polic
y, s
o ca
ll ah
ead
to fi
nd o
ut w
hat y
ou c
an d
o to
ke
ep fr
iend
s an
d fa
mily
info
rmed
. You
may
be
able
to p
rovi
de
the
nam
e of
you
r cl
ergy
per
son
so th
at h
e/sh
e ca
n ge
t sta
tus
upda
tes.
Som
e ho
spita
ls a
lso
prov
ide
patie
nts
with
priv
acy
pass
wor
ds th
at th
eir
frie
nds
and
fam
ily c
an u
se w
hen
calli
ng
the
hosp
ital f
or in
form
atio
n ab
out y
our
cond
ition
.
✦U
se s
ocia
l med
ia. I
f you
feel
up
to it
, upd
ate
your
soc
ial m
edia
pr
ofile
with
info
rmat
ion
abou
t whe
re y
ou a
re, h
ow y
ou a
re
doin
g an
d w
heth
er y
ou w
elco
me
visi
ts. S
ites
like
cari
ngbr
idge
.org
let y
ou o
r yo
ur fa
mily
pro
vide
mor
e de
taile
d in
form
atio
n du
ring
a le
ngth
y ill
ness
.
12-12
2013 Spirituality and Wellness SeriesMission & Spiritual Care Office, Advocate Good Samartian Hospital
Five-Session SeriesFor faith leaders, parish nurses, medical professionals, caregivers and others interested in the relationship of spirituality and wellness:
✦ To appreciate the connection of body, mind and spirit in healing and wellness
✦ To learn how spirituality affects the health and wellness of individuals, congregations, caregivers and communities
✦ To consider ways to move toward greater wellness, purpose and meaning for oneself, within families, congregations and society
Spirituality Across the Life Span,Jan.8, Rev. Bobbie McKay, Ph. D.
Why Faith? Scientific Evidence of the Healing Effects of Religion & Spirituality, Feb. 12, Jan Remer Osborn, Ph.D., Neuropsychologist
Healing From Different Faith Traditions, Mar.12, Interfaith Panel
Alternative and Complementary Approaches to Healing, Apr. 16, Advocate Parish Nurses
The Power of Prayer and Healing Ritual, May 14, Advocate Good Samaritan Hospital Chaplains
All sessions are on Tuesdays 7 - 8:30 p.m. in the Oak Rooms of Good Samaritan Hospital. To register and for more information, contact Julie LaFayette at [email protected] or 630.275.1185.
Save the Dates
Pre-registration is required. Call 800.779.6353.Advocate Good Samaritan Hospital is pleased to sponsor the
Life Line Screening preventive health program.
www.LifeLineScreening.com/community-partners
Date Site Name Site Address City First Appt.
11/29 Saints Peter and Paul Parish 36 N. Ellsworth St. Naperville 09:00 AM
12/10 Advocate Good Samaritan Health and Wellness Center
3551 Highland Ave. Downers Grove
09:00 AM
12/13 Darien Sportsplex -- Chalet Room
451 Plainfield Darien 09:00 AM
