Pastoral Care - A Case Study


Ida (not her real name) had been in the hospital four days when her mother asked the hospital chaplain to visit. Ida is 4 years old, a daughter of a single parent. She had respiratory problems and was struggling to breathe. After spending sleepless, disorienting days and nights at her daughter’s bedside, Monica (name changed) needed someone to talk to.

During this visit, I learned family members, friends and co-workers had come to visit Monica and her daughter, and they were great. Monica told me she really wanted them around, but she lamented that they didn’t understand the clinical language that defined her new existence and that of her daughter. Monica said the doctors and nurses were polite, efficient and professional by all means, but focused on their jobs.

I’m writing this column to explain the role of a hospital chaplain. Many patients and families of loved ones in a hospital think of a hospital chaplain only as a priest who delivers Last Rites when a person is dying. In fact, many times I have visited with patients who decline the visit, saying they are not dying.

At one point, I was making morning rounds in a regular medical unit when one of the patients asked whether I knew something she didn’t. She thought her prognosis was very poor and I was coming to prepare her for the worst news.

Of course, if you are religiously observant, a chaplain can offer you Communion, light Shabbat candles, read scriptures, provide anointing, among other religious Rites. A chaplain is someone whose job is to help patients, families and hospital staff find their place both emotionally and spiritually.

But chaplains are not just for religious folks, they’re for everybody. Since all humans are spiritual beings, regardless of their belief system, chaplains are for them all. “A chaplain is for people of faith and those of none,” source unknown.

Most of you reading this article know very well that being in hospital can be very isolating, probably having been in a hospital yourself or having a loved one in hospital as a patient. It is the role of a chaplains to come in and pull the curtains back in that dark room and help patient remember there is more to their life than being a patient. The chaplain does not necessarily visit to talk to the patients, but also to listen and empathize with them. As a chaplain, I find myself many times simply sitting and listening to patients narrates their stories.

Monica was in the best hospital, as she later told me. She had been seen by professional doctors and nurses who were very caring, but she observed that they had no time to listen to her. The chaplain is a safe person to talk to, someone with no agenda except the wellbeing of the patient, and who has time to listen. Chaplains are resources for all things: religious, spiritual, emotional, social, etc. While doctors and other staff might be able to fill some of those needs, chaplains are professionals in this area.

Because many people don’t know about chaplaincy services, or hesitate to call on a chaplain even if one is available, the service is under-used. Some of my duties are to help patients with Medical Power of Attorney, Directives to Physician, bedside prayer, serve Holy Communion, be a liaison between the patient and local community or churches, and so much more. Most patients decline this free service, thinking it costs.

When I arrived in Ida’s room, the visit just what her mother needed. Monica later told me she needed someone wearing normal clothes (not scrubs and lab coats), who sat with her and asked about Ida, listened to her story, and said a little healing prayer for Ida.

I later learned Monica was not a practicing Christian, yet she needed a chaplain to provide for her emotional and spiritual needs. During our visit, Monica was in tears, and finally she was able to express emotions.

It is my advice that, if you find yourself in the hospital as a patient or with a loved one as a patient, like Monica and Ida, why not asks the nurse if the chaplain can drop in on you. A little human contact might do you good — no religious beliefs required.