With respect to personal financial relationships, contracted research includes research funding where the institution gets the grant and manages the funds and the person is the principal or named investigator .on the grant Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial .relationship The ACCME considers financial relationships to create actual conflicts of interest in CME when individuals have both a financial relationship with a commercial interest and the opportunity to affect the content of CME about the products or services of that commercial interest. The ACCME considers “content of CME about the products or services of that commercial interest” to include content about specific agents/devices, but not necessarily about the class of agents/devices, and not necessarily content about the whole disease class in which those .agents/devices are used With respect to financial relationships with commercial interests, when a person divests themselves of a relationship it is immediately not relevant to conflicts of interest but it must be disclosed to the learners for .12 months The provider collects disclosure information from all Individuals in control of content. Those who refuse to disclose this information are disqualified from participating. For any person who reports a relevant financial relationship, the provider uses a peer review process to resolve the potential conflict of interest. For presentations that have the greatest potential for bias, the provider asks an independent third party reviewer to conduct a second peer review as an additional
In compliance with the guidelines established by ACCME
I have NO actual or potential . conflict of interest in relation I have no relevant financial interest .to this program or presentation
Q1: Are we a comprehensive cancer center providing a holistic patient care? › A1: Yes and we should be so.
Q2: Do we have all the requirements to be a comprehensive center with holistic care? › A2: No but we should have them all.
Q3: Chaplaincy Service is the standard of care, are we there? › A3: No but we should reach there.
Q4: Why do we need chaplaincy service in our department and for our patients? A4: Because we do not have this service in our department for our patients and their families who are in bad need for this vital service Q5: What do we need to establish this service in our department for our loved patients? A5: Departmental Meeting Decision and Follow up & This what we are doing today
Examples of bad examples: Angry Families beating our staff Examples of good examples: Begging families asking for religious support from our staff
In Canada In USA In Riyadh In Jeddah
Advantages of Having Chaplaincy Services: Patients’ Right Time Saving Life Saving Rewarding Holistic Care
Disadvantages of not having Chaplaincy Service: Violation of patients’ right Time Consuming More family complaints Patient dissatisfaction It is a shame in the leader of Islamic countries not to have such service for such vulnerable group who are in bad need for this service
Our Palliative Care Service is a Single Man and a Single Women Show and they are really doing a great job BUT Palliative Care as we all know is a multidisciplinary Team composed of many services including nursing, pharmacy, nutrition, chaplaincy, etc. I am here requesting more support and staffing for our Palliative care department Palliative care does not mean morphine
Spiritual care professionals are healthcare providers who help people: to (re)discover meaning and significance in times of illness, crisis and loss through mindful and heart-felt listening by assisting to identify and access inner resources for coping by providing end-of-life and bereavement support by providing guidance and support through challenging ethical and moral decision-making processes by facilitating connections between patients, families or staff and spiritual leaders from diverse religious communities through mediation support in situations of conflict by leading and facilitating ceremonies, rites of passage, religious rituals, meditation and prayer
On-call Chaplain The on-call chaplain is available 24 hours a day by request through a nurse or by dialing 416-480-4244 and asking to speak to the on-call chaplain. Religious Support We help you to access religious support from diverse faith communities. Sacramental Ministry (Bayview campus) Bedside Communion is available every Sunday to Roman Catholic patients and upon request to patients of other Christian traditions. Roman Catholic patients may receive the Sacrament of the Sick and bedside Holy Communion on weekdays, upon request. Requests should be made at the Spiritual and Religious Care Office at 416-480-4421 or through a nurse.
One to two thirds of patients in acute care want to receive spiritual care. Religion and spirituality are often cited as major sources of support and coping. Spiritual care can support increased health and shorten recovery periods. Patients reported their spiritual wellbeing is linked to their overall quality of life. Spiritual Care enhances patient connection with community support. Staff feel directly and indirectly supported by the presence of a chaplain on the unit, thus reducing compassion fatigue.
Health Information Support and Information Groups Chaplaincy Services Princess Margaret Hospital Location: Chapel, Main Floor, Room 519 Office, Main Floor, Room 517 Chaplains visit people from all faiths and offer a variety of spiritual services for patients, family and friends. Conway Chapel, the multi-faith chapel, is open 24 hours for prayer and quiet meditation. Visitation chaplains are available weekdays from 8:30 am to 4:30 pm. To contact the chaplain office, please call 946-4501 ext. 5652. A 24-hour, on-call chaplain is available; please call 416946-2000 and have the chaplain paged. For more information on UHN's Chaplaincy department, visit their Web site.
Contact the Chaplain in the following situations:
Patient or family request religious presence, pastoral or sacramental Patient or family indicates strong religious affiliation with any faith group Religious concerns or questions voiced by patient, family or staff, whether or not any religious affiliation noted Crisis, trauma, diagnosis or illness, where medical science is not likely to provide cure or consolation Occasions where religious traditions or teachings would help staff to understand and care for patient and family more compassionately Occasions where there is confusion or disagreement with patients and families because of the nature of religious beliefs or practices Ethical consultations with patients, families and staff from a theological perspective Wherever there is opportunity for incorporation of the spiritual into the healing process In any instance when staff feel that religious influence is being brought to bear upon the patient or family from an unsolicited source
Chaplaincy & Pastoral Education Mission To provide spiritual care to patients, families, and staff through assessment, intervention, education, and research. Vision To exemplify the highest standards of professional chaplaincy and pastoral education in health care. For many people, cancer is more than just a disease - it’s a test of faith. At MD Anderson, we know that finding or reaffirming a belief in God or a Higher Power is part of the healing process. MD Anderson chaplains are here to guide patients on their spiritual journey, whatever path it may take. Chaplains are available at any hour to patients and their family members, with worship services, bedside visits, prayer requests, and support groups. Pediatric Chaplaincy ... Blessings for All Children
Spiritual Care ď‚ž Through all stages of cancer treatment and survivorship, our staff at the Department of Spiritual Care is available 24 hours a day to provide emotional and spiritual support for adult and pediatric patients and family members. ď‚ž
Oncology Chaplaincy
At the Cancer Center, we recognize that meeting our patients’ spiritual and religious needs is often an important part of caring for the whole person. The Chaplaincy Department at Mass General is committed to providing spiritual care to patients and families. Ministry is available to people of all faiths, as well as those of no religious affiliation. Our oncology chaplain, specializing in and familiar with the unique needs of those with cancer, is available weekdays during daytime hours. Frequent situations to which chaplains are called include: Patients/families in spiritual distress New diagnosis Treatment decision-making process Changing the goals of care from curative to palliative End-of-life issues Chaplains sustain, support, guide and help people in their search for meaning in illness and for reconciliation in relationships. Chaplains offer consultation and counsel regarding spiritual, emotional and ethical matters. They support by listening without judging, sharing without preaching, and offering the resources of tradition, sacraments, scripture, ritual and personal presence. Spiritual care of patients/families is always done in collaboration with the multidisciplinary care team.
Welcome to the Chaplaincy Services Department Website! The Chaplaincy Services Department of the Brigham and Women's Hospital provides patients, their friends and family as well as the BWH staff with emotional, spiritual, and religious support. Our staff consists of many interfaith chaplains ready to serve you as best they can. Please join us for our daily Interfaith Worship Service at 12:00pm.
Chaplaincy and Spiritual Support After receiving a diagnosis of cancer, you may be faced with questions of faith, meaning, purpose, forgiveness, or hope. We recognize that pastoral and spiritual care is an integral part of the healing process. It provides an important source of comfort and strength to patients and families faced with serious illness and/or difficult decisions. UCSD Health System's Chaplain Service provides a variety of services. Spiritual and emotional support is administered by an interfaith team of clergy, lay ministers and spiritual representatives. Our goal is to provide compassionate, caring and spiritual support to patients, family members and friends which respects their beliefs, culture, traditions and value systems. Pastoral and spiritual care services are available at no charge. Request a visit You can request a Spiritual Care visit through your physician, nurse, social worker or by contacting UCSD's Hospital Chaplain Office, (619) 543-2103. You can also e-mail Chaplain Mark Reeves, or request an inspirational material, books, or recordings.
J Relig Health. 2012 Oct 11. [Epub ahead of print] Utilization of Hospital-Based Chaplain Services Among Newly Diagnosed Male Veterans Affairs Colorectal Cancer Patients. Zullig LL, Jackson GL, Provenzale D, Griffin JM, Phelan S, Nieuwsma JA, van Ryn M. Source Health Services Research and Development (152), Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, 508 Fulton St., Durham, NC, 27705, USA, leah.zullig@va.gov. Abstract The aim of the study was to examine utilization of chaplain services among Veterans Affairs patients with colorectal cancer (CRC). In 2009, the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 % response rate). Multivariable logistic regression examined factors associated with chaplain utilization. Of 918 male respondents, 36 % reported utilizing chaplains. Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1.017; 95 % CI = 0.999-1.035), younger age (age OR = 0.979; 95 % CI = 0.964-0.996), and later cancer stage (early stage OR = 0.743; 95 % CI = 0.559-0.985). Chaplain services are most utilized by younger, sicker patients.
© 2006 by American Society of Clinical Oncology Impacting Quality of Life for Patients With Advanced Cancer With a Structured Multidisciplinary Intervention: A Randomized Controlled Trial + Author Affiliations From the Departments of Psychiatry and Psychology and Oncology, Health Sciences Research, Women's Cancer Program, Chaplain Services, Physical Medicine and Rehabilitation, Mayo Clinic Cancer Center, and Medical Social Services, Mayo Clinic, Rochester MN Address reprint requests to Teresa A. Rummans, MD, Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, 200 First St, SW, Rochester, MN 55905; Abstract Purpose The primary goal of this study was to evaluate the feasibility and effectiveness of a structured, multidisciplinary intervention targeted to maintain the overall quality of life (QOL), which is more comprehensive than psychosocial distress, of patients undergoing radiation therapy for advanced-stage cancer. Patients and Methods Radiation therapy patients with advanced cancer and an estimated 5-year survival rate of 0% to 50% were randomly assigned to either an eight-session structured multidisciplinary intervention arm or a standard care arm. The eight 90-minute sessions addressed the five domains of QOL including cognitive, physical, emotional, spiritual, and social functioning. The primary end point of maintaining overall QOL was assessed by a single-item linear analog scale (Linear Analog Scale of Assessment or modified Spitzer Uniscale). QOL was assessed at baseline, week 4 (end of multidisciplinary intervention), week 8, and week 27. Results Of the 103 participants, overall QOL at week 4 was maintained by the patients in the intervention (n = 49), whereas QOL at week 4 significantly decreased for patients in the control group (n = 54). This change reflected a 3-point increase from baseline in the intervention group and a 9-point decrease from baseline in the control group (P = .009). Intervention participants maintained their QOL, and controls gradually returned to baseline by the end of the 6-month follow-up period. Conclusion Although intervention participants maintained and actually improved their QOL during radiation therapy, control participants experienced a significant decrease in their QOL. Thus, a structured multidisciplinary intervention can help maintain or even improve QOL in patients with advanced cancer who are undergoing cancer treatment.
Curr Opin Support Palliat Care. 2012 Jun;6(2):259-68. doi: 10.1097/SPC.0b013e3283521ec9. The role of chaplains within oncology interdisciplinary teams. Sinclair S, Chochinov HM. Source Alberta Health Services, Tom Baker Cancer Centre, University of Calgary, Calgary, Alberta, Canada. Abstract PURPOSE OF REVIEW: The role of chaplains/spiritual care professionals and the importance of addressing spiritual needs within interdisciplinary oncology teams are in need of systematic review and critical appraisal. This review focuses on four key areas: basic concepts of spirituality within the healthcare domain; the relevance of spirituality within cancer care; the role of spiritual care within interdisciplinary cancer teams; and the current status of spiritual care professionals in interdisciplinary cancer teams. RECENT FINDINGS: Addressing cancer patient's spiritual issues is recognized as a component of comprehensive cancer care. Spirituality has a positive effect on subjective and emotional aspects of cancer patient's health, including quality of life, wellbeing and distress. Failing to address cancer patients spiritual needs impacts patient wellbeing, satisfaction with care, perceived quality of care and is associated with higher healthcare costs. Although a variety of disciplines address spiritual issues, spiritual care professionals are recognized by patients, clinicians, researchers and within best practice guidelines of national health councils as specialists within this domain. SUMMARY: Spiritual care professionals are increasingly recognized as integral members of interdisciplinary oncology teams. However, the full integration of spiritual care professionals within the standard practice of oncology interdisciplinary teams is lacking, as spiritual care services continue to be treated as ancillary services within cancer care organizations. PMID: 22453286 [PubMed - indexed for MEDLINE]