6. Discuss Slide 5 mins What gives me meaning? To be in relationship with family/friends/colleagues/environment/home/church To whom do I belong? In other words where do I find a sense of belonging? What keeps me going? The opportunity for creativity/hospitality/ being valued for who I am (validation as a person)/ self worth. A reason for being/relationships with significant others. Having some control over my life. Some thoughts for presenter To further explore & identify our own spirituality:- b) Spiritual Care Worksheet 2 – Personal Reflection Exercise 25mins 5 – 10 mins Individually reflect & write your answers 10 mins In pairs – discuss what this process was like for you – ie; not necessarily the answers you wrote. 5 min Large group - Did anything emerge? - Similarities/Differences? i.e. A ‘debrief’ * Be aware this may be confronting for some participants who may feel they have little purpose or people they ‘belong’ to. Facilitator may need to explore/facilitate further discussion with these individuals either in the group or individually. BREAK 15 MINS
Whole group activity Compare each sheet to each O/H/Slide as a way of discussing the points When confronted with the prospect of death we’re often faced with what it means to be human.
Compare O/H/Slide to sheet and discuss in Large Group with examples where appropriate
Compare O/H/Slide and sheet and discuss in Large Group the implications for clients & staff re control & coping.
b) Spiritual Issues in Palliative Care - people tend to reflect on these 3 - past, present & future
Can anyone think of some examples personal or from other people? Partner activity: Share an example with the person next to you
Partner activity: Can anyone think of some examples personal or from other people? Share with the person next to you how someone might struggle if their role/lifestyle/image was changed dramatically.
8. Whole group discussion Whole group discussion Can anyone think of some examples personal or from other people Discuss How do we respond to these questions? What are some appropriate answers? ( As a volunteer/nurse/PCA) What might the person be really asking you? What is under/behind the question? Re will I die? A question like this may indicate that the person does not understand what palliative care is. How will I die? A question like this may be asking for reassurance/ they may be frightened. When will I die? May indicate wanting to put house in order. What comes after death? No one has the whole truth and can really know. We continue on in the lives of those we love and who have loved us. This bond goes on after death. What might they be really asking? To be present with them in their reality, wanting to talk with someone about death, it’s possible they can’t do this with family because they won’t let them. See scenarios: 1 & 2
We need to: build bridges with conversations -low key type questions if meeting for first times hear a person’s story -past, present, future -How it was -How it is -How it might be build trust & relationship -respect their pace/what they want / don’t want to talk about -respect their choices -silence -maintain confidentiality -allow their autonomy
Ask what might be happening here?
Ask what might be happening here?
Ask what might be happening here?
See explanatory handout from Shelia Cassidy’s book “Sharing the Darkness”. Read some of this to the group. Or get the group to go into small groups read and discuss.
We need to practise being able to sit with not having answers, just questions. Give over the responsibility for fixing/ answering or rescuing. Take our cue from the other person. They will change the subject if they need to. We’re not in charge of their life!
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