Sunday, April 27, 2008

Pastoral Care at it's best?


A key element of pastoral care is to "hear" what someone is saying.. that obviously didn't happen here. But then I suppose there are some days or situations when the focus is not there.


Wednesday, April 23, 2008

"No one dies from having their medication stopped"

This is a comment overheard at rounds the other day. One doctor was counseling another about stopping a certian medication and then explained that during his rotation of training in England, that the chief doctor would get a referal and would review the chart and then immediately stop all medications. He would then say "let's come back tomorrow and see how they are doing". Usually the person was better the next day. The doctor went on to comment to the other that here in North America, we are fixated on medications. "When you call geriatrician over there, they stop meds, here they review the chart and probably add another one."
I wonder about this. Interesting comment that it is. There are some patients that benefit from certain drugs treatments but most would probably do fine without. Years ago, we didn't do so much treatment with drugs, (of course someone might argue that years ago, we didn't have the diseases that we do now.)
I thought it was an interesting comment on the evolution of healthcare.

Cracked Pot

Someone sent me this in an email. I like it. It has a good message that we need to be reminded of from time to time.

Friday, April 18, 2008

A shared meal helps bridge two solitudes
A United Church minister from South Africa brings a 'truth and reconciliation' model to the city's poorest neighbourhood in hope it will nurture healing between 'haves' and 'have nots'

Lori Culbert
Vancouver Sun
Friday, April 18, 2008
CREDIT: Ian Lindsay, Vancouver Sun
Frank Delorme, an employee at First United Church on East Hastings, says the number of needy relying on the church has doubled in the past two years, 'with no end in sight.'
CREDIT: Ian Lindsay, Vancouver Sun
Rev. Ric Matthews sees parallels between apartheid and the polarization of mainstream society and the poor.
DOWNTOWN EASTSIDE - First United Church on East Hastings has long been a sanctuary for the needy: By day, about 100 homeless people nap in the pews, and at night even more sex-trade workers come in seeking dinner.
It's a place of refuge, but one that no longer fulfils the most traditional role of a church: Sunday sermons.
The congregation had a long history of being inclusive and enlightened, but it was increasingly feeling alienated by the growing number of addicted and mentally ill people seeking help from the church. The congregation dwindled to such a small number that it was disbanded last June after more than 100 years of worship.
When the last minister left, First United searched for a replacement to carry on its mission work. The unconventional role was filled in August by Rev. Ric Matthews, a South African who sees parallels between apartheid in his home country and the polarization of the former congregation and the more troubled residents of the Downtown Eastside.
"There's an invisible wall here between the poor and the mainstream," said Matthews, who worked in inner-city churches in Johannesburg, where he witnessed extreme poverty and violence.
A soft-spoken, thoughtful man, Matthews was also involved in justice and reconciliation work in South Africa. He believes a model of inclusion -- bringing people of different backgrounds together, instead of allowing separation to increase -- will heal Vancouver's poorest neighbourhood.
To that end, the church is now holding "celebration of life" dinners every Wednesday, meant to attract a mix of residents and other clients of all backgrounds and religious affiliations.
The goal is to reduce alienation by not distinguishing between those who need charity and those who donate to charities, but to make them one group. His Wednesday dinners appear to be working so far, attracting 50 to 100 people an evening.
His idea takes its roots from South Africa's Truth and Reconciliation Commission which, much like native healing circles, had the power to bring opponents together and, ideally, embrace each other's stories, despite their differences, he said.
Matthews, who moved to Vancouver 10 years ago to work with industries to repair injustices in the workplace, says the Downtown Eastside is at the cusp of change because of increased attention on the poor living conditions in the neighbourhood.
"There's too much pressure [from] the Olympics, too much publicity. There's a sense that something needs to be done," he said.
Future decisions could make the area healthier and more inclusive, or more entrenched and alienated. Recent efforts by the province to increase social housing are well-intentioned, he said, but could further "erode" the area by continuing to divide the have-nots from the haves.
Instead, Matthews argues for housing models akin to a "commune": a mix of market and subsidized housing, possibly including a shelter and a detox facility. There would be separate, secure entrances for the different types of residents, but in the core of the building could be a daycare and a meeting room where once a week residents meet for dinner.
"I have no doubt people will look at it and say I'm nuts," he said. "But I think we have the opportunity here to do the same stuff [as the truth commission]. Is it a wild, ridiculous vision? Maybe. But it's worth a go."
For now, his church -- the last stop for many of Vancouver's most marginalized drug addicts and mentally ill, who have been banned from other places due to irrational behaviour -- is brightening itself up with paint, encouraging clients to clean up after themselves and trying to be more inclusive to all.
Frank Delorme, a church employee and a man who embodies change, says he sees the mood and tone shifting in the church -- especially at the new Wednesday night dinners.
"When the people come in, they want to be here rather than being forced to come in just because there is food," said Delorme, 47, a former drug addict with a troubled past who is now sober and single-handedly raising four children.
The church is closed overnight, but between 8:30 a.m. and 3:30 p.m. about 100 homeless men, vulnerable women and the working poor sleep in the pews and on the floor surrounding the pulpit. Between 200 and 300 people a day come inside to pick up food, clothing and toiletries, and welfare cheques.
WISH (Women's Information Safe House) runs a drop-in centre for sex-trade workers at night in another area of the church and serves them dinner, but is also not open around the clock.
The number of needy relying on the church has doubled over the past two years, Delorme said, with no end in sight. "I don't know why we have so many hurt people. The plans our city and government has over the next 10 years, I don't know where we will be," he said.
"I've been down here 20 years, and I still see an 'us' and 'them' mentality."
It's a sign, the longtime resident of social housing argues, of the need for drastic change.
Whether the change reflects the vision of First United's new missionary remains to be seen.
lculbert@png.canwest.com
© The Vancouver Sun 2008

Question about "urban spirituality"

I have an educational project. Once a month, I post things on a bulletin board in my hospital. I use this to engage the patients, staff and those who frequent the area. To inspire or educuate about spiritual issues. I have been trying to think of topics related to spirituality for the coming months. One of my colleagues suggested the theme of urban spirituality. So I would like to hear from you, what is urban spirituality? In the changing times of our world, spirituality has many different meanings and styles of expression. How do we live out our spiritual life/express our spirituality in the context of a large city? i.e. Hong Kong, Toronto, New York.

where do you experience the spiritual in the urban context? Through activity or scene?

I look forward to input.

Thursday, April 17, 2008

Now I've heard it all...

I suppose it's not that wierd, it makes sense really. Just never thought I'd see it.



Victoria funeral parlour promotes green burial option option
Biodegradable casket materials include cardboard, cotton

Darron Kloster
Canwest News Service
Thursday, April 17, 2008
CREDIT: Darren Stone, Canwest News Service


Chris Benesch, manager of Victoria's Sands Funeral Chapel, is marketing biodegradable caskets, which have been big sellers.

VICTORIA -- People can now reduce their environmental footprint even after they've stopped walking the earth.
A Victoria funeral parlour is promoting cardboard caskets covered in wood veneer and urns made of compressed cotton, rice and other biodegradable materials to provide the dearly departed and their loved ones a greener burial option.
Fabric-covered cardboard caskets have been around for years, but have never looked this good or been so environmentally appealing, says Chris Benesch, manager of Sands Funeral Chapel, a division of Toronto-based Arbor Memorial Services.
"People want eye appeal and not to spend a whole lot, like a mortgage, so this gives them a good option if they are having a viewing," says Benesch.
"These days, the environmental issues are important, especially to the generation that is now burying their parents."
As a second-generation funeral director, Benesch said "My first impression was 'Wow, that's cardboard?' "
The caskets, manufactured in China and imported by Pan Pacific Paper Caskets in Vancouver, support up to 225 kilograms (almost 500 pounds) but only weigh 20 to 30 kilograms, depending on the model. Made from 100 per cent recycled cardboard and pressed in honeycomb style to provide strength, the coffins currently come in quite convincing imitations of oak, mahogany and pine.
Cardboard caskets also require less time and fuel in the cremation process, which reduces emissions, said Benesch. B.C. is the North American leader in cremation, with more than 80 per cent of clients choosing it as an alternative to burial.
Retail prices of the cardboard caskets are only about 15 per cent below the real-wood counterparts, said Benesch, who expects the prices to fall as volume increases. Traditional caskets at Sand's range from a $13,000, stainless-steel model and $5,800 for solid cherry to the traditional unlined pine box, which sells for $895.
Funeral service firms are joining companies worldwide providing green options for consumers.
Europeans are ahead of the curve, providing everything from pay-per-view funerals so mourners do not have to travel to services, to a process being offered in Sweden and Germany called Promessa Organic, where the deceased is submerged in liquid nitrogen and sound waves reduce the brittle remains to powder.
Closer to home, Royal Oak Burial Park in Saanich -- the largest community-owned cemetery in B.C. at 55 hectares -- is setting aside one-third of a hectare for a natural burial site, the first of its kind in Canada and scheduled to open in the fall.
Under the guidelines for burial, only bodies without embalming will be allowed and they can be wrapped in a simple shroud or in a biodegradable casket. Concrete liners, which cover caskets in traditional burying, will not be permitted and wildflowers, shrubs and plants will substitute traditional steel and stone grave markers.
© The Vancouver Sun 2008

Thursday, April 03, 2008

Different version of the Lord's Prayer

The Lord's Prayer
(from the New Zealand Prayer Book)

Eternal Spirit, Earth-maker, Pain-bearer, Life-giver,
Source of all that is and that shall be,
Father and Mother of us all,
Loving God, in whom is heaven:
The hallowing of your name echo through the universe!
The way of your justice be followed by the peoples of the world!
Your heavenly will be done by all created beings!
Your commonwealth of peace and freedom sustain our hope and come on earth.
With the bread we need for today, feed us.
In the hurts we absorb from one another, forgive us.
In times of temptation and test, strengthen us.
From trials too great to endure, spare us.
From the grip of all that is evil, free us.
For you reign in the glory of the power that is love, now and for ever. Amen