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Ministry to the Sick and Homebound and Safe Environment Program Training Training for Extraordinary Ministers of Holy Communion to the Sick & Homebound.

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Presentation on theme: "Ministry to the Sick and Homebound and Safe Environment Program Training Training for Extraordinary Ministers of Holy Communion to the Sick & Homebound."— Presentation transcript:

1 Ministry to the Sick and Homebound and Safe Environment Program Training Training for Extraordinary Ministers of Holy Communion to the Sick & Homebound and Training for Pastoral Care Providers Diocese of St. Petersburg, Safe Environment Program Office (Rev. 11/6/2013)

2 Office of Worship Douglas Reatini………..727-341-6828 Safe Environment Program Office André Glaudé ……….…727-344, Ext. 5377 Risk Management – Insurance Rick Osorio…727-344-1611, Ext. 5393 DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 2 QUESTIONS ??

3 Today’s Agenda 1.Ensuring a Safe Environment 2.Visitation –Pastoral Care Providers (PCPs) –Extraordinary Ministers of Holy Communion (EMHCs) 3.Rite 1: Communion in Ordinary Circumstances (Homebound) 4.Rite 2: Communion in a Hospital or Institution DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 3

4 IMPORTANT This Safe Environment Program training course qualifies you for the care, responsibility, and or supervision of vulnerable adults. It DOES NOT qualify you for the care, responsibility, and or supervision of children or youth. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 4

5 Safe Environment Program Training Objectives To foster a safe environment, for the sick, shut-in, and the elderly and to provide healthy, and loving relationships in the image of God To spot and report abuse of vulnerable adults and to maintain good boundaries in performance of your ministry DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 5

6 This Safe Environment workshop will: Discuss Guiding Directives Discuss SEP Definitions applicable to Ministry and Care provided to the Sick and Homebound Discuss Needed Skills for Ministering Discuss Boundaries for Ministers Discuss Ethical Behavior Provide guidelines for visitation Provide information on appropriate response to an abuse disclosure or discovery Provide information on appropriate reporting procedures for suspected or actual abuse DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 6

7 This Safe Environment workshop will not address: Individual cases or issues: Individual concerns about a particular person. Personal issues/conflicts with Church teaching and/or church personnel. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 7

8 Sexual and Other Abuses Against Vulnerable Adults This presentation is meant to cover the abuses that vulnerable adults may suffer at the hands of predators. Ministers to the sick and shut-in, especially EMHCs, clergy, and pastoral care providers must watch for signs of physical, emotional, sexual, financial, neglect, and other abuses suffered by our vulnerable adults and report actual or suspected abuse. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 8

9 Vulnerable Adult Program Leadership: A privilege, not a right The Diocese of St. Petersburg: –Has developed a program designed to provide safety for our vulnerable adults. –Recruits the best possible leaders. –Has created an adult application that requests background information and references. –Requires FBI Fingerprint background check. –Attempts to learn all it can about an applicant—his or her experience with vulnerable adults, why he or she wants to be a volunteer EMHC or Pastoral Care Provider. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 9

10 Safe Environment Program Guiding Directives Statutes of the State of Florida –Florida Statute 415.101 – Protects vulnerable adults from sexual abuse Archdiocese of Miami Provincial Policy & the Diocese of St. Petersburg –Incorporates the Protection of Children and Vulnerable Adults under one Umbrella DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 10

11 Safe Environment Program Definitions Applicable to EMHCs andPCPs Vulnerable Adult is an person over 18 yrs of age or older whose ability to perform the normal activities of daily living due to impairment or to provide for his/her own protection due to the infirmities of aging. Church Personnel includes any person employed by or engaged in voluntary ministry or who provides service directly or indirectly for the diocese or entity thereof. Extraordinary Minister of Holy Communion to the Sick and Homebound (EMHC) An individual commissioned by the parish to: –Administer Communion to the sick and shut-in –Visit the homebound and their caregivers –Advocate and represent the homebound back to the community –Act as a powerful witness to the love and care of God –Act as a presence through prayer, listening, assessing and responding DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 11

12 Safe Environment Program Definitions Applicable to EMHCs and PCPs Pastoral Care Providers – Volunteers who provide various types of service and assistance to the sick and shut-in as a form of ministry. Types of ministry-in-service may include but are not limited to: –Vehicle Drivers* –Errand Runners –Bereavement Ministers –Care Givers –Pastoral Ministers –Health Ministers –Helping with Chores, etc. Covered Volunteer – Any unpaid person who is engaged or involved in any diocesan institution or parish activity and who has unsupervised contact or is entrusted with the care or supervision of children, the elderly or the infirmed. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 12

13 Insurance Requirements for EMHCs & Pastoral Care Providers (PCPs) Drivers transporting Vulnerable Adults must have: – Bodily Injury Coverage – Property Damage Coverage No limits recommended Have questions about insurance requirements? Call Rick Osorio, Diocesan Risk Manager at (727) 344-1611, Ext. 393. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 13

14 Diocese of St. Petersburg Requirements for Volunteer Service Completed Volunteer Application Character and Volunteer Service Reference Check FBI Criminal History Background Screening Safe Environment Program Training –Standard 3 hr presentation (began 9/03) –EMHC & Pastoral Care Presentation (began 6/06) DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 14

15 “Being in the image of God the human individual possesses the dignity of a person, who is not just something, but someone.” DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 15 Catechism of the Catholic Church, Second Edition, 1997

16 Video Presentation “A Safer Place” Illinois Department on Aging DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 16

17 Vulnerable Adult Rights Right to respect of body and person Right to privacy Right to freedom of movement Right to communicate with significant others Right to interact with others Right to one’s own bed Right to have one’s own possessions Right not to be given meaningless work Right to nourishment Right to the natural elements Right to basic clothing necessities DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 17

18 The purpose of a relationship determines its boundaries Examples of relationships include: –Minster / Individual Ministered To –Caregiver / Patient –Parent / Child –Brother / Sister –Husband / Wife –Friend / Friend DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 18

19 DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 19 SELF

20 Emotional Grooming When someone manipulates another’s emotions to skillfully gain control of that person. Emotional grooming is used to seduce, coerce, or “con” others into doing something that they would not ordinarily do, including sexual activity. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 20

21 Key Elements of the Emotional Grooming Process False sense of trust—a groomer convinces the victim that s/he is the only person in the world to trust. Secrecy—groomers persuade their victims to keep “our little secret” hidden from others. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 21

22 Control The ultimate goal of an emotional groomer is to gain control of the target and of the relationship. The groomer seeks to gain power or dominance in the relationship by using any or all of the grooming tactics. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 22

23 Flattery Bribery Status Jealousy & Possessiveness Insecurity Accusations Intimidation Anger Control DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 23

24 Language Cons Words and phrases – or “lines” – that groomers use to trick and manipulate their targets. Sometimes lines make a target feel special or desired; other times they make a target feel guilty or threatened. Lines may seem genuine or sincere at first, but their real purpose is to control the target. Language cons are used to convince targets to do things they normally would not do. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 24

25 Types of Abuse Suffered by the Elderly, Sick, and Shut-in Physical Sexual Emotional Spiritual Financial Psychological Self Neglect Medication DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 25

26 Definition of Physical Abuse Non-accidental use of force against a vulnerable adult that results in physical pain, injury or impairment. Such abuse includes not only physical assaults such as hitting or shoving but also the inappropriate use of drugs, restraints or confinement. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 26

27 Types of Abuse Physical abuse –Shaking –Face slapping –Hair pulling –Use of implements (belts, hairbrushes, etc.) –Intrusive procedures (e.g. enemas) –Lack of appropriate physical nurturing DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 27

28 Warning Signs Physical abuse –Fear (especially of certain people) –Unexplained bruises or cuts –Pain at touch –Anxiety, agitation –Resignation, ambivalence –Sleep disturbances –Changes in eating patterns DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 28

29 Definition of Sexual Abuse Sexual contact that is forced, tricked, threatened or otherwise coerced upon a vulnerable adult, including anyone who is unable to grant permission. This may include physical sex acts, showing pornography, forcing the person to watch sex acts or forcing the vulnerable adult to undress. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 29

30 Types of Abuse (cont.) Sexual abuse –Can be physical: Penetration Touching of genitals –Can be emotional: Watching sexual behavior Sexualized language Intrusive questions –Can happen in private (covert) –Can happen in the presence of others (overt) DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 30

31 Warning Signs Sexual abuse –Torn, stained or bloody underwear –Pain, swelling or itching in the genital area –Pain in urination or defecation, or urinary or anal bleeding –Sphincter control problems –Increase in physical complaints (headaches, stomachaches, abdominal pain) Sexual abuse requires reporting to appropriate authorities. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 31

32 Definition of Emotional Abuse Verbal attacks, threats, rejection, isolation or belittling acts that cause, or could cause, mental anguish, pain or distress to a vulnerable adult. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 32

33 Non-Verbal Forms of Emotional Abuse Non-verbal forms of emotional abuse include: – Ignoring the vulnerable adult – Isolating a vulnerable adult from friends or activities – Terrorizing or menacing a vulnerable adult DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 33

34 Warning Signs Emotional abuse –Anxiety-related illnesses –Poor self-concept –Depression –Signs of de-compensation (a complete breakdown and loss of psychological balance) DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 34

35 Warning Signs Spiritual abuse –Living with inhuman rules or a skewed philosophy of living. –When physically, sexually, or emotionally abused, a vulnerable adult may loose his or her faith in God. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 35

36 Warning Signs Spiritual abuse –Anger at God –Refusal to pray for a specific person –“Flight into religion” –Belief that one is uniquely and specially sinful DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 36

37 Definition of Neglect Failure or refusal to provide for a vulnerable adult’s safety, physical or emotional needs. This may include failure to provide food, water, clothing, medications or assistance with the activities of daily living and personal hygiene. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 37

38 Responding to Abuse At times when vulnerable adults discloses abuse: –Believe them. –Remain calm. –Listen without interrupting. –Reassure them they are loved and cared for. –Respond to their questions or feelings with calm, matter-of-fact attitude, but don’t pressure them to talk more. –If they express concerns for their safety or their family’s safety, tell them that all that can be done to keep them safe will be done. –Reassure them that they did the right thing by telling you. –Tell them that it is not their fault. –Instruct them to tell you right away if the offender attempts molestation again or bothers them in any way. –Report appropriately. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 38

39 Responsibility Once Disclosure Has Been Made 1.Acknowledge difficult feelings and issues. 2.Keep those directly involved informed of developments. (Depending on direction from support resource, i.e. HHS) 3.Do not gossip; the only person you should share information with is your ministry leader. 4.Do not label the vulnerable adult or family—avoid stereotypes. 5.Follow all established procedures for reporting and follow-up. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 39

40 Vulnerable Adult Abuse Hotline Directory Report Actual/Suspected Abuse of a Vulnerable Adult to the appropriate number Report to: Ministry Leader Florida Abuse Registry Hotline (800) 962-2873 or (800) 96- ABUSE Florida Elder Helpline 1- 800-963-5337 Senior Help Line Pinellas & Pasco County – (800) 861-8111 or (727) 217-8111 Hillsborough County – (800) 336-2226 Seminole – 407-514-0019 Pastor Florida Council Against Sexual Violence (888) 956-7273 Diocesan Safe Environment Program Office (727) 344-1611, x-5377 Police - 911 DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 40

41 Vulnerable Adult Abuse Hotline Directory Call the appropriate numbers to report child or vulnerable adult abuse People who report alleged child abuse or neglect in good faith cannot be held liable for damages under criminal or civil law. In addition, their names are not given to the person they name as the abuser or to anyone else unless ordered by a hearing officer or judge. Members of the general public may make reports without giving their names. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 41

42 10 Minute Break DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 42

43 Objective #2: Visitation Pastoral Care Providers (PCPs) Extraordinary Ministers of Holy Communion (EMHCs) DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 43

44 Visitation: Pastoral Care Providers (PCPs) Volunteers who provide various types of service and assistance to the sick and shut-in as a form of ministry. Types of ministry-in-service may include but are not limited to: –Vehicle Drivers* –Errand Runners –Bereavement Ministers –Care Givers –Pastoral Ministers –Health Ministers –Helping with Chores, etc. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 44

45 Visitation: Extraordinary Ministers of Holy Communion (EMHCs) Pastoral Care of the Sick (#73) 1.A person’s rightful place is with the community. 2.The Communion minister: represents Christ manifests the faith and love of the community 3.Communion to the sick is: a privilege a sign of support & love DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 45

46 Visitation Skills Do –Be compassionate –Be observant –Report concerns –Watch for warning signs of abuse –Use affirming responses (“I am praying for you”) Do Not –Use Guilt Statements (“You are not as bad off as…”) –Use Strong Statements (“Men don’t cry”) –Use God Statements (“It is God’s will”) –Help with check books or other financial assistance –Give out your phone number (Use the parish’s) DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 46

47 Visitation Skills Preparation –EMHCs – Be familiar with and use the proper Rites –PCPs – Remember and use your training Listening –Being present to the individual Observing –Taking note of the environment Assessing –Understanding grooming techniques and warning signs Responding –Report/Notify ministry leader, abuse hotline counselors, or law enforcement DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 47

48 Ethics for EMHCs and PCPs Identify Yourself Respect Privacy Maintain Confidentiality Report Warning Signs and or Conditions that are unsafe Schedule Your Next Visit Participate in Ministerial Continuing Education DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 48

49 Additional Guidelines for Visiting Hospitals, Nursing Homes, or Assisted Living Facilities (ALFs) Check with Nurses Station before visit. Check to see if patient can take anything by mouth (NPO). Wash your hands between each visit. (Standard Precautions) Always knock before entering. Do not sit on bed. Never enter when call light is on. Ask that the TV or radio be turned off (if they are on). Don’t give out your home phone number. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 49

50 EMHC / PCP Visit Evaluation Keep a record of each visit –Evaluate each visit and compare over time for your ministry leader. –Evaluate issues that may need to be reported. –Assess needs of the individual. –Allow others to be informed in your absence. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 50

51 DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 51

52 - Summary- Put Your Skills Into Practice Preparation – knowing the concepts before you interact with the sick and homebound –Know the Church’s rituals for Holy Communion outside Mass –Know the Standard Precautions –Know the Procedures for Patients in Isolation Listening – being present to the individual Observing – being on the alert for warning signs of abuse or neglect Assessment – taking stock of what you see Responding – How and to whom to report DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 52

53 Objective #3: Extraordinary Ministers of Holy Communion (EMHCs) Visitation to the Homebound, Nursing Homes, Hospitals & Assisted Living Facilities

54 5 – Ways You Minister to the Body of Christ Represent the Praying Community Entrusted with the reverent transport of the Blessed Sacrament Serve the Suffering Body of Christ Bring Christ in your Person Inform the parish of the needs & concerns of the sick DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 54

55 Reverent Transport of the Host Do’s Do’s – Go straight to administering the Eucharist to the sick and shut-in – Transport the host in a pyx – Use a burse (if possible) – Return unused hosts to the parish – Carry a small bottle of water to dissolve contaminated hosts DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 55

56 Reverent Transport of the Host Don’ts Don’ts – Go shopping or to eat – Leave the consecrated host when no one is home – Burn candles around oxygen containers – Consume contaminated hosts DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 56

57 Things to have in an EMHC Kit Communion of the Sick book (© 2012) Pyx Burse Bees Wax Candle & matches Small Bottle of Water (to dissolve contaminated hosts) Purificator/Fine Linen Cloth/Hanky Readings for the Day/Missalette/Magnifcat, etc. Facial Tissue (to retrieve contaminated hosts) Baggie (for contaminated hosts) DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 57

58 EMHCs: EMHCs: Do 1.Make an appointment 2.Use the ritual Communion of the Sick (© 2012), a Bible and/or a Missalette 3.Begin informally 4.Invite those present to participate 5.Share the day’s homily 6.Have a cup of water ready 7.Create links to the parish (bulletins, etc.) 8.Thank the person 9.Return any unconsumed hosts to your parish DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 58

59 As an EMHC do you know? How many times in a 24-hour period can you receive Communion? Whether an EMHC can transport & administer the Precious Blood? If you can self-communicate? What “intinction” is? What to do if the consecrated host is dropped on the ground or coughed up by a communicant? What to do with extra consecrated hosts when the church is closed? If you can give Communion to a non-Catholic? DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 59

60 Can an EMHC Administer the Host to a Non-Catholic? Yes Yes, under certain special circumstances : – Cannon Law 844.4 applies as follows: Danger of death (war, POW, illness, disasters) – See sacraments on their “own accord” & display belief that Christ is present in the Eucharist Not in danger of death – Offer a Spiritual Blessing – Confirm, if possible, if requestor’s minister visits regularly (if not, we [Catholics] assume spiritual care) – Provide information cards or booklets on Catholicism If the Eucharist is administered under Cannon Law 844.4 or by accident, salus animarum, suprema lex: THE SALVATION OF SOULS IS THE SUPREME LAW (cf. Code of Canon Law 843 note#3, 844 & 912) DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 60

61 EMHCs: EMHCs:  Don’t  1.Visit if you are not feeling well 2.Stay too long 3.Take the role of counselor 4.Compete with the TV or radio 5.Carry consecrated hosts in a bag – use a pyx 6.Leave the consecrated host 7.Run errands with the Eucharist DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 61

62 Two Liturgical Rituals Approved for Use Outside of the Mass Rite #1 Rite #1 - Communion in Ordinary Circumstances (For use in homes) Rite #2 Rite #2 – Communion in a Hospital or Institution DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 62

63 Which text should you use? Communion to the Sick booklets come in different colored covers because they are printed by different publishers such as USCCB, the Liturgical Press, and Catholic Book Publishing Corporation The rites and prayers are the same; however, some are in English only, others are in Spanish only, and still others are in English and Spanish. Here are some links to booklets that you can choose from and order online: http://www.usccbpublishing.org/productdetails.cfm?PC=1819 (Administration of Communion Viaticum to the Sick) – (USCCB)http://www.usccbpublishing.org/productdetails.cfm?PC=1819 http://www.litpress.org/Products/3455/communion-of-the-sick.aspx (Liturgical Press) http://www.litpress.org/Products/3455/communion-of-the-sick.aspx http://www.catholicbookpublishing.com/products/75 (Catholic Book Publishing Corporation) http://www.catholicbookpublishing.com/products/75 DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 63

64 Communion in Ordinary Circumstances R ITE 1: Communion in Ordinary Circumstances Introductory Rites – Greeting – Sprinkling with Holy Water (Optional for clergy) – Penitential Act Liturgy of the Word – Reading (s) – Response (Reflection) – General Intercessions Liturgy of Holy Communion – The Lord’s Prayer – Communion – Silent Prayer – Prayer after Communion Concluding Rite – Blessing DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 64

65 INTRODUCTORY RITES Rite 1: INTRODUCTORY RITES (For Priests and Deacons Only) Greeting (Revised 2012) The minister greets the sick person and the others present with one of the following: A. Peace be with this house and with all who live here. Re s. And with your spirit. B. The peace of the Lord be with you. Res. And with your spirit. C. The grace of our Lord Jesus Christ and the love of God and the communion of the Holy Spirit be with you all. Res. And with your spirit D. Grace to you and peace from God our Father and the Lord Jesus Christ. Res. And with your spirit The minister then places the Blessed Sacrament on the table and all join in adoration. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 65

66 INTRODUCTORY RITES Rite 1: INTRODUCTORY RITES (New Wording for Lay EMHC) Greeting (Revised 2012) If the minister is a lay Extraordinary Minister of Holy Communion, he or she may do one of four greetings found on the previous slide, however, they add to the end of the greeting the phrase: Blessed be God for ever, to which all respond: Res: Blessed be God for ever. Th e minister then places the Blessed Sacrament on the table and all join in adoration. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 66

67 INTRODUCTORY RITES Rite 1: INTRODUCTORY RITES (cont.) (For Priest or Deacons Only) Sprinkling with Holy Water (optional) If it seems desirable, the Priest or Deacon may sprinkle the sick person and those present with holy water. One of the following may be used: Option A Let this water call to mind our Baptism into Christ, who by his Death and Resurrection has redeemed us. Option B Like a stream in parched land, may the grace of the Lord refresh our lives. If the Sacrament of Penance is now celebrated, the Penitential Act is omitted. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 67

68 INTRODUCTORY RITES Rite 1: INTRODUCTORY RITES (cont.) Penitential Act (3 options) The minister invites the sick person and all present to join in the Penitential Act, using these words: My brothers and sisters, to prepare ourselves for this celebration, let us call to mind our sins. A brief pause for silence follows. Then all recite together the formula of general confession: Option A (Revised 2012) I confess to almighty God, and to you, my brothers and sisters, that I have greatly sinned, in my thoughts and in my words, in what I have done and in what I have failed to do, And, striking their breast, they say: through my fault, through my most grievous fault; therefore I ask blessed Mary, ever Virgin, all the Angels and Saints, and you, my brothers and sisters, to pray for me to the Lord our God. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 68

69 INTRODUCTORY RITES Rite 1: INTRODUCTORY RITES (cont.) Penitential Act (cont.) Option B (Revised 2012) Minister: Have mercy on us, O Lord. Res. For we have sinned against you. Minister: Show us, O Lord, your mercy. Res. And grant us your salvation. Option C Minister: By your Paschal Mystery, you have won for us salvation: Lord, have mercy. Res. Lord, have mercy. Minister: You renew among us now the wonders of your Passion: Christ, have mercy. Res. Christ, have mercy. Minister: When we receive your Body, you share with us your Paschal Sacrifice: Lord, have mercy. Res. Lord, have mercy. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 69

70 INTRODUCTORY RITES Rite 1: INTRODUCTORY RITES (cont.) Penitential Act (cont.) The minister (ordained or lay) concludes the Penitential Act with the following: May almighty God have mercy on us, forgive us our sins, and bring us to everlasting life. Res. Amen. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 70

71 LITURGY OF THE WORD Rite 1: LITURGY OF THE WORD Reading(s) The word of God may be proclaimed by one of those present or by the minister. The minister may choose the reading(s) from the following: – Use the reading(s) for the day, especially on a Sunday (e.g. from a Missalette, etc.) – Use the readings found in Communion of the Sick – Use a reading from Part III of Pastoral Care of the Sick: Rites of Anointing and Viaticum DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 71

72 LITURGY OF THE WORD Rite 1: LITURGY OF THE WORD (cont.) Response (Reflection) A brief period of silence may be observed after the reading of the word of God. The minister may then give a brief explanation of the reading, applying it to the needs of the sick person and those who are looking after him or her. (see pages 34-38) The minister could share something from the homily at Mass. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 72

73 LITURGY OF THE WORD Rite 1: LITURGY OF THE WORD (cont.) Universal Prayer (or Prayer of the Faithful) With a brief introduction the minister invites all those present to pray. After the intentions, the minister says the concluding prayer. It is desirable that the intercessions be announced by someone other than the minister. (Pages 39-42 of Communion of the Sick gives examples.) DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 73

74 LITURGY OF HOLY COMMUNION Rite 1: LITURGY OF HOLY COMMUNION The Lord’s Prayer The minister introduces the Lord’s Prayer in these or similar words: A.Now let us pray as Christ the Lord has taught us: B.And now let us pray with confidence as Christ our Lord commanded: All say: Our Father... DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 74

75 LITURGY OF HOLY COMMUNION Rite 1: LITURGY OF HOLY COMMUNION (Cont.) Communion (Revised 2012) The minister shows the Eucharistic bread [or wine] to those present, saying: Behold the Lamb of God, behold him who takes away the sins of the world. Blessed are those called to the supper of the Lamb. The sick person and all who are to receive Communion say: Lord, I am not worthy that you should enter under my roof, but only say the word and my soul shall be healed. The minister goes to the sick person and gives them Communion. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 75

76 LITURGY OF HOLY COMMUNION Rite 1: LITURGY OF HOLY COMMUNION (cont.) Silent Prayer Then a period of silence may be observed. Prayer after Communion The minister says a concluding prayer. Four (4) options are given in the Communion of the Sick book. (See pages 18-19) DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 76

77 CONCLUDING RITE Rite 1: CONCLUDING RITE Blessing (By a Priest or Deacon) 3 Options are given on pages 20-21 The Priest or Deacon blesses the sick person and the others present, using one of the blessings. If, however, any of the Blessed Sacrament remains, he may bless the sick person by making a Sign of the Cross with the Blessed Sacrament, in silence. (Only clerics can give the clerical blessing). Blessing (By a lay EMHC) A minister who is not a Priest or Deacon invokes God’s blessings and makes the Sign of the Cross on himself or herself, while saying: A. May the Lord bless us, protect us from all evil, and bring us to everlasting life. Res. Amen. B. May the almighty and merciful God bless and protect us, the Father, and the Son, and the Holy Spirit. Res. Amen. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 77

78 Communion in a Hospital or Institution RITE 2: Communion in a Hospital or Institution Introductory Rite – Antiphon Liturgy of Holy Communion – Greeting – The Lord’s Prayer – Communion Concluding Rite – Concluding Prayer DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 78

79 Introductory Rite Rite 2: Introductory Rite Antiphon (Optional) The rite may begin in the church, the hospital chapel, or the first room, where the minister says one of the following antiphons. How holy this feast in which Christ is our food: his passion is recalled; grace fills our hearts; and we receive a pledge of the glory to come. How gracious are you, Lord: your gift of bread from heaven reveals a Father’s love and bring us perfect joy. You fill the hungry with good things and send the rich away empty. I am the living bread come down from heaven. If you eat this bread you will live for ever. The bread I will give is my flesh for the life of the world. If it is customary, the minister may be accompanied by a person carrying a candle. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 79

80 Introductory Rite Rite 2: Introductory Rite (For Priest or Deacon) Greeting (Revised 2012) On entering each patient’s room, the Priest or Deacon introduces himself and then may use one of the following ritual greetings: The peace of the Lord be with you. Res: And with your spirit. The grace of our Lord Jesus Christ and the love of God and the communion of the Holy Spirit be with you all. Res: And with your spirit. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 80

81 Introductory Rite Rite 2: Introductory Rite (For a Lay EMHC) Greeting (Revised 2012) If the minister is a lay Extraordinary Minister of Holy Communion, upon entering the room he or she introduces himself/herself and then may do one of the two greetings found on the previous slide; however, they add to the end of the greeting the phrase: Blessed be God for ever, to which all respond: Res: Blessed be God for ever. Th e minister then places the Blessed Sacrament on the table and all join in adoration. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 81

82 Introductory Rite Rite 2: Introductory Rite (cont.) [Reading] If there is time and it seems desirable, the minister may proclaim a Scripture reading (see Communion of the Sick for examples). The minister needs to use his/her best judgment. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 82

83 Liturgy of Holy Communion Rite 2: Liturgy of Holy Communion The Lord’s Prayer When circumstances permit, (for example, when there are not many rooms to visit), the minister is encouraged to lead the sick in the Lord’s Prayer. The minister introduces the Lord’s Prayer in these or similar words: A.Now let us pray as Christ the Lord taught us: B.And now let us pray with confidence as Christ our Lord commanded: All say together: Our Father.. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 83

84 LITURGY OF HOLY COMMUNION Rite 2: LITURGY OF HOLY COMMUNION (Cont.) Communion (Revised 2012) The minister shows the Eucharistic bread [or wine] to those present, saying: Behold the Lamb of God, behold him who takes away the sins of the world. Blessed are those called to the supper of the Lamb. The sick person and all who are to receive Communion say: Lord, I am not worthy that you should enter under my roof, but only say the word and my soul shall be healed. The minister goes to the sick person and gives them Communion. Others present who wish to receive Communion then do so in the usual way. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 84

85 CONCLUDING RITE Rite 2: CONCLUDING RITE Concluding Prayer The concluding prayer may be said either in the last room visited, in the church, or chapel. Four (4) options for the concluding prayer are found on pages 28-29 of Communion to the Sick. Three of the prayers have all new wording. The blessing is omitted. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 85

86 Prayer for Extraordinary Ministers of Holy Communion Jesus, bless these hands you have chosen as your tools Jesus, always keep us aware and in awe of our sacred mission Jesus, make us worthy of this great ministry we have humbly accepted Jesus, send us out into the world to distribute your love. DOSP Safe Environment Program Office Training for EMHC/PCP Training Rev 11-6-2013 86


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