1. CARING FOR THE WHOLE PERSON
God, Medicine, and Miracles (GMM) - chpt 1
Helping Hurting People (HHP) – lesson 1

2. The Overall Goal : Healing
Curing the physical disease(s)
Resolving the psycho-social and spiritual problems  Healing the heart, mind, soul, and spirit. This helps in curing the disease
Restoring the sick person to full life

3. The spirit of a person
The inner core of the personality that deals with :
Relationships with the spiritual dimension of life – God, or other spiritual powers
The Will – where we make basic life decisions
Where we ask the basic questions of life :
Who am I? – identity
Why am I here? - meaning, purpose
What has gone wrong?
How am I to live?

4. Spiritual care – What is it?
Personal and spiritual assessment - history
Discerning personal and spiritual problems
Inviting a person into a personal relationship with Jesus Christ – salvation
Resolution of inner problems to restore peace
Helping a person find true identity – a positive self image – and find meaning and purpose in life
Prayer for healing

5. Spiritual care is back IN
JCAHO requires hospitals to provide spiritual care
It must be “patient directed”
It is “evidence-based”
“The Faith Factor,” Dale Matthews
“The Link Between Religion and Health,” Harold Koenig and Harvey Cohen

6. Anger at God
You are examining a man with severe coronary artery disease. You ask him about his faith, and he replies angrily:
“How can I believe in a God who allowed a drunken driver to kill my 5 year old grandson?!”
Do you think this is affecting his heart disease?
How would you reply to him?

7. In ancient times Illness was thought to be primarily a spiritual issue
Faith and healing were together
The priest was the healer
The temple was the place of healing

8. With the rise of Science
Faith and science became separated
Religion and healing went separate ways
Faith is now “spiritual,” private, for eternity
Medicine is “secular,” practical, impersonal, and scientific
Few people see the interface between physical and spiritual realms

9. WESTERN BIO-MEDICAL MODEL
Isaiah 28:20 – The bed is too short to stretch out on, the blanket too narrow to wrap around you.
Why is the bio-medical way of healing too short and too narrow?

10. BIO-MEDICAL MODEL OF HEALING
Focus is on disease, not on the person who is ill
Focus is on cure of the disease, not on restoration of the sick person to health
Neglects emotional, social, and spiritual concerns of the sick person
It is a fragmented approach

11. Results Evidence-based medicine – this is good
Depersonalization of sick persons : we treat organs, lab results, not people – this is bad
Depersonalization of health professionals : we become technicians – this is bad
Commercialization of medicine : a pill for every pain – this is worse

12. BODY Physical 2. SOUL Psycho-logical 4. SOCIAL Relationships
BODY
Physical
2. SOUL Psycho-logical
4. SOCIAL Relationships
3. SPIRIT Spiritual

13. CAREGIVERS BODY SOCIAL SPIRIT PHYSICIAN COUNSELOR SOCIAL WORKER
CAREGIVERS
BODY
SOUL
PHYSICIAN
COUNSELOR
Office:
2800 Medical Park Blvd
Office:
194 Broadway.
SOCIAL
SPIRIT
SOCIAL WORKER
PASTORS PRIESTS
Office: 1260 Quillen Blvd.. Suite 201
Office: Christ Community Church.

14. Divided Care Care for each of these four dimensions is separate
Different caregivers for each dimension
Different locations, appointments, fee structures, etc.
Therefore no unified care

15. Interactions
What happens in one dimension of life affects the other three
The relationship may be cause or effect
Without care for all dimensions, healing and restoration to wholeness do not occur

16. SOUL
BODY
SOCIAL
SPIRIT

17. SOCIAL Hypertension; Heart Disease Chronic pain; inflammation
BODY
SOUL
Hypertension; Heart Disease
Chronic pain; inflammation
Auto-immune disorders
Digestive problems
Diabetes
Malignancies
Many infections
Fear; Worries; Anxiety
Anger; Bitterness
Resentment; Hostility
Shame; Guilt
Jealousy; Envy
Grief
SOCIAL
SPIRIT
Dysfunctional relationships
Loss of significant other
Divorce
Abuse
Poverty
Unemployment
Lack of identity
Meaninglessness
Poor self-image
Depression
Sense of rejection
Loneliness

18. SOCIAL Hypertension; Heart Disease Chronic pain; inflammation
BODY
SOUL
Hypertension; Heart Disease
Chronic pain; inflammation
Auto-immune disorders
Digestive problems
Malignancies
Many infections
Fear; Worries; Anxiety
Anger; Bitterness
Resentment; Hostility
Shame; Guilt
Jealousy; Envy
Grief
SOCIAL
SPIRIT
Dysfunctional relationships
Loss of significant other
Divorce
Abuse
Poverty
Unemployment
Distorted view of God
Lack of identity; Meaninglessness
Poor self-image
Depression
Sense of rejection
Loneliness

19. Conclusion
Problems of soul, spirit, or relationships can affect the body by
1. Producing physical symptoms and illness
2. Aggravating existing diseases
3. Impeding recovery from illness

20. What can we do to care for the whole person?
Learn how to take a personal and spiritual history
Learn how to explain these dynamics to sick persons
Train spiritual caregivers to work in the clinic as part of the team

21. A team approach Health providers who understand wholeness
Lay caregivers trained in spiritual care
Regular consultations between them
Remove the lines between physical, psychological, social and spiritual care
Much prayer

22. The Team Religious communities Family Medical staff
Spiritual caregivers
Nursing staff
Friends
Social services
Administrative staff

23. Whole person care in the clinic
J E J E S U S U S
MEDICAL
SOCIAL
EMOTIONAL
SPIRITUAL

24. CARE SOCIAL Hypertension; Heart Disease Chronic pain; inflammation
BODY
SOUL
Hypertension; Heart Disease
Chronic pain; inflammation
Auto-immune disorders
Digestive problems
Malignancies
Many infections
Fear; Worries; Anxiety
Anger; Bitterness
Resentment; Hostility
Shame; Guilt
Jealousy; Envy
Grief
CARE
SOCIAL
SPIRIT
Dysfunctional relationships
Divorce
Loss of significant other
Abuse
Poverty
Unemployment
Lack of identity; meaninglessness
Poor self-image
Depression
Sense of rejection
Loneliness

25. Results of Whole Person Care
Improvement or healing of the whole person
Restoration to partial or complete functional wholeness
Bringing faith and science, the church and medicine back together

26. We must make a huge paradigm shift
From thinking technologically to thinking wholistically
From a focus on disease to a focus on the person
From curing to healing
Shifting paradigms IS NOT EASY
It involves changing thinking and habits

27. A Wholistic Clinical Attitude
“God, what are you doing in Mrs. Smith’s life?”
“Where do you want me to fit in?”
“What medical and spiritual care should I use with her?”

28. Conclusion Healing of the heart - mind, soul, spirit,
and relationships -
FAVORS
[not guarantees]
healing of the body.

29. Question
How do you see this fitting into your own practice or situation?
List the advantages and difficulties
When you were sick in the past, who were your caregivers and what did they do for you?
Did you have other personal concerns that were not addressed?
How do you feel that could have been done?