LIFT Coordinator Training October 23-2

8/8/2019 LIFT Coordinator Training October 23-2

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Loving Individuals in FinalLoving Individuals in Final

TransitionTransition

A ministry ofthe local churchto chronicallyand terminallyill patients andtheir families.

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Chapter 1 2

Chapter OneChapter One

The Mission and Purpose of LIFT

Basic Questions About Death and Dying Assisted Suicide and Euthanasia

The Biblical View of Death and Dying

The Necessity ofChristian Caregiving atthe end of Life


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MISSIONMISSIONLIFT is a local church-based ministry ofcompassionate practical care and

assistance to chronically and terminallyill individuals and their families.

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PURPOSEPURPOSE

Human life is sacred, bearing Gods image

God is sovereign over life and death

The love ofChrist overcomes the power of death

The local church is central in meeting the needsof chronically and terminally ill persons and theirfamilies

LIFT conveys the following messagesto the community:

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Basic Questions About DeathBasic Questions About Deathand Dyingand Dying

What do you fear most about chronic or terminalillness?

How much technology should a Christian use toremain alive?

If you were seriously ill, where would you and yourfamily turn for help?

In what ways might the local church respond to yourconcerns?

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To the Best of OurTo the Best of Our

AbilityAbility

We will provide our faithfulpresence and support. (Youwill not suffer alone.)

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Chapter 1 7

Reasons to Oppose Assisted

Suicide and Euthanasia Thou shalt not kill.

They are not needed

They are not acceptable medicaltreatments

They reject Gods sovereignty and

providential control over life They are forms of abandonment


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Chapter 1 8

The Necessity ofChristianThe Necessity ofChristian

Caregiving at the End of LifeCaregiving at the End of Life

Immense systems of care: efficient but

impersonal Spiritual needs vs. medical needs

Exams, tests, biopsies on the body, but

what about the spirit? Temporal vs. Eternal


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1. Raise the level of awareness

a. Share your burden with others

b. Form a small group (invite pastor ordeacon)

c. Ask the Holy Spirit to direct your steps

How to Implement theHow to Implement the

LIFT Program at YourLIFT Program at YourChurchChurch

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2. Build your team

a. Promote LIFT

b. Recruit volunteers

c. Hold informational meetings

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3. Training and Teaching

a. Organize 90-minute sessions in 8 to 10series

b. Assign partners to those who finish andask for a one-year commitment

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VVOLUNTEERSOLUNTEERS are

OOpen heartedLLovingUUnderstandingNNurturingTTrustworthyEE

ncouragingEExamples ofChristRReliable

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Chapter4 13

Listening: An Act of Love

1. Be interested & show it

2. Look for the main ideas

3. Monitor your feelings and point of view

4. Notice non-verbal language

5. Give the other person the benefit of thedoubt

6. Tune in to the other person


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AcceptanceAcceptance

Acceptance! A little word, but what infinitesignificance it holds for tormented Christiansouls!

True acceptance can become a wellspring ofinner serenity, security, and joy.

It can ease our pain, calm our fears, release

our frustrations, fill our sleepless nights withrepose, and make even a life of seclusion orhelplessness into a life of praise and service.

From Grace Grows Best in Winter, by Margaret Clarkston

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Chapter5 15

Crisis

Definition

Characteristics

Response

Support

Predictions for outcome


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The Crisis Cycle

Life-Style

Denial

Crisis

Anger

Source: Howard J. Parad (ed.), Crisis Intervention, Reuben Hill, p. 46

Bargaining

Depression

Retreat

Shrink

Unbelief

Acceptance

GrowthFaith

Growth

Faith

Growth

Faith

God

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Factors Affecting Events Becoming Crises

Person-

FamilyEvent Crisis!

Interpersonal

Relationships

Culture RolesGod orgods

Perception

vs. Reality

Aspirations

(dreams, hopes,

future plans)

Status Power (class

membership pressures)

Economics other pressures

Source: Howard Parad (editor)

Crisis Intervention, Reuben Hill, p. 44 17Chapter5


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Suffering is Gods

megaphone to the world

to remind us

we need Him.-- C. S. Lewis

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ATTITUDES TOWARDATTITUDES TOWARD

SUFFERINGSUFFERING

Despair

Sourness or bitterness

Rebellion

Resignation

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ATTITUDES TOWARDATTITUDES TOWARD

SUFFERINGSUFFERING

Challenge Fear

Acceptance

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NEEDS OF THE SUFFERINGNEEDS OF THE SUFFERING Love and comfort

Adequate provision of basic daily needs Acceptance even when behavior is atypical

Establishment of realistic goals

Fellowship with God

Experiencing the grace of God

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It is doubtfulIt is doubtfulwhether God canwhether God can

bless a man greatlybless a man greatlyuntil He has hurtuntil He has hurt

him deeply.him deeply. -- A. W. Tozer

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A spiritual need is a lack of

any factor or factors necessaryto establish and/or maintain adynamic personal relationship

with God.-- P. LePeau and B. Miller

SPIRITUAL NEEDSSPIRITUAL NEEDS

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GOD IS THE SOURCE OF:GOD IS THE SOURCE OF:

FORGIVENESS

MEANING AND PURPOSE

LOVE AND RELATEDNESS

ASSURANCE

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Gods filling of my spiritual needsequips me to live in this world,

and to respond to others, seeing

their spiritual needs andencouraging them to go to God.

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Lack of:

FORGIVENESS leads to

MEANING AND PURPOSE leads to

LOVE AND RELATEDNESS leads to

ASSURANCE leads to

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PRAYING SC

RIPTUREPRAYING SC

RIPTURERomans 15:13

May the God of hope fill _______with all joy and peace as _______

trusts in Him, so that _______

may overflow with hope by thepower of the Holy Spirit.

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PRAYING SCRIPTUREPRAYING SCRIPTURE

Ephesians 3:14-19

For this reason I kneel before the Father. . . . I pray

that out of his glorious riches he may strengthen ____with power through his Spirit in ____ inner being, so

that Christ may dwell in ____ heart through faith. And

I pray that ____, being rooted and established in love,

may have power . . . to grasp how wide and long andhigh and deep is the love of Christ, and to know this

love that surpasses knowledge, that ____ may be filled

to the measure of all the fullness of God.

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Basic Themes ofBasic Themes of

ScriptureScripture

FORGIVENESS

COMFORT

HOPE

LOVE AND ACC

EPTANC

E TRUST

CARE AND COMMUNITY

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Use of Prayer

What is prayer?

The healing power of prayer When to pray

How to pray

Use of scripture as prayer


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MANAGING STRESSMANAGING STRESS

Be aware of stress

Take time alone with God

Ask for prayer partners

Identify cause(s) of stress

Set achievable goals

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MANAGING STRESSMANAGING STRESS

Identify whatsimportant/prioritize

Get support and/or counseling

Take time for yourself

Learn to relax

Have a sense of humor

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STRESS REDUC

ERSSTRESS REDUC

ERS

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Physical Changes

Basic Human Needs

1. Physiological2. Safety and Security

3. Love and belonging

4. Self Esteem

5. Spiritual Enhancement


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Possible Risk Factors forPossible Risk Factors for

Alzheimer's DiseaseAlzheimer's Disease Age over 85, 50% at risk

Family history

Head injury

Limited education continued learning activatesmore brain cells

Lack of mental activity

Vascular disease

Reduced blood flow

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Chapter 8 36

Possible Protective FactorsPossible Protective Factors

Estrogen

Mental activities

Physical activities

Vitamin E (antioxidant)


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Possible Protective FactorsPossible Protective Factors

Diet

Social interaction Rest

Control chronic illness

Weight control

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The Dementia Personality

Factors affecting behaviorofindividualswith dementia: Personality, primary,

secondary, and peripheral consequencesof dementia, and interaction between the

individual and environmentalinfluences.

Source: Volicer, Ladislav, and A. Hurley, Eds., Hospice Care for Patients with AdvancedProgressive Dementia (New York: Springer Publishing Company Inc., 1998), pp. 68-83.

Caregiving

EnvironmentSocial

Physical

EnvironmentMedical

Treatment

Combativeness

Resistiveness

Food

Refusal ADL

Dependence

Functional Impairment

Dementia

Personality

Inability to Initiate

Meaningful Activities

RepetitiveVocalization

Insomnia

DelusionsDepression

Spatial

Disorientation

Elopement

Interference with

other Residents

Anxiety Apathy

Agitation

(Restlessness)

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Chapter 8 39

ScenarioScenario

Harry is seated at the table waiting for breakfast. The diningroom is a flurry of commotion. Several call-ins means the nursingassistants are hurrying an effort to catch up on the days tasks. Harryis showing signs of agitation.His breakfast has been set up and he isable to feed himself with reminders; however, he is not eating. The

nurse approaches Harry and urges him to eat. Come on Harry, youmust eat. This food is good for you. Here, just take a bite of cereal.

At the same time, shes attempting to get Harry to drink byholding a glass to his mouth.Harry pushes the glass away and thenurse responds, Harry, why did you do that? That wasnt nice. Here,

you need to drink this juice. The nurse continues her attempts tocoerceHarry to eat breakfast. Finally, Harry slaps the glass out of herhand, spilling juice down the front of her uniform. The nurse reportsand documents that Harry is combative.

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Chapter 8 40

ScenarioScenario

Why do you thinkHarry is combative?

What different approaches might bemore effective?

What could you do to change the

atmosphere so that you might be able togive Harry some personal care?

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Young men fear death,

old men fear dying.

-- Hippocrates

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Chapter9 42

Five Stages of DyingFive Stages of Dying

Denial

Anger Bargaining

Depression

Acceptance


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HELPING THE CARE RECIPIENTHELPING THE CARE RECIPIENTPREPARE TO DIE WELLPREPARE TO DIE WELL

The way a person handles death is colored byevery experience he or she has had in life. There areno right answers to the questions, How am Isupposed to feel? or How am I supposed to act?Everyone will act and react uniquely.

Out of her experiences the author has identifiedseven concerns, that if taken seriously and actedupon, seem to make the difference between dying in a

state of denial, or dying after having achieved peacewith God and others. These concerns touch on thephysical, material, emotional, and spiritual elementsof facing death. -- A Time to Live and A Time to Die, by Beatrice M.A. Ash

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Concerns About Dying WellConcerns About Dying Well

Having others present

Providing for your physical needs

Making provision for loved ones

Giving yourself away

Reviewing your life

Letting go

Choosing to forgive

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Five Things the DyingFive Things the Dying

Need to CommunicateNeed to CommunicateForgive Me

I Forgive You

Thank You

I Love YouGood-Bye

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No one ever told me

that grief felt so like fear.I am not afraid,but the sensation

is like being afraid the same flutteringin the stomach,

the same restlessness,the yawning.I keep on swallowing.

-- C. S. Lewis

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Stages of GriefStages of Grief

Shock

Crucible

Construction

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GriefCare BasicsGriefCare Basics

1. Presence

2. Eye contact

3. Listen

4. Gifts

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GriefCare BasicsGriefCare Basics

5.Compassionate honesty

6. Sharing scripture

7.Calmness and composure

8.Ask help from skilled caregivers

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Needs of the GrievingNeeds of the Grieving

1. For support

2. To accept the loss

3. To express sorrow

4. To deal with sorrow

5. To deal with guilt6. For new and strengthened friendships

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Stages of Normal GriefStages of Normal Grief

1. Shock

2. Emotional release

3. Physical/body manesfestations

4. Depression/panic

5. Guilt

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Stages of Normal GriefStages of Normal Grief

6.Anger

7. Idealization

8. Realization

9. New patterns

10. Living with the loss

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Lessons from JobLessons from Job

Job 1:1Job 1:1 2:72:7 His walk with God (1:1-8)

Gods test through Satan (1:9-12; 2:1-6)

His lost wealth (1:13-17)

His lost children (1:18-19)

His lost health (2:7-8)

His wifes lost respect (2:9)

His supernatural response (2:10)

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Group Study of JobGroup Study of Job 66::11--1414

GROUP A What do you personally fearmost about Jobs predicament?

GROUP B According to the text, howwas Job feeling about his situation?

GROUP C What was Jobs response to

God? GROUP D What does Job need from

his friends? What does he get?

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Documents

LIFT Coordinator Training October 23-2