Responding to Coronavirus and other emergencies

Statements

Our Covid-19 Reopening plan, Journeying by Stages. Updated 3-19-21

May 26, 2020 – A joint statement from RI Faith Leaders on Reopening

April 9, Maundy Thursday – A message from Rhode Island’s Faith Leaders

March 16, 2020 – A message from our Bishop.

The Bishop has directed congregations to suspend in-person public worship. March 14, 2020

Messages from the Presiding Bishop: March 10, March 12, March 17

Guidance from the Church of England.

Worship, and Pray

Worship online  – our parishes, and resources

Prayers compiled

Help with the new age of online ministry from VTS

Spanish Language Resources

Hebert Palomino, Associate Professor of Pastoral Care and Counseling at the School of Divinity at Gardner-Webb University, is releasing a series of videos in Spanish on caring for people in the midst of the COVID-19 pandemic. If you serve in a ministry context with Spanish-speaking persons, Dr. Palomino encourages you to make use of these videos and share them with others. Here are links for the first three videos; he plans to release one or more additional videos each week.
Definiendo la crisis
Que esperar en medio de una crisis
Cómo manejar las Cómo manejar las emociones descompensadoras

Ideas

New – We have detailed information regarding sewing face masks, and helping the homeless, here.

The stress of this pandemic has many effects. This page lists resources for dealing with mental health, addiction, and domestic violence.

Mail sermons or meditations to people who are not online. Send handwritten notes and cards. Is art part of your home-school program? Ask if you may send those masterpieces to nursing homes or assisted living facilities. Use the back pages to write notes to family and friends.

Create a phone tree and call each other to check in.

Deliver meals or food as needed. If you have to go out, call elders you know, call your neighbors, and ask what they need. Help others to stay in.

Establish prayer partners and pray for each other over the phone. Commit to keep praying.

Check in with the local food pantry, ask how you can help.

Ask everyone you interact with how you can pray for them and how you can help them.

Ask yourself – how do I keep doing these things when the emergency is past?

Do you sew? Hospitals are looking for help making masks.

Many of our congregations host AA meetings, and many of us have friends and family dealing with addiction. Make sure they know that there are resources online.

Please continue to support your church by sending in your offering. Make the jump to online giving, or set up an automatic transfer schedule from your bank. There are bills that still need to be paid.

Clergy Resources

NewHymns made available by Church Publishing for Fall 2020. Food for thought, an article from The American Organist about streaming.

NewJourneying by Stages, guidance for re-opening.

New – A compilation of suggestions and resources to assist you in your continuing online presence.

The latest guidance from the state regarding re-opening considerations.

Covid-19 Reopening plan template.

Guidance for Funeral Homes from RI Department of Health.

Looking for music to stream? More information about copyright and use of music for streaming is here, and here.

HR issues, addressed by our consultant. Returning, or not, from unemployment.

Ministry in a Time of Pandemic

Caring for Church Buildings. Advice from the CofE. Not all of the information is applicable here, but there are some good suggestions.

End of life pastoral care guidelines, from the Bishop.

If you are looking for information regarding putting your congregation’s service online, start here. There are additional resources here, and here. Regarding the use of music online: OneLicense.

This is a link to a survey that you might adapt for finding out what are the most pressing needs of your parish community.

Having issues with using Zoom? There is a great tutorial here.

This is a summary of a webinar sponsored by Episcopal Relief and Development, addressing the stress of isolation and quarantine. Lists some helpful resources and includes a link to a recording of the webinar.

Regarding congregational financial concerns.

We have put together some advice regarding planning for emergency situations. This page will be updated as situations warrant.

 Lifespan has released temporary, guidance regarding hospital visits during this time. https://www.lifespan.org/news/visitation-restricted-lifespan-hospitals

 

 

Social services resources

Is someone you know looking for help with housing, food, healthcare, or other human services?

The internet search engine of your choice is your best way to find things, but here is a short, partial list of commonly-consulted organizations and resources specific to Rhode Island.

United Way of Rhode Island 211 directory: this webpage explains the “Call 211” resource. Calling 211 reaches a United Way employee who can help you find the resources you need.

Rhode Island Coalition for the Homeless resources. This page includes links to the regional”Street Sheet” trifold brochures in English and Spanish listing food pantries, soup kitchens, homeless shelters and other resources. Every priest or parish administrator should print out a stack to have on hand at your congregation’s reception desk and tract rack.

Crossroads RI Homeless Shelters. Also includes a domestic violence shelter component.

Rhode Island Community Food Bank. Includes directory of food sites.

Free medical clinics, etc.: RI Department of Health listing.

Mental health emergencies : Butler Hospital.

Blackstone Valley Community Action Program (BVCAP)

Anchor Recovery Services: alcohol and drug recovery support.

Sexual assault treatment and helpline: DayOne RI.

Domestic violence shelter and resources: Sojourner House.

Rhode Island Coalition Against Domestic Violence: helpline and resources.

Why should a congregation consider health ministry?

The current health care system in the U.S. doesn’t focus on health, too often doesn’t seem to care, and isn’t a cohesive, holistic system. Instead, it’s primarily disease-oriented, fragmented and enormously expensive. The church, on the other hand, is in the business of healing, of saving.

The mission given Christ’s disciples is to preach, teach and heal, and the church’s teaching and preaching have far exceeded her healing in this day. The church needs to be true to her calling. She has the opportunity in this modern age to use many tools to bring about healing.

Health ministry and parish nursing in a congregation do not replicate services that already exist in the community, because health ministry addresses health more than illness. The health care system and the church offer plenty of space for health professionals and laity to work together to keep people well, to empower them, to educate them, to advocate for them, to teach them and to care for them.

I will search for the lost, and bring back the strays. I will bind up the injured and strengthen the weak…. I will shepherd the flock with justice. Ezekiel 34:4,16

What is the theological grounding for health ministry?

Support for health ministry within the church has firm grounding. Episcopalians may not have many doctrines, but those concepts we hold dear do apply to health ministry:

Creation. God looked upon creation and said, “Behold, it is good. Behold, it is very good!” God has made all things that are, and all that are to be. And they are good – very good. God created matter — flesh and blood and bones and teeth and spleen and all the rest. And they are very good!

Incarnation. God became flesh, and chose to live in the created world. God lived in matter, and does not stand apart from flesh. In Christ, God stands in the midst of the living today. Our hands and feet are the hands and feet of Christ in the world today; our kidneys and mouths and stomachs are no less Christ’s.

Stewardship. Episcopalians understand that we are not owners, but caretakers, of the material world. Stewardship often applies to time, talent and treasure, but what about the torso? St. Paul reminds us that our bodies are the temples of the Holy Spirit. Are we not then to be good stewards of them? Are we not then to take good care of this flesh?

Salvation. The root of “salvation” is the Latin “salve,” which means making whole. We cannot be made whole unless we consider all parts that make us who we are. All creation is to be restored, not just the non-material parts. As Paul explains in Ephesians, all things are held together in Christ. Our bodies are sacred.

Suffering. Jesus did not escape suffering, pain and death. He entered into it. He knew on some level that God would be at work there, too. Teillhard de Chardin reminds us that bleeding is the price we pay to let God enter us deeply. Jesus embraced the shadow-side of life to show us the fullness of God, a God who does not abandon us when the sunlight can’t be seen, a God who walks with us through pain, through sickness, through dying. God is a God who suffers with us. Health ministry holds this up, as we are present with in their suffering. How does health ministry relate to spiritual healing?

Support for health ministry within the church has firm grounding. Episcopalians may not have many doctrines, but those concepts we hold dear do apply to health ministry:

Healing is central to the ministry of Jesus. Jesus was a wholistic healer; he did not see a distinction between body and spirit when he forgave and restored sight. Twenty percent of all the stories about Jesus refer to his healing; the Gospels contain some 35 references to Jesus healing. Too often we overlook them.

The miracle stories in light of twenty-first century technology can seem somewhat embarrassing. We find Jesus’ simplicity embarrassing. We fail to see that our medical tools are an aid to healing, that they help create an environment where healing can take place, but that they are not healing in and of themselves. Healing happens in the invisible workings of the body’s cells. God is at work there. All that health professionals do is help create a space for miraculous healing to happen.

Parish nursing and health ministries embrace spiritual healing, the Laying on of Hands and anointing with healing oil, just as they embrace other ways that God uses to heal. This ministry complements the work of other healing ministries in the church, including the long-established work of the Order of St. Luke. All healing is of God.

“Take heart, daughter,” Jesus said, “your faith has healed you.” And the woman was healed from that moment. Matthew 9:20-22

How does health ministry differ from good pastoral care?

Health ministry incorporates good pastoral care, but takes pastoral care somewhat further by introducing knowledge of the health care system and of the workings of the human body. The following example demonstrates how health ministry stretches pastoral care:

A parishioner spoke with her priest about her 97-year-old aunt who was in a nursing home and who was not eating. The doctor had asked the parishioner for permission to insert a gastric feeding tube. The parishioner knew that her aunt did not want dramatic measures, but nonetheless felt pressured to give permission for this procedure. The priest listened well, and after discussion shared that he did not see that it was incumbent upon the parishioner to have the tube placed. It was caring and loving not to make her undergo surgery.

The parishioner called the parish nurse the next day, saying she wanted all the information she could gather when making this decision. She wondered if it were more humane to let someone die in surgery (the aunt was on oxygen, and had cardiac problems as well as malnutrition) or to let someone starve to death. As the conversation unfolded, the nurse was able to suggest that other options were available. The nurse told the parishioner about her right to ask for a case conference and agreed to accompany the parishioner to such a conference at the nursing home, attended by the dietician and the nursing staff as well.

The case conference revealed that the gastric tube was the easiest answer for the nursing home staff to deal with the aunt’s lack of interest in food, but it was not necessarily the best answer for the patient. The aunt’s dietary preferences were discussed, and the parishioner agreed to bring in some of her favorite food. The staff arranged for someone to be with the aunt during mealtime. The aunt started eating again!

Pastoral care here, offered by the parish nurse, included advocacy for the aunt and empowerment for the family.

What is parish nursing?

Parish nursing combines the knowledge and skills of nursing practice with an understanding of the spiritual and religious beliefs that underlie health. Parish nurses, with one foot in the spiritual world of the church and one foot in the physical world of medicine, minister in ways that reunite the mind, body and spirit, addressing and embracing the relationship between the visible and the invisible. The parish nurse links these spheres, translating the jargon, forging the connections and facilitating the parishioner’s more complete understanding of his or her health experience. What are the roles of a parish nurse?

The parish nurse engages in several roles. The International Parish Nurse Resource Center identifies the classic roles as follows:

  • Integrates faith and health within the parish community
  • Counsels parishioners on questions of personal health
  • Acts as a health educator
  • Acts as a referral agent
  • Coordinates volunteers
  • Develops support groups
  • Advocates for individual and community health

Jesus touched her hand and the fever left her, and she got up and began to wait on him. Matthew 8:14-15

What is the difference between parish nursing and health ministry?

Actually, they fit very closely together. A parish nurse often leads a congregation in health ministry.

Health ministry is broad in scope. It focuses more on outcomes for the parishioners and on the congregation’s work of bringing health and healing in the community. Sometimes the phrase “health ministries” (plural) is used to emphasize the multiplicity of players; this ministry does not belong to any one person. Parish nursing focuses more on the nurse’s roles and on the responsibilities that individual carries.

Specifically, what does a Parish Nurse do?

The parish nurse is a nurse of the church, not simply a nurse in a church. She is not transplanted from the hospital or clinic to perform the same tasks, and she does not attempt to replicate existing services available in the community and place them in the church building. Plenty of agencies are already providing nursing care in the home – dressing changes, blood draws, monitoring intravenous feedings, and so on. Most locations also have sufficient doctors and clinics available for treatments.

Under the Nurse Practice Act (which differs somewhat from state to state) the professional nurse has several responsibilities. Parts of the traditional nurse’s responsibilities are delegated functions, tasks done under the supervision of a physician. Often these are invasive procedures requiring doctor’s orders, and they are often the first tasks people think of when they imagine a nurse at work, but these are not the tasks of a parish nurse. The parish nurse focuses specifically on other parts of the Nurse Practice Act: assessing health needs, teaching, referring to services in the community, coordinating health care, counseling regarding health-related concerns and advocating for those who need a voice. The parish nurse does not do “hands-on nursing” in the traditional health professional sense.

Carrying out a parish nurse’s responsibilities takes many forms, and the specific programming depends on the individual parish with its particular demographics, resources and energy level. The parish nurse might offer Health Risk Appraisals, teach classes on safe babysitting, take blood pressures after the Sunday worship service and maintain a resource cart with information on health and illness. She might find a speaker on “The Healing Power of Humor,” visit parishioners who are in the hospital, coordinate the Lay Eucharistic Ministers as they take the Sacrament to shut-ins, or even meet with parishioners to do exercise or Yoga. The possibilities are endless.

What makes these services different from those offered in other settings is that they are conceived of and delivered in the context of Christian faith. They are not ends unto themselves. They are not body worshipping or narcissistic. They do not come from duty or obligation, but from a deep sense of our connectedness one to the other and to Christ. What is a typical day for a parish nurse?

A parish nurse doesn’t have a “typical” day. Sundays may include taking part in the service, assisting at a healing station, leading the prayers, possibly preaching, greeting people after the service and hearing their concerns, gathering information, teaching a Sunday School class or taking communion to those in the hospital as a Lay Eucharistic Minister.

A weekday can bring almost anything. For example, a parish nurse may do the following types of things during a standard week:

  • Attend a meeting with the AIDS Service Center to plan a program to help people cope with the up-coming holiday season
  • Teach a session on menopause to a women’s group
  • Meet with a parishioner who is concerned about an aging parent
  • Meet with a discharge planner at the hospital to help facilitate a parishioner’s getting needed help at home
  • Track down a program to help children of divorce
  • Take a blood pressure for a concerned parishioner
  • Lead a grief support group along with a social worker from the parish
  • Organize and facilitate a plan to arrange a Sunday morning education series on various health concerns, perhaps using the skills of the physicians in the parish

“Parish nurse ministry creatively engages the long-standing tradition of the church to be directly involved in medical care. This association recognizes and holds together the power of faithful prayer and life with the practice of the medical arts and sciences as grace-filled means for healing and curing.” –The Right Rev. William Gregg, Bishop of Eastern Oregon

How do you know whether a church is ready for health ministries?

There is no formula for determining the readiness of a congregation for a new ministry, though here are some things to consider:

Most churches already have some aspect of health ministry already in place, be it a corps of parishioners who deliver Meals on Wheels, an intercessory prayer group, a Crisis Committee, or a Stephen Ministry program. Many churches may not have named these programs “health ministry,” though it is probably understood to be a part of health and caring. That gives something to build on. It tells where the current energy in the parish can be found. It gives a familiar place to start expanding ministry, should the church so choose.

Looking at the parish in terms of its resources and its energy is important in determining readiness. Resources don’t have to be financial. They can be interest, skill, vision or commitment. If these exist, it might be the right time to harness them into a fuller, more organized program.

Recognizing the specific health-related needs in a congregation also informs health ministry. For example, does the parish have a large aging population? Or, is the parish full of young couples with little children, stressed by the demands of career and parenting? Are there obvious unmet needs? Necessity may be the driving force for beginning a health ministry program.

“When did we see you a stranger and invite you in, or needing clothes and clothe you? When did we see you sick or in prison and go to visit you?” The King will reply, “I tell you the truth, whatever you did for one of the least of these brothers of mine, you did for me.” Matthew 25:38-40

 

Many thanks to Dee Wiseman, Diocesan Liaison to NEHM for the Diocese of Fond du Lac for preparing this document. DOWNLOAD Health Ministry FAQ if you want to print this article.

Healthy Eating

Churches can help its members and members of their community improve their eating habits by offering programs, education and support. Here are some to consider:

Mindful Eating

Americans tend to eat mindlessly. We are unaware of tastes and smells and textures as we focus on conversation or television or reading material. Mindful Eating gives an opportunity to slow down and experience dining in a very conscious way. Eating can become a joyous and spiritual experience as we develop a healthy relationship to food.

Mindful Eating is based on the Buddhist tradition of focusing, of being very conscious of whatever activity one is engaged in. It is developed for use with a group of parishioners who are self-selected. If you have had a program on food, diet or exercise, you might want to use this as a follow-up. It is also very appropriate for use during Lent and Advent.

DOWNLOAD Mindful Eating Program

Portion Plate

The Portion Plate is a portion control dietary program that promotes a balanced, nutritional approach to meal planning. Recent scientific studies show that nearly 60% of Americans are overweight, and that one of the main reasons for this growing epidemic of obesity is that we simply eat too much food. To help curb that trend, Episcopal Retirement Homes’ (ERH) Parish Health Ministry offers The Portion Plate program customized for congregational use.

  • Participants sign up and pay a $10.00 participation fee to take the Portion Plate pledge. This enables the individual to receive a fun, portion-controlled plate, corresponding educational placemat, as well as a pledge log and daily meditations.
  • By taking The Portion Plate pledge, participants commit to using their plate during at least one meal per day (lunch or dinner) for a two-week period. They will record their use of the plate on the pledge log. Participants will also have the option of focusing on other health behaviors, such as daily exercise and water consumption, by using the personal goals checklist.

Portion Plate Program Packet includes implementation materials (program overview, implementation guidelines, sign-in sheet and program evaluation form), promotional materials (sample bulletin announcement, sample newsletter article, flier/poster, spiritual support materials, and Healthy Thoughts bulletin insert), and participant materials (participant guidelines, pledge log sheet, participant evaluation form, personal goals checklist, daily meditation, top 10 portion tips). $ 50 for the program

Portion Plate Kit for each participant (includes a plate & placemat) — $ 10 each plus shipping
Call (513) 272-5555 ext. 4285 or 1-800-835-5768

Learn more at: Episcopal Retirement Services

 

Just Eating

Just Eating is a free seven-session program on the relationship between our faith and our food by the Presbyterian Hunger Commission includes a Middle School Curriculum and a Leader’s Guide and Participant Guide for adults, teens or intergenerational use.

“The curriculum explores how practicing our faith is foundational to meaningful and healthy living, for ourselves, for the earth and for others in the world.  In particular, the program asks us to consider how eating—one of the most basic human activities—is an invitation to experience God and to journey with others in the world.”

Available as a free download from LeaderResources by clicking on the links above or from our site by clicking on the links below:

Just Eating Leader’s Guide
Just_Eating_Participant Guide
Just_Eating_Middle_School_Curriculum

 

 

 

 

Starting a Walking Program

Walking doesn’t get the respect it deserves, either for its health benefits, its value for transportation, or its role in recreation. One of the easiest ways to exercise is to walk. A walking program can both provide an incentive to walk and provide companionship that increases the likelihood that people will walk regularly.

Medical Trust developed a guide for dioceses, churches and other workplaces to start a walking program. But the information here can easily be adapted to fit a congregation. And it is a program that fits younger adults and older adults alike. Churches can encourage walking by sponsoring a walk before or after worship services, setting up neighborhood or workplace walking groups, encouraging congregational groups to incorporate a walk into their meetings (perhaps even conduct the meeting while walking!) and simply encouraging individual to work more.

DOWNLOAD Start a Walking Program

Also available from the Episcopal Health Ministry organization is a curriculum which introduces walking as both a Christian spiritual practice and a method for promoting good health. The 12-week program allows health ministers to personalize and print learners’ materials for groups large and small.

DOWNLOAD Walk to Anywhere

 

Why should a congregation consider health ministry?

The current health care system in the U.S. doesn’t focus on health, too often doesn’t seem to care, and isn’t a cohesive, holistic system. Instead, it’s primarily disease-oriented, fragmented and enormously expensive. The church, on the other hand, is in the business of healing, of saving.

The mission given Christ’s disciples is to preach, teach and heal, and the church’s teaching and preaching have far exceeded her healing in this day. The church needs to be true to her calling. She has the opportunity in this modern age to use many tools to bring about healing.

Health ministry and parish nursing in a congregation do not replicate services that already exist in the community, because health ministry addresses health more than illness. The health care system and the church offer plenty of space for health professionals and laity to work together to keep people well, to empower them, to educate them, to advocate for them, to teach them and to care for them.

I will search for the lost, and bring back the strays. I will bind up the injured and strengthen the weak…. I will shepherd the flock with justice. Ezekiel 34:4,16

What is the theological grounding for health ministry?

Support for health ministry within the church has firm grounding. Episcopalians may not have many doctrines, but those concepts we hold dear do apply to health ministry:

Creation. God looked upon creation and said, “Behold, it is good. Behold, it is very good!” God has made all things that are, and all that are to be. And they are good – very good. God created matter — flesh and blood and bones and teeth and spleen and all the rest. And they are very good!

Incarnation. God became flesh, and chose to live in the created world. God lived in matter, and does not stand apart from flesh. In Christ, God stands in the midst of the living today. Our hands and feet are the hands and feet of Christ in the world today; our kidneys and mouths and stomachs are no less Christ’s.

Stewardship. Episcopalians understand that we are not owners, but caretakers, of the material world. Stewardship often applies to time, talent and treasure, but what about the torso? St. Paul reminds us that our bodies are the temples of the Holy Spirit. Are we not then to be good stewards of them? Are we not then to take good care of this flesh?

Salvation. The root of “salvation” is the Latin “salve,” which means making whole. We cannot be made whole unless we consider all parts that make us who we are. All creation is to be restored, not just the non-material parts. As Paul explains in Ephesians, all things are held together in Christ. Our bodies are sacred.

Suffering. Jesus did not escape suffering, pain and death. He entered into it. He knew on some level that God would be at work there, too. Teillhard de Chardin reminds us that bleeding is the price we pay to let God enter us deeply. Jesus embraced the shadow-side of life to show us the fullness of God, a God who does not abandon us when the sunlight can’t be seen, a God who walks with us through pain, through sickness, through dying. God is a God who suffers with us. Health ministry holds this up, as we are present with in their suffering. How does health ministry relate to spiritual healing?

Support for health ministry within the church has firm grounding. Episcopalians may not have many doctrines, but those concepts we hold dear do apply to health ministry:

Healing is central to the ministry of Jesus. Jesus was a wholistic healer; he did not see a distinction between body and spirit when he forgave and restored sight. Twenty percent of all the stories about Jesus refer to his healing; the Gospels contain some 35 references to Jesus healing. Too often we overlook them.

The miracle stories in light of twenty-first century technology can seem somewhat embarrassing. We find Jesus’ simplicity embarrassing. We fail to see that our medical tools are an aid to healing, that they help create an environment where healing can take place, but that they are not healing in and of themselves. Healing happens in the invisible workings of the body’s cells. God is at work there. All that health professionals do is help create a space for miraculous healing to happen.

Parish nursing and health ministries embrace spiritual healing, the Laying on of Hands and anointing with healing oil, just as they embrace other ways that God uses to heal. This ministry complements the work of other healing ministries in the church, including the long-established work of the Order of St. Luke. All healing is of God.

“Take heart, daughter,” Jesus said, “your faith has healed you.” And the woman was healed from that moment. Matthew 9:20-22

How does health ministry differ from good pastoral care?

Health ministry incorporates good pastoral care, but takes pastoral care somewhat further by introducing knowledge of the health care system and of the workings of the human body. The following example demonstrates how health ministry stretches pastoral care:

A parishioner spoke with her priest about her 97-year-old aunt who was in a nursing home and who was not eating. The doctor had asked the parishioner for permission to insert a gastric feeding tube. The parishioner knew that her aunt did not want dramatic measures, but nonetheless felt pressured to give permission for this procedure. The priest listened well, and after discussion shared that he did not see that it was incumbent upon the parishioner to have the tube placed. It was caring and loving not to make her undergo surgery.

The parishioner called the parish nurse the next day, saying she wanted all the information she could gather when making this decision. She wondered if it were more humane to let someone die in surgery (the aunt was on oxygen, and had cardiac problems as well as malnutrition) or to let someone starve to death. As the conversation unfolded, the nurse was able to suggest that other options were available. The nurse told the parishioner about her right to ask for a case conference and agreed to accompany the parishioner to such a conference at the nursing home, attended by the dietician and the nursing staff as well.

The case conference revealed that the gastric tube was the easiest answer for the nursing home staff to deal with the aunt’s lack of interest in food, but it was not necessarily the best answer for the patient. The aunt’s dietary preferences were discussed, and the parishioner agreed to bring in some of her favorite food. The staff arranged for someone to be with the aunt during mealtime. The aunt started eating again!

Pastoral care here, offered by the parish nurse, included advocacy for the aunt and empowerment for the family.

What is parish nursing?

Parish nursing combines the knowledge and skills of nursing practice with an understanding of the spiritual and religious beliefs that underlie health. Parish nurses, with one foot in the spiritual world of the church and one foot in the physical world of medicine, minister in ways that reunite the mind, body and spirit, addressing and embracing the relationship between the visible and the invisible. The parish nurse links these spheres, translating the jargon, forging the connections and facilitating the parishioner’s more complete understanding of his or her health experience. What are the roles of a parish nurse?

The parish nurse engages in several roles. The International Parish Nurse Resource Center identifies the classic roles as follows:

  • Integrates faith and health within the parish community
  • Counsels parishioners on questions of personal health
  • Acts as a health educator
  • Acts as a referral agent
  • Coordinates volunteers
  • Develops support groups
  • Advocates for individual and community health

Jesus touched her hand and the fever left her, and she got up and began to wait on him. Matthew 8:14-15

What is the difference between parish nursing and health ministry?

Actually, they fit very closely together. A parish nurse often leads a congregation in health ministry.

Health ministry is broad in scope. It focuses more on outcomes for the parishioners and on the congregation’s work of bringing health and healing in the community. Sometimes the phrase “health ministries” (plural) is used to emphasize the multiplicity of players; this ministry does not belong to any one person. Parish nursing focuses more on the nurse’s roles and on the responsibilities that individual carries.

Specifically, what does a Parish Nurse do?

The parish nurse is a nurse of the church, not simply a nurse in a church. She is not transplanted from the hospital or clinic to perform the same tasks, and she does not attempt to replicate existing services available in the community and place them in the church building. Plenty of agencies are already providing nursing care in the home – dressing changes, blood draws, monitoring intravenous feedings, and so on. Most locations also have sufficient doctors and clinics available for treatments.

Under the Nurse Practice Act (which differs somewhat from state to state) the professional nurse has several responsibilities. Parts of the traditional nurse’s responsibilities are delegated functions, tasks done under the supervision of a physician. Often these are invasive procedures requiring doctor’s orders, and they are often the first tasks people think of when they imagine a nurse at work, but these are not the tasks of a parish nurse. The parish nurse focuses specifically on other parts of the Nurse Practice Act: assessing health needs, teaching, referring to services in the community, coordinating health care, counseling regarding health-related concerns and advocating for those who need a voice. The parish nurse does not do “hands-on nursing” in the traditional health professional sense.

Carrying out a parish nurse’s responsibilities takes many forms, and the specific programming depends on the individual parish with its particular demographics, resources and energy level. The parish nurse might offer Health Risk Appraisals, teach classes on safe babysitting, take blood pressures after the Sunday worship service and maintain a resource cart with information on health and illness. She might find a speaker on “The Healing Power of Humor,” visit parishioners who are in the hospital, coordinate the Lay Eucharistic Ministers as they take the Sacrament to shut-ins, or even meet with parishioners to do exercise or Yoga. The possibilities are endless.

What makes these services different from those offered in other settings is that they are conceived of and delivered in the context of Christian faith. They are not ends unto themselves. They are not body worshipping or narcissistic. They do not come from duty or obligation, but from a deep sense of our connectedness one to the other and to Christ. What is a typical day for a parish nurse?

A parish nurse doesn’t have a “typical” day. Sundays may include taking part in the service, assisting at a healing station, leading the prayers, possibly preaching, greeting people after the service and hearing their concerns, gathering information, teaching a Sunday School class or taking communion to those in the hospital as a Lay Eucharistic Minister.

A weekday can bring almost anything. For example, a parish nurse may do the following types of things during a standard week:

  • Attend a meeting with the AIDS Service Center to plan a program to help people cope with the up-coming holiday season
  • Teach a session on menopause to a women’s group
  • Meet with a parishioner who is concerned about an aging parent
  • Meet with a discharge planner at the hospital to help facilitate a parishioner’s getting needed help at home
  • Track down a program to help children of divorce
  • Take a blood pressure for a concerned parishioner
  • Lead a grief support group along with a social worker from the parish
  • Organize and facilitate a plan to arrange a Sunday morning education series on various health concerns, perhaps using the skills of the physicians in the parish

“Parish nurse ministry creatively engages the long-standing tradition of the church to be directly involved in medical care. This association recognizes and holds together the power of faithful prayer and life with the practice of the medical arts and sciences as grace-filled means for healing and curing.” –The Right Rev. William Gregg, Bishop of Eastern Oregon

How do you know whether a church is ready for health ministries?

There is no formula for determining the readiness of a congregation for a new ministry, though here are some things to consider:

Most churches already have some aspect of health ministry already in place, be it a corps of parishioners who deliver Meals on Wheels, an intercessory prayer group, a Crisis Committee, or a Stephen Ministry program. Many churches may not have named these programs “health ministry,” though it is probably understood to be a part of health and caring. That gives something to build on. It tells where the current energy in the parish can be found. It gives a familiar place to start expanding ministry, should the church so choose.

Looking at the parish in terms of its resources and its energy is important in determining readiness. Resources don’t have to be financial. They can be interest, skill, vision or commitment. If these exist, it might be the right time to harness them into a fuller, more organized program.

Recognizing the specific health-related needs in a congregation also informs health ministry. For example, does the parish have a large aging population? Or, is the parish full of young couples with little children, stressed by the demands of career and parenting? Are there obvious unmet needs? Necessity may be the driving force for beginning a health ministry program.

“When did we see you a stranger and invite you in, or needing clothes and clothe you? When did we see you sick or in prison and go to visit you?” The King will reply, “I tell you the truth, whatever you did for one of the least of these brothers of mine, you did for me.” Matthew 25:38-40

 

Many thanks to Dee Wiseman, Diocesan Liaison to NEHM for the Diocese of Fond du Lac for preparing this document. DOWNLOAD Health Ministry FAQ if you want to print this article.

Healthy Meetings

This Guide was developed by Medical Trust for workplaces — but the ideas here apply to congregational meetings as well.

Scheduling meetings:

  • Try to limit the number of meetings that are held on any given day
  • When possible, limit meetings to 50 minutes – or less
  • For longer meetings, allow for periodic breaks – at least 1/50 minutes
  • For shorter meetings – consider walking or standing meetings

Meeting locations:

  • Select rooms that can comfortably seat all participants
  • Rooms with windows are preferred
  • When possible, schedule a meeting outside Conventions and offsite meetings – consider sites that provide healthy food options and opportunities for physical activity

Refreshments:

  • Determine which meetings require refreshments – not all meetings do
  • Offer healthier food options
  • Offer water instead of other beverages
  • Try not to schedule meetings over the lunch hour, when possible
  • Select a caterer/restaurant who offers healthier options
  • Work with groups who prepare food
  • Consider dietary restrictions/allergies and preferences

Incorporate movement:

  • Encourage movement before, during and after meetings
  • Suggest movement that can be done sitting or standing so all employees can be included
  • Have employees suggest types of movement to allow fuller participation
  • Use ‘icebreakers’ to get increased interaction and creativity

Sustainability:

  • Make your meetings green – less paper, less waste
  • Recycle cans, bottles, papers, etc.
  • Come up with new ideas to make meetings ‘green’

Scheduling Meetings:

When days are filled with one meeting after another it appears that a lot of work is getting done. But if there aren’t breaks in between the meetings and staff has to run from one meeting to the next, most people will hit “meeting burnout”! You may want to set a policy that no more than four meetings (you pick the number) can take place on any given day. Limiting the number of meetings allows staff to work on other projects and to feel more refreshed when meetings are more spread out over the course of a day or a week. Sticking to this policy as much as possible lets staff know you value their work time and don’t want to overload their schedules.

To get more physical activity into your daily lives, you can encourage this at your office by making sure that meetings don’t last more than 50 minutes, or if they are longer than an hour that there is a break time during which movement is encouraged.

If the meeting you are scheduling only involves one or two other staff members, you may want to suggest a walking meeting. On nice days, a walk outside can really be a breath of fresh air and clear your mind while talking about an issue.

Standing meetings are becoming more popular. Standing meetings can be held when there is a short agenda and the meeting won’t last more than a half hour. Because people are standing they are more likely to move through the subject matter more quickly and not get off track.

DOWNLOAD Promoting Healthy Choices at Meetings for more ideas — including a list of healthy food choices.

 

Why would a Rector want a Health Ministry?

Answers!

“Our parish nurse taught me how to take the ministry of pastoral care to the next level, by providing care from the moment we receive notice of an illness until the person is back in the pew.”

The Rev. Robin Myers, Sr. Associate Rector, St. Paul’s, Indianapolis, IN

 

“Parish nurses can get in to see people when clergy can’t. The elderly people in the congregation feel that if the rector comes to their home, they need to be dressed up, and offer tea or sherry. They know nurses have seen them in those ridiculous hospital gowns!…Simply, we’ve saved lives in our blood pressure clinic. No kidding! They went from the church to the E.R… Health ministry has become the locus of a whole group of lay ministers who build a pastoral team…. Also, she can talk about sex in any way and no one takes offense. If I do, they all run for the exits!”

The Rev. Dr. Howard Anderson, when Rector of St. Paul’s, Duluth, MN

 

“Before E. A. took on the role of Parish Nurse, I was the only person aware of the bigger picture regarding health needs. I was recently informed by my doctor that I needed to stay off my feet for the next ten days. Meanwhile, one church member has returned to the Intensive Care Unit. Another has cancer and is recovering from surgery…. There are many who are home-bound. Without the Parish Health Ministry program, I would be on my own right now to make sure that each of them was being attended. It is such a relief, to be on vacation or whatever, and know that people are still being seen. Thank God for our Health Ministry, and Parish Nurse. I’m not the only one paying attention!”

The Rev. Eric Duff, St. Alban’s Episcopal, Arcata, CA

 

“Health ministry allows the church to offer a unique service. People can have their health questions answered confidentially and with a real personal interest. When I make a call on parishioners, and they often have questions – maybe about getting home care, or maybe about their medicines. I can say, ‘I’ll have J.W., the parish nurse, give you a call.” She has such a broad knowledge of the health care system.”

The Rev. James M. Sigler, Rector, Emanuel Episcopal Church, Grass Valley, CA

 

“Having worked with a Health Ministry, if I become a rector, the first person I will hire is a parish nurse. I don’t see how really good pastoral care can happen without one!”

The Rev. Kathy Thomas, after 1 year as Associate Rector, St. Paul’s, Indianapolis, IN

 

Since calling a parish nurse to join the staff, the gifts and ministries that have sprung forth through the synergy of clergy, our parish nurse and our lay pastoral care team have significantly deepened the whole range of pastoral ministry in our parish. Everyone benefits, young and old alike, those who are well and want to continue to be so, and those struggling with short-term or long-term illness. Perhaps the most crucial population that has benefited in deep ways has been those who are care-givers, and whose significant needs and challenges are often overlooked or forgotten in pastoral ministries. They too have been provided the needed wisdom, fellowship and support to sustain the loving care they provide day in and day out.

The Rev. John Price, Rector, St. Anne’s Parish, Annapolis, MD

 

Episcopal Health Ministries
9120 Fredrick Road, Ellicott City, Md 21042

nehm@episcopalhealthministries.org

Health and Wellness Fairs

Health & wellness fairs are a cost-effective way of providing valuable health information and screening services for all your employees at a single event. It is also a way to motivate them to make positive health behavior changes and to assume responsibility for their own well being. Successful health & wellness fairs require a good amount of planning, commitment, and dedication. In return, you will be providing people with an opportunity to reevaluate their lifestyles. It is no surprise that healthcare costs are on the rise.

This guide was designed for employees of a church covered by Medical Trust — but the ideas in the Guide work for a Health and Wellness Fair hosted for your members and/or community. You will need to think about agencies and organizations that are willing to provide health and wellness information or advice. Some groups will do blood pressure checks, nutrition advice or exercise instruction.

DOWNLOAD Health and Wellness Fair Planning Guide