CPE-7 – Death and bias

Two things happened this past week. A patient I was seeing in the ICU died. In a period of three months, she went from a woman full-of-life, as the doctor and the woman’s niece said, to a triple by-pass surgery, to a leg amputation, and finally a stroke. I visited her most every day for about a week and a half – being present, holding her arm, reading scripture to her, and praying for her. I was unable to see her for three days over the weekend, and during this time she died. If I truly believe what I profess to believe, then this woman trapped in a body that no longer functioned well and gave her no way to communicate is now in the presence of God. Her niece said she was a strong woman of faith. How can I be sad for this woman? I am sad for her family who no longer has their sister, their aunt, but not for her.
The second incident: I encountered my first experience of what seems to be anti-religious bias. A unit nurse very rudely demanded to know who I and my supervisor were, what we were doing on this floor, who gave us permission to be there, and proceeded to hunt down the woman on the floor who functioned as a liaison between the chaplain’s office and the unit staff. It was the psych. ward, so I understand that the rules are different and that there are different considerations, but I had been there four previous times and was there to see a patient with whom I already had a relationship. My supervisor said she was actually shocked at the nurse’s response. She had never experienced such a reaction even though she had visited the psych unit’s at both hospital locations without incident. The other staff seemed to have no problem with us being there.
The woman may not have had an anti-religious bias, but it is common knowledge that many within psychiatry view a belief system revolving around a “God” to be problematic to begin with. Then, of course, a clergy person could exacerbate a patient with a religiously based complex, etc. My supervisor said that hospital staff couldnÂ’t stop a chaplain from making a pastoral visit. The hospital pays for the chaplaincy office to be present and has stipulated that it considers the chaplainsÂ’ role in the care of patients to be important, so staff cannot stop pastoral visits by hospital chaplains.
Can I say that already I am over this whole experience, and we havenÂ’t even hit the mid-way point? Hospital chaplaincy is a vital ministry, but it is not my ministry.

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