Showing posts with label #learning; #pastoralcare. Show all posts
Showing posts with label #learning; #pastoralcare. Show all posts

Sunday, 2 August 2020

Stroke

I had a shock on 6th July when my spouse suffered a stroke. Fortunately I was there when it happened and recognising the signs, I dialed 999 even before I went to her aid (she had fallen). The Ambulance arrived within 10 minutes and she was in a Stroke unit within 30.  She was within the time frame for administration of the clott busting drug, which limited the damage done, but it was still substantial.

As a left brain stroke, her right side was affected, which also involves some parts that control speech and swallowing. She is right handed so the right arm and side are weaker as a result.

After three days in the acute care unit, she was transferred to a local stroke unit for our area, where she underwent three weeks of rehabilitation.

For me, the effect was one of great anxiety, as due to the Covid19 restrictions I had to watch the Ambulance leave without me and I was unable to go to the hospital to visit or to be with her.  Fortunately, the Dr who was treating her in the ACU rang me to confirm the diagnosis and to tell me what the initial assessment was.  Due to the quick actions I took, she had been given a change of making a good recovery, longer term.

I recall as she was being taken into the ambulance, she insisted (through slurred speech) I want my phone and I grabbed it and the charger and gave it to her.

This enabled her within two days to at least ring me to ask for things, It was difficult to understand her, but I got the gist, she needed clothes, some personal stuff and the likes of washing and shower stuff. I was permitted to pack a bag and deliver it to the ACU for her, with additional things over the next two days.  After her transfer to the rehab stroke unit I was able to visit the ward, but not to enter, but to hand over the essentials she needed and collect items for laundry.

In the meantime, I had activated the video call using Google Duo, which we had activated on both her and my smartphones just a few days before her stroke.  This allowed us to call each other daily. We had found that pure audio calls had caused difficulty for her.  She had been diagnosed some years ago with hearing loss of 50 per cent in both ears, and the stroke had caused a temporary worsening of this condition, she just could not hear very well.  Video though was a revelation. She had been compensating for the hearing loss by being able to lip sync, now she could see my mouth, she was able to know what I was saying, while I could understand her better as her speech therapy kicked in and day by day, she got better. 

Thanks to her personal determination her rehabilitation in hospital went well and after 24 days, she was assessed as able to return home, with continuing care from community specialists and she came home on the 30th of July.  Too say that I was overjoyed is an understatement.  We have been married for 32 years, and while we had been apart before for periods of working away, never had we been apart for so long. Yes, she had been in hospital before for operations on a dodgy sinus and two bouts of pneumonia, but I had been able to visit and see her. I had heard of others suffering by the artificial separation caused by the virus, many of whom had been denied access to family members or friends due to virus restrictions, having to grieve and even some had been unable to attend the funeral of a much loved family member.   I shared in a small way, their experience, although, I knew from the outset that we would eventually be reunited.  

Now she is home, she had her first contact within 24 hours with the community care team of therapists and her first assessment visit within 48 hours yesterday.  We can now expect intensive, every other day visits for the next two weeks, with then a less intensive regime for the following four weeks.

Our shared experience has been traumatic, but also hope filled. So many people have been praying for us both, so many have stepped up to support us to make unqualified offers of help, that it is a positive sign for me that people are instinctively reaching out to support others, a characteristic of their humanity, whether or not they share our Christian Faith.  Some Clergy friends, my Spiritual Director and many others outside our family and friends circle has helped and supported us. Even some that we don't know, but have heard of J's condition have contacted us with prayers and offers of help.  I have been stopped on the street by people that I don't know, but who know J offering their support for her and for me.  Surely, the portrayal in the media of some being heartless is certainly misguided and does a disservice to people.  In their view the only news is the bad, and often the unsung silent, quiet work of many is ignored.

The care that J had from the NHS has been first class following the stroke, which we are thankful for, and the ongoing care will be appreciated.  But, we are only to aware that the warning signs of the potential for a stroke, evident from an A&E admission 3 days before the stroke and a follow up visit for scans and tests the day before the stroke were not acted on by those she saw.  This is something to be addressed in the future, for now we need to concentrate on J's rehabilitation and restoration to whatever new normal health wise will be for her.

One of the personal effects for me were that when seeking to pray for her, the contemporary prayers and resources didn't really appeal. I resorted to the words of the Book of Common prayer, including the traditional language Psalms for my lamentation, because that is what and how I felt, and perhaps what I needed to pray for healing and wholeness for J.

Now, I am returning to the more modern forms of language, particularly a catholic prayer book, which seem to suit how I now feel.  Gratitude to God for his healing and mercy for J, and also the process of healing my spirit as I go forward.  Thanks be to God.






Sunday, 24 February 2013

Being Immersed in Ephesians #digidisciple


Being immersed in Ephesians (@minidvr)

http://www.seedresources.com/view/images/pauls_letter_to_the_ephesians
http://www.seedresources.com/view/images/pauls_letter_to_the_ephesians
I am currently engaged with a Course being run at @ at Farnham the foundation of which is Paul’s letter to the Ephesians. This letter is a powerful one and is being used to highlight how pastoral care is directly derived and founded in scripture, the Gospels and the teaching of the Apostles, particularly Paul.
Being immersed in any part of the bible can be fascinating and productive, particularly as we seek to reinterpret it’s message in the context of our lives and of those around us. When we are doing it for a purpose where we know that our application of this learning will change our outlook and our way of doing things, in this case, pastoral care,  it becomes something of beauty and awe founded in Love.
The theologian teaching sharing their insights and inviting us to share our own ideas and insights stretches our imagination. We seek to place ourselves in those situations or to reflect on situations we have experienced where having this foundation would have had a significant impact on decisions we made at the time.

So, what about Ephesians?

“Ephesians is about the Christian formation of human character”.[1][2]
This bold statement is made by CWR, and from evidence of other sources I have looked at, seems to me to be one that is true. Of course, many of Paul’s letters can be cross referenced with each other, the Gospels and the Old Testament, because Paul is nothing if not consistent in his teaching. He draws together historic threads  of scripture of God’s working with the world which predicted Jesus’ Incarnation and all that flowed from it.
I read Ephesians from the KJV, which seemed to me to express the letter, without to many later translations and interpretations to confuse (or enlighten) me.  Four things that I wrote on my copy were ‘Identity,  Calling, Vocationand Walking’.
Identity: It seemed to me that Paul’s intention was evident.   He is ‘clearly identifying how Christians are formed and called by Jesus’ teaching to their vocation from Baptism which imprints an indelible ‘Christian Identity’ on them, which needs to be carefully nurtured to enable it to grow and to empower them as part of the ‘Priest Hood of Believers’ [3]
Calling: In this context, calling seems to reflect that individuals in the early church heard the word of God and the Gospels and teaching were called to become members of the body of Christ.   John the Baptist baptised with Water, while Jesus was baptised with water and the Holy Spirit[4]. This is the baptism of all believers. which imprints the calling upon all who are baptised.  Baptism gives to us ‘the spirit of wisdom and revelation to the knowledge of him  ‘The eyes of your understanding being enlightened; that ye may know what is the hope of his calling, and what is the exceeding greatness of his power to us-ward who believe, according to the working of his mighty power.  Which he wrought in Christ, when he raised him from the dead and set him at his own right hand in the heavenly places.  Far above all principality, and power and might and dominion, and every name that is named, not only in this world, but also in that which is to come[5].  This teaching echoes Psalm 8[6].
Vocation:  For me that calling confirms a Vocation as a Christian to discipleship.  Discipleship being to follow in the footsteps of Jesus.  Walking in his footsteps is perhaps the metaphor that I see in this.  By walking in the footsteps of Christ and the disciples we are formed to become Christlike, which is what our Christian character is destined to be.  “Be ye therefore followers of God, as dear children. And  in love, as Christ also hath loved us, and have given himself for an offering and a sacrifice to ‘God for a sweet smelling savour[7]” and, “See that ye walk circumspectly (in Christ*), not as fools, but as wise, redeeming the time, because the days are evil[8]”. 
* (my paraphrase)

How does this Christian vocation relate to Pastoral Care?

It seems quite clear to me that our Christian Identity, Calling, Vocation and Walking in the footsteps of Christ is directly related  through his love for us all, our love and compassion for each other, to the health of the body of Christ, the Church and all of it’s members.
While not specifically spelt out in Ephesians, there are numerous references in scripture which form the basis for Paul’s teaching:
ŸWe are all made in the image of God. Every human being has dignity and deserves to be treated with the greatest respect[9]
We are relational beings. We have a responsibility to others, their good as well as for ours.[10]
Pastoral care is an expression of the presence and working of the Kingdom of God. [11]
Pastoral care directly reflects the Glory of God through the care given. [12]
Pastoral care is directly related to Jesus’ second greatest commandment to love our neighbour as ourselves.[13]
Paul’s letters reflected this, particularly 1 Corinthians.
21 And the eye cannot say unto the hand, I have no need of thee: nor again the head to the feet, I have no need of you. 22 Nay, much more those members of the body, which seem to be more feeble, are necessary: 23 And those members of the body, which we think to be less honourable, upon these we bestow more abundant honour; and our uncomely parts have more abundant comeliness. 24 For our comely parts have no need: but God hath tempered the body together, having given more abundant honour to that part which lacked. 25 That there should be no schism in the body; but that the members should have the same care one for another. 26 And whether one member suffer, all the members suffer with it; or one member be honoured, all the members rejoice with it.[14]

Conclusion:

Ephesians as a base document for Pastoral Care is clear.  There is many more verses I could quote, but I’m still in the process of learning about the depth and breadth of the related teaching.   I will return to this another time when the course is ended. 

[1]CWR Introduction to Ephesians as a Pastoral Care Document – December 2012.
[2]http://www.presbyterianireland.org/pdfs/CT_Biblical_Basis_for_Pastoral_Care.pdf accessed 26 Jan 2013
[3]http://www.firstthings.com/onthesquare/2010/10/priesthood-of-believers, Peter Leithart, 29 Oct 2010, accessed 26 Jan 2013.
[4] 1 Cor: 12-13. KJV.
[5]Eph 17-21 KJV
[6]http://www.biblegateway.com/passage/?search=Psalm+8&version=KJV accessed 26 Jan 2012.
[7]Eph 5:1-2. KVJ.
[8]Eph 5:15-16, KJV
[9]Gen 1:26-27, Psalm 8, KJV.
[10]James 1:26:27; 2:14-17, KJV
[11]Matt 10:1-10, KJV
[12]1 Peter 4:7-11, KJV
[13]Matt 22:36-40, KJV
[14]I Cor 12:21-26, KJV
Originally Published at the #bigbible #digidisciple project on 10 Feb 2013
http://bigbible.org.uk/2013/02/being-immersed-in-ephesians-minidvr/