(as of 5/12/09) "Making Choices" pilot program finally underway St. John's, in cooperation with the Ethics Committee Task Force of the local Tulare Regional Medical Center, officially launched its parish pilot project of education about Advance Directives in two parish and public forums on Thursday, May 7, 2009. The Advance Directive, also known as a healthcare power of attorney document, attempts to deal much more fully and clearly with wishes of a medical patient at that moment in treatment when they are unable to answer and direct medical response themselves. The newly restored Ethics Committee at the hospital, resurrected by Chaplain Bill Busch and Nursing Coordinator Pat Matthewson, which includes the Rev. Robert G Eaton and Mr. William Richmond, both of St. John Episcopal Church, recognized early on in its reconstitution almost 2 years ago that the Ethics Committee response to difficult issues would be greatly lessened if more members of the local Tulare community had current Advance Directives. The statistics showed only 5% had such a document. Bill Richmond, who, as part of his insurance investment and tax consulting business became a licensed ombudsman for nursing home residents, had experience in developing such documents, immediately began doing internet research for successful community and hospital programs which could boast a much higher percentage. In the discussion of where to begin in the community, Fr. Eaton quickly noted one very large community group, that being those who were members and attended local churches, and offered St. John's as a pilot program site. The pilot program would attempt to develop a program and timeline reproducable in every other faith community, with the goal of 100% response by members. The ELCA Lutheran then also offered to be a pilot program site. Phase One of the pilot program plan for St. John's was an open forum for the parish and the wider community. A morning and evening Forum on May 7 included a 15 minute Power Point presentation on the reasons for having an Advance Directive, followed by 10 minute presentations from the hospital Family Services director, a Registered Nurse, and a Doctor, and even a "bonus" outline of how to plan your own funeral. Approximately 20% of what would be the parish's average Sunday attendance attended one of the two Forums presented on that day. Those who attended were very appreciative for the information, especially understanding the many options available to only having a "DNR" statement ("Do Not Resuscitate"). Appointments were made with the trained facilitators available (St. John's now has 4) to sit down privately and complete the Advance Directive. Phase Two toward 100% completion will be personally invited home groups of 6 to 8 people; Phase Three will be unsolicited (but notified) phone calls to individuals to set up private presentations. It is the hope of the parish committee to have their work of gaining 100% completed by the end of July, 2009. To see and read more fully about how to do "Advance Care Planning", please follow this link to Gundersen Lutheran Medical Center in LaCrosse, Wisconsin, which is the center from which the Advance Directive training for Tulare was received. Including those from St. John's, 22 members of the hospital community and community members at large completed various degrees of training as facilitators to help complete an individual's Advance Directive by assisting with Advance Care Planning. Any of these facilitators are willing to be contacted to help. Call St. John's office, or Nurse Angie Graziano at Tulare Medical Center. + + + Keep up your intercessions for our parish, for the Diocese of San Joaquin, and for The Episcopal Church, and for the Anglican Communion as a whole.
The collect for the Fourth Sunday before Advent is good all year around :
Purify our conscience, Almighty God, by your daily visitation, that your Son Jesus Christ at his coming, may find in us a mansion prepared for himself; who lives and reigns with you, in the unity of the Holy
Spirit, one God, now and for ever. Amen.
Q. How does the Church pursue its mission?
A. The Church pursues its mission as it prays and worships, proclaims the Gospel, and promotes justice, peace and love. Q. Through whom does the Church carry out its mission? A. The Church carries out its mission through the ministry of all its members. (Book of Common Prayer, from The Catechism) Remember not, Lord Christ, our offenses, nor the offenses of our forefathers; neither reward us according to our sins. Spare us, good Lord, spare thy people, whom thou hast redeemed with thy most precious blood, and by thy mercy preserve us, for ever. Spare us, good Lord. From all evil and wickedness; from sin; from the crafts and assaults of the devil; and from everlasting damnation, Good Lord, deliver us. From all blindness of heart; from pride, vainglory, and hypocrisy; from envy, hatred, and malice; and from all want of charity, Good Lord, deliver us. From all inordinate and sinful affections; and from all the deceits of the world, the flesh, and the devil, Good Lord, deliver us. From all false doctrine, heresy, and schism; from hardness of heart, and contempt of thy Word and commandment, Good Lord, deliver us. Page 148, 149, The Great Litany, Book of Common Prayer
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