Professional Practice

Thinking around Hospice Chaplain IDT Notes

Dr. Saul Ebema

In hospice care, the hospice interdisciplinary team (IDT) serves a very important function in a hospice to provide better coordinated, and comprehensive care.

During the weekly IDT meetings, each discipline is required to have an IDT note to talk about their plan of care for the patient. That note has to articulate the importance of your visits to the patient and caregivers. What problems you are addressing and how you are addressing those problems. This documentation is at the core of your entire hospice team’s success.

Here are some current thoughts on a template for hospice chaplains.

CHAPLAIN IDG NOTE TEMPLATE

Chaplain plan for the last two weeks:

Funeral/Memorial needs:

Available community spiritual/religious support:

Current spiritual needs/Issues to be addressed:

Chaplain plan for the next two weeks (Include visit frequency and evidence of declining status)  

NOTE EXAMPLE

Chaplain plan for the last two weeks: In the last two weeks, chaplain visited patient to affirm her faith and help her sustain her sense of relationship with God. I read some Bible verses to her and prayed for her. She enjoyed the visit and even participated in reciting of the Lord’s prayer which she said brings her peace.

Funeral/Memorial needs: Family have asked chaplain to facilitate the service when the moment comes OR The patient’s clergy will facilitate the services when the moment comes, and chaplain will continue to remain available as needed.

Available community spiritual/religious support: The patient’s faith community is involved in her care. OR The patient’s faith community is not involved. Therefore, chaplain will continue to remain available as needed.

Current spiritual needs/Issues to be addressed: Questions about end of life

Chaplain plan for the next two weeks (Include visit frequency and evidence of declining status): The current chaplain visit frequency is once a month.Patient’s health continues to decline as evidenced by her sleeping more.In the next two weeks, chaplain will continue to remain available as needed. However, in next month’s scheduled visit, chaplain will create space for the exploration of the patient’s end-of-life questions.   

CHAPLAIN HOSPICE DEATH IDG TEMPLATE

Issues surrounding the patient’s death:

Funeral/Memorial needs:

Available community spiritual/religious support:

Bereavement risk- low, moderate, or high:

NOTE EXAMPLE

Issues surrounding the patient’s death: Patient died peacefully. There was nothing unusual noted or stated by family.

Funeral/Memorial needs: Family have asked chaplain to facilitate the funeral/memorial service

Available community spiritual/religious support: Family have no faith community so chaplain will continue to remain available as needed. OR Their faith community is involved and very supportive to the family.

Bereavement Risk- low, moderate, or high: Family is grieving appropriately, and the bereavement risk is low. OR the daughter is struggling to accept the death, the bereavement risk for her is moderate to high.

Hospice Chaplaincy is a nonprofit organization committed to promoting excellence in spiritual care at the end of life. We are committed to the belief that people from all backgrounds, cultures and faith traditions should experience the end of life in a way that matches their own spiritual/religious values and goals. The task of dying is complicated and often confronts us with lots of spiritual, emotional and physical suffering. Hospice Chaplaincy is dedicated to providing support and professional development resources for hospice chaplains, patient advocacy, and education services to the public, to create a cultural shift to inform and transform our thinking around the psychosocial and psychospiritual issues at the end of life .

1 comment on “Thinking around Hospice Chaplain IDT Notes

  1. Glenn Palmer

    These are helpful. Thank you for sharing.

    Like

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