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Kathy
Freer, RN, MSN - Parish Nurse at First Presbyterian Church
The parish nurse
concept has a long tradition of health and healing. Documentation appears in early
recorded history in both the Old and the New Testaments of the Bible. The first record of
the concept appears in the book of Romans 16:1-2 and the story of Phoebe. The Apostle Paul
admonishes the Romans to welcome Phoebe, "a servant of the church and to assist her
in her business of aid, help and rescue to its parishioners."
The need for a parish nurse program today is the result
of many forces of change active in the health care system. Health care delivery is
fragmented and dependent on the client's ability to navigate the system. Health promotion
and support of mind and spirit are often pushed aside as traditional health care providers
are challenged to keep up with paperwork, expectations of HMOs and other governing bodies.
Our vision is that the parish nurse will work collaboratively with the current system and
resources, with an emphasis on spirituality and compassion.
The role of a parish nurse is defined in the acronym
C.A.R.E.S.: C = a Consultant, A = an Advocate, R = a Resource, E = an Educator, and S = a
Support.
Below is a general guideline as to when to call the
parish nurse:
- When someone you know has been diagnosed with a serious
illness and you have questions and need support.
- When you need help accessing insurance, home healthcare or
hospice.
- When you need a compassionate listener during a life
transition.
- When you need help communicating with your physician or
other healthcare professionals.
- When youre exploring nursing home or other
congregate living arrangements.
- When youre caring for a loved one at home and need
support.
- When youre facing surgery or have started a new
medication.
- When youre dealing with anxiety, stress or
depression.
- When youre caring for a new baby and have no family
locally to call on for support.
- When illness/lifestyle choices have you trying a new diet,
and you need information/support.
- When youre sorting through treatment or end-of-life
options for yourself or a family member.
Nonetheless...
- The parish nurse does not have all of the answers.
- The parish nurse cannot always help everyone who asks.
- The parish nurse cannot be on call 24 hours a day.
- The parish nurse cannot be accountable to everyone.
- The parish nurse is not a pseudo minister.
- The parish nurse does not do invasive procedures.
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