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ROMAN CATHOLICS GOING INTO A HOSPITAL OR INTO A CARE HOME OR A HOSPICE
ROMAN CATHOLIC CHAPLAINCY SERVICES
If you are going into a hospital ,care home or hospice remember to inform your parish priest of which one you are going into and when you are to be admitted. Ask a relative to inform your priest or the parish secretary if you are unable to do so yourself.If you are likely to be in there for any length of time or feel you need spiritual support before going in your parish priest can offer you the sacrament of the sick prior to admission and is usually able to give you advice on the Roman Catholic chaplaincy services that will be available.
'I was sick and you visited me' Matthew 25:36
CLICK HERE FOR A SELECTION OF BIBLE READINGS
When you are due to go in you can print the form below to complete to hand to the member of staff who fills in your records on admission. Remember you need three copies-one for your medical records , one for either your family or the ward staff to hand to the chaplain so that he is aware you have been admitted (you could send a copy of the form yourself to the chaplain prior to admission if you have no family or are not sure the ward staff will do it for you)and one to keep yourself.Your parish priest should be able to supply you with the name and address of the chaplain if you do not have a local Catholic Directory.
If you wish to print the form below click here to download the Request for Roman Catholic Chaplaincy Services set out in Microsoft Word Document format
Click here for PDF Format of Request for Roman Catholic Chaplaincy Services
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REQUEST FOR ROMAN CATHOLIC CHAPLAINCY SERVICES |
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Please use block capitals apart from signature
NAME OF PATIENT ................................................................................................................
DATE OF BIRTH......................................................................................................................
ADDRESS................................................................................................................................
...............................................................................................................................................
(Date of birth and address optional -may help to avoid confusion if someone else has a similar name).
NAME OF HOSPITAL / CARE HOME / HOSPICE (delete as appropriate)
...............................................................................................................................................
WARD ...................................................................................................................................
DATE OF ADMISSION ............................................................................................................
During my stay in the hospital/ care home /hospice I wish to be visited by the Roman Catholic chaplain or any member of the Roman Catholic chaplaincy team and also to be informed of if and where the chapel is located and of any Roman Catholic Masses or other services that I am able to attend .
In case of emergency if the Roman Catholic chaplain cannot be contacted I would like my own parish priest to be contacted
NAME............................................... PARISH..........................................................................
...............................................................................................................................................
TEL No.....................................................................................................................................
Signed by the patient
...............................................................................................................................................
Date .......................................................................................................................................
Signed by member of hospital /care home / hospice staff receiving this instruction to be included in my medical records on admission
..................................................................................................................................................
Date ........................................................................................................................................
If the patient is unable to sign.
During stay in the hospital /care home / hospice I wish my relative to be visited by the Roman Catholic chaplain or any other member of the Roman Catholic chaplaincy team and also to be informed of if and where the chapel is located and of any Roman Catholic Masses or other services that my relative should be able to attend .
In case of emergency if the Roman Catholic chaplain cannot be contacted I would like his/her own parish priest to be contacted
NAME .............................................PARISH..............................................................................
..................................................................................................................................................
TEL No.......................................................................................................................................
Signed by a family member
...................................................................................................................................................
Date .........................................................................................................................................
Relationship to Patient ............................................................................................................
Signed by member of hospital / care home / hospice staff receiving this instruction to be included in my relative's medical records on admission
.................................................................................................................................................
Date .......................................................................................................................................... |
ESSENTIAL THINGS TO TAKE WITH YOU
Your past medication history and any current medication and a list of any special diet requirements or known allergies .
Spectacles, hearing aid or your personal wheelchair or walking aid.
Toiletries such as soap,toothbrush and toothpaste or denture pot and cleansing tablets, hairbrush or/and comb, towels , slippers, bathrobe ,nightwear and underwear and day clothes.
Names, addresses and phone numbers of your relatives and a few magazines or a book . It can be of help to find out what access you will have to a telephone ,television or radio beforehand.
If you are in receipt of any benefits remember to check if your entitlement is likely to change -see link below for more information .
VISITING
Hospital,care home and hospice visiting times can vary.Some hospitals have quite short restricted visiting sessions whilst others, particularly children's wards ,these days, can have longer more flexible hours and some facility for a parent or relative to stop overnight in special circumstances.Patients in hospital do wake early so often need to rest during the day ,to be able to fit in with hospital meal times and to be free to attend necessary procedures such as an Xray. Relatives often also have to balance their own commitments such as work or taking children to school or caring for other family members in addition to freeing up time to visit so it is not fair to expect your relatives to be there all the time unless the hospital resquests or allows it for a reason.Care homes and hospices usually have their own visiting arrangements and sometimes allow patients to be taken out or back home for short periods for a break.It is a good idea to inform the staff when you are being admitted if your next of kin is unlikely to be able to come in at all to see you for any reason and to make sure that ward staff do have a telephone number to contact them if necessary.
RECORDS AND CONFIDENTIALITY
Whilst patients have a right to object to disclosure of any confidential information on records and professionals have a legal duty to protect confidentiality some confidential information can be shared between other professionals and agencies when there is a specific need for information to be shared. If you have any concerns that your information requesting chaplaincy services is not being passed on or that your religion has been recorded incorrectly you can ask to see your records. Information on confidentiality and access to records is available on the NHS and Patients Association websites below.
"health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity"
(WHO, 1946).
PRAYER IN TIME OF SICKNESS
O Jesus, You suffered and died for us; You understand suffering. Teach me to understand my suffering as You do, to bear it in union with You, to offier it with You to atone for my sins, and to bring Your grace to souls in need. Calm my fears, increase my trust. May I gladly accept Your holy will and become more like You in trial. If it be Your will, restore me to health so that I may work for Your honor and glory and the salvation of all men. Amen.
Mary, help of the sick, pray for me.
THE LORD IS MY SHEPHERD
The Lord is my shepherd . There is nothing I shall want.
Fresh and green are the pastures where he gives me repose:
near restful waters he leads me to revive my drooping spirits.
He guides me along the right path.
He is true to his name.
If I should walk in the valley of darkness no evil would I fear;
you are there with your crook and your staff;
with these you give me comfort.
PRAYERS FOR THE SICK
Father of goodness and love, hear our prayers for the sick members of our community and for all who are in need. Amid mental and physical suffering may they find consolation in your healing presence. Show your mercy as you close wounds, cure illness, make broken bodies whole and free downcast spirits. May these special people find lasting health and deliverance, and so join us in thanking you for all your gifts. We ask this through the Lord Jesus who healed those who believed. Amen.
DearJesus, Divine Physician and Healer of the sick, we turn to you in this time of illness. O dearest comforter of the troubled, alleviate our worry and sorrow with your gentle love, and grant us the grace and strength to accept this burden. Dear God, we place our worries in your hands. We place our sick under your care and humbly ask that you restore your servant to health again. Above all, grant us the grace to acknowledge your will and know that whatever you do, you do for the love of us. Amen.
"health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity"
(WHO, 1946).
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