Category Archives: Albany Memorial Hospital

Why it’s so important to have a bereavement chaplain at your side

The subject of clergy involvement in the funeral or memorial service comes up again and again. Most people feel that spiritual or religious content is very important in the funeral or memorial service, and I agree. I can’t even start to count the number of families who start off the conversation with me with something like, “He used to go to church but stopped going” or “She wasn’t a churchgoer but she did believe in God and prayed.” My question, sometimes asked aloud, is “Why is that important?” I ask that question because I do not feel that a person’s spirituality or sense of a transcendent God is determined by how often one sees the inside of a church, or whether the individual wears his or her faith on their sleeve, or quotes chapter and verse with every breath. In fact, I’m sometimes very suspicious of such people and smell hypocrisy in much of that behavior. Your essential and core spirituality is how you live your life, and that’s what I as a professional bereavement chaplain explore in my meetings with the bereaved when planning the funeral or memorial service.

I frequently get involved because the bereaved do not want “clergy” involved because they’ve been wounded by their “clergy” or the faith tradition represented by their clergy. The ineffectualism of mainstream clergy is a whole discussion on its own, however, but let’s just say a few words about it. “Clergy” as used in the non-clergy community means anyone who provides some sort of pastoral service, or anyone who has some sort of leadership role in a religious congregation. “Ordination” is a canonical or legal term that means that the particular person is approved by a particular denomination to provide pastoral care to that specific denomination. Regrettably, adhering to the rules of that denomination may not provide much relief of the suffering experienced by the bereaved; it may have just the opposite effect, leaving them with a sense of emptiness and loneliness, and asking the question, What was that all about?!? But it doesn’t have to be that way and shouldn’t be that way. Spirituality and meaning-making is quite different from religion and religious doctrines and notions of popular piety.

Don’t Let This Happen To You! Get Personal!

In all honesty and fairness, and in my personal experience, clergy is not really what it’s hyped up to be. In fact, clergy tend to deliver the most boring, impersonal, and unsatisfying services imaginable. While there are good reasons for the deficient performance, a lot of the blame should be placed on the funeral home’s hands-off spirituality attitudes, and their failure to provide reliable recommendations to the bereaved. Simply handing the bereaved a clergy list at the arrangements conference is a bit irresponsible. What’s worse still is if a funeral director or funeral home staffer attempts to play chaplain and deliver some insincere “words of comfort” or preside over a prayer vigil. It’s generally like the plumber doing the catering.

Where was I? What’s his name? Where am I?

Even considering the ignorance of many funeral services professionals regarding the psychospirituality of funeralization rites and ritual, calling an individual a clergyperson can be very misleading. First of all, only the mainstream denominations really have an “educated” clergy; that means attending a seminary or seminary college, assuring that the “seminarian” is properly indoctrinated. Most other non-mainstream, storefront or megachurch, clergy may have attended a so-called Bible college or something like that. Basically all that is is a glorified Sunday school for adults. There are many problems associated with both mainstream and non-mainstream clergy. First of all, most are poorly trained in handling existential crises like death and its sequellae grieving, mourning, healing, transformation, and will turn to their denomination’s religious teachings, their doctrines, first, since that’s all they have. Secondly, they don’t have the necessary training or education in death, dying, grief and mourning. Thirdly, they lack interfaith, intercultural training to be able to understand the cultural dynamics that occur in the particular family system. Fourthly, they very rarely take the time to get to know the deceased, much less the key mourners and the family in general. Fifthly, most clergy do not understand the importance of continuing bonds of the living with the dead. In fact, most have a rather antiquated Freudian approach of the need to cut any continuing bond with the dead and replace the bond with something else. That’s a very psychospiritually unhealthy attitude indeed. And last but certainly not least, since I could go on with this list, most clergy have parishes or congregations to run and can’t really provide the kind of service or care required for funeralization and aftercare. The result is what I call the cookie-cutter service with all of its failures and insincerity. The clergyperson, a priest, minister, deacon, or layperson – sometimes, embarrassingly, even the funeral director – steps up at the appointed time, opens a book or recites a formulaic prayer, and it’s all done and over.

Let’s do a prayer now. OK. We’re done.

Sometimes there’s the de rigueur church service that’s all but meaningless to most attendees and represents only an additional expense (can approach more than $600 in some cases). Practically and theologically, the dead are in God’s hands, there’s little the living can do to change things, despite what the minister or priest may preach. Most of these characters are mere sock-puppets anyway, ventriloquist’s dummies.

For all of the reasons given in the above, the best choice for the spiritual or religious care of the bereaved is, believe it or not, the experienced bereavement chaplain. An experienced bereavement chaplain is a specialist in dying, death, psychospiritual care, and aftercare. The experienced bereavement chaplain is not only trained in the disciplines relating to interfaith practices, rite and rituals associated with death, psychology and spirituality of dying, death, and survivors, technology of deathcare, and much, much more that is of essential benefit to the dying and to survivors. No funeral director and no denominational clergy can offer the scope and depth of services that the interfaith bereavement chaplain can offer.

It’s the scope and depth of expertise of the interfaith bereavement chaplain that make him or her the go-to when a family is faced with the dying process, death and deathcare, grief and survivor care. It’s that expertise that makes the interfaith bereavement chaplain an essential member of the care team at all phases of the bereavement process. The professional interfaith bereavement chaplain does what neither the funeral director nor the cookie-cutter clergyperson can do: the chaplain makes death a meaningful and survivable experience.

When a family considers spending $2000 to more than $10000 on a casket alone, or when the family opts for an economical funeral package of say on average $3,000-5,000 does it really make sense to do without an essential service costing a mere $200-300, in most cases less than 5 % of the total cost of the funeral? When survivors consider spending up to $800 on embalming which won’t last more than a couple or days or a maximum of a couple of weeks before decomposition sets in, and embalming is not even required by law in the majority of situations, even when there’s a viewing planned. Why would any family not request the services of a professional interfaith bereavement chaplain with all of the long-term benefits to the survivors socially, psychologically, politically, spiritually that are associated with dignified funeral rites and rituals, and aftercare by a deathcare specialist? You’ll consider several hundreds of dollars for unnecessary embalming, several thousands for a casket, a couple of thousand for a vault, but will go cheapo when it comes to dignified, personalized, meaningful spiritual care? Go figure!

I personally serve the Albany-Rensselaer-Schenectady-Greene counties region in New York state, and have been requested by families in the New York City area for special services, but this blog is read internationally. Given that this blog attracts an international audience, I would like to provide some very general recommendations taken from my local practice, which can be applied to most North American and European regions with little or no adjustment for local conditions. Here is how I practice and what I recommend for families, survivors, and others involved in deathcare:

  • As soon as it becomes obvious that a death is about to occur, whether hours or days, contact a professional interfaith bereavement chaplain. Please note that denominational clergy have their place if the dying person has had a personal relationship with the clergyperson or was active in a faith community. Please note further that hospital chaplains are OK for certain interventions but their competencies are mostly restricted to the hospital setting. Hospice chaplains, too, have their place but are agenda and program driven, and have limited effectiveness outside of the hospice setting.
  • If the person is in the process of dying, you may want to ask for presence or companionship during the dying process. This presence/ companioning can be for those around the dying person as well as for the dying person. If this presence / companioning is to be provided in an institution such as a nursing home, hospital, or hospice, an institutional chaplain may be available, and the interfaith bereavement chaplain will coordinate care visits with the institutional chaplain(s). Nevertheless, when death is imminent, it may be helpful to have your interfaith bereavement chaplain present for the dying person and for the family. Consider the options carefully.
  • Make an appointment to meet with the interfaith bereavement chaplain to discuss your situation. The chaplain will listen attentively and will hear what you need even before you know it. It’s important that you hear what the chaplain has to say, and to share your interpretations with him or her. You should be doing most of the talking during this initial meeting; if the chaplain does most of the talking or interrupts, he or she may not be the ideal choice. Try again. Only after you have explained your situation and the chaplain has had an opportunity to ask some important, brief questions seeking a better understanding, should he or she start making any recommendations.
  • Once the person has died, you may want the chaplain to remain with the body until the funeral home sends a care to take charge of the body. I do this out of respect for the family and to ensure that they know the body will be watched over. This is very important in the initial hours following a death. The bereavement chaplain is also an advocate for the family if the family wants to spend more time with the body.
  • Once you have established a rapport and trust with the chaplain, and if you haven’t already given your funeral director the chaplain’s name, contact details, and the information that you have spoken to the chaplain, you should do that when you make the initial call to the funeral home for removal of the body. Inform your funeral director that you’d like the funeral director to contact the chaplain to discuss the arrangements made and any details if the chaplain is going to do the funeral for you. You may want to ask the chaplain to be present during the arrangements meeting with the funeral director. I find that families are less stressed if I am present.
  • Be sure to discuss aftercare with the chaplain. You should ask about regular contacts with the chaplain for at least the first year after the death. He or she should be available on what are called trigger dates (birthdays, holidays, special dates) when grief may be particularly noticeable, or if you find you need some help in getting through a particular day. The chaplain will likely have discussed grief and grieving with you so that you know what to expect. That discussion is standard practice during my initial meeting with the family.
  • Remember always, that the interfaith bereavement chaplain may be your independent choice or you may receive a recommendation from the funeral home you choose. Do not accept a mere list of clergypersons. You want an interfaith bereavement chaplain. If the funeral home does not have one on call or on staff, maybe it’s time to find another funeral home that can provide a complete range of services.
  • Beware of the funeral home chains and factory funeral homes. Their sole interest is in their bottom line and their shareholders; you are just a consumer to them. You’ll find chain funeral homes and factory funeral homes almost everywhere. I call them Walmart-funerals, because they are there to sell you everything because that’s what they do; they sell funeral goods and services. What you need is deathcare services not a sales pitch and a huge bill.
  • The worst time to do any of the above is when a death occurs. I usually counsel my clients not to make any major decisions for at least 6 months to 1 year after the death but now you have to make some major decisions within hours of the death. It’s an incredibly confusing and draining experience. That’s why I unconditionally recommend that you really should seriously make pre-arrangements so that when a death occurs, you can deal with the grief you will experience, and will have everything else under control. We highly recommend advance directives and pre-arrangements. We also recommend having an interfaith bereavement chaplain present when discussing and finalizing both advance directives and pre-arrangements. You many know what you want but it’s always good to have an impartial presence who can do some impartial thinking.

In upcoming articles I will be discussing the importance of revival of traditional funeral rituals and why they are so important to the living. As a sequel to the discussion about traditional funeral and memorial rituals, I’ll share with you why the family’s participation is so very important, and how we can personalize the rituals and ceremony so that they have lasting psychospiritual benefit for you. I’ll also be writing about continuing our bonds with the dead and why it’s normal and healthy to do that.

But in the meantime, if you have any specific questions or would like more information, please contact me directly at compassionate.care.associates@gmail.com. I’ll be pleased to help in whatever way I can.

Peace and blessings,
Rev. Ch. Harold Vadney

 

 

 

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A New Blog: Funeralization and Chaplain Services


Funeralization & Chaplain Services


You are invited to visit, follow and participate in this new specialist blog dedicated to funeral and memorial services, the important but frequently overlooked role of the interfaith bereavement chaplain,  and many other funeralization and deathcare topics.


This new blog will share with its readers a plethora of information on the funeral services niche, what to ask for, what to avoid, who to avoid, and what services you should ask for, if you are a consumer, or offer, if you are a funeral director, both during pre-arrangement meetings and when making immediate need arrangements.

Visit Funeralization & Chaplain Services blog here.
Join the Interfaith Chaplain group on Facebook here.
Learn about Chaplain Services available to you here.

We feel it is extremely important that consumers be offered the opportunity to consult and to talk to a professional interfaith bereavement chaplain, and that consumers should request such a conference; on the other hand, funeral homes should provide such an opportunity to all persons making funeral or memorial arrangements.

We are staunch supporters of the traditional funeral for all of its important psychological, spiritual, and cultural benefits. We are also strongly in support of locally owned and operated funeral homes as opposed to the corporate funeral groups and the factory-funeral service providers. Having said that, we do not believe that the traditional funeral should be outrageously extravagant or expensive but that it should be simple and dignified, personalized to reflect the family culture and the life of the deceased.

Welcome to this blog. Contribute to this blog. Make this blog a place of sharing.

Should you have any questions, please do not hesitate to contact Chaplain Harold at funeralization@gmail.com or, if you are in immediate need of chaplain services or bereavement support, please call Chaplain Harold at (518) 810-2700.

Visit us also on Facebook and become a friend!

Missing the Mark: Are the suffering ones really being served?


Are we hearing the cries for help? Are we really relieving the suffering caused by our “care”? This is a question I have been asking myself for several years now, after having done an elective 400 hour intensive clinical pastoral education unit at Albany Medical Center (AMC), a 600+ bed regional acute, primary, secondary, tertiary care teaching hospital in Albany, New York. For about four years now I have been tracking the Pastoral Care department there and,  over that period, have been able to make some on-site, personal observations of the “pastoral care” being provided at AMC, and must report that, at best, the overall care was very disappointing.


Are we hearing the cry for help?

Are we hearing the cry for help?

If AMC is representative of the state of “pastoral care” in the Northeast or in the United States as a whole, what does that say about all those words and ink spilled in the scientific, clinical, and professional journals about “relief of suffering?” Is it all pablum-puking palaver from the top of the ivory towers? Wishful thinking? Are the chaplaincy organizations and “certifying bodies” simply self-serving special interest (their own) groups providing certificates for cash, and satisfying the paper-mill appetites of both consumers and human resources dullards? We want certificates not skills or competence? It would seem so from our observation point.

As an informal survey, we looked at the AMC pastoral care staff page on the AMC web site and reviewed the credentials of the people working in pastoral care at that hospital. Here’s what we found:

The travesty and biggest joke that healthcare facilities — I mean hospitals offering primary, secondary, tertiary, and the rarer quaternary care — and skilled nursing facilities, including those offering rehabilitation,  are foisting on the paying pubic is that they offer what is commonly called “pastoral care,” a term eschewed by those of us who are really professional chaplains because “pastoral” is a hugely Christian term and serves to alienate non-Christian traditions. Fancy that! Far from appreciating what a real chaplain is, most of our healthcare organizations use a discriminatory term to describe the paltry spiritual support they think they provide, but in fact are not providing.

Most facilities rely on volunteer pastoral care, that is, local “visiting clergy” who drop in and wander around cold-calling (dropping in on patients or residents) or visiting their own church members. As for those that actually have a paid— and reimbursed chaplaincy program — the composition of that staff raises concerns about competency and bias. Seriously.

Really? We don't think so!

Really? We don’t think so!

One regional medical center in Albany, New York, Albany Medical Center — the institution does a great deal of public relations and advertising and is more in the real estate business than healthcare — shows a staff of 14, including chaplain interns, chaplain residents, full- and part-time/on-call “chaplains”: Pastoral Care Manager Jake Marvel (personal acquaintance), is a Reformed Church of America (RCA) clergyperson. The RCA is a minor denomination, an offshoot of the Dutch Reformed Church, and Calvinist in its doctrines, rightist liberal Christianity in its leanings; Harlan Ratmeyer (persoanl acquaintance), is director of a chaplain training program, a RCA minister, in his late 70’s and beyond retirement; biased and distracted. Staff Chaplain Yervant Kutchukian, is an Armenian Orthodox, with apparently various contemplative interests. Pastoral Care department secretary, Elizabeth Hall, is Roman Catholic, but doesn’t work as a pastoral care provider despite having several units of chaplain training — most of which was apparently acquired by sitting behind her desk. Aloysius Kabunga is a native of Uganda, Black African, with some seminary training and an eclectic educational background but no stated faith tradition (do we assume he’s some sort of Christian adherent?). Valerie Cox, female, another African American on staff, is an “ordained” Baptist minister with a degree from a “bible institute,” whatever that means. Kabanga BoswamiNO! I didn’t make that up — is yet another Black African on staff, from the Democratic Republic of Congo, has degrees in business admin, computer science and divinity. Marjorie S McCoy, female, Buddhist adherent to an American Buddhist tradition, has a B.A. in comparative religions, worked as attorney for 23 years, was a hospice volunteer for six years, and is now an intern in chaplaincy — this means she’s out there on the floors at AMC with little or no training. YA is a staff chaplain but I can’t make out his actual credentials from his blurb. Mary C. Craven, white female, has some credentials and 9 units of clinical pastoral education at AMC (she’s Roman Catholic by tradition). Two Roman Catholic priests serve as chaplains at AMC Kenneth Gregory and Robert DeLeon, enough said. A rabbi and an imam serve the Jewish and Muslim traditions at AMC but are not “staff” in that they are on-call, for their own people. At AMC, the Roman Catholic chaplains serve on an alternating day schedule; I have experienced situations at AMC when neither RC chaplain was available. Naturally, the on-call rabbi and imam restrict their care to their faith tradition. So that’s 4 chaplains out of the total of 14 that serve their specific faith groups: Roman Catholicism, Judaism, Islam. Two part-time chaplains, one cultural Pakistani male, Younas Azad (personal knowledge) and one elderly white female, M. Craven (personal knowledge). That leaves 4 “chaplain residents” who are still in training, under the supervision of HR, and four “full-time” staff. Of the four “chaplain residents” 2 are black African males, unknown traditions, and one is an African American female, Baptist tradition. The remaining chaplain-in-training is a white female, Buddhist, with a law background who served as a hospice volunteer. The remainder of the AMC pastoral care “full-time” staff includes two RCA ministers who are PC manager and director, and a secretary.

It needs to be said that the information provided above is publicly available at Meet the Staff and is not provided as a statement of competence or as an assessment of effectiveness of the individuals or of the department as a whole. I’m presenting it as an example of what a 600-bed regional acute, primary, secondary and tertiary care, trauma center, teaching hospital provides by way of spriritual care. Now, I have to ask my readers, given the composition of the PC staff — excluding the secretary, the part-timers, and the rabbi, imam and Catholic priests, who obviously see their own people, What do you think of the composition of the Albany Medical Center “pastoral care” staff? Presuming Albany Medical Center is a fair representation of the state of pastoral care in most similar institutions, What do you think of the likely cultural competency of the staff? Think of it this way, if you were an 84-year old white female, How open or vulnerable would you feel if one of the resident chaplains paid you a visit? How well served do you think the mainline traditions are served by the composition of the AMC pastoral care staff? Finally, do what I did and visit the site and ask yourself the question, “How well served are the some 600+ patients of AMC by this handful of questionably trained pastoral care providers?”

Treating the Parts while Indifferent to the Whole

Treating the Parts while Indifferent to the Whole

We chose Albany Medical Center because of its size, the extent of its services, its PR/advertising claims, and because we have personal knowledge about and experience with that institution. A simple online investigation of most of the other major hospitals in the Albany,  New York, area, including Schenectady and Rensselaer counties, doesn’t provide much satisfaction. Most simply describe a vague “spiritual care” or “pastoral care” entity but not much more. None provide a staff page, which indicates quite clearly to us that they have none and that all of their pastoral care activity is provided by volunteer (= untrained, non-professionals), ancient RC nuns (that’s all that’s left), or “visiting clergy.” Point made. How is it that these so-called healthcare providers get away with not providing total healthcare?

Our conclusion is obvious: Our healthcare institutions — and we include here most hospitals, nursing homes, rehabilitation facilities, etc. — do not provide competent spiritual care for patients, residents and clients. These institutions donot provide “care” but provide only “procedures.” They operate almost exclusively on the biomedical model which has been around for more than 100 years unchanged, and is based on the body-mind duality espoused by Descartes, the so-called Cartesian duality, in which healthcare treats physical complaints, everything else is in the “spiritual” realm.  In other words, our healthcare institutions treat the disease (the physical manifestations) not the illness, not the person. The treatment received in our healthcare institutions is procedural in nature and the very procedures done as treatment are the source of significant suffering, to which our “care” providers are either indifferent or of which they are ignorant.

Considering that the region we are considering, the Capital District in New York State, a region comprising the counties of Albany, Rensselaer, Schenectady, parts of Greene County, and other areas, we are talking about at least 28 hospitals and 56 nursing homes/rehabilitation facilities. The question we should be asking ourselves is not what kind of care is, rather what procedures are done, but how much suffering those environments and  procedures are causing, and what is being done to relive the total suffering of the patients, residents, and clients?

Please leave us a comment but please be specific and focus on the questions we’ve posed above. We’ve tried to be non-judgmental in presenting the facts; all we ask is for your honest opinion about the pastoral care situation at this regional 600+ bed teaching hospital.

The True Story of Our Healthcare System

The True Story of Our Healthcare System and
Relief of Suffering

New Blog Feature: Articles and Essays

Death Awareness & Education

Death Awareness & Education

Check out the new feature called Articles & Essays. I’m posting my articles and essays for readers who want to read them online or download them.

Try it out and let me know what you think!

Peace and blessings!
Rev. Ch. Harold

Thanatology Café: A Lesson in Pastoral Care

Pastoral aspects, especially in terms of bereavement ministries, are part of the Thanatology Café experience.

crying-dying

This past May 7,  the second video in the “Death: A personal understanding” series started the discussion of what is the dying person and how that person transforms to him or herself and to those around them when a diagnosis of terminal disease is made, and death is a short time away. How did these three women react to the diagnosis of their terminal cancers? How did their loved ones react? What were their hopes for themselves and for their loved ones?

Click this link to read the Thanatology Café blog and follow the blog to get regular updates.

The next regular monthly meeting of Thantology Café is planned for June 11, 2016, at the RCS Community Library, from 2:00-4:00 p.m. Please let the organizers know if you plan to attend by either sending an email to thanatology.cafe@gmail.com or by signing up at the RCS Community Library (just ask a staffer for the sign-up sheet). The public is welcome. Refreshments will be available.

flowers+gravestone

“Passing on” is not just about death; it’s about a cherished legacy

The Ethical Will, A Written Legacy:

A Gift for Generations to Come

Rev. Chaplain Harold W. Vadney M.Div.
Principal Facilitator

“Several months ago I tackled the chore of going through a box of old papers and mementos — we all go through the routine sooner or later and for different reasons — and I came across a greeting card that my grandmother had written to me on high school graduation day, which just so happened to be my 18th birthday; it was an exciting and scary time and a real rite of passage for me. It was the sixties, a time of social and political turmoil; a time of upheaval in society, morals, church and politics and I was going to be right in the thick of it. But was I ready psychologically, spiritually, at all? Now, some 40 plus years later, as I sat cradling the card in my hands and regressing to that day, I read the sacred words inscribed in elegant, careful cursive, now 15 years after my grandmother’s passing, and I realized that she had written me a testament that transmitted her values, her wishes for me, and her tender love. It was in that handwriting and as I read the words I imagined hearing her voice speaking the words to me softly, gently. It was a powerful emotional moment, and I almost choked up recalling my grief at her death. I placed that card in a special place with my most valuable mementos of my life, ensuring that it will never be lost to those coming after me. But for now, it is a special resource, a legacy that I go back to read from time to time, and is something that I will leave to my loved ones as a part of our family’s ethical history. I find myself wondering if my grandmother knew that she was leaving me a gift of such immense value, but the reflections in this rediscovered card is a treasured gift that keeps on giving, especially now she is no longer here to share her wisdom with me.” [Anonymous]

 

The word legacy by definition is “something transmitted by or received from an ancestor or predecessor or from the past.” It comes from the Latin word legare which means to gather, bring together, collect, and that’s pretty much what we do in a legacy or ethical will: we gather, bring together and collect our thoughts on what is most important to us in our lives. While we might tend to think of our legacy as the property that we’ll some day leave to our loved ones, a legacy goes far beyond the mere material. Like any gift, these legacies should be planned because what they contain and transmit is really timeless; you are transmitting values in this form of legacy, and that fact should not be forgotten. That’s actually the purpose of this legacy: to be remembered for our values. I advocate very vocally for the ongoing process of communicating— orally and in writing, better still through our actions — values and wishes throughout our lives, but once we are gone the written legacy, our ethical will becomes one of the most important heirlooms we can leave behind, a treasured endowment that we can bequeath to our loved ones and to generations to come. As in our story above, a written legacy is something, like the graduation card, that loved ones can return to again and again.imes of transition such as the birth of a child or grandchild, marriages, or the death of a loved one become reflective times and opportunities to review one’s views on the meaning and purpose of life, one’s values and what makes life sacred. These rites of passage are opportunities to enter into dialogue about your faith, beliefs and values and can become a unique legacy to generations to come.

Death is a threatening word. Most everyone reacts to a death with some measure of anxiety and sense of loss no matter what the circumstances, whether sudden and unanticipated, traumatic and violent, or peaceful after a long life lived well, what we call a “good death”. Sometimes the myriad emotions accosting us resolve more quickly and healing sets in, but more often the case that they hang on for some time and persist in some form as we, the bereaved, make the pilgrimage through the uncharted territory of grief, transformation, healing, and transcendence that inevitably sequels death.

Our anxiety is so uncomfortable because it is the sign of hyperawareness, we’ve been ripped from the comfort of our little nest of denial and avoidance. We are forced into awareness and must acknowledge a dread mystery, and inevitability we’d had previously contented ourselves with hiding under wraps; that camouflage of denial that cruelly allowed us to skip through life thinking that there is always time and many more opportunities ahead is finally lifted. When the veil is suddenly raised we become aware that life is fleeting, delicate, relatively brief or “too short”, and that awareness demands our fullest attention and reflection. At those difficult times we may well reflect on the meaning of that life, our own lives, and what remains and what will be remembered. As mortal beings, we have the ability to picture a world, in which we are no longer physically present, and we feel the pain of being sidelined, even forgotten. There’s a saying that goes like this: “We die three times: once when we take our last breath, a second time when our bodies are no longer, a third time when our name is no longer spoken.” It’s that final annihilation, the final erasure that comes when we or our legacy is forgotten. It’s this awesome thought that compels us to find opportunities leave something durable and valuable to those who survive us.

Now the big question is: Whether we will seize this existential opportunity to take advantage the time left to us and to create a thoughtful, valuable, meaningful endowment fashioned with our memories, values, hearts, or will we allow our roots, our lives, our values to become just dust in the winds of time?

To read, download or print the complete essay, click this link: The Ethical Will_a written legacy

"Passing on" doesn't just mean dying; it means leaving a cherished legacy.

“Passing on” doesn’t just mean dying; it means leaving a cherished legacy.

Remember that talk you wanted to have with the family?

The Choices of a Lifetime: Awareness and Education about Options

An Important Essay by Rev. Chaplain Harold W. Vadney B.A., [M.A.], M.Div., Principal Facilitator, Thanatology Café

Have that talk soon.

Have that talk soon.

I’ve always had this fear, this anxiety that seems to swell up at times and I feel an icy cold deep within me. Sometimes I have to jump out of bed only to find that my legs can hardly carry me. I’m terrified. Am I dying? There’s something about the dark, about night, the quiet that allows this though to take me down in a strangle hold. It shouts deafeningly silently in my ears but with the first hint of daylight, it vanishes as abruptly as it appeared.

After discussing these occurrences with my spiritual guide, he suggested that I was not experiencing an existential crisis, that I’m not in a state of death anxiety or fear of death episode but that I had other concerns. I’ve reflected on that suggestion and I’ve come to the conclusion that it’s not the dying that I fear most, it’s my dignity, my autonomy, the control over my final moments. If I were to be found in a coma or dead in my bed, or if I lapsed into a persistent vegetative state, Who would make my decisions for me? Who would decide what were to become of me while still living or when I’m dead? Who would know what I would want? What would I choose? It’s the fear of not being able to chose for myself that makes me panic. [Anonymous]

Those of us in the helping professions see this situation all too often and never cease to be amazed rarely people and healthcare professionals talk about what could be  the most important subjects in our lives: death, dying and our options for pre-death and post-death care. One of the reasons why the general population avoids the discussion is because it’s uncomfortable and creates anxiety, raises primeval fears, and disrupts our principal coping mechanism: denial. Physicians and healthcare providers don’t like the subject because any death represents a blow to their egos, a failure.

But a thanatologist’s, I’m going to take the risk of dissolving hope, creating anxiety, and shredding the veil of denial. Playing the ostrich and plunging our heads into the sand won’t hold death or dying or the important decisions associated with transition and bereavement in abeyance or make them go away. You have to have the guts to face these realities, to discuss them, and to take the bull by the horns and make some decisions for your own sake and for the sake of your survivors. The talk about pre- and post-death options, the realities, the myths, the rituals and the resources cannot be postponed until someone pulls a sheet over your head. Our ability to embrace life fully is not contingent on our efforts deny death, because when we take that we do ourselves a disservice and our families an injustice. We discuss, negotiate, plan and execute options in other areas of life so why not acknowledge the end-of-life options?

To read, print or download the entire essay, please click this link: Choices of a Lifetime-Essay

Share Your Choices and Options with your Family

Share Your Choices and Options with your Family