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Thursday, October 9, 2008

Orientation at Hospice and Palliative Care of Western Colorado

The last three days of my life were spent in twenty-six hours of volunteer orientation for Hospice. They were intense hours investigating hospice, from the origin of the concept right down to the brass tacks of our local community-wide effort to help people manage …“physical, psychosocial and spiritual symptoms resulting in optimal comfort and quality of life for persons impacted by a serious illness.” In essence, that is the explanation of Palliative Care and Hospice, according to a handout given during the learning session (from Hospice and Palliative Care of Western Colorado, 2008).

(See previous post about Cups, the coffee house owned and operated by Hospice of Western Colorado.)

Briefly highlighted in this orientation were teaching lessons and interactive activities including:
Hospice Pioneers and its History, Missions and Vision; Serving our Communities, Living our Values, Critical Thinking, Self Care, Therapeutic Communication, Safety Issues, Ethics and Boundaries, Advanced Concepts of Grief, Interdisciplinary Care Planning, Spiritual Care, Communication Activities, Introduction to Grief, Organizational Ethics, HIPAA and Information Technology
As you might think, much information was covered in three days.

To obtain a more complete view of our local hospice, visit Hospice of Western Colorado. The website is extensive and gives lots of information.

One exercise I thought was most valuable during the orientation session concerned "loss". The result of the teaching and completion of the questionnaire helped portray just an inkling of what true loss might mean when facing the end of life.

Here is the exercise: a five square by five square grid was filled out by each participant. The squares were to be filled (left to right) with five items or concepts regarded as ...

Most Prized or Useful Material Possession;
Most Important Activities;
Favorite Places, e.g., nature ;
Most Valued Body Parts;
5 Beloved Relationships in Your Life
With the toss of a die, and each player enabled to toss the die, grids were X’d out as the numbers fell. One by one, a prized possession, a life activity, a favorite place, a body part or a beloved relationship was lost to the roll of the die. You see where this is going?

After thirty minutes of dice rolling, half of the valued concepts were gone. Actually, more than half were gone, by implication. If one of your valued body parts such as your eyes were lost to the toss of the dice, then your car (a prized possession) would also be lost, since you would no longer be able to drive. One loss compounds other losses.

Here is my grid.
I found this an exercise which made me even more grateful for those privileges that I am currently allowed.

Why not complete this same mental exercise, fill in the squares, and think about your own gifts and mercies? I guarantee it is an eye opener.

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