Caring 6 Feet Apart

look for the helpers 2

As a chaplain working with an older adult population and those living with dementia in a long-term care facility, it has been an interesting situation navigating how to provide pastoral care in a time of social distancing. How does one remain 6 feet away from someone who might not be able to hear or see you unless you are right in their face, or refraining from embracing a resident with dementia who always greets you with a hug and cannot understand why you would need to keep your distance? Or avoid being physically present to someone, when your presence is the main means of care and communication because cognitively, they cannot process your words?  How do we comfort those who mourn when we are used to moving in closer in times of loss? Do we move toward them, taking the risk of impacting their health or even our own, or do we go into isolation?

As social creatures we can only take so much distancing and isolation.  Studies have shown the importance of physical touch and hugging in particular. Family therapist, Virginia Satir commented on the importance of physical touch by explaining, “We need four hugs a day for survival. We need 8 hugs a day for maintenance. We need 12 hugs a day for growth.”* In a setting where some of our residents might not receive that many hugs on a typical day or are only receiving physical contact when aides are helping them with their activities of daily living (i.e. bathing, brushing their hair, feeding, toileting), caring contact like a hug from a family member, or a chaplain holding their hand is paramount to their overall well being. In a time of social-distancing and sheltering in place, the lack of human contact may lead to feelings of isolation for those in long-term care facilities. According to the National Institute on Aging, persistent social isolation can increase the risk of depressive symptoms in older adults. Which can have a negative impact on the individual’s physical health, quality of life and even duration of life. So, what might our response be?

Jesus’ and the most vulnerable

As I interact with a community of older adults that are considered by the Center of Disease Control and Prevention at higher risk for severe illness from COVID-19, I am reminded of Jesus’ stance towards people who were the most vulnerable in his society: those who were economically disenfranchised, widows, those who suffered from diseases that the culture deemed “unclean” and therefore needed to isolate.  In all these interactions his stance was one of compassion not fear. Fear often arises when we feel our lives are at stake, or we lack knowledge about a particular situation, person, or group and feel threatened by the unknown. It is safe to say that COVID-19 has indeed marshalled a lot of fear around the world because it is novel and we have yet to fully understand its impact.  

Compassion vs. Fear

 So, if fear is often triggered by a threat of the unknown, perhaps compassion requires a level of knowledge, or more importantly wisdom. When the scriptures talk about Jesus being moved with compassion, it indicates to me that he had knowledge of the suffering the person was experiencing: not just intellectually but viscerally. He became acquainted with the pain to the point of desiring to address it either by healing them, being present with them in the pain, or avoiding exacerbating their suffering.

The knowledge of their suffering was birthed out of Jesus’ understanding of the interconnectedness of humanity and all of creation. The suffering he witnessed was not divorced from the actions or inaction of others, or other factors and elements in the overall system. For example, the men with leprosy were not just suffering because of the disease that wracked their body but because of the removal from their families and community (Luke 17:11-19). This removal only added to their suffering. And just like this multi-layered suffering was not disconnected from other factors in the environment, neither was the alleviation of that suffering.  When Jesus did physically heal someone he did so often by using other elements in the environment : dirt, spit, physical touch, words, the faith of the person who was suffering or the faith of those assisting the person suffering, as in the case of the friends who brought their paralyzed friend to Jesus (Mark 2: 1-12).  Jesus used multiple energetic healing sources, some of which were outside of the medical technologies of his time. Jesus had an understanding of both the suffering and what was needed at the time to address the suffering. Therefore, compassion requires both an emotional intelligence to understand the interconnectivity of all creation and the suffering we all experience at times and the wisdom to know how to address it with what is at our disposal.

Meeting the spiritual, emotional, and mental needs

And so, as we think about ways to provide pastoral care to older adults in residential communities that are needing to refrain from having friends and family visit, and possibly experiencing anxiety because of this situation or feeling isolated at this time, may our response be one grounded in compassion. Let us be mindful of not adding to any suffering they may presently be experiencing. May we take inventory of the technologies at our disposal that will help us to combat, one of the biggest threats to their health and quality of life, social isolation.

Challenge

While this writing particularly focuses on providing pastoral care to older adults, what other groups of people might be more vulnerable to the impact of COVID-19 due to lack of access to quality health care, experiencing homelessness or those being laid off of jobs as a precaution to spreading this virus. How might we be able to respond in compassionate ways to those most vulnerable in our global communities?

We invite you to share your suggestions and what you have been doing to stand in solidarity with the world in this time of global crisis and help to alleviate some of its suffering.

When I was a boy and I would see scary things in the news, my mother would say to me, “Look for the helpers. You will always find people who are helping.” To this day, especially in times of “disaster,” I remember my mother’s words and I am always comforted by realizing that there are still so many helpers – so many caring people in this world.” –Mr. Rogers

*https://www.healthline.com/health/hugging-benefits#5