Transcript Document

Ministry to the Sick and Homebound
and
Safe Environment Program Training
Training for
Extraordinary Ministers of Holy Communion to the Sick &
Homebound and Training for Pastoral Care Providers
Diocese of St. Petersburg, Safe Environment
Program Office (Rev. 11/6/2013)
QUESTIONS ??
• Office of Worship
Douglas Reatini………..727-341-6828
• Safe Environment Program Office
André Glaudé ……….…727-344, Ext. 5377
• Risk Management – Insurance
Rick Osorio…727-344-1611, Ext. 5393
DOSP Safe Environment Program
Office Training for EMHC/PCP
Training Rev 11-6-2013
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Today’s Agenda
1. Ensuring a Safe Environment
2. Visitation
– Pastoral Care Providers (PCPs)
– Extraordinary Ministers of Holy
Communion (EMHCs)
3. Rite 1: Communion in Ordinary
Circumstances (Homebound)
4. Rite 2: Communion in a Hospital or
Institution
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IMPORTANT
This Safe Environment Program training course
qualifies you for the care, responsibility, and or
supervision of vulnerable adults.
It DOES NOT
qualify you for the care, responsibility, and or
supervision of children or youth.
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Office Training for EMHC/PCP
Training Rev 11-6-2013
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Safe Environment Program
Training Objectives
• To foster a safe environment, for the sick, shut-in,
and the elderly and to provide healthy, and loving
relationships in the image of God
• To spot and report abuse of vulnerable adults and
to maintain good boundaries in performance of
your ministry
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Office Training for EMHC/PCP
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This Safe Environment workshop
will:
• Discuss Guiding Directives
• Discuss SEP Definitions applicable to Ministry and
Care provided to the Sick and Homebound
• Discuss Needed Skills for Ministering
• Discuss Boundaries for Ministers
• Discuss Ethical Behavior
• Provide guidelines for visitation
• Provide information on appropriate response to an
abuse disclosure or discovery
• Provide information on appropriate reporting
procedures for suspected or actual abuse
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This Safe Environment workshop
will not address:
Individual cases or issues:
• Individual concerns about a particular
person.
• Personal issues/conflicts with Church
teaching and/or church personnel.
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Sexual and Other Abuses Against
Vulnerable Adults
• This presentation is meant to cover the abuses
that vulnerable adults may suffer at the hands
of predators.
• Ministers to the sick and shut-in, especially
EMHCs, clergy, and pastoral care providers
must watch for signs of physical, emotional,
sexual, financial, neglect, and other abuses
suffered by our vulnerable adults and report
actual or suspected abuse.
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Office Training for EMHC/PCP
Training Rev 11-6-2013
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Vulnerable Adult Program Leadership:
A privilege, not a right
The Diocese of St. Petersburg:
– Has developed a program designed to provide
safety for our vulnerable adults.
– Recruits the best possible leaders.
– Has created an adult application that requests
background information and references.
– Requires FBI Fingerprint background check.
– Attempts to learn all it can about an
applicant—his or her experience with
vulnerable adults, why he or she wants to be a
volunteer EMHC or Pastoral Care Provider.
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Office Training for EMHC/PCP
Training Rev 11-6-2013
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Safe Environment Program
Guiding Directives
• Statutes of the State of Florida
– Florida Statute 415.101 – Protects
vulnerable adults from sexual abuse
• Archdiocese of Miami Provincial
Policy & the Diocese of St.
Petersburg
– Incorporates the Protection of Children and
Vulnerable Adults under one Umbrella
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Safe Environment Program Definitions
Applicable to EMHCs andPCPs
•
Vulnerable Adult is an person over 18 yrs of age or older whose
ability to perform the normal activities of daily living due to
impairment or to provide for his/her own protection due to the
infirmities of aging.
•
Church Personnel includes any person employed by or engaged
in voluntary ministry or who provides service directly or indirectly for
the diocese or entity thereof.
•
Extraordinary Minister of Holy Communion to the Sick and
Homebound (EMHC) An individual commissioned by the parish to:
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Administer Communion to the sick and shut-in
Visit the homebound and their caregivers
Advocate and represent the homebound back to the community
Act as a powerful witness to the love and care of God
Act as a presence through prayer, listening, assessing and responding
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Safe Environment Program Definitions Applicable
to EMHCs and PCPs
•
Pastoral Care Providers – Volunteers who provide various types
of service and assistance to the sick and shut-in as a form of
ministry. Types of ministry-in-service may include but are not
limited to:
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–
–
–
–
–
–
•
Vehicle Drivers*
Errand Runners
Bereavement Ministers
Care Givers
Pastoral Ministers
Health Ministers
Helping with Chores, etc.
Covered Volunteer – Any unpaid person who is engaged or
involved in any diocesan institution or parish activity and who has
unsupervised contact or is entrusted with the care or supervision of
children, the elderly or the infirmed.
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Insurance Requirements for
EMHCs & Pastoral Care Providers (PCPs)
• Drivers transporting Vulnerable Adults must
have:
– Bodily Injury Coverage
– Property Damage Coverage
No limits recommended
Have questions about insurance requirements? Call Rick Osorio,
Diocesan Risk Manager at (727) 344-1611, Ext. 393.
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Diocese of St. Petersburg
Requirements for Volunteer Service
• Completed Volunteer Application
• Character and Volunteer Service Reference
Check
• FBI Criminal History Background Screening
• Safe Environment Program Training
– Standard 3 hr presentation (began 9/03)
– EMHC & Pastoral Care Presentation (began
6/06)
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Catechism of the Catholic Church,
Second Edition, 1997
“Being in the image of God
the human individual possesses
the dignity of a person,
who is not just something,
but someone.”
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Video Presentation
“A Safer Place”
Illinois Department on Aging
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Vulnerable Adult Rights
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Right to respect of body and person
Right to privacy
Right to freedom of movement
Right to communicate with significant others
Right to interact with others
Right to one’s own bed
Right to have one’s own possessions
Right not to be given meaningless work
Right to nourishment
Right to the natural elements
Right to basic clothing necessities
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The purpose of a relationship
determines its boundaries
Examples of relationships include:
– Minster / Individual Ministered To
– Caregiver / Patient
– Parent / Child
– Brother / Sister
– Husband / Wife
– Friend / Friend
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SELF
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Emotional Grooming
• When someone manipulates
another’s emotions to skillfully gain
control of that person.
• Emotional grooming is used to
seduce, coerce, or “con” others into
doing something that they would not
ordinarily do, including sexual activity.
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Office Training for EMHC/PCP
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Key Elements of the Emotional
Grooming Process
• False sense of trust—a groomer
convinces the victim that s/he is the
only person in the world to trust.
• Secrecy—groomers persuade their
victims to keep “our little secret”
hidden from others.
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Control
• The ultimate goal of an
emotional groomer is to gain control of the
target and of the relationship.
• The groomer seeks to gain power or
dominance in the relationship by using any
or all of the grooming tactics.
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•
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Flattery
Bribery
Status
Jealousy & Possessiveness
Insecurity
Accusations
Intimidation
Anger
Control
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Language Cons
• Words and phrases – or “lines” – that groomers use to
trick and manipulate their targets.
• Sometimes lines make a target feel special or desired;
other times they make a target feel guilty or
threatened.
• Lines may seem genuine or sincere at first, but their
real purpose is to control the target.
• Language cons are used to convince targets to do
things they normally would not do.
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Office Training for EMHC/PCP
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Types of Abuse Suffered by the Elderly, Sick,
and Shut-in
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Physical
Sexual
Emotional
Spiritual
Financial
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Psychological
Self
Neglect
Medication
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Definition of Physical Abuse
• Non-accidental use of force against a
vulnerable adult that results in physical
pain, injury or impairment. Such abuse
includes not only physical assaults such
as hitting or shoving but also the
inappropriate use of drugs, restraints or
confinement.
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Office Training for EMHC/PCP
Training Rev 11-6-2013
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Types of Abuse
Physical abuse
– Shaking
– Face slapping
– Hair pulling
– Use of implements (belts, hairbrushes, etc.)
– Intrusive procedures (e.g. enemas)
– Lack of appropriate physical nurturing
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Training Rev 11-6-2013
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Warning Signs
Physical abuse
– Fear (especially of certain people)
– Unexplained bruises or cuts
– Pain at touch
– Anxiety, agitation
– Resignation, ambivalence
– Sleep disturbances
– Changes in eating patterns
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Training Rev 11-6-2013
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Definition of Sexual Abuse
• Sexual contact that is forced, tricked, threatened or
otherwise coerced upon a vulnerable adult, including anyone
who is unable to grant permission.
• This may include physical sex acts, showing pornography,
forcing the person to watch sex acts or forcing the vulnerable
adult to undress.
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Training Rev 11-6-2013
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Types of Abuse (cont.)
Sexual abuse
– Can be physical:
• Penetration
• Touching of genitals
– Can be emotional:
• Watching sexual behavior
• Sexualized language
• Intrusive questions
– Can happen in private (covert)
– Can happen in the presence of others (overt)
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Warning Signs
Sexual abuse
– Torn, stained or bloody underwear
– Pain, swelling or itching in the genital area
– Pain in urination or defecation, or urinary or
anal bleeding
– Sphincter control problems
– Increase in physical complaints (headaches,
stomachaches, abdominal pain)
Sexual abuse requires reporting to appropriate authorities.
DOSP Safe Environment Program
Office Training for EMHC/PCP
Training Rev 11-6-2013
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Definition of Emotional Abuse
• Verbal attacks, threats, rejection, isolation or
belittling acts that cause, or could cause,
mental anguish, pain or distress to a
vulnerable adult.
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Training Rev 11-6-2013
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Non-Verbal Forms of
Emotional Abuse
• Non-verbal forms of emotional abuse include:
– Ignoring the vulnerable adult
– Isolating a vulnerable adult from friends or
activities
– Terrorizing or menacing a vulnerable adult
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Warning Signs
Emotional abuse
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Anxiety-related illnesses
Poor self-concept
Depression
Signs of de-compensation (a complete
breakdown and loss of psychological balance)
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Warning Signs
Spiritual abuse
– Living with inhuman rules or a skewed
philosophy of living.
– When physically, sexually, or
emotionally abused, a vulnerable adult
may loose his or her faith in God.
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Training Rev 11-6-2013
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Warning Signs
Spiritual abuse
– Anger at God
– Refusal to pray for a specific person
– “Flight into religion”
– Belief that one is uniquely and specially
sinful
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Definition of Neglect
• Failure or refusal to provide for a vulnerable adult’s safety,
physical or emotional needs.
• This may include failure to provide food, water, clothing,
medications or assistance with the activities of daily living
and personal hygiene.
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Responding to Abuse
At times when vulnerable adults discloses abuse:
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Believe them.
Remain calm.
Listen without interrupting.
Reassure them they are loved and cared for.
Respond to their questions or feelings with calm, matter-of-fact
attitude, but don’t pressure them to talk more.
If they express concerns for their safety or their family’s safety, tell
them that all that can be done to keep them safe will be done.
Reassure them that they did the right thing by telling you.
Tell them that it is not their fault.
Instruct them to tell you right away if the offender attempts
molestation again or bothers them in any way.
Report appropriately.
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Training Rev 11-6-2013
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Responsibility Once Disclosure
Has Been Made
1.
Acknowledge difficult feelings and issues.
2.
Keep those directly involved informed of developments.
(Depending on direction from support resource, i.e. HHS)
3.
Do not gossip; the only person you should share information
with is your ministry leader.
4.
Do not label the vulnerable adult or family—avoid stereotypes.
5.
Follow all established procedures for reporting and follow-up.
DOSP Safe Environment Program
Office Training for EMHC/PCP
Training Rev 11-6-2013
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Vulnerable Adult Abuse Hotline Directory
Report Actual/Suspected Abuse of a Vulnerable Adult to the appropriate number
Report to:
• Ministry Leader
• Florida Abuse Registry Hotline (800) 962-2873 or (800) 96ABUSE
• Florida Elder Helpline 1- 800-963-5337
• Senior Help Line
• Pinellas & Pasco County – (800) 861-8111 or (727) 217-8111
• Hillsborough County – (800) 336-2226
• Seminole – 407-514-0019
• Pastor
• Florida Council Against Sexual Violence (888) 956-7273
• Diocesan Safe Environment Program Office (727) 344-1611,
x-5377
• Police - 911
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Vulnerable Adult Abuse Hotline Directory
Call the appropriate numbers to report child or vulnerable adult abuse
People who report alleged child abuse or neglect in good
faith cannot be held liable for damages under criminal or
civil law. In addition, their names are not given to the
person they name as the abuser or to anyone else unless
ordered by a hearing officer or judge. Members of the
general public may make reports without giving their names.
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10 Minute Break
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Objective #2: Visitation
• Pastoral Care Providers (PCPs)
• Extraordinary Ministers of Holy
Communion (EMHCs)
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Visitation:
Pastoral Care Providers (PCPs)
Volunteers who provide various types of service and
assistance to the sick and shut-in as a form of ministry.
Types of ministry-in-service may include but are not
limited to:
–
–
–
–
–
–
–
Vehicle Drivers*
Errand Runners
Bereavement Ministers
Care Givers
Pastoral Ministers
Health Ministers
Helping with Chores, etc.
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Visitation: Extraordinary Ministers of Holy Communion (EMHCs)
Pastoral Care of the Sick (#73)
1.
A person’s rightful place is with the community.
2.
The Communion minister:
•
•
3.
represents Christ
manifests the faith and love of the community
Communion to the sick is:
•
•
a privilege
a sign of support & love
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Visitation Skills
• Do
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Be compassionate
Be observant
Report concerns
Watch for warning signs of abuse
Use affirming responses (“I am praying for you”)
• Do Not
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Use Guilt Statements (“You are not as bad off as…”)
Use Strong Statements (“Men don’t cry”)
Use God Statements (“It is God’s will”)
Help with check books or other financial assistance
Give out your phone number (Use the parish’s)
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Visitation Skills
•
Preparation
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Listening
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Taking note of the environment
Assessing
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Being present to the individual
Observing
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EMHCs – Be familiar with and use the proper Rites
PCPs – Remember and use your training
Understanding grooming techniques and warning signs
Responding
–
Report/Notify ministry leader, abuse hotline counselors,
or law enforcement
DOSP Safe Environment Program
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Ethics for EMHCs and PCPs
•
•
•
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Identify Yourself
Respect Privacy
Maintain Confidentiality
Report Warning Signs and or Conditions that are
unsafe
• Schedule Your Next Visit
• Participate in Ministerial Continuing Education
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Additional Guidelines for Visiting Hospitals, Nursing
Homes, or Assisted Living Facilities (ALFs)
• Check with Nurses Station before visit.
• Check to see if patient can take anything by mouth
(NPO).
• Wash your hands between each visit. (Standard
Precautions)
• Always knock before entering.
• Do not sit on bed.
• Never enter when call light is on.
• Ask that the TV or radio be turned off (if they are on).
• Don’t give out your home phone number.
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EMHC / PCP Visit Evaluation
Keep a record of each visit
– Evaluate each visit and compare over time for
your ministry leader.
– Evaluate issues that may need to be reported.
– Assess needs of the individual.
– Allow others to be informed in your absence.
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-Summary-
Put Your Skills Into Practice
• Preparation – knowing the concepts before you interact with
the sick and homebound
– Know the Church’s rituals for Holy Communion outside Mass
– Know the Standard Precautions
– Know the Procedures for Patients in Isolation
• Listening – being present to the individual
• Observing – being on the alert for warning signs of
abuse or neglect
• Assessment – taking stock of what you see
• Responding – How and to whom to report
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Objective #3:
Extraordinary Ministers of Holy
Communion (EMHCs)
Visitation to the Homebound, Nursing
Homes, Hospitals &
Assisted Living Facilities
5 – Ways You Minister to the Body of Christ
• Represent the Praying Community
• Entrusted with the reverent transport
of the Blessed Sacrament
• Serve the Suffering Body of Christ
• Bring Christ in your Person
• Inform the parish of the needs & concerns of the sick
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Reverent Transport of the Host
• Do’s
– Go straight to administering the Eucharist to
the sick and shut-in
– Transport the host in a pyx
– Use a burse (if possible)
– Return unused hosts to the parish
– Carry a small bottle of water to dissolve
contaminated hosts
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Reverent Transport of the Host
• Don’ts
– Go shopping or to eat
– Leave the consecrated host when no one is
home
– Burn candles around oxygen containers
– Consume contaminated hosts
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Things to have in an EMHC Kit
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Communion of the Sick book (© 2012)
Pyx
Burse
Bees Wax Candle & matches
Small Bottle of Water (to dissolve contaminated hosts)
Purificator/Fine Linen Cloth/Hanky
Readings for the Day/Missalette/Magnifcat, etc.
Facial Tissue (to retrieve contaminated hosts)
Baggie (for contaminated hosts)
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EMHCs:  Do 
1. Make an appointment
2. Use the ritual Communion of the Sick (© 2012), a
Bible and/or a Missalette
3. Begin informally
4. Invite those present to participate
5. Share the day’s homily
6. Have a cup of water ready
7. Create links to the parish (bulletins, etc.)
8. Thank the person
9. Return any unconsumed hosts to your parish
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As an EMHC do you know?
• How many times in a 24-hour period can you receive
Communion?
• Whether an EMHC can transport & administer the Precious
Blood?
• If you can self-communicate?
• What “intinction” is?
• What to do if the consecrated host is dropped on the ground
or coughed up by a communicant?
• What to do with extra consecrated hosts when the church is
closed?
• If you can give Communion to a non-Catholic?
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Can an EMHC Administer the Host
to a Non-Catholic?
Yes, under certain special circumstances:
–
Cannon Law 844.4 applies as follows:
•
Danger of death (war, POW, illness, disasters)
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•
See sacraments on their “own accord” & display belief that Christ is present in
the Eucharist
Not in danger of death
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Offer a Spiritual Blessing
Confirm, if possible, if requestor’s minister visits regularly (if not, we [Catholics]
assume spiritual care)
Provide information cards or booklets on Catholicism
If the Eucharist is administered under Cannon Law 844.4 or by accident, salus
animarum, suprema lex:
THE SALVATION OF SOULS IS THE SUPREME LAW
(cf. Code of Canon Law 843 note#3, 844 & 912)
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EMHCs:  Don’t 
1.
2.
3.
4.
5.
Visit if you are not feeling well
Stay too long
Take the role of counselor
Compete with the TV or radio
Carry consecrated hosts in a bag – use a
pyx
6. Leave the consecrated host
7. Run errands with the Eucharist
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Two Liturgical Rituals Approved for
Use Outside of the Mass
• Rite #1 - Communion in Ordinary
Circumstances (For use in homes)
• Rite #2 – Communion in a Hospital or
Institution
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Which text should you use?
Communion to the Sick booklets come in different colored covers because they are printed by
different publishers such as USCCB, the Liturgical Press, and Catholic Book Publishing Corporation
The rites and prayers are the same; however, some are in English only, others are in Spanish only, and
still others are in English and Spanish. Here are some links to booklets that you can choose from and
order online:
•
•
•
http://www.usccbpublishing.org/productdetails.cfm?PC=1819 (Administration of Communion
Viaticum to the Sick) – (USCCB)
http://www.litpress.org/Products/3455/communion-of-the-sick.aspx (Liturgical Press)
http://www.catholicbookpublishing.com/products/75 (Catholic Book Publishing Corporation)
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RITE 1:
Communion in Ordinary Circumstances
•
Introductory Rites
– Greeting
– Sprinkling with Holy Water (Optional for clergy)
– Penitential Act
•
Liturgy of the Word
– Reading (s)
– Response (Reflection)
– General Intercessions
•
Liturgy of Holy Communion
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–
–
–
•
The Lord’s Prayer
Communion
Silent Prayer
Prayer after Communion
Concluding Rite
– Blessing
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Rite 1: INTRODUCTORY RITES
(For Priests and Deacons Only)
Greeting
(Revised 2012)
The minister greets the sick person and the others present with one of the following:
A.
Peace be with this house and with all who live here.
Res. And with your spirit.
B.
The peace of the Lord be with you.
Res. And with your spirit.
C.
The grace of our Lord Jesus Christ and the love of God
and the communion of the Holy Spirit be with you all.
Res. And with your spirit
D.
Grace to you and peace from God our Father and
the Lord Jesus Christ.
Res. And with your spirit
The minister then places the Blessed Sacrament on the table and all join in adoration.
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Rite 1: INTRODUCTORY RITES
Greeting
(New Wording for Lay EMHC)
(Revised 2012)
If the minister is a lay Extraordinary Minister of Holy Communion, he or she
may do one of four greetings found on the previous slide, however, they add to
the end of the greeting the phrase: Blessed be God for ever, to which all
respond:
Res: Blessed be God for ever.
The minister then places the Blessed Sacrament on the table and all join in
adoration.
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Rite 1: INTRODUCTORY RITES (cont.) (For Priest
or Deacons Only)
Sprinkling with Holy Water (optional)
If it seems desirable, the Priest or Deacon may sprinkle the sick person and those
present with holy water. One of the following may be used:
Option A
Let this water call to mind our Baptism into Christ, who by his
Death and Resurrection has redeemed us.
Option B
Like a stream in parched land, may the grace of the Lord refresh
our lives.
If the Sacrament of Penance is now celebrated, the Penitential Act is omitted.
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Rite 1: INTRODUCTORY RITES (cont.)
Penitential Act (3 options)
The minister invites the sick person and all present to join in the Penitential Act, using
these words:
My brothers and sisters, to prepare ourselves for this celebration,
let us call to mind our sins.
A brief pause for silence follows. Then all recite together the formula of general
confession:
Option A
(Revised 2012)
I confess to almighty God, and to you, my brothers and sisters, that I have
greatly sinned, in my thoughts and in my words, in what I have done and
in what I have failed to do,
And, striking their breast, they say:
through my fault, through my fault,
through my most grievous fault;
therefore I ask blessed Mary, ever Virgin,
all the Angels and Saints, and you, my brothers and sisters,
to pray for me to the Lord our God.
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Rite 1: INTRODUCTORY RITES (cont.)
Penitential Act (cont.)
Option B
Minister:
(Revised 2012)
Have mercy on us, O Lord.
Res. For we have sinned against you.
Minister:
Show us, O Lord, your mercy.
Res. And grant us your salvation.
Option C
Minister:
By your Paschal Mystery, you have won for us salvation:
Lord, have mercy. Res. Lord, have mercy.
Minister:
You renew among us now the wonders of your Passion:
Christ, have mercy. Res. Christ, have mercy.
Minister:
When we receive your Body, you share with us your Paschal
Sacrifice: Lord, have mercy. Res. Lord, have mercy.
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Rite 1: INTRODUCTORY RITES (cont.)
Penitential Act (cont.)
The minister (ordained or lay) concludes the Penitential Act with the following:
May almighty God have mercy on us,
forgive us our sins,
and bring us to everlasting life.
Res. Amen.
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Rite 1: LITURGY OF THE WORD
Reading(s) The word of God may be proclaimed by one of those present or by
the minister. The minister may choose the reading(s) from the following:
– Use the reading(s) for the day, especially on a Sunday
(e.g. from a Missalette, etc.)
– Use the readings found in Communion of the Sick
– Use a reading from Part III of Pastoral Care of the
Sick: Rites of Anointing and Viaticum
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Rite 1: LITURGY OF THE WORD (cont.)
Response (Reflection)
• A brief period of silence may be observed after the reading of the
word of God.
• The minister may then give a brief explanation of the reading,
applying it to the needs of the sick person and those who are
looking after him or her. (see pages 34-38)
• The minister could share something from the homily at Mass.
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Rite 1: LITURGY OF THE WORD (cont.)
Universal Prayer (or Prayer of the Faithful)
• With a brief introduction the minister invites all those present to
pray.
• After the intentions, the minister says the concluding prayer.
• It is desirable that the intercessions be announced by someone other
than the minister. (Pages 39-42 of Communion of the Sick gives
examples.)
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Rite 1: LITURGY OF HOLY COMMUNION
The Lord’s Prayer
The minister introduces the Lord’s Prayer in these or similar words:
A. Now let us pray as Christ the Lord has taught us:
B. And now let us pray with confidence as Christ our Lord
commanded:
All say:
Our Father . . .
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Rite 1: LITURGY OF
HOLY COMMUNION (Cont.)
(Revised 2012)
Communion
The minister shows the Eucharistic bread [or wine] to those present, saying:
Behold the Lamb of God,
behold him who takes away the sins of the world.
Blessed are those called to the supper of the Lamb.
The sick person and all who are to receive Communion say:
Lord, I am not worthy that you should enter under my roof,
but only say the word and my soul shall be healed.
The minister goes to the sick person and gives them Communion.
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Rite 1: LITURGY OF
HOLY COMMUNION (cont.)
Silent Prayer
Then a period of silence may be observed.
Prayer after Communion
The minister says a concluding prayer. Four (4) options are given in the Communion
of the Sick book. (See pages 18-19)
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Rite 1: CONCLUDING RITE
Blessing (By a Priest or Deacon)
•
3 Options are given on pages 20-21
The Priest or Deacon blesses the sick person and the others present, using one of the
blessings. If, however, any of the Blessed Sacrament remains, he may bless the sick
person by making a Sign of the Cross with the Blessed Sacrament, in silence. (Only
clerics can give the clerical blessing).
Blessing (By a lay EMHC)
A minister who is not a Priest or Deacon invokes God’s blessings and makes the Sign of
the Cross on himself or herself, while saying:
A.
May the Lord bless us, protect us from all evil, and bring us to
everlasting life. Res. Amen.
B.
May the almighty and merciful God bless and protect us,
the Father, and the Son, and the Holy Spirit. Res. Amen.
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RITE 2:
Communion in a Hospital or Institution
• Introductory Rite
– Antiphon
• Liturgy of Holy Communion
– Greeting
– The Lord’s Prayer
– Communion
• Concluding Rite
– Concluding Prayer
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Rite 2: Introductory Rite
Antiphon (Optional)
The rite may begin in the church, the hospital chapel, or the first room, where the
minister says one of the following antiphons.
•
How holy this feast in which Christ is our food: his passion is recalled; grace
fills our hearts; and we receive a pledge of the glory to come.
•
How gracious are you, Lord: your gift of bread from heaven reveals a Father’s
love and bring us perfect joy. You fill the hungry with good things and send the
rich away empty.
•
I am the living bread come down from heaven. If you eat this bread you will
live for ever. The bread I will give is my flesh for the life of the world.
If it is customary, the minister may be accompanied by a person carrying a candle.
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Rite 2: Introductory Rite
(For Priest or Deacon)
(Revised 2012)
Greeting
On entering each patient’s room, the Priest or Deacon introduces himself and
then may use one of the following ritual greetings:
• The peace of the Lord be with you.
Res: And with your spirit.
• The grace of our Lord Jesus Christ and the love of God
and the communion of the Holy Spirit be with you all.
Res: And with your spirit.
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Rite 2: Introductory Rite
(For a Lay EMHC)
Greeting
(Revised 2012)
If the minister is a lay Extraordinary Minister of Holy Communion, upon entering the
room he or she introduces himself/herself and then may do one of the two greetings
found on the previous slide; however, they add to the end of the greeting the phrase:
Blessed be God for ever, to which all respond:
Res: Blessed be God for ever.
The minister then places the Blessed Sacrament on the table and all join in adoration.
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Rite 2: Introductory Rite (cont.)
[Reading]
If there is time and it seems desirable, the minister may proclaim a Scripture reading
(see Communion of the Sick for examples).
The minister needs to use his/her best judgment.
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Rite 2: Liturgy of Holy Communion
The Lord’s Prayer
When circumstances permit, (for example, when there are not many rooms to visit), the
minister is encouraged to lead the sick in the Lord’s Prayer. The minister introduces
the Lord’s Prayer in these or similar words:
A. Now let us pray as Christ the Lord taught us:
B. And now let us pray with confidence as Christ our Lord
commanded:
All say together:
Our Father . .
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Rite 2: LITURGY OF
HOLY COMMUNION (Cont.)
(Revised 2012)
Communion
The minister shows the Eucharistic bread [or wine] to those present, saying:
Behold the Lamb of God,
behold him who takes away the sins of the world.
Blessed are those called to the supper of the Lamb.
The sick person and all who are to receive Communion say:
Lord, I am not worthy that you should enter under my roof,
but only say the word and my soul shall be healed.
The minister goes to the sick person and gives them Communion.
Others present who wish to receive Communion then do so in the usual way.
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Rite 2: CONCLUDING RITE
Concluding Prayer
The concluding prayer may be said either in the last room visited, in the church, or
chapel.
Four (4) options for the concluding prayer are found on pages 28-29 of Communion
to the Sick. Three of the prayers have all new wording.
The blessing is omitted.
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Prayer for Extraordinary Ministers
of Holy Communion
Jesus, bless these hands
you have chosen as your tools
Jesus, always keep us aware
and in awe of our sacred mission
Jesus, make us worthy
of this great ministry
we have humbly accepted
Jesus, send us out into the world
to distribute your love.
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