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Father Jim Cassidy's "Day Job"
...as a hospice care worker

Jim and good friend Charlie
Did you ever wonder what Jim Cassidy does when he isn’t flying off to Africa, celebrating the Family Mass, joining Team Oz for the AIDS ride, or harassing the staff and members of St. Joan’s? He recently agreed to fill in the blanks over a cup of coffee.

Jim was ordained to the priesthood in 1978, and has been in health care ministry most of the time since then. He was chaplain for Mercy Hospital, and for Metropolitan Medical Center. In those settings he was part of the teams in Mental Health, Chemical Dependency, and a Physical Rehabilitation Unit.

In 1985 Jim left hospital- based ministry and began his current work with Allina Hospice and Palliative Care Services. He is part of two different teams, one serving the Southeast Metro area, and one which centers on people in such facilities as Grace House and Nursing Homes. He is usually actively engaged with about sixty patients and their families or support systems. He travels a large geographic area, from Welch to Cambridge, Hastings to Buffalo, Northfield to St. Michael.

Jim contacts every family admitted to the hospice program on these teams. Of these, about 35 to 40% have a Faith community with which they identify. These folks rely to varying degrees on the pastoral team from their local congregation. Jim follows up with those congregations, to offer any assistance or information they might want. Another 35 to 40% don’t have an active connection with a church.

Each Hospice team includes a Case Manager, who is an R.N., and a Social Worker who helps families to deal with various bureaucracies and offers many supportive services. In addition, there is a Medical Director, who, with the team Pharmacist strives to find the right combination of medications to alleviate pain and deal with other needs as they arise. A Volunteer Coordinator arranges for the services desired by the family, ranging from respite care to someone who reads to the patient, or who runs errands the family cannot accomplish. Each team also includes a Spiritual Care Coordinator like Jim. There are also Home Health Aides to assist with physical care, and bereavement staff to walk through the grieving process with the patient and family. Families remain in the program for thirteen months after the death occurs, allowing them to mark each significant event in a year, now changed because of their loss.

Jim has been involved with Rev. Spiwo Xapile of South Africa in AIDS ministry
Jim’s association with St. Joan’s is helpful in many ways. Because of his recruitment efforts, a large number of our members volunteer in hospice. His ministry here - weddings and Baptisms, Family Mass and "the Big Room" liturgies, events such as Cabaret - all provide a connection to the entire spectrum of life. He cherishes that, and finds balance in it.

Asked what were the hardest and the best aspects of his hospice work, Jim thought about it for awhile. He then offered the observation that only 25% of the people with qualifying diagnoses are actually receiving hospice care. There are a variety of reasons for this, ranging from denial on the part of families or medical personnel, to the mistaken notion that hospice means "giving up" and speeds the dying process. The fact is that people in hospice tend to live longer and more peacefully, because their needs are being met. Last minute referrals are very hard , because there is insufficient time to establish relationships. The most rewarding aspects of this work are the ability to provide reconciliation with Church for many, and to provide alternative ways to spend the last days together. Individuals and families are empowered to make good use of this time, with sharing and forgiving.

Jean Jachman is a consummate volunteer. Jean pitches in at the parish office, waits tables at Cabaret, and contacts and schedules the readers for masses. All that and a career as a nurse that included time in a refugee camp on the Thailand-Cambodia border.
Jim sent along a summary of a recent Papal comment to physicians visiting the Vatican. He said that resorting to extreme measures to prolong life is disrespectful of the person, and that the spirit must be taken into account as well as the body. The illusion of medical omnipotence must not be allowed to diminish the truth of the mortality of human beings.

One last note- Hospice remains in need of volunteers to journey with individuals and families dealing with terminal illness. A twenty- hour training course is provided free of charge. FFI call 651-628-1898. St. Joan’s and Jim are truly blessed to share this symbiosis!

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