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For Whānau Manaaki Family Caregivers
- Kete Aronui Maori Palliative Care A site for whānau manaaki, family caregivers
- Te Ipu Aronui Road Map
- Kete Tuauri
- Spirituality and wairua
- Karakia definition
- Diverse spiritual faiths and practices
- Spiritual safety and protection
- Spiritual care within hospitals, hospices and aged residential care services
- The power of karakia
- Spiritual support at time of death
- What if you do not know your spiritual care customs?
- Kete Aronui - rongoā
- Rongoā healing
- Forms of rongoā
- Use of rongoā rākau (natural plant medicines) is increasing
- Are you thinking about using rongoā?
- Include your rongoā healer in your health care team
- Self-care
- Te Ipu Aronui’s Kete Tuauri
- Staying with the tūpāpaku
- Karakia before and after death
- Preparing the tūpāpaku (body)
- Caring for the tūpāpaku (body) after death
- Planning and preparation for care following death
- Whakanoa (spiritual clearing of environment process)
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For Health Professionals
- Whanaungatanga - Establishing a relationship
- Connections take time
- First contact - building a rapport
- Rich histories and lifestyles
- Building trusting relationships
- Whānau systems of care Care roles within whānau
- Geographical location and end of life care
- Challenges whānau face
- Cultural safety - more effective than cultural competency
- Cultural safety - a definition
- Māori health and palliative care workforce
- Strengthening Māori cultural safety
- Caring for Māori health professionals
- Tikanga
- Ngākau pono Working with a sincere heart
- Caring with aroha
- Self-care
- Te Reo Māori The Māori language
- New Zealand history
- Kaumātua tino rangatiratanga Independence, authority
- Places kaumātua are cared for
- Dying in a healthcare setting
- Living in a ‘home’
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Pae Herenga Research Background
- Healthcare providers
- Palliative care resources
- Support services
- Grief and loss support
- Research
- Tangihanga and funerals
- Links and Information for Health Professionals
- Te Reo Māori Resources
- Cultural Safety
- New Zealand History
- Pūrākau
- Advanced Care Planning (ACP)
- Medicines Directory
- Publications
- Māori Data Sovereignty
- Covid 19 Study
Spiritual care
Spiritual care within hospitals, hospices and aged residential care services
Hospitals, hospices and Aged Residential Care facilities will generally employ pastoral care staff (Māori from different faith backgrounds, Māori and non-Māori Chaplains, kaumātua, and spiritual workers) to support kaumātua and whānau manaaki. However, be aware that some organisations only employ spiritual health care professionals on a part-time basis.
Hospital
A hospital is an institution that provides medical and social care to people. There are many health professionals and social care professionals who work in hospitals including physicians, surgeons, nurses, allied health practitioners and volunteers. Whānau will most likely be familiar with using general hospitals that are funded by the public. District hospitals may not have large Emergency Departments to treat accidents and acute illnesses; they may not have wards to care for people with specific health problems such as geriatric care (care of older people), or support people with cancer treatments for example.
Hospices
Hospices provide holistic care to enable people to live at home for longer and with the best quality of life possible; they often provide short term care in an inpatient unit and this can help with pain and symptom management as well as providing respite to kaumātua and their whānau manaaki (although not all hospices offer inpatient units). Good spiritual care means caring holistically for the mind, body and spirit of the ill or dying kaumātua. It also means caring for their whānau manaaki.
Aged Residential Care
Residential care includes the following types of long-term care provided in a rest home or hospital:
- rest home care
- continuing care (hospital)
- dementia care
- specialised hospital care (psychogeriatric care).
Short-term respite care and convalescent care may be provided in these facilities, but do not involve income and asset testing.
Long-term residential care does not include independent living in a retirement village.
Wai (water) is an important element often used in spiritual care practices, especially for iwi (tribes) who are familiar with using water in their spiritual healing. Matua Ned described how water is used to whakanoa (clear) a space after someone has died. Ned also spoke about how many older whānau members in his community are religious, but they also observe their Māori tikanga (customs):
[We] whakanoa (clear) things within the [hospital] room, within there, just have… [the] touch of water from the river, you know. That’s their [river peoples’] connection; want to keep their connections going. Because most of our elderly people are still very [much] in the time of hard Catholics, and you know the [people who live by the river] are real hard Catholic people, so they still keep to their Catholic faith… But they also keep to this, what they do know about, what the river can do and the water…