"for the Word of God is living and active and sharper than any two-edged sword, and piercing as far as the division of soul and spirit, of both joints and marrow, and able to judge the thoughts and intentions of the heart."
-hebrews 4:12
in a worldly sense, today was a great day at work. yes, i was out of the nurse:patient ratio with 5 patients, but they were probably the 5 easiest and most coveted patients on the unit. healthy, easygoing, not demanding, friendly... but in a spiritual sense, today was a sobering day. i had one particular patient, a 59-year-old male, in a comatose state. already changed from "full code" to "DNR", on a morphine drip, comfort measures only... he was the easiest patient of them all. no medications, no vitals, no care required whatsoever except to monitor his status and wait for him to die. as i contemplated this man's impending death, i kept reminding myself to care more for his spiritual state rather than his physical state. as a practicing nurse of almost 3 years, i've grown accustomed to focusing on the nursing tasks and caring for their physical health much more than viewing my patients as souls dying in their sins.
as i worked with the palliative care doctor regarding this patient's case, i had to do things that really pushed me to the edge in my ethical beliefs and boundaries including giving extra doses of morphine, ativan, and ultimately removing the oxygen altogether to his tracheostomy. it made me think about life and the care that i'm required to give as a nurse and what "care" and "love" really actually mean in a situation like this when family wishes may not always coincide with my beliefs, opinions, thoughts. in any case, i had a good discussion with the doctor and together we decided on the best course of action and we withdrew him from oxygen as well as upped his morphine drip. after the doctor left, i kept wondering to myself, "i wonder what this patient believes? i wonder where he will go?" as i pondered his spiritual state, one thing, one verse, kept repeating in my head over and over again... hebrews 4:12. dr. baker always says that the heart has thoughts and intentions. this man's heart (not body) has thoughts and intentions. therefore, share the gospel.
my notes from dr. baker's lecture (from bcdasocal session 8)...
- remember the inherent power of the Word of God (hebrews 4:12) even with mental handicaps or those in a coma
- the Word of God can penetrate to the deepest part of the soul/spirit
- the living Word of God can still penetrate to the heart
- salvation is a gift of God. He does the work
- Holy Spirit causes regeneration and can do this even for mentally ill/coma patients
the heart has thoughts and intentions as it says in hebrews 4:12. the thought kept racing through my mind and i knew i couldn't end the shift (or have the patient pass away, whichever came first), without audibly sharing the gospel with him. so, in the quietness of the room, at 6:00pm (one hour before shift-change), i whispered the gospel to this 59-year-old comatose man, hoping that nobody would come into the room and think i'm crazy. as i shared the wonderful news of the gospel, it felt so refreshing to be able to speak of the awesome things of God in a secular setting. the accumulated memory verses throughout the past few years including some of my all-time favorites just flowed out of my mouth as if it came straight out of the deepest recesses of my heart (matt 12:34). it's true that sharing the gospel is not only for the hearer, but also for the speaker, and ultimately for the glory of God.
i prayed for the man. though his physical body is actively dying (i don't even know if he's still alive as i write this), i prayed that the thoughts and intentions of the inner man would respond rightly to the truth of the gospel. i thought about the thief on the cross, ready and waiting to die, but repenting and turning his life over to Christ just in the nick of time. on this side of eternity, it's never too late to believe, be saved, and spend eternity in the safety, comfort, and loving arms of the Father.















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