A Deacon Still at Work

“This is the day the Lord has made, let us rejoice and be glad in it!” you might overhear Bob McConahy say at Heritage Village, his assisted care living facility in Gainesville, Virginia. Bob has served as an OPC deacon, pianist, organist, and choir director, and he continues to look for ways to serve the Lord in retirement. The staff enters his room to see him poring over his study Bible, or praying and talking about the things of God. Recently, Bob invited our church, Acacia Reformed in Manassas, Virginia, to lead a devotional service on Sunday afternoon both to worship with and witness to the residents at Heritage Village. “Honor such men,” Paul says of Epaphroditus (Phil. 2:29) because of his faithful service to God and the church. 

—John Paul Holloway, pastor of Acacia Reformed in Manassas, VA


Lessons Learned from Nursing Home Ministry

by Daniel Bausch and Gerald Sisto

For more than twelve years, Calvary OPC in Ringoes, New Jersey, has had a monthly ministry at a local long-term care facility, otherwise known as a nursing home. This ministry is small, it is ordinary, and it has produced limited visible fruit. Yet, the Lord has used it to encourage and bless individuals outside the church doors in meaningful ways. Our hope in this article is to share how the Lord may use a nursing home ministry in proclaiming the gospel of Christ and to offer some practical suggestions for congregations who are either considering or engaging in a ministry like this.

Need and Opportunity

According to the CDC, there are more than fifteen thousand nursing homes and twenty-eight thousand residential care communities in the United States. These facilities vary widely in size, cost, quality, and safety. When you read “nursing home,” a few connotations likely come to your mind. You might think of people with chronic medical needs requiring continuous care to function, you might imagine seniors watching television all day, or you might recall painful memories of seeing your own loved one suffer. Few of us primarily think of nursing homes as places in our community where our neighbors live, where Christ’s children continue to serve in his kingdom, and where gospel opportunity is abounding.

Why focus on a ministry like this when there are so many other worthy ministries a church can pursue? Here are three reasons to consider.

First, because God cares for the elderly and those who experience affliction. “Even to your old age I am he, and to gray hairs I will carry you” (Isaiah 46:4). God does not neglect, discard, or disuse the elderly or persons with disabilities. He promises that his children “still bear fruit in old age; they are ever full of sap and green” (Psalm 92:14). Second, as part of the Great Commission, Christ calls us to share the good news with all in our society—the rich, the poor, the young, the old, the free, and the institutionalized. Finally, many nursing home facilities are regularly seeking volunteers to provide “activities” for residents, opening the door for faithful Christian ministry where none may exist.

Ministry Approach

At Calvary, our nursing home ministry began with simple outreach to a local facility to see if there was a need for a church ministry. That contact led to a monthly visit, which occurs between our fellowship meal and our evening service.

Our typical visit is usually attended by five church members and lasts for one hour. We begin by singing a few popular hymns from the Trinity Psalter Hymnal, with the hymns available in large, easy-to-read print. Our team includes those who play the piano or flute to accompany the singing.

After singing, we present a simple, ten-minute message from Scripture. The message always includes our state of misery due to sin, our deliverance through Christ’s death and resurrection, the invitation to belief by faith, and encouragement to live in Christ. After the message, we close with prayer, final hymns, and time spent engaging one-on-one with each participant. These conversations are an opportunity to build relationships and learn about needs. The Lord has used this time to bring about wonderful gospel conversations, tearful prayers, and precious moments of comforting those undergoing loss and affliction.

Lessons Learned

Our nursing home ministry has had both highs and lows over the years. Here are some lessons we have learned.

1. Focus on the gospel essentials. The time you have with residents and nursing home staff is limited and precious. Present Christ and his gospel (not you and your nice church) through Scripture, teaching, song, and conversation.

2. Keep your teaching short and clear. To best serve your audience, limit your messages to a few minutes in length. This is not the time to practice full sermons or to have a detailed Bible study. Remember to speak loudly, use familiar passages, and avoid jargon.

3. Engage and respect all residents and staff. Each resident should be treated with dignity. Make sure to speak individually to each person in attendance (even if they can’t speak to you), listen when they express a desire to leave or need assistance, and adhere to the facility’s rules and regulations.

4. Be open to adjustments. Changes in plans, new facility requirements, and frequent disruptions are very common. Remember to be patient and to accept changes based on resident or facility needs.

5. Stay accountable. As with any ministry of the church, it is critical to have the oversight and wisdom of the session. One or more ordained leaders should be actively involved in the ministry.

6. Trust in the Lord. It is easy to grow discouraged with nursing home ministry. Remember that the Lord uses weak means to bring about his purpose, and his word does not return void (Isa. 55:11).

7. Share updates with your congregations. It can often feel like there is little news to share with your brothers and sisters. However, failing to share updates deprives your congregation of the privilege of participating through prayer and encouragement. This is the entire congregation’s ministry; share regularly and invite others to come and participate.

8. Be in prayer. Remember to pray for any Christians who attend your ministry, asking the Lord to encourage them and to use them. Pray for those who are not followers of Christ, that the Lord would change hearts so that many might turn and be saved. Pray also for the staff of the facility, that they would know Christ and care for the residents well.

It is glorious to see the Lord work through a simple nursing home ministry. We hope you might consider the value and opportunity such a ministry can be for you and your congregation.

Daniel Bausch is a deacon, and Gerald Sisto an elder, at Calvary OPC in Ringoes, New Jersey.
This article originally appeared in the December issue of New Horizons.


Godliness, Good Sense, and the Heart of a Servant: Diaconal Summit IV

If you want to learn something about how deacons should serve, a longtime Long Island pastor suggests dining at his favorite Italian restaurant. “When the waiters are talking to you, it is as if there is nobody else in the world,” Bill Shishko explained. “And in most cases, they get to know your name.”

Not only do they bring the food, they bring anything else you might need. “And they check back to be sure everything is OK.”

Sort of like a deacon.

Shishko, who pastored The OPC of Franklin Square for more than thirty-four years and now pastors a daughter church called The Haven, keynoted June’s National Diaconal Summit in Wheaton, Illinois, near Chicago. The three-day summit, this year with five main sessions and nine workshops, takes place every five years. It aims to help deacons discover their niche in a type of ministry that can be hard to define and also to help deacons learn ways others are ministering to the needs of people in tough situations.

Shishko explained in his talk that the diaconate began in Acts 6, when the needs of the church grew beyond the ability of one group of officers. Stephen, a man full of the Holy Spirit, was given the task of serving food to widows—a task some probably considered too menial for such a man. “A deacon is an official representative of Christ, the great servant,” Shishko said. When considering who ought to be a deacon, Shishko looks for godliness, good sense, and the heart of a servant.

A Call to Kindness

A call to kindness, and to its proper use as people guided by the Spirit, permeated the words of both speakers and deacon attendees.

OP pastor Eric Watkins, speaking on “Mercy in a Social Justice World,” pointed to the Old Testament to explore the mercy that flows from God’s heart. The Psalms speak of God’s loving protection and his strict admonitions against thievery, greed, and taking advantage of the poor. God says he himself will execute justice for the oppressed, provide food for the hungry, and drive out evildoers who neglect and devour the weak.

“People in and out of the church are looking outside the church for different paradigms of kindness, mercy, and social justice,” Watkins said. “Our young people are sometimes tempted to drink the Kool-Aid of secular theories and paradigms when they do not feel that their churches are being faithful in these areas, and this can lead to what is known as covenantal drift.”

Watkins explained that what is needed to minister in these important areas is found within the pages of Scripture: “Everything that we need to know about what race is, what justice is, what mercy is, what compassion is, what equity is, what not showing partiality is—all those things are already in the Bible. What we need to do is get out our Bibles and ask the same questions that people are asking but give gospel-driven, Bible-centered answers.”

Within Scripture, he developed, we find that mercy flows from the heart of God. “The Old Testament priests, who were to administer the mercy of God, had the job of caring for orphans, widows, and other disadvantaged people.” Similarly, mercy should flow from the local church. “The church should be the safest place in the world,” Watkins explained. “The church is our house! The church is the hospital, and it has the best Physician.”

Living Out Good Sense

Nathan Kent, a deacon from Trinity OPC in Newberg, Oregon, when reflecting on the conference, said he now understands that caring for people’s physical needs can help people deal with spiritual needs at the same time. That, he said, was nice to hear.

He hopes his church will work on policies and procedures for handling ministry to people who come in off the streets. Deacons at one workshop had a chance to grapple with touchy questions: When someone asks for money, how much do you give? When they ask for more, what happens then? Do you give cash? A check? A gift card? How do you know if you’re being taken? At the end of the day, the word was, “let kindness rule.”

Speaker Seth Long lives in a town where the main reason people visit is to be kind to others—on mission trips or relief efforts. Many people in Neon, Kentucky, lack jobs, and there are few available. People who once owned land still own it, but mining companies took everything but the gravel and turned it into “a mountain wasteland,” Long said. “Then came a brain drain, and many people who stayed behind flocked to offices where they could get government checks. Many see these as the best source of long-term income,” Long said.

Believing in their worth, however, Long tells people in the area that failing to work is a sin because it makes them unable to care for their families or to help others financially. Long is executive director of HOMES, a non-profit Christian organization that builds and rehabilitates houses all over eastern Kentucky, where he practices what he “preaches.” Two members of Neon Reformed OPC, where Long is a member, have successfully participated in an addiction recovery program and have been employed at HOMES for over a year. One has worked his way into a valued position.

Mercy to Strangers

On the other side of the world from Kentucky lived Pastor Al Tricarico, who worked with people he used to call strangers. He and his family served as missionaries in the Karamoja region of Uganda for eleven years. From American eyes, these people wore strange clothes, ate strange food, and had a culture much different than Tricarico’s. What did he learn? That “the stranger is not a nuisance but an opportunity for service,” he told his listeners. The steps of service include meeting others, learning about them, understanding “all people have something to contribute to your life,” and engaging with them, Tricarico said.

“Don’t think maybe you shouldn’t help,” he advised. “We can’t help eight million people, but we can help people on our street.” And we can start by learning their names.

“Do you believe that the Father has been merciful to you? Show that mercy,”  Tricarico said.

The busyness of showing mercy brings us to Christ, said speaker Ron Pearce. “Being busy for the Lord is not the same thing as loving the Lord. And when we get overwhelmed with the needs and the demands, the Lord isn’t calling us to work harder in our own strength, but to draw upon him. The branch must abide in the vine (John 15).”

Part of One Body

In his talk “The Deacon and His Congregation,” Craig Troxel also pointed to John 15:5 as “a simple metaphor describing the union that we have with Christ.” That verse reads, “I am the vine; you are the branches. Whoever abides in me and I in him, he it is that bears much fruit, for apart from me you can do nothing.” The relationship between saints inside the local body, Troxel explained, is the “outworking of that deeper union and communion in which we partake of the powers of the world above, through our communion with Christ, by faith and by the power of the Spirit.” Drawing from Dietrich Bonhoeffer’s Life Together, Troxel said that we belong to one another only through and in Jesus Christ.

Not only do deacons belong to the local body, but they also belong to the denominational body. “The OPC is a wonderful place to be,” said John West, deacon at Mid Cities Presbyterian in Bedford, Texas.

The OPC has over nine hundred deacons. The average number of registrants for the summits is 215, and this year’s total was 234. Some ministers and elders attended as well, either as speakers or to support their deacons.

“This was the best [summit] of the four,” said David Nakhla, administrator of the Committee on Diaconal Ministries. “In previous summits, we asked big-name [speakers] to talk about their recent books. . . . They were non-OPC speakers, and their topics didn’t entirely connect with the context of our typically smaller suburban churches,” he explained. But this time, all the speakers were from the OPC.

For many at the summit, singing the old hymns of the faith must have felt like a cool drink of water on a hot summer day. After pianist Kirstin Erickson, a Wheaton College student, played the pitches, the men instantly picked up the three-part harmony, and the music they made was strong and sounded as if they all had rehearsed together. After the messages were completed and suitcases nearly packed, deacons talked about the future.

Geno Altiery, a deacon at Bayview OPC in Chula Vista, California, appreciated the workshop on ministering to and working with people who have disabilities. “We want to let the world around us know that there are no limitations in coming to Christ,” he said. Altiery works with an autistic man and provides him rides to men’s events and encouragement with his job. “The power of Christian community is that we’re brought into Christ,” he added. We have “the power to do whatever the Lord wills.”

Speaker Ron Pearce stressed the centrality of Christ: “we need to remember above all things that we do our ministry out of love for Christ, not just to be busy. Don’t allow the many needs of others, the many activities, the many duties to displace the Lord himself at the very center of our conscious hearts.”

Phillip Gettman, a deacon at Trinity OPC in Medford, Oregon, said he left the conference with the conviction of a servant’s heart. “As deacons, we’re not just helpers to the elders; we are peacemakers,” he said. “In times of trial and loss, we make peace.”

The author is a member of Christ Covenant OPC in Midland, Michigan. 

This article originally appeared in the August edition of New Horizons. New Horizons, August 2022.