Monday, October 26, 2015
When I Grow Up I Want to Be an Old Woman -- revisited
I’m sitting here this evening in front of the TV answering some e-mail. I just saw the Kaiser Permanente Health Management ad – once again. It's a delightful one-minute commercial. Click on the link above to see this now before you even think about reading the rest of this post.
The words are sung: “When I grow up I want to be an old woman , an old, old woman.” I like that image in itself. I mean, after all, when do we ever hear anyone saying or even intimating that they want to ‘be an old woman.”
The accompanying visuals show old women – heavier than they were thirty years earlier -- but vital, happy, purposeful – looking in the mirror, keeping time to some music, laughing with friends, playing tennis, enjoying life –
It’s such a refreshing image. “I want to be an old woman.” The alternative is an early death. How often I think of my sister, three years my elder, who died at age 49, that she did not get to grow old along with me so that we could each grow, together, to be “an old woman, an old, old woman”
Kaiser has another ad in which the audio is short and simple: Kaiser: Thrive!
“Thrive” is a medical, nursing term. An inexplicable nursing condition is “failure to thrive” which can lead to death. But we all know that term, thrive, as holding so much more. What images does it bring to your mind’s eye? One thrives in a nurturing environment, in an environment which honors our uniqueness, our abilities, our life story. Above all, one thrives in the circle of loving relationships.
Kaiser has done a great favor in showing these ads because they shed a little light on the adventure and the sacredness of the latter years of one’s life.
Wednesday, October 14, 2015
A Lovely Piece of Mail!
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Thursday, September 24, 2015
Falls among Older Adults
Tuesday, September 22, 2015
A Revolution of Mercy
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Tuesday, September 8, 2015
Some Smart Persons Who Agree with Me!
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Wednesday, August 19, 2015
Singing the music that is in the Heart of God
© Imelda Maurer, cdp August 19, 2015
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The Pioneer Network, on its Facebook Page, posted an article
this morning from McKnight’s online publication. The article is entitled
“Spirituality in long-term care” by Eleanor Feldman Barbera, Ph.D. Pioneer
Network asked if there were any comments. Oh, yes, I have a comment!
Dr. El, as this PhD. psychologist refers to herself, gleaned
from Kushner’s book, “When Bad Things Happen to Good People” the message that
the question of the negative events of our life should be not “Why me?” but
“Why not me?” Dr. El uses this insight to “help people come to terms with
their experiences.” “Come to terms” ----hmmm --- Does that mean I should accept
my situation without any positive expectations? I’ve seen this attitude of
‘coming to terms’ addressed by priests and other ministers who advise elders in
nursing homes to practice patience when they have to wait endlessly for their
call bell to be answered, for example, or when the food arrives cold and unpalatable.
"Come to terms" in this context, then, is the
"offer it up" message those of us in the Catholic tradition used to
hear so often years ago: Just “offer it up.”
Another “spiritual aspect of long-term care” according to Dr. El
is “the need to cope with the rules and regulations of an institutional
environment.” The task, she says, is to “stay serene in the face of these
challenges.” Another example of ‘just offer it up.’ The prior
question, however, must be asked: WHY are elders forced to live in an
institutional environment rather than HOME in the nursing home?
Many years ago, I gained an insight about this “offer it up”
message. I heard a zealous Jesuit priest in New Orleans say that as religious
with a vow of Poverty, we should live like poor people. That included, he
said, using the services of Charity Hospital when medical services are
required, just like poor people, who are forced to do by necessity. I took the
words seriously and when a minor incident prompted my need for emergency care
not long thereafter, I went to Charity Hospital Emergency Room in Lafayette.
It was late afternoon on a Saturday. The only details I remember
are seeing the large number of people coming in with all sorts of emergencies.
I remember waiting for hours in the large waiting room with so many obviously
poor and overwrought families. I left Charity Hospital with a new
insight: my role is not to endure Charity Hospital services, but to work
to change the system so that no one has to endure those
conditions. I must work for the presence of conditions that honor my and every
other person’s dignity and rights. After all, this is what God wants for each
of us. This is what we work for, the presence and lived experience of all
that God wants for each of us – the Kingdom of God with us.
Sister Carol Zinn, in her Presidential Address to the Leadership
Conference of Women Religious in 2014, spoke of precisely these kinds of issues
and conditions using a stirring metaphor: God's wish for all that is good for
us as the music that is in God’s Heart. Carol noted many ‘lamentations’ in
today’s world: war, poverty, hunger, persecution. And she repeatedly asked at
naming one lamentation after another: “Are we standing in the lamentations
singing the music that is in the Heart of God?”
The lamentations of our elders who live institutionalized in
institutions are so obvious: task and schedule taking priority over
person-centered living; resultant boredom, depression, withdrawal, loss of
self. Many of these losses are due to the effects of ageism throughout our
society. Ageism which is so deep and so pervasive that we – even many of us
dedicated to aging services – succumb to its lethal consequences to our elders
and our staff. We wear blinders so close to our eyes that we fail to
imagine there may be another way to serve our elders.
Our task is not to tell our staff and elders, in effect, “offer
it up.” We are impelled to change the system, to bring forth the Kingdom
of God among us. More beautifully stated by Sister Carol Zinn, we are
called to stand in these lamentations and sing the music that is in God’s
Heart.
Let us sing! With loud, determined and persistent voice, with
courageous and compassionate hearts!
Monday, August 3, 2015
Monday morning report
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It’s like homecoming week here at the Pioneer Network Conference. You know the experience of seeing old friends once again. And the friends I connect with here at this conference are a source of a special delight because they all have in common their efforts in and their commitment to the journey to Culture Change.
Saturday, August 1, 2015
Busy Doing Nothing?
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"Are your residents busy doing nothing? Are they actively engaged? Evidence shows elders prefer continued engagement in meaningful and purposeful activities/occupations. Those who are occupationally active show positive therapeutic benefits; need less help with self-care; report positive mood; and describe greater quality of life.
Friday, July 31, 2015
Remember the Sears Christmas Catalog?
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One of the anticipated excitements of my early childhood was the Sears Christmas Catalog that the mail carrier delivered faithfully. Oh, the excitement of looking through all the pages of toys -- again and again! Years later when I rediscovered the joys of gardening, I had that same experience when the Burpee Catalog arrived, as it always did, in the dead of winter. Oh, the snow peas! The summer squash! The broccoli for the fall garden! Now, in my very mature years, that same sense of excitement is anticipated and experienced when the educational sessions of the Pioneer Network Conference are posted on their website! Oh, the agony of having to select one over the other at times!
Tuesday, July 28, 2015
Changes are Afoot!
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Years ago in undergraduate philosophy courses, at least as I remember, we studied how classical thinkers envisioned change. Heraclitus taught that things are constantly changing. “All matter is in flux.” This ongoing change takes place while the underlying essence is maintained. Heraclitus taught, in fact, that change was necessary for an object in order for that object to maintain its essence. An example: I am the same person – in essence – throughout life. But where is my five-year-old body?
Monday, June 29, 2015
Traveling to Omaha Tuesday morning
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The Sisters of Mercy have a very intentional and active network around issues of aging and aging services for their own Sisters. The individual in Omaha who is the staff person responsible for the overall program for the retired Sisters for the Mercy Sisters' West Midwest Province is Kris Sullivan, MHA, BSN.
Friday, June 5, 2015
When you see the picture of this elder, are your first thoughts "loss and diminishment?
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This is Sister Adrienne Marie, a Sister in my Congregation of Sisters of Divine Providence. On Sunday she will note 75 years as a Sister of Divine Providence. This is a beautiful picture of a beautiful person -- beautiful inside and out. This 90-something-year-old woman reflects life, vitality, warmth, and a deep relational capacity in this picture. Thank you, Sister, for providing such a positive, affirming view of what aging really can be. On to Sunday's celebration in our beautiful Conventual Chapel!
Wednesday, June 3, 2015
“We are in the midst of re-aligning our practices with our mission... ”
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“We are in the midst of re-aligning our practices with our mission... ” Thus read the first line of a letter to LeadingAge HR Listserv earlier this week. It struck me as quite a significant statement. The writer was seeking information from her peers about a particular program in her community that clearly is valued precisely because it is aligned with her community’s mission.
Tuesday, June 2, 2015
“Best Practice”
© Imelda Maurer, cdp June 2, 2015
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Businessdictionary.com defines best practice as follows: "A method or technique that has consistently shown results superior to those achieved with other means and that is used as a benchmark. Wikipedia’s definition adds this: “In addition, a ‘best’ practice can evolve to become better as improvements are discovered”
Monday, May 11, 2015
The Culture of a Community
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Sunday, May 10, 2015
Simply Caring
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Saturday, May 9, 2015
A New Look at Thickened Liquids
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Dr. Alex Smith is featured in a fascinating six-minute video entitled, "The Thickened Liquid Challenge." Similar to the popular ice bucket challenge to raise awareness about Lou Gehrig's Disease, Dr. Smith, San Francisco Veterans Administration Medical Center, challenges health care providers to take 'the thickened liquid challenge,' experiencing what it is like to drink your ice tea, coffee, coke, orange juice, or water with thickener added. The video pictures several individuals as well as groups of healthcare professionals taking the one-time challenge. Among the responses was a comment that 'it tastes like paste.'
Dr. Smith said very few of the health care professionals who were challenged to drink only thickened liquids for twelve hours succeeded in doing so. Smith weighed this reality against the fact that some persons, especially those living with dementia, are often prescribed 'thickened liquids only' for years!
Evidence from video swallow studies shows that thickened liquids prevent fluid from being aspirated into the lungs, rather than going into the stomach. Beyond that there is "no evidence in real life that putting someone on thickened liquids is more beneficial than harmful." There are some harms associated with thickened liquids, one of which is dehydration!
The final decision, Smith says, should be a very individualized one.
I highly recommend viewing this informative, well-done video here.
http://makingsenseofalzheimers.org/stories/thickended-liquid-challenge/