Singing the music that is in the Heart of God

© Imelda Maurer, cdp August 19, 2015
ilmcdp@yahoo.com

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 morning report

© Imelda Maurer, cdp August 3,2015
ilmcdp@yahoo.com

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.

Last evening I had a long visit with Karen Schoenemann.  Karen retired recently from the Center for Medicaid and Medicare Services where she directed that part of the agency that wrote nursing home regulations. Karen is also a founder of The Pioneer Network. She tells the story of that meeting, summarizing it by saying that when she joined this circle of Pioneers (truly pioneers for life-giving change for our elders) she was so delighted and uplifted: “I finally found my tribe!” I identify with that too each year as the changing-yet-stable group gathers once again in pursuit of such noble goals.

 Yesterday’s workshop with LaVrene Norton and Megan Hannan was very rich.  Just one thought this morning.  It comes from the book, “Breakpoint and Beyond: Mastering the Future Today by George Land and Beth Jarman which LaVrene pointed to several times.  “The springs don’t push the river. Gravity pulls the river to its future.”

The implication of this the authors tell us is that “when enough people in an organization are prompted by a powerful purpose to commit to a shared vision, they are drawn to it like water to gravity.”

Busy Doing Nothing?

© Imelda Maurer, cdp  August 1, 2015
ilmcdp@yahoo.com

"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.

“Despite positive outcomes of meaningful engagement, studies suggest elder residents are inactive most of the time, are engaged in passive activities, and do not experience significant verbal interaction with caregivers. This session offers real-time strategies to increase engagement for residents living in post-acute settings, and to focus on continued quality improvement plans.”

The above is a description of one of the sessions at the current Pioneer Network Conference. The title is an apt description of how too many elders spend their days in “Activities.” As Carter Williams, renowned geriatric social worker has told us, “Life is not ‘activities’. Life is about engagement.  And it is about relationships  These are the standards against which to measure what’s going on in terms of  how our elders spend their days. Applying these standards calls for us to really know each person we serve. To really know his/her interests, life-long habits and preferences, the passions throughout his/her life history, about the presence of significant relationships that make life richer -----.  Those suggestions are just for starters.  Applying them, I believe, would mean we would see fewer groups engaged in passive events or in ‘activities’ that hold no meaning or purpose for the individual.  It is a challenge!  It’s a worthy challenge!