Christmas Tree Memorial for Deceased Hospice Patients (Video 2:57)

Hospice workers experience patients’ deaths on a regular basis. The frequency of these experiences can sometimes cause the individuality of each death to be overshadowed by the totality of them all. Al Poeppel, a hospice volunteer, has found a special way to honor each of his departed patients during the Christmas season.

The outdoor Christmas memorial tree created by Poeppel is his labor of love. The decorated tree celebrates his deceased patients, supports their families, and encourages introspection among the general public admiring the impressive tree as they drive by. Each tree ornament bears a deceased patient’s name that helps Poeppel reflect on the times he shared with that person. Poeppel thinks families appreciate knowing that their loved ones are remembered. He also hopes that the tree reminds others of the importance of making the most of life.

Happy holidays to all of you. I hope the new year brings you every flavor of joy. In this video, you can view Poeppel’s amazing Christmas tree and hear his heartwarming story.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.
Hospice and Nursing Homes Blog

Volunteer Caregiver – Patient Christmas Story

Have you ever celebrated Christmas in May? A hospice volunteer in Detroit nursing homes, I shared a wonderful Christmas in May experience with one of my patients. Sometimes patients needed me to help them solve problems. One day, Inez and I had an especially great visit. I had been thinking about how to find a key for a music box her niece had given her for Christmas. She loved that music box and liked to have it on display, so she would have a good excuse to talk about it. She had never heard it play because the key was missing when she received it. She said her niece had tried to find a key, but with no success.

The music box was a lovely piece of handiwork. A wooden base supported a clear glass container. Inside the container lay a beautiful butterfly resting on a small floral bouquet. Underneath the box was a hidden switch that made the seasonal display enchant with spurts of brightness. Inez, my ninety-two year old patient, said that she often sat and watched the softly glowing scene blink on and off. One night, she and I quietly watched it together. That's when I realized how much this silent little music maker meant to her. Unfortunately, neither of us knew what song it was supposed to play. We imagined the Christmas song we thought it should play and hoped one day we could solve the mystery.

Getting the music box to play became my project, but I knew I would need some help. The next day, I explained the problem to Burton, a teacher at my school. He decided to become a part of the solution by checking out some stores that might have the missing key. It sounded like the search for Cinderella's shoe. After looking for two weeks, Burton finally found a matching key at a large toy store. The sales lady was so touched by his story about Inez's "musicless" box that she gave him the key free of charge. We couldn't believe our good fortune, which became Inez's thrill maker.

In the second week of May with spring showing off nature's fashion makeover from winter, Inez heard her cherished music box play for the very first time. She picked it up gently and carefully placed it near her hearing aid. The song we had wondered about for months, the song that had driven us to discover its name finally played the sweetest version of "Joy to the World." Just hearing the music box fulfill its purpose felt like a miracle. Inez grinned widely, thanked me, and told me to thank the nice man who found the missing key that made her music box come alive.

The mystery had been solved, and Inez was ecstatic. I thought nothing else that day could outdo the pleasure of hearing the music box play, but I was wrong. After Inez set her mechanical miracle on the window sill, so we could admire it playing and revolving, something wonderful occurred that surprised us both: The brightly colored butterfly started moving, slowing creeping up to the opening red flower. Inez and I gave each other eerie "Twilight Zone" looks. Then we shared rainbow smiles about the joy in our own little world.

© Frances Shani Parker (excerpt from Becoming Dead Right: A Hospice Volunteer in Urban Nursing Home)

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.

Hospice and Nursing Homes Blog

Loneliness: How Older Adults Cope (Research, Meals on Wheels Volunteer Video 1:10)

Whether at home or in institutions, loneliness can be both difficult and dangerous for the overall health of older adults. Too many of them endure the negative impact of loneliness daily and have trouble coping. Because information on this topic is so limited, the Department of Sociology at VU University in Amsterdam did research on how older adults cope and help their lonely peers in coping. This research on older adult loneliness was done with 1,187 respondents aged 62-100 viewing four vignettes about lonely people and later being asked about coping skills that would help. Older adults emphasized two ways of coping:

1)   Active Coping (improving relationships)

2) Regulative Coping (lowering expectations about relationships)

Results:

Older adults suggested using both ways to cope with loneliness, but active coping was suggested less often to people who are older, in poor health, or lonely and by older adults who were employed in midlife and have high self-esteem. Regulative coping with lower relationship expectations was suggested more often to people who are older and by older adults with a low educational level and with low mastery. Unfortunately, active coping through improving relationships is less often seen as an option for and by the people who could benefit most from it.

These results further emphasize the need for improving relationships in the lives of lonely older adults. Year-round regular visiting from family, friends, volunteers, and others can do so much to improve their self-esteem and general quality of life. In this video titled Delivering So Much More Than Meals - A REAL Volunteer Story, Max, a volunteer driver for Meals on Wheels demonstrates the win-win rewards of visiting those who are lonely.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers in America and several other countries and in e-book form at Amazon and Barnes and Noble booksellers.

Hospice and Nursing Homes Blog

Intergenerational Holiday and Year-Round Healthcare Volunteer Service (Video 1:58)

Holidays are great times for intergenerational partnerships between young people and older adults. Both groups can benefit from positive activities that bring them together. Negative stereotypes about older adults can be present in children as young as three years old. While children also learn negative stereotypes from the media and from observing how others treat older adults, they can learn many positive lessons about them through their early personal interactions. Older adults often enjoy these connections that broaden their knowledge, help with caregiving, and lift their spirits.

When intergenerational partnerships take place in the healthcare arena, there are added bonuses. Children become more familiar with specifics of aging, issues of illness, caregiving challenges and rewards, and career choices they may not have considered. Most young people have no idea what hospice organizations do or what role they can play in improving the quality of life for terminally ill patients.

Some healthcare facilities have teenage volunteers who can do the following assignments:

1. Perform in-office work including filing, faxing, and preparing admission packets.

2. Host tea parties, movies, and other social events at nursing homes.

3. Provide one-on-one time and attention by reading to, writing letters for, playing games with, or simply talking and listening to patients.

4. Videotape, record, or make booklets of patients’ life reviews.

5. Assist families with yard work, cleaning out the garage, planting flowers, small paint jobs, and home-building projects (i.e. wheelchair ramp).

6. Assist patients and families by doing errands, walking dogs, picking up groceries, etc.

In this video, student volunteers at Liberty Hospice in Whiteville, NC decorate dozens of Christmas ornaments for hospice patients.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers in America and other countries and in e-book form at Amazon and Barnes and Noble booksellers.
Hospice and Nursing Homes Blog

End-of-Life Conversations Honor Future Wishes

The holidays provide wonderful opportunities for families and close friends to get together, reminisce, and have a joyful time. But what about happiness in the future? Eight out of ten people say it is “very” or “somewhat” important to write down end-of-life wishes, but only 36% actually have written instructions. Why not take advantage of holiday time together to engage in important end-of life conversations that can be crucial later in honoring wishes of those you love and yourself.

Engage With Grace  is a a movement aimed at promoting these kinds of conversations using the five questions below. They’re not easy questions, but they are important and shouldn’t be ignored. Sometimes we think we know what loved ones want, and we really don’t. Later in life, when several people are involved in making inevitable decisions about life threatening health matters, guessing, confusion, and hurt feelings can easily hinder progress. The key to preventing this negativity is having end-of-life conversations when they can be positive with personal input regarding what loved ones really want. Fortunately, many people actually enjoy discussing their answers with loved ones.

Are you aware that some chronically ill and dying Americans are receiving more care than they and their families actually want or benefit from? Add a new gift to your holidays by including thoughtful conversations that can improve quality of life. No one knows what the circumstances could be at future family gatherings during a healthcare crisis. You and your loved ones can benefit greatly from answering these questions and implementing the suggestions given by being proactive  when the time comes:

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers in America and other countries and in e-book form at Amazon and Barnes and Noble booksellers.

Hospice and Nursing Homes Blog

Near-Death Experience (NDE): Afterlife or Hallucination? (Research, Eben Alexander Video 2:41)

Near-death experiences have been a source of ongoing controversy for centuries. Depending on whom you ask, you’ll get totally different interpretations regarding these profound phenomena of personal experiences related to impending death. Descriptions from those who are usually clinically dead often include bright light, sensations of detachment from the body, travel through space, and intense emotions. Many in the scientific community refer to these experiences as hallucinations, while paranormal experts and others support them as evidence of an afterlife.

The Medical Research Council and Brain Sciences Unit states, “These experiences classically involve the feeling that one's soul has left the body, approaches a bright light and goes to another reality, where love and bliss are all encompassing. Contrary to popular belief, research suggests that there is nothing paranormal about these experiences. Instead, near-death experiences are the manifestation of normal brain function gone awry, during a traumatic, and sometimes harmless, event.”

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers and in e-book at Amazon and Barnes and Noble booksellers.

Hospice and Nursing Homes Blog

Caregiver and Alzheimer’s Disease Holiday Support (Video 1:57)

November brings thoughts of holiday celebrations with family and friends. For caregivers of loved ones with Alzheimer’s disease, festive thoughts of socializing can seem overwhelming. They may dread the upcoming gatherings expected during this busy time of year. These are some questions caregivers of  loved ones with Alzheimer’s disease may be considering:

1)   What’s the best time of day to celebrate?

2)   Will family and friends be understanding of caregiver needs and needs of loved ones with Alzheimer’s?

3)   What strategies can be used to relieve stress?

4)   How can loved ones with Alzheimer’s be involved as active participants?

5)   What would be good gifts for caregivers and loved ones with Alzheimer’s to receive?

This Alzheimer’s Association video is titled Caregiving Through the Holidays. Narrated by Eve Moses, an educator with the Alzheimer’s Association, it offers practical suggestions that can assist in making happy holiday memories.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers in America and other countries and in e-book form at Amazon and Barnes and Noble booksellers.

Hospice and Nursing Homes Blog

First Lesbian, Gay, Bisexual and Transgender (LGBT) SAGE Center for Older Adults, Seniors (Video 1:34)

America’s first full-service center for lesbian, gay, bisexual and transgender (LGBT) older adults is located in New York City. The Services and Advocacy of GLBT Elders (SAGE) Center opened earlier this year and serves the city's five boroughs. Members receive help with everything from health and wellness to meals and technology. For many of them, the center represents a place for “family” relationships missing due to lack of biological family support because of their sexual orientation.

LGBT older adults and other sexual minorities have increasingly been discriminated against and abused by members of society, including healthcare providers and others who resent them because of their sexual orientation. Damage to their emotional and physical health has been so devastating that some members of this population have resorted to suicide. Singlehood and lack of children by most people in this community add further to their sense of isolation.

There are SAGE Center opponents who say having a separate center for LGBT populations and promoting their philosophy is wrong and against the principles of equality, especially if any taxpayer funds are used to support it. On the other hand, New York Mayor Michael Bloomberg says it's time to change the "one-size-fits-all" approach that has traditionally shaped senior centers. SAGE is one of several organizations awarded an Innovative Senior Center contract by the mayor’s office and the New York City Department for the Aging. Do you think the LGBT community should have separate centers?

View more information about the SAGE Center on this video titled NYC Opens Full-Service LGBT Senior Center:

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers and in e-book form at Amazon and Barnes and Noble booksellers.

Hospice and Nursing Homes Blog

Hospice Volunteer Training Video: Caregiving, Dementia, Death, More (Video 30:16)

Frances Shani Parker, an eldercare consultant, writer and former school principal, has been a dedicated hospice volunteer for many years. In addition to serving nursing home residents, she is author of Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes (paperback, e-book) and writes a popular blog titled Hospice and Nursing Homes Blog. Featured in various eldercare media, she was interviewed on the television show Aging Well in America. She shares her experiences and general eldercare information that can benefit others, especially hospice and other healthcare volunteers. The video interview below covers these topics:

Hospice

Hospice Volunteer Training

Nursing Homes (Long-Term Care)

Volunteering

Caregiving

Dementia

Death Preparations

Intergenerational Partnerships

Older Adult Stereotypes

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers in America and other countries and in e-book editions at Amazon and Barnes and Noble booksellers.

Hospice and Nursing Homes Blog

Alzheimer’s Sundown Syndrome Support: Adult Night Care (Video 9:03)

Sundown is usually time to wind down and embrace the peaceful restoration that comes with night. For 20% of older adults with Alzheimer’s disease, however, sundown means just the opposite. They experience a phenomenon known as sundown syndrome when expectations and energy levels rise to greet new excitement and activities. Caregivers reluctantly face another nightly challenge of interrupted or nonexistent sleep caused by constant monitoring. When sleep does come, worries about the safety of loved ones invade their dreams.

While adult day care programs are popular, many people could benefit greatly if they had more night care support designed for people who are living at home and require constant supervision during the night. ElderServ at Night, located at the Hebrew Home at Riverdale in New York, is such a program. They accept Medicaid, and they also have a day program.

Adult night care is particularly helpful for people who suffer with sundown syndrome or other sleep disturbances that keep them awake during the night when they may become anxious and fearful without activities to keep them occupied. The night care program relieves caregivers of stress and allows them to sleep well knowing that their loved ones are being cared for throughout the night. This video showcases ElderServ at Night.

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions at many booksellers in America and other countries. Two online booksellers are Amazon and Barnes and Noble.

Hospice and Nursing Homes Blog

Certified Nursing Assistants (CNA’s), Healthcare Staff Workplace Injuries (Long-Term Care Research, Video 3:01)

Some people have jobs that seldom require discussions about workplace injuries. The possibility of getting injured is viewed as the potential result of a rare incident not associated with normal job requirements or physical confrontation with other people. A former school principal, I have had my share of incidents breaking up students' fights and calming overly disgruntled parents. Using a planned prevention approach, I was usually successful at avoiding serious injury to myself.

As a hospice volunteer in nursing homes, I noticed early on that schools and nursing homes have a lot in common.  In both locations, the daily risks of workplace injuries due to combative or non-combative reasons were real for many workers. The following is an excerpt from my book Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes that explains shared similarities between schools and nursing homes regarding potential workplace  injuries caused by physical assaults.

“Dementia is like a fluttering bee. I never knew when it would make honey or sting. There were times when patients with dementia were rude or violent. I have seen a patient slap a nursing assistant’s face with such force I thought she would fall over. To her credit, the CNA took a deep breath and walked away while another assistant interceded. The patient  probably forgot the incident soon afterward. During violent situations involving patients with dementia, caregivers had to protect themselves, restrain a patient if they could, but resist expressing rage and fighting back.”

Nurses and certified nursing assistants (CNA’s) have many documented occurrences of non-combative workplace injuries related to their care of patients. In a Colorado workplace injuries study done with 35 individuals from the State Board of Nursing public list of CNA’s, they were surveyed about their work injuries and the circumstances under which the injuries occurred. Almost 46% of the respondents reported having hurt themselves while lifting, moving, or helping a patient, with 40% specifically reporting having incurred a back injury. Eleven of the injured respondents (79%) were working in nursing homes at the time the injury occurred. This indicates a need for more research and education for CNA’s about injury prevention, particularly in nursing home environments. 

Frances Shani Parker, Author
Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers in America  and other countries and in e-book form at Amazon booksellers.

Hospice and Nursing Homes Blog

Influenza Vaccinations (Flu Shots) for Nursing Home Residents and Everyone (Research, Video .31)

Fall is a time when the topic of influenza vaccines or flu shots becomes prevalent. Many communities make flu shots available for older adults. A large population believes the vaccine reduces the risk of dying in nursing homes. 

How well are nursing home residents improved by flu shots? Research reported in the Journals of Gerontology shows a lot depends on residents’ functional status. In a study done over several months with 711 nursing home residents, participants were divided into these categories: good functioning, intermediate functioning, and poor functioning. In terms of functionality, influenza vaccination was associated with reduced all-cause mortality in older nursing home residents with different functional statuses. Influenza vaccine efficacy in reducing mortality declined with increasingly impaired functional status.

What about the importance of flu shots for the rest of the population? The Centers for Disease Control and Prevention (CDC) is a US government agency focused on improving overall public health. This agency advises everyone to get a flu shot. For many, this is still a controversial issue.  Some say the shots are safe, convenient, and may save lives. Others say they are not safe for some people, do not guarantee people won’t get the flu, may have side effects, and may even cause people to get the flu (not true because viruses are dead). What do you think?

Frances Shani Parker, Author

Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback at many booksellers in America and other countries and in e-book form at Amazon and Barnes and Noble booksellers.

Hospice and Nursing Homes Blog