Showing posts with label nursing home. Show all posts
Showing posts with label nursing home. Show all posts

Monday, April 14, 2014

Those Useless Old People

Alex Schadenberg is the executive director of Euthanasia Prevention Coalition. He writes a regular blog on behalf of that organization. Sadly there are many who are urging the passing of new laws that support euthanasia and assisted suicide. This organization works to resist the passing of such. You can read more about their important work on their website. What interested me was what I read in Schadenberg's blog for May 25, 2010, "5 Reasons Why People Devalue the Elderly." I want to respond to what his guest columnist, Kitty Holman, wrote on that date.

She begins,
"All around us in modern Western society is evidence that elderly adults who cannot care for themselves on their own are being abused and neglected. I believe that much of this is a result of a general social disregard for this vulnerable population group. This broad disregard is such that many of them—especially those with disabilities and those living with chronic pain—would rather have their lives ended for them than go on living in a world where they perceive they are not valued."
As a pastor one of my several duties was to visit the elderly in nursing homes. Frankly, I went there with mixed feelings. That is to say, it sometimes tore my heart out to see old, frail men and women sitting in wheelchairs with their heads hung low, spittle dripping out from their mouths as they mumbled unintelligible words or said nothing while they stared blankly with unseeing eyes at their surroundings. Was this all that awaits each one of us?

Of course, there are always those delightful, loving folks who welcome one's visits, the reading of God's Word and prayer. But what about those with disabilities, sickness, pain and suffering? I was tempted to avoid any contact with them even though it was my pastoral responsibility. These are the folks Ms. Holman speaks about as she asks the inevitable question. Why does our society, our culture in general, feel it is acceptable to devalue these people? She posits five answers.

1) Social Role Valorization - SRV is a concept coined by Dr. Wolf Wolfensberger. He calls it "the application of what science can tell us about the enablement, establishment, enhancement, maintenance, and/or defense of valued social roles for people" (Wolfensberger, 1995a). He says that in North America there are as many as ⅓ of the population who are devalued and subjected to systematic neglect and abuse. This is because they are perceived as different and deviant. Such would include people with physical or functional impairments or low competence. That would certainly include many of the elderly who are put away in some of the frightening nursing homes I have visited.

2) The tendency to "shoot" our weak and wounded.  If evolution is your dominant view of the world that may fit in. Does the theory of evolution not say that the strong survive and the weak pass away? I certainly agree with Ms. Holman that this is the dominant way the business world works. A savvy CEO cannot afford to keep non-productive employees. He has to answer to the share holders who demand that the company makes money for them. So the elderly—crippled, diseased, with failing eyesight, hearing and memory—have got to go. What else can a thriving business do? This is how the world works.

3) Lack of compassion.  I have certainly seen some deep commitments to elderly parents and relatives among many I have known. The closest that Sylvia and I came to dealing with this was when her polio-disabled aunt grew weak and elderly. We were the closest relatives and the responsibility to care for her fell upon us for several years. Yet I have known of an instance when elderly mother was  considered a great burden—and the caretaker despised the task of caring for her. Both of them made life miserable for one another.

4) One's value is based on what one can contribute. Surely many of us know that caring for elderly parents is not always easy. Several senior citizens I've known were angry and frightened about getting old. Their arthritic pains increased their discomfort and they became demanding, complaining, troublesome people. They went out of their way to make everyone around them in the family feel their misery. Day after day they bemoaned their condition. When they died, their families sighed great sighs of relief. The only worth these people had in their eyes was the inheritances they left behind.

5) The U.S. is obsessed with youth. Indeed. You see it at every turn, in every ad, every magazine, every movie. Our children are worth fighting for, saving, helping, but the seniors—well, they've lived a "full life" and all they have to look forward to is more pain, more suffering and probably becoming a burden to their children. On the other hand, there are the young people. They are the future. They have the new ideas, the energy, the passion.

All this is rather dismal I know. Perhaps that's what Kitty Holman meant it to be when she made her comments. According to the Schadenberg blog you can contact her @ kitty.holman20@gmail.com . Perhaps she wants to shock us into more compassion. I've not seen that happen by making others feel guilty or angry. In my observation people learn compassion by example and the encouragement of God's mercy in Christ. Compassion comes from the heart of the one in whom the Spirit of Christ dwells, as the Apostle says,
We love because he first loved us. - 1Jo 4:19 ESV
I'd like to explore this business of getting old further. One of the fascinating areas of study these days is that of discovering why we age in the first place. More on that another time.




Wednesday, February 1, 2012

The Eden Alternative To Nursing Homes

Dr. Bill Thomas, a physician specializing in geriatrics, is a crusader determined to revolutionize nursing home care. The Harvard graduate and father of five has so far "Edenized" about 300 nursing homes in the United States and a handful in Australia and Europe. He was recently interviewed by Dale Bell of Houston PBS about The Eden Alternative.
I'll put the American nursing home on the critical list. It's not going to make it. It's a relic. It's a left-over vestige of a factory, assembly-line approach to care that is just not going to meet the needs of elders in the 21st century. And in fact, I'll do everything that I can to see that, as we move forward, nursing homes cease to exist.
When asked what The Eden Alternative is, Dr. Thomas replied,
The nursing home takes good, good, loving, caring people and plugs them into an institutional factory-like arrangement. And it's no good. So what I want is an alternative to the nursing home, an alternative to the institution. And the best alternative I can think of is a garden. I believe that every elder should have a chance to live in a garden. I believe that, when we make a place that's worthy of our elders, we make a place that enriches all of our lives, caregiver, family member and elder alike. So the answer the Eden Alternative provides is a reinterpretation of the environment elders live in, from an institution to a garden. That's why we call it the Eden Alternative. 
What are the other components, what are the other criteria of the Eden Alternative?
Number one, the organization begins to treat the staff they way they want the staff to treat the elders. Very important. Long-term care has a bad history of treating its staff one way, not so nice, and expecting the staff to treat the elders a different way. 
Number two, the organization brings decision making back to the elders and to the people around the elders, so that they have a voice in their daily routine and their life. Crucial, crucial to re-injecting meaning into peoples' lives. 
Third, they've taken real steps to make the place where people live rich in plants and animals and children. I want the people to be confused when they walk through the door. What kind of place is this? I mean, there's kids running around and playing and there's dogs and there's cats and there's birds, and there's gardens and plants and ... I want them to be confused. This can't be a nursing home. Right. It's an alternative to the nursing home. 
And finally, there has to be a commitment to ongoing growth. We believe in the Eden Alternative that even the frailest, most demented, most feeble elder can grow. And that the young person who maybe has a difficult home life or is living on the edge of poverty, they can grow. That the organization commits itself to human growth. And those words, human growth, nursing home, they've never gone together before and with Eden Alternative they can.
Hey, I want to spend my final years in one of Dr. Thomas' Eden Alternative homes. Sounds so much better than many, many of the nursing homes I've visited over the years. I found one Eden certified home in Celina, TX., very near to where my son lives. I certainly will want to check it out if I ever need this kind of living arrangements.

Of course, if at all possible, I do indeed want to remain in my own home or at least in the home of children who love me and want to care for me. I absolutely reject the very thought of living in some of the institutionalized nursing homes I've known over the years.

The Eden Alternative is an international not-for-profit organization founded by Dr. Thomas and dedicated to transforming care environments into habitats for human beings that promote quality of life for all involved.It is a powerful tool for inspiring well-being for Elders and those who collaborate with them as Care Partners.

Here are a few more Bible verses to encourage us all even more: 
Upon you I have leaned from before my birth; you are he who took me from my mother's womb. My praise is continually of you. I have been as a portent to many, but you are my strong refuge. My mouth is filled with your praise, and with your glory all the day. Do not cast me off in the time of old age; forsake me not when my strength is spent. - Psalms 71:7-9 ESV
Listen to your father who gave you life, and do not despise your mother when she is old. - Prov. 23:22 ESV
"Listen to me, O house of Jacob, all the remnant of the house of Israel, who have been borne by me from before your birth, carried from the womb; even to your old age I am he, and to gray hairs I will carry you. I have made, and I will bear; I will carry and will save." - Isa 46:3-4 ESV