Posts Tagged ‘Culture Change’

Do You Work with Elders? Early Registration Closes Soon!

The 8th Eden Alternative™ International Conference: “It’s About Time!”

May 3-4-5, 2016

Little Rock, Arkansas

EARLY REGISTRATION ENDS January 12!

This dynamic bi-annual event strives to inspire and renew the passion of those dedicated to changing the culture of care across all living environments. Through a unique learning framework, participants have the opportunity to deepen both perspective and skill base by exploring innovative approaches to person-directed care.

Learning and networking opportunities promote new ideas and standards of practice participants can apply to enhancing quality of life for Elders and their care partners, wherever they live and work.  A vital part of the conference experience is creating an opportunity to build a sense of community and shared learning among all participants. We are proud to be one of two major conferences that focus specifically on culture change. Come learn and grow with us!  It can be different…

Who should attend?

Previous Eden Alternative International Conferences have drawn attendees from all over the world. We welcome those new to culture change and those on the journey with extensive experience and expertise. We  emphasize the value of every voice in this important work.

Individuals from across the full continuum of care join us in the spirit of shared learning and discovery, including certified nursing assistants, administrators, licensed nurses, corporate leadership, therapists, activity professionals, social workers, physicians, dietary professionals, home care/home health professionals and other direct care providers, care managers, Elders and others accepting support, family members and advocates, youth, ombudsmen, policymakers, regulators, consultants, clergy, educators, researchers, and designers.

I hope to see you there!

www.edenalt.org

 

Complete information is available at: http://www.edenalt.org/events-and-offerings/the-eden-alternative-international-conference/

Many thanks and take care, Lisa K.

P.S. I will be joining with some amazing colleagues to facilitate a Leadership Intensive on “Navigating the Hero’s Journey: A Map for Wise Leadership in Culture Change”

Steve LeMoine, NHA, MBA; Mel Coppola, Lisa Kendall, LCSW-R, CSW-G; Mary Kim Smith, NHA, RN; Carole Ware-McKenzie, BS; Kim McRae, FCTA

What does it mean to be a leader in the culture change movement?  How can we continue to grow personally, facilitate transformation in our workplace and community, and ultimately change the world?  Join us as we use the tools and apply the lessons of “The Hero’s Journey,” (based on the work of Joseph Campbell), to navigate our unique path and facilitate growth in our organizations.

Participants will be able to:

  • Identify 2 approaches for defining one’s a  personal leadership style;
  • Define two situations where more than one leadership style might be employed to effect change and growth; and
  • Name 2 techniques for recognizing leadership potential in others.

AND a break-out session on “Making Peace with the Past: The Impact of Emotional Trauma on Elder Well-Being and the Importance of Trauma-Informed Care”

Early trauma is associated with increased incidence of chronic illness and depression in Elderhood, a time when Elders seek meaning in their lives and to resolve long-standing issues.  This session explores how person-directed, trauma-informed treatments can be used with Elders and their care partners to integrate mind, body, and spirit, easing anxiety and depression and supporting the Eden Alternative Domains of Well-Being™.  Case studies will emphasize efficacy as well as explore mental health issues as they present in different care settings, and how to harness the unique gifts of this developmental stage.

Participants will be able to:

  • List three benefits of resolving painful memories during Elderhood;
  • Detail 5 treatment strategies that support person-directed care; and
  • Utilize “The Eden Alternative Domains of Well-Being™” to understand and assess the impact of unresolved trauma.

(Now you REALLY want to come!!!!)

 

P.P.S. I grabbed the conference description from The Eden Alternative homepage.  Be as BOLD as I and check it out HERE!

The Number One Killer of JOY (and final Domain of Well-Being)

Welcome to the final installment in a series of blog posts on The Eden Alternative Domains of Well-Being(TM). Read more about these domains by clicking HERE!

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I often write about the holiday season with a reminder that many people do not experience the holidays as joyful. Indeed, people can suffer throughout the year from loneliness, helplessness, and boredom (the three plagues discovered by Dr. Bill Thomas), and the heightened expectations of the holidays surely exacerbate the plagues.

“Joy” is the last (but never least!) one of the Seven Domains of Well-Being as defined by The Eden Alternative, and we all need Joy for true well-being.

Joy seems like an emotion we all understand instinctively, even though who or what gives us Joy may vary from person to person.

Our capacity for Joy also seems to vary. I was thinking the other day about a remarkable trip I made with my Mom and one of my sisters a few years ago. We’d gone to New York City to see the Van Gogh exhibit at the Metropolitan Museum of Art. “Starry Night” was on display, and I couldn’t wait to see one of my very favorite paintings.

While I truly appreciated the special exhibit, what I recall most about that day was my emotional reaction to two other things I saw in the museum.

The first was an installation of Islamic art, and the rich jewel-tones and intricate designs of textiles, tiles, and other objects took my breath away.

The second was a permanent exhibit of an Egyptian pyramid, an elegant structure that had been taken apart and reassembled in a spacious hall. As I sat on a bench nearby, I felt I could smell the ancient sand and stone, and a pervasive sense of awe enveloped me. I sat for a long time, appreciating peaceful BE-ing in that light and airy space.

The beige and cream pyramid touched me as deeply as had the vivid hues of Islamic art.

I know that being in the presence of such beauty inspired a sense of awe in me, but I clearly see the Joy I was feeling, too, and that’s the main emotion I experience when I recall those wonders.

We’re surrounded by a universe of natural and man-made wonders, but don’t always feel Joy-full.

What can get in the way of such joy?

  • A sure-fire way to choke out Joy is to keep moving through life at a break-neck speed. Today is Black Friday, and even at home I am inundated with loud ads, busy e-mails, and confusing codes. It’s hard to notice the little things, the simple pleasures that truly bless us with Joy, amid such a hubbub.
  • We might miss out on joy if we don’t have the freedom to go where we want to, or to be with companions who will share and hold the experience with and for us. Helplessness and Loneliness, two of the plagues, can easily kill our Joy.
  • Painful memories may lead us to believe that we can’t, or don’t deserve, to feel Joy.

In my work as a therapist and clinical gerontologist, I meet many people who experienced abuse or neglect as they were growing up. They took in messages that they were unworthy, unwanted, or unsafe.  These messages and the difficult emotions that surround them can flare when we face special challenges such as our own health problems or the illness of a family member.

Looking back over the domains of well-being, it’s easy to see how abuse or neglect can damage any of these areas. Remember that the Eden Alternative Domains of Well-Being™ include:

  • IDENTITYbeing well-known; having personhood; individuality; having a history
  • GROWTHdevelopment; enrichment; expanding; evolving
  • AUTONOMYliberty; self-determination; choice; freedom
  • SECURITYfreedom from doubt, anxiety, or fear; safety; privacy; dignity; respect
  • CONNECTEDNESSbelonging; engaged; involved; connected to time, place, and nature
  • MEANINGsignificance; heart; hope; value; purpose; sacredness
  • JOYhappiness; pleasure; delight; contentment; enjoyment

Unfortunately, painful memories are more common than we think. The good news is that there are sound approaches to foster healing, no matter how long ago we actually had hurtful experiences.

I will be writing more about the impact of trauma across the lifespan, and the importance of healing during the stage of life known as Elderhood, as I prepare for a presentation on the topic at the next International Conference of The Eden Alternative.

If you haven’t done so yet, please stay connected by liking my Facebook page: click HERE. You’ll always get a link to new posts that way.

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You can also register now for the 8th Eden Alternative International conference!  Please visit HERE for more information.

And finally:

Healing Painful Memories during Elderhood

Listen to my talk on trauma-informed treatment approaches and strategies on WRVO public radio by clicking HERE

 

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Lisa Kendall supports well-being in her work with Elders and their family members, as well as with professional care partners.  She is an Educator and Mentor for The Eden Alternative, has a private counseling and consulting practice in Ithaca, NY, and teaches the Fieldwork in Gerontology course for the Ithaca College Gerontology Institute.

You can reach Lisa at (607) 351-1313, or via email at crossroadscounseling@hotmail.com

 

 

Elder Care: The Dignity of Choice

Welcome to the fourth installment in a series of blog posts on The Eden Alternative Domains of Well-Being(TM). Read more about these domains by clicking HERE!

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My first job working with Elders was as “social services designee” in a nursing home in 1983. I learned many lessons from the Elders there, and many from older, wiser, and more experienced colleagues.

One lesson in particular is really burned into my memory.

I must have been in an Elder’s room with one of the nurses, or maybe we were out in the hallway. She took me aside and told me that even if the only decision a person living with frailty or dementia could make was how they wanted their toast cut, it was important to always offer choice.

She said it was about ensuring that a person has “autonomy,” necessary to preserving human dignity.

Wow.

It might sound like a small thing, but that lesson really made an impact on me.

Autonomy is one of the domains of well-being, as described by The Eden Alternative.  We have a human need to have choice, to know that we have some control over our lives.

Autumn Tree SunsetThroughout my career I’ve tried to tune in to how physical or cognitive changes might narrow our choices.

If our ability to drive safely is compromised, “taking away the car keys” can be painful and humiliating for Elders and family alike.

It can be a challenge to find the choice in that situation, when something so essential to our independence feels threatened.

How we talk about these difficult decisions can make all the difference. We need to think about how we recognize the need for autonomy, and then work to fulfill it.

In the case of making a different decision about transportation, we must offer as many choices as possible under the circumstances. In our community, we have a bus service for Elders, and also a volunteer driver program. Offering the Elder their preference won’t completely “fix” the loss of one’s own car, but at least it preserves the opportunity to choose for oneself from the possible options.

Autonomy also means that Elders, or the people who receive services from an organization or live in a community, should have a say in how they experience services, or in how their home is operated.

Does your local home care agency have Elders on the team that interviews applicants for staff positions?  Why-ever not!?!

We can also preserve choice by thinking about health care decision-making and choosing someone to speak for you when you cannot speak for yourself.  This is a powerful way to ensure your preferences are honored, your voice is heard.

I wrote about this a few years ago; you can check out my blog on planning for future health care by clicking HERE.

Person-directed care doesn’t mean that we can offer any and all choices, regardless of the consequences. It does mean we look at realistic parameters, confer with the person who is most affected by changes, and find ways to offer the dignity of choice.

***

Do you have stories about how you’ve been able to preserve choice, even when options have become limited? This can be a tricky area, so sharing what’s worked in your circumstance can be extremely helpful to others!

Perhaps you’re struggling with this now. Please let us know what issues are challenging you, and we’ll invite the  community to share stories that may help!

Please share your thoughts in the comment section below.

***

Lisa Kendall supports well-being in her work with Elders and their family members, as well as with professional care partners.  She is an Educator and Mentor for The Eden Alternative, and has a private counseling and consulting practice in Ithaca, NY.

You can reach Lisa at (607) 351-1313, or via email at crossroadscounseling@hotmail.com

Well-Being in Old Age: How Elders Grow

Welcome to the third installment in a series of blog posts on The Eden Alternative Domains of Well-Being(TM). You can read more about these domains by clicking HERE!

***

In the Eden Alternative philosophy, we define care as “that which helps another to grow.”

It’s a powerful way to shift our understanding of relationships, and to broaden our traditional view of care, which tends to focus on problems, and on treatment of the body alone.

When I was asking someone recently about their “support system,” they named a few people they felt close to. Then I shared this definition of care and asked “who or what helps you grow,” and the person poured out a list of resources they hadn’t thought of before.

These are the people (or animal companions) on our care team, and it all sounds like a good and positive thing. Still, I sometimes strike a nerve when I talk with people about “growth.”

“What is growth? What does that word mean?”

Dr. Bill Thomas writes about the stage of life known as “Elderhood” in his book. “What are old people for? How Elders will save the world,” and posits that growth is a part of Elderhood, as it is part of all of life’s developmental stages.

We are so used to thinking about Elderhood as a stage of decline that we overlook the many ways we continue to grow.

OMA Art by L KendallSome of us struggle with the very idea of growth in the midst of decline, or see growth through the eyes of Adulthood, where we strive to improve our job skills, increase income, or strengthen and build muscle.

These kinds of growth may or may not happen in one’s Elderhood. And we’re so use to looking at the world through the eyes of adulthood, that we may need to broaden our ideas about what growth can mean.

I started thinking about growth in the last phase of life when I had the chance to work with several people who were dying, or who were family care partners with loved ones who were dying. It’s easy to be overwhelmed by sadness and be focused on loss in this instance, but I have seen amazing healing and growth occur, even at the death bed.

This kind of healing and growth is almost always about intangible qualities, such as increasing forgiveness, wisdom, peace, acceptance, love, relationships, or one’s relationship to the Divine.

Growth is possible for people who are living with cognitive challenges, such as dementia. As care partners, we can learn patience, kindness, and forgiveness, to name but a few.  Elders may learn to accept support, let go of painful memories, and learn to express themselves with more freedom and joy.

The art that accompanies this post was done by me during a workshop by the good people at Scripps Gerontological Institute.  Their program, “Opening Minds Through Art,” (or OMA), shows us how people living with dementia can create fabulous art when we shift how we think about art itself.  Coloring between the lines may be difficult when you live with dementia, but watch the amazing transformation when Elders are given the tools and encouragement to create abstract art!  Check out this program at: www.scrippsoma.org

Have you seen someone grow in spiritual strength as their body is dying? Can you imagine growing in one’s ability to adapt to the changes brought about by aging or illness? Is there room for relationships to heal in our last stage of life?

What does growth mean to you? Who or what helps you grow?

Leave a comment about growth; you’ll be helping all of us grow in understanding!

***

Lisa Kendall supports well-being in her work with Elders and their family care partners, as well as with professional care partners.  She is an Educator and Mentor for The Eden Alternative, and has a private counseling and consulting practice in Ithaca, NY.

Care Partnership: Creating Meaning in the Giving and Receiving of Care

Monday, November 18, 2013 

10AM-12PM

Hosted by Lifelong, Ithaca, NY

Facilitated by Lisa Kendall

When we or our loved ones need some assistance due to illness or injury, we find that traditional models of care can create as much distress as the illness itself, leaving us feeling powerless and frustrated.

“Caregivers” report acute stress and exhaustion, and “care receivers” feel they have little to offer because of theiLisa's Kitchenr physical or cognitive challenges.

When we advocate for the well-being of the whole care partnership rather than seeing the needs of caregivers and care receivers as separate, we create empowered care partner teams that ensure the independence, dignity, and continued growth and development of everyone involved.

Learn about person-directed care and how to make care partnerships work for you, and tap into an international movement to change the culture of care for Elders and their care partners in this two-hour session.

Call Lifelong at 273-1511 to register for this informative presentation.

 

Receive your complimentary report on How to Assemble Your Care Partner Team at www.carepartnerconnection.com

Lisa Kendall is a clinical social work psychotherapist and clinical gerontologist who has worked with Elders and their care partners for over 30 years.  In addition to her private practice and public speaking, Lisa is an Educator for The Eden Alternative and teaches for the Ithaca College Gerontology Institute.  Contact her at lisa@lisakendallcounseling.com for more information or to schedule a training.

Best Practices in Home Care Showcase

One of the things that keeps me working in the aging services field is the camaraderie of my colleagues.  They demonstrate a tremendous commitment to and appreciation for Elders and their care partners, an awareness of the Elders’ stories as sacred treasures to be held by us with care, and an intuition that the health care system in which we all work is terribly broken.

It was my honor to meet with such a group of dedicated peers recently, at the “Best Practices in Home Care Showcase.” The event was hosted by the Steuben County Office for Aging in the Southern Tier of New York, the Steuben Senior Services Fund, and NYCONNECTS.  Attendees included representatives of home health organizations, case managers for senior apartments, advocates for people living with developmental disabilities, the faith community, and wise Elders.

“Grandmother” by magnificentlife via Flickr

They are all seeking better ways to serve Elders and their families, and thirsty to work together in a way that honors the need of everyone involved to grow.

It can be a big challenge to introduce the philosophy of The Eden Alternative to a group, when time is limited and the important work of culture change is the goal.  With the “Eden at Home” initiative, we are helping people recognize how culturally pervasive ageism contributes to the three plagues of loneliness, helplessness, and boredom; introducing a new definition of care as well as the concept of empowered care partner teams (with the Elder at the center of decision-making); and showing how the antidotes to the plagues can be applied in home and community-based settings.

The talk culminated with a showing of a powerful, person-directed “video care plan,” with thanks to Haleigh Jane Thomas and her parents, Dr. Bill and Jude Thomas.

Even with limited time, these concepts speak for themselves.  Knowing there is a philosophy that provides a framework for every member of the team, (Elder, family, and professional alike), to speak a common language and truly make the shift to person-directed care  can invigorate a community.

There is a lot of buzz in Steuben County about the possibility of hosting a Certified Eden at Home Trainer workshop in 2013, and many at the “Best Practices in Home Care Showcase” indicated they would attend.

This three day workshop cultivates culture change agents for participating organizations, while providing the tools needed to offer Care Partner Workshops in our agencies and for the wider community.

Have you participated in an Eden at Home training yet?  With the vast majority of Elders living in their own homes, in retirement communities, or with family members, the implementation of The Eden Alternative principles can accelerate the pace of culture change and transform care for all of us.

There are currently Certified Eden at Home Trainer workshops planned in Las Vegas, NV, and Toledo, OH.  Find out more HERE

Lisa Kendall is an Educator for The Eden Alternative, teaches for the Ithaca College Gerontology Institute, and manages her own counseling and consulting practice in Ithaca, NY.

The Wisdom of Elderhood; Fact or Fiction?

There is a common cultural ideal that the older one gets, the wiser one grows.  Perhaps that is why we say “there’s no fool like an old fool” — by the time you’ve reached a certain age, you’re supposed to know better.

But is it true that with age comes experience, knowledge, and wisdom worth sharing?

Dr. Karl Pillemer, a professor of human development in the College of Human Ecology at Cornell University, and Professor of Gerontology in Medicine at the Weill Cornell Medical College, has been applying scientific research to this question and the results can be found at “The Legacy Project: Lessons for Living from the Wisest Americans.”

The practical advice that Dr. Pillemer and his team collected from over 1500 Elders aged 70 and over is reported on the Legacy Project website, and will be published in a book to be released this fall.  It confirms the idea that Elderhood is a time of continuing growth, and that Elders have much to share with us if we will take the time to listen.

http://www.flickr.com/photos/dougbelshaw/4598949523/sizes/m/in/photostream/

Photo by Doug Belshaw via Flickr

Please visit the Legacy Project site by clicking HERE to learn more, to make your own contribution, and to browse through the lessons learned on a variety of life issues. 

As Dr. Pillemer says, the Wisdom gathered includes gems on “how to be happy on a day-to-day basis, the secrets to a successful marriage, tips on raising children, ways to have a fulfilling career, strategies for dealing with illness and loss, and how to grow old fearlessly and well.” 

I don’t know the average age of the Elders who shared the advice learned over a lifetime, but if the average was 80 years, and there are 1500 contributors, that’s 120,000 years of Wisdom from which we all can benefit!

Here’s an ever better idea — Why not visit an Elder today and ask them how they’ve coped with life’s challenges, what they wish they could do differently, what their secrets to happiness are?  

Make that phone call you’ve been putting off – your favorite Aunt is waiting to hear from you, and to share her Wisdom! 

Many thanks to Dr. Karl Pillemer and his research team for taking a strength-based approach to Elderhood, and for sharing these results in such a generous way.  

***

Lisa Kendall is a clinical social work psychotherapist and clinical gerontologist in Ithaca, NY.  She is an Eden at Home Educator with The Eden Alternative, serves on the President’s Council for Family Life at Cornell University, and is teaching the Gerontology Fieldwork seminar for Ithaca College this fall.

Eden at Home Certified Trainer Workshop coming to Syracuse!

I'm on the road again!! It is my GREAT pleasure to be able to announce an upcoming Eden at Home Certified Trainer workshop. Please join us for three days of learning and sharing and fun... Don't miss the opportunity to change the culture of care for Elders and care partners in your organization, faith community, community at large, your agency, and your world! It CAN be different... Please be sure to join us! Read the rest of this entry »

The True Heart of Caregiving

I stumbled onto a music video this morning that really spoke to everything I’ve loved about working with Elders and their care partners for the last 28 years.  It was so sweet and so beautifully done, I had to sit down and find a way to share it with you.

This story shows with great poignancy the deep connections that often form between Elders and those who care for them, and how both benefit from the relationship. 

Genuine, loving care is both given and received in this tender relationship! 

Loneliness, helplessness, and boredom, the three plagues of Elderhood described by Dr. Bill Thomas, co-founder of the Eden Alternative, are vanquished for both the Elder and the young man in this lovely story.

I wasn’t able to embed the video here, but I believe it is worth your visit away from my site to see Brett Eldredge’s music video, “Raymond” at youtube. 

Just grab a few tissues, click HERE, and come back to comment on your reactions to the video.   You can also visit Brett Eldredge’s website – this talented young man is raising awareness about Alzheimer’s disease.

Thanks for spending some time with me today; please visit again!

Lisa Kendall is a clinical social worker and clinical social work gerontologist in private practice in Ithaca, NY.  She is an Eden at Home Educator committed to changing the culture of care for Elders and their care partners.  Learn more about Eden at Home and the Eden Alternative at www.edenalt.org

A Bountiful Harvest for Eden at Home

Eden at Home Certified Trainer Workshop, Tarentum, PA

Three months of careful planning by many faithful gardeners has yielded a new harvest: twenty-four new Eden at Home Certified Trainers! 

Congratulations to the remarkable group that attended the three-day workshop hosted by Community LIFE in Tarentum, PA, this past weekend; it was an amazing time of shared discovery and intense community-building.

This passionate group of committed people came together to learn about the Eden philosophy and how it can be used in overcoming the three plagues of loneliness, helplessness, and boredom that cause so much suffering for Elders and their care partners.  We shared stories, challenged perceptions of aging, and explored the ten-principles of the Eden philosophy. 

We learned how to conduct Eden at Home care partner workshops and initiate real culture change. 

Family Blackberry Harvest

photo by Cristian Bortes via Flickr

Every participant arrived with an open heart and mind, ready to share from their wisdom and to learn from others. 

As this workshop’s Eden Educator, I am humbled by and grateful for the opportunity to serve these fine people.

I wish each new Certified Trainer every blessing as they move forward with implementation of the Eden philosophy in their families, organizations, and communities.

Together, I know we will improve the quality of life for our Elder care partners and every member of the care partner team!

Congratulations, best wishes, and thank you

It CAN be different!

Lisa Kendall is an Eden at Home Educator and geriatric social worker in private practice in Ithaca, New York.  Subscribe to Lisa’s blog about self-care for every member of the care partner team by clicking the link at the top left of this page. Learn more about Eden at Home at www.edenalt.org

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