Posts Tagged ‘Dr. Bill Thomas’

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!

***

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

 

***

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

 

 

Identity and Age

https://www.flickr.com/photos/thomasrstegelmann/1811854387/in/photolist-3L7ebK-pkc6tN-5uiz6E-64zny-5JGsnE-5P2CM3-5sQTMb-boxwhh-4FjTxT-4wkCAt-9d69qF-64zoC-38oyd9-xUiw1-4MRxcX-rkvyv-4km959-K3Y2U-K3YcW-9w9dKW-q8bgQV-4vdwk-64vP9z-2w6KQ9-4M5JNi-ABJEr-ehiBXD-5HDdD9-qXwhx-5hQGof-dSp8Ka-pQxH1b-5ZtHAE-51sFsv-7zkdyx-8KGRCA-rA7Bae-5JGshy-5JCbpZ-5Pqed4-qHyG6-oMiQei-4sMAYF-sGXftu-5rNCji-ncyBXt-hLEdup-8SoHfT-4wjQEe-8YV1Ln

Thomas R Stegelmann, courtesy of Flickr

Welcome to the second in an 8-part series of blog posts on The Eden Alternative Domains of Well-Being(TM). You can read more about these domains by clicking HERE!

  • * * *

In 1984 I worked in an Adult Day Program that served people living with dementia, and also had a fair number of people attending who lived with Parkinson’s disease. One of the things that really jumped out at me at this time of my career was how differently our staff care partners thought about and interacted with the Elders, as opposed to how the family seemed to see them.

A woman I’ll call Helen had a beautiful smile and often struggled to get the right word out. I could usually get what she was trying to tell me by watching her gestures, and she sighed with relief when I offered the misplaced word.

Helen was always well-dressed, lipstick in place, and she carefully carried her purse on her arm. She had worked as an accountant in her career, and she enjoyed sitting behind the director’s desk. She looked completely at ease next to the large adding machine!

I loved Helen, appreciating her playful spirit, and the way she laughed when someone would dance with her. One day I had the ladies gather in a circle in the side yard and we tossed a Nerf football around. Helen placed her handbag carefully at her feet, and proceeded to have a great time with our silly game. No rules, just fun.

Helen’s family members were often tearful when they dropped Helen off at the program, and explained how hard it was for them to lose the “old Helen,” the mother and wife who had been so sharp in her work and careful in her dress. Now Helen couldn’t tell one end of a sweater from another, and needed help getting it turned right-way around.

Which identity was truly Helen?

Here is a place where we want to “embrace the power of ‘and,’” as Dr. Bill Thomas says in his book, “What are Old People for: How Elders will Save the World.”

A big part of Helen’s identity was about her past: her work, her relationships, her special skills and talents. Knowing her history helped us understand why she was so attracted to the big desk and its adding machine. AND a big part of Helen was the desire to connect she brought to the program every day: the painstaking conversation, the laughter, and the dancing.

I always honor the grieving process a family experiences when a loved one lives with dementia and the changes it brings, AND I am here to say that there is tremendous joy in seeing who the person is now, and getting to know them as they are, now.

Sometimes it felt like Helen and the other folks in the day program needed some time away from their dearest loved ones, where the sadness and frustration couldn’t help but reflect in their eyes. I believe they needed an environment where they could be accepted and loved for who they are now, and that can be easier for someone who is not a close relative or long-time friend.

We may be seen by the people around us in different ways, depending on the relationship and the context. It’s another way to understand how a care partner team can work together to both give and receive care from one another, and help us express the many facets of our identity!

How do you support identity for Elders who live with dementia? How about your own identity – are you able to do the things that connect with your innermost self, or have you pushed some part of yourself aside to cope with the challenges of caregiving? Please share your stories with our community in the comment spaces below.

***

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.

Widening Circles of Support for Elders and their Care Partners

 

The rural community where my Mother grew up is saturated with extended family, and has been for several generations.  As a family history buff, I enjoy looking at the old Federal census forms and seeing the names of ancestors filling pages, neighbors living in houses strung along a country road or tucked into the mountains of Eastern Pennsylvania.

The big farmhouses of those times had a “sick room” off the kitchen, where an ill loved one could be looked after, close to the family’s heart and hearth.  With cousins, nieces and nephews, and sons and daughters all in the area, there was help to be had if and when it was needed.

Even so, it’s interesting to see that some Elders of very advanced years lived with unrelated folks as a “boarder.”

4fafe553-6123-4719-b6f9-00fdc24e92f1Nowadays our culture continues to see the “best” option for care of our Elders as that which is provided in their own homes, or living with close relatives.  Moving someone into a nursing home is seen by many as a personal and family failure.

This has always bothered me.  While we have a long way to go to change the institutional model of long term care, I do not agree that this represents failure.

I’ve seen many Elders blossom in nursing homes and assisted living.

One beautiful woman I knew came to live in the nursing home because arthritis had crippled her hands badly and left her unable to get around without a wheelchair.  Once she moved into the nursing home where I worked, she was able to explore her lifelong dream to be a painter.  The Activities staff provided her with supplies and a place to work, and she figured out a way to hold a brush in her gnarled fingers.  The art she made was glorious! (And she felt very happy to have finally liberated her inner artist!).

I’ve also known many Elders in their own or a family member’s home who nevertheless suffered from the three plagues of Loneliness, Helpless and Boredom, as defined by Dr. Bill Thomas and The Eden Alternative ™.

These families are likely to feel guilty when they “have to” place their loved one.

We’ve seen much change in recent years, with families moving far from the family home, medical technology extending life (but not necessarily well-being), and two-earner couples.  It’s no wonder family care partners feel overwhelmed!

I won’t rehash the demographics and statistics we all know so well, but I’d like to offer some thoughts from my years of experience working in long term care.

Don’t let “caretaking” overwhelm your relationship with the Elder.  There are lots of people who can mop the floors, wash the linens, assist with bathing, and help an Elder living with frailty get to the bathroom. No one can have the special family bond with the Elder that you do. You can look at family photos and reminisce about the milestone events and precious small moments that comprise your family’s unique culture and history.

If you are a spouse or partner, your loving presence is irreplaceable.

If you’re so overcome with the tasks of caring, to the point that the relationship is suffering, please reconsider. Build a care partner team for your Elder and for yourself that will honor your loved one’s preferences and still ensure their daily needs are met in a loving and respectful way.

Consider that the local nursing home is where our sons and daughters, nieces and nephews, are now working.  Let them help with the care.  You’ll find that some of these strangers will come to love your Elder and develop their own distinctive relationships with them.

You’ll also find that those young, strong backs can take on what feels burdensome, leaving you with the energy and resources to be present for your Elder in the way that only you can be.

 

* * *

Lisa Kendall is a social work psychotherapist and clinical gerontologist, and amateur genealogist!

Please let us know your thoughts about Aging and Elderhood, and share your stories of how you’ve been able to widen the circles of support for your loved one and for yourself!

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.

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

Eden at Home Trainer Certification Workshop: September 25-27, 2010

Coming to Pennsylvania!

EDEN at HOME

Creating Quality of Life for Care Partner Teams

Training Certification Workshop

Host: Community LIFE

702 Second Avenue, Tarentum, PA

September 25-27, 2010

Eden at Home Educator: Lisa A. Kendall, LCSW-R, CSW-G

Register NOW!  Space is Limited

 

Working together, empowered care partner teams help to ensure the independence, dignity, and continued growth and development of our Elder care partners and each other. 

What does EAH Trainer Certification offer?

After training, Certified Trainers inspire care partners, both within their organization and out in the community, to:

  • Reframe perceptions of aging and disability
  • Work together to reduce stress & burnout
  • Build strategies on strengths, rather than limitations
  • Develop meaningful connections with each other
  • Create opportunities for all to give as well as receive
  • Communicate effectively & thoughtfully       
  • Share joy, hope, wisdom, spontaneity, & respect
  • Prevent loneliness, helplessness, & boredom for all on the care partner team

To learn more about Eden at Home, join us for a free informational webinar: 

September 14th

Click HERE to register 

 

Who may want an EAH Certified Trainer on staff?

Non-profit organizations, state agencies, home health organizations, faith-based organizations, Area Agencies on Aging, hospitals, hospices, senior centers, care management, adult day services, independent living communities, and long-term care organizations with home health outreach or an interest in supporting ongoing needs after rehabilitation.

 What is the workshop cost?

Early Bird:      $385 per person until Sept. 14, 2010

Group:           $360 for multiple attendees from same organization

Regular Fee:  $435 per person, after Early Bird deadline

 

Fees cover 3 days of training, our scripted EAH Trainer’s Guide, additional reference materials, and food.

 

Questions?  Contact Meredith Burrus at education@edenalt.org

 

*** CEUs available with the National Association of Social Workers and National Association of Boards ***

 

Register HERE or by calling 512-847-6061

Rural Gold

Photo by Rory Martin via Flickr

When Caring leads to Love

Is it OK to love your clients?

I say yes.

Before you report me to the State Ethics committee, I’m not talking about romantic entanglements or inappropriate sexual contact or even the violation of healthy boundaries.

But in the health care field we’ve always been told “don’t get too attached” to the clients that we care for.  But doesn’t this go against human nature?

Heart Leaf

Photo by Niffty via Flickr

Most of the nurses, social workers, home health aides, and other allied health professionals I know have gone into this work because they care about people and want to help them.  When you provide intimate, day to day care for human beings, the kind that eases suffering and reduces loneliness, and you hear someone’s personal stories, share lots of laughter and a few tears, you naturally come to love them. 

And they love you, too.

Dr. Bill Thomas, founder of The Eden Alternative, has written about this in his book, “What Are Old People For: How Elders Will Save the World.”

He proposes that instead of denying the love that health care workers have for their clients, organizations acknowledge and support it.

To do so would ensure that such attachments are healthy and appropriate, and provide support for a worker’s grief when a beloved client dies.

Today, the love and affection workers feel is often forced underground, leading to stress and isolation for the worker, and could ultimately contribute to burn-out and turn-over.  

Can you imagine how relieved our health care workforce might be to have permission to love, and have support and supervision to do so every day, on the job, in the open?

How much might this improve care for the ill and our Elders?

 

Lisa Kendall is a Licensed Clinical Social Worker with advanced certification in clinical gerontology who works in home care, has a private practice in Ithaca, NY, and is an “Eden at Home” Educator.  You can get more information on The Eden Alternative and Eden at Home at www.edenalt.org

Contact me if your organization would like to host an “Eden at Home” Certified Trainer Workshop!

 

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