Tag: eldercare

NJ Death with Dignity Bill: Rabbi Address op-ed article in Trenton (NJ) Times

In an opinion article published May 13, Rabbi Address advocates for religious communities in New Jersey to educate their members about the current Death with Dignity legislation being considered in the New Jersey Legislature.

The bill, A3328, would be similar to legislation in Oregon, which would allow for a terminally ill patient to end his or her life.

Read Rabbi Address’s thoughts on the legislation on the Trenton Times website here.

What do you think about the death with dignity movement?

Leave your comments below on this important issue.

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A Care-Giver’s Personal Journey: A MOMENT IN TIME: How random acts can change a life

Editor’s Note: This contribution is by Allan Brindell.

I’ll never forget the day that my journey into the area of “care giving” began. Life was good! Everything was good for me; good for the family and things were going the way I wanted them to be going.

It started on a Friday night that I will never forget. It was June 30th, 1989. I was busy at work, finishing things up and getting to relocate to California. I had wanted to move back there for such a long time and finally had my chance. I was to move within the next week or so.

Family was good on the Friday in June my mom had retired that day after working for the same company for about 19 years. So my mom and dad decided to go out and celebrate my mom’s retirement. They left and within maybe a half hour my phone rings. It was a phone call I will never forget for it had changed everyone’s life forever. It was my mom on the phone, dad just had a stroke at the restaurant.

I rushed out of the house frantic. And as I was driving, I know what restaurant my mom said they were at but I drew a blank. So I pulled over not being able to think straight. Where are they I’m blacking out. Then I saw an ambulance rushed by with the lights going. My instinct said follow that ambulance. My luck must have been with me for that was the ambulance going to where my dad was.

I remember seeing my dad in the back of the ambulance and then proceeded to meet them at the hospital. The emotions for everyone was running high that night. After hours at the hospital my  mom and I returned home. As we were standing in the kitchen all she said to me was “What are you going to do?” [meaning about the move that was coming up] My response was basically I don’t know I don’t have a clue. Eventually I was able to delay the transfer for a short period of time. When I did leave to move on that Sunday morning I walked out of the house in tears not being able to look my  mom in the face. I drove off not being able to look back. I made the 3,000 mile trip to California in 6 days alone. By the time I got there on that Friday my decision was I can’t do this. So 2 days later I turned around to make the same 3,000 mile journey to be at home where I belonged in the first place. I have no regrets on the return. After all isn’t that family is supposed to do.

Thus began the journey of my mom and I being care givers for my NOW disabled dad. Trying to deal with a different man from what we knew all those years. He was usually a quiet man; a family man. But looking back I now saw a different man. He was now dependent on US for his care. He was different physically and emotionally. He was paralyzed on his left side meaning that the stroke occurred on the right side of his brain. So physically he couldn’t do like he did before. And emotionally he was a changed man. He would be sitting at home at times in tears. I would look at my mom and we would just glance at each other like “Why is he crying?” My mom would shrug her shoulders and just try to say I don’t know why he is crying. His long memory for whatever reason was intact. I would hear the same stories that I always had and heard a million times as a child. But his short term memory was another issue. The same questions over and over again and usually minutes apart.. As time went on some sort of dementia set in. He would go thru periods of outbursts for no reason at all. He became difficult to handle. He would hallucinate.

In the interim, after my dad had his stroke in June of 1989, my mom took ill. It was the end of 1990 I guess. My mom had several bouts of cancer – lymphoma. But this time was different. The doctors were having trouble getting the cancer under control. My mom progressively was getting sicker and sicker as time went by.

So from 1990 on I became the sole care giver for both parents. I would be at work and would get an urgent call. Come home you have to get me to the hospital. Mom didn’t want to call the ambulance, she wanted me there. So I would rush out of work. I can’t tell you how many times I had to leave work because of the family emergency. My mom eventually passed away in June of 1992.

So I was still taking care of my dad at this point. But it was tough trying to deal with 2 ailing parents at once. I didn’t know which way I was turning. It was after my mom passed away that my dad began with the hallucinations; the outbursts. He would become more and more difficult to handle. I couldn’t talk to him. I couldn’t reason with him.

There was one time my dad was in the hospital for something and in the middle of the night I got a call from the hospital. Come down, we cant control him. We need to medicate him. So I would go running at 1 or 2 o’clock in the morning. Once I had to help the doctors control him to medicate him and my dad was so mad because of what was going on all he was able to say was that he had no son I was dead to him. Again outbursts.

And at times seeing him medicated in the hospital and being placed in the psychiatric ward. He didn’t have a clue as to what was going on.

I can’t tell you how many times I would sit back and look at my dad and think, “This isn’t my dad.” This isn’t the dad that I grew up with. He was a changed man for the worse.

It was ever so difficult being a care giver. For after the time that my mom had passed away, I began the worst part of my own journey as “patient.” I started to have one surgery after another. And while I was at home trying to recover on my own from surgery at the time, I was also playing the role of care giver. I had to wear 2 different hats at the same time. And whatever was going on in my own life physically I couldn’t talk to my dad about it. I couldn’t get the emotional support that I needed as well. He wouldn’t understand and was always afraid of dumping on him more then he could have handled emotionally.

So what did I go thru personally as a caregiver? I went thru periods of anger; frustration  lonliness; despair. I had no where to turn to. I had to do it alone. I needed to have some sense of control over what was going on, but yet looking back I was probably, no I can say I WAS out of control. I was out control emotionally spiritually and physically.  i was your classic example of what a “burned out” person probably was. I couldn’t deal with my dads emotional and physical needs and I certainly wasn’t handling any of my own needs. While I tried to find time for myself, mini vacations. While I may have been away from home physically, mentally I was always at home. Always wanting to make sure that he my dad was being taken care of. I was a lost soul.

And while my dad has been gone going on 10 years now I am still trying to deal with things. Things that were ignored or thinking of the things that I should have done differently while my dad was still alive. Angry for what went on that maybe I could have done things differently or handled things better. But when you get caught up in a situation — a catch 22 — you start to spin in circles and can’t get out of where you are at.

I feel that thru the care giving process I have walked a million miles. Wishing ever so much that I could turn the clock back. Finding a better way of doing things or a better support system. But I realized that I didn’t have a support system. Doing it ALONE you find yourself in that dark lonely place wondering if anyone ever will understand what you have gone thru.

So when I hear or see another person in a care giving position that is living the same lfie that I did ever so many years ago, I tend to relive those moments. You never truly forget the role of “care giver” for the impact it has on you, only you can tell that story in hopes that someone else doesn’t have to have the same experience.

Now I understand the importance of being a “care giver” and I certainly undertand the emotional; spiritual and physical impact it has on you. Whoever is a care giver all I can say is “if possible don’t do it alone or think you can do it alone” & “wherever possible get the support that you do need in such a time!!!!”

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This Is Your Comfort Zone

The golden rectangle reads: “This Is Your Comfort Zone,” according to an article I skimmed about a TV show I will probably never see. The entire second season promises to exist outside said comfort zone. Presumably a devil-may-care attitude about drugs, illicit romance, sexual identity, and stalking is enough to guarantee a second season.

Rabbi Mark Weider

Rabbi Mark Weider

This is not to say that I have not watched some fairly gritty TV shows, including some where I have felt emotionally invested with characters doing some despicable things (Breaking Bad, anyone?). Perhaps this is a way to expand my comfort zone vicariously.

I thought of many ways I could write about comfort zones; about how Jewish and family values play into decisions we make; about the role of self-discipline in our lives, and on and on, but the way the issue struck me was about how caring for our elders can consistently pull us out of our comfort zones.

For some of us, dealing with bureaucracies is uncomfortable: Social Security, Medicare, and Medicaid forms, with their attendant rules and regulations, can drive us to distraction. For others, searching for proper venues for care is a huge stressor. And many of us in the so-called sandwich generation need to exit our comfort zones not only in caring for elders, but for ourselves and children and/or grandchildren.

We may have the financial resources to bring outside help to bear on our problems. There are attorneys who can help get our ducks in the row to get a partner or parent into a nursing home, financial advisors who can guide us in preparing for a range of contingencies, etc. We might find a plausible answer to a question, or begin to plot a seemingly sensible path to action through browsing the internet. Even with this ammunition at hand we may feel we’re up the proverbial creek without a paddle.

Often it helps to have others to commiserate with, especially if family members or friends don’t want to hear our tsouris (troubles) any more. For example, we have a monthly caregivers’ support group at River Garden, and local hospitals have programs for those dealing with Alzheimer’s Disease.

It occurs to me that the differences between these two types of comfort zones, whether those having to do with morality or those involving decisions based on emerging needs has to do with our attitudes. What’s problematic for me (“stupid paperwork…”) may not be problematic for you; what’s problematic for you, I may take in stride.

Attitudes, however, are subject to change. Without necessarily wearing our hearts on our sleeves, we can be more transparent about what’s going on in our lives. We can share our situations, and examine what we’re doing to get beyond our challenges (it may be too much for now to look at them as opportunities!). We can ask for help. And sometimes we may need to accept things just as they are, for now.

And just as importantly, even if we have a boatload of personal needs, we still can be of help to others. As Hillel was accustomed to say (Pirke Avot, 1:14), “If I am not for myself who will be for me? Yet, if I am for myself only, what am I? And if not now, when?” We must be strong advocates for ourselves and our loved ones, reach out to help others, and perhaps most importantly, take action.

At times I feel stalled, and take a while to take action. And I’ve often wondered afterward, filled with relief, what took me so long. I will continue to work on that. Whatever it is you need to work on, chazak, chazak, v’nitchazeik. May we learn to be strong, increase our strength, and strengthen each other.

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Jewish Sacred Aging Podcast #6: A conversation with Rabbi Douglas Kohn about Judaism, Cancer, Alzheimer’s

Rabbi Douglas Kohn, Congregation Emanu El, Redlands, CA

In this program, Podcast #6 in our series, Rabbi Address chats with Rabbi Douglas Kohn of Congregation Emanu El, Redlands, CA about his two books, Life, Faith, and Cancer, about his own battle with cancer, and his newest book, Broken Fragments, which offers a Jewish perspective on Alzheimer’s Disease.

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Broken Fragments (Paperback)

By (author) Douglas J. Kohn

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Bill Keller addresses end-of-life healthcare issues in New York Times column

Bill Keller, New York Times columnist

Bill Keller, New York Times columnist

Bill Keller, former executive editor of The New York Times, examines a new British approach to end-of-life care, called the “Liverpool Care Pathway for the Dying Patient,” in his October 7 op-ed column, “How to Die.”

Keller concludes that the Liverpool Pathway would not be successful in the US because of our obsession with political and economic concerns over end-of-life issues. What do you think?

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Jewish Sacred Aging Podcast #4: Growing Older: A Sacred Journey: A Conversation with Rabbi Dayle Friedman

Rabbi Dayle Friedman

In the fourth Jewish Sacred Aging podcast, Rabbi Address discusses “Growing Older: A Sacred Journey,” with Rabbi Dayle Friedman, a pioneer in forging a Jewish spiritual response to the challenges and blessings of later life. Rabbi Friedman is the moderator of the web resource GrowingOlder.co (the “.co” domain is correct — not the usual “.com.”)

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Bringing Back a Boomer Gap!

Remember the “generation gap”? If I remember, we were a big part of that in the 60′s and 70′s. Time moves on, as they say, and it seems that we are part of another generation gap that may present us with some interesting opportunities and challenges. Certainly, within a Jewish values context, there is a lot to consider.

Rabbi Richard Address

Rabbi Richard F. Address, D. Min.

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Jewish Sacred Aging Podcast #3: Navigating the Doctor-Patient Relationship, a conversation with Dr. Donald Friedman

Donald M. Friedman, MD

In the third Jewish Sacred Aging podcast, Rabbi Address has a conversation with JSA contributor Dr. Donald Friedman about his journey from medical practitioner to the intersection of spirituality and health that he discusses in his JSA blog posts.

Visit www.jewishsacredaging.com for future episodes in this podcast series.

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Jewish Sacred Aging Podcast #2: Three Program Ideas for Congregations and Baby Boomers

In the second Jewish Sacred Aging seminar podcast, we offer Rabbi Address’ recent workshop, “Three Program Ideas for Congregations and Baby Boomers,” presented this month at the regional Shabbaton  of the Union for Reform Judaism.

Visit www.jewishsacredaging.com for future episodes in this podcast series.

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Jewish Sacred Aging Podcast #1: Seminar on “The Art of Care-Giving”

We’re pleased to present our first Jewish Sacred Aging seminar podcast, featuring a workshop conducted by Rabbi Address at M’kor Shalom in Cherry Hill, NJ on “The Art of Care-Giving.” This program is part of the synagogue’s Health and Wellness Initiative, which is based on the care-giving chapter in Rabbi Address’s newest book, Seekers of Meaning. (Click on the book’s title to purchase.)

Visit www.jewishsacredaging.com for future episodes in this podcast series.

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