Author Archives for Herb Weiss

Sensible Advice from Seasoned Folk to the Class of 2015  

Published in Woonsocket Call on May 17, 2015 — Updated

This month, notable and professionally successful commencement speakers are again gathering at the nation’s Colleges and Universities to give the robed graduating Class of 2015 seniors’ practical tips and advice as to how to have a rewarding personal and professional life.  High profile speakers cam oftentimes translate into big bucks for speaking fees but these widely recognized speakers can bring prestige to the educational institutions.

CNN.web has announced the this year’s high profile speakers for the upcoming commencement season. According to website, like every year these speakers are politicians, journalists, military leaders, entertainers and business CEOs.  Here’s a sampling: President Barack Obama and First Lady Michelle Obama, Oscar winning actors, Anthony Hopkins and Denzel Washington, Novelist and Essayist Author Salmon Rushdie, Bill Nye, the “Science Guy” and Journalist Katie Couric.

May be its time to end the practice of bringing in high-paid commencement speakers.  For this writer, regular folks will do.  Below you might just see many potential commencement speakers, just waiting for the 10 minutes of fame to stand before hundreds of graduating seniors to give their “pearls of wisdom” on living a better life. You may not recognize them on the street, but many in their community know who they are for their achievements of making their Cities and Towns a better place to live.  While not high-profile, through life’s experiences honed every day at work or in their personal worlds, they can give Rhode Island’s college graduates sound, practical advice, to live in a very challenging, and changing world.

Charles Bakst, 71, Providence, retired Providence Journal political columnist. “Stand for something and act upon it.Don’t assume someone else already has done it or will do it.  Work to advance yourself but remember there are plenty of people, even right here in Rhode Island, who have not had the advantages you’ve had. They could use a break too. Help them.”

Dave Barber, 60, East Greenwich, Reporter Capitol Television RI State House. “It’s attitude, not aptitude that will determine your altitude.  There is nothing that will serve you better in the future than a positive mental attitude.  There are two days in life that never exist; yesterday and tomorrow. Yesterday is history, tomorrow a mystery. Live in the moment. Exercise gratitude and kindness in all that you do because there has never been a statue erected of a critic.”

Rick Roth, 61, Cambridge, MA, Owner of Mirror Image.  “Read because if you don’t know anything you are no good to yourself or anybody else and reading is the key to gaining knowledge.  When you are talking (particularly about yourself) you can’t listen. You learn by listening. Try to make the world a better place Pursuit of money is an empty pursuit and will leave you unhappy and dissatisfied.”

Scott A. Davis, 58, Eastside, Owner of the Rhode Island Antique Mall. “In today’s age of information, simply having knowledge is not worth much.  The secret to success in the future will not lie so much in what you know, but in your ability to synthesize information, whether already known or newly acquired, and to draw insightful and valuable conclusions from it.”

Scott Rotondo, 41, Pawtucket, accountant at Tivoli Audio. “Always be willing to expand your intellectual toolbox. Challenge the way things are done, and your own beliefs from time to time. Take in other people’s opposing points of view not with rancor and disdain but with dignity and respect.”

Lisa A. Proctor, 55, East Providence, healer/counselor. “You can not necessarily say all things are possible with God because many do not believe, but I would say a lot of situations we find ourselves in heal when we live honestly, purely, committed and have a merciful and compassionate heart towards others.”

Rudy Cheeks, 65, a musician and columnist of Motif, Providence, “If you can find what you love and make it the center of your life, you’re doing good and will likely be happy.  Whatever you do, “building community” should be an element in your life. Meet your responsibilities (e.g. if you want to create your own family, make sure you are ready for it and committed to it). When you become an “active consumer,” be a smart and thoughtful consumer.”

Kathy Needham, 53, Rumford, Controller, of Pawtucket Times and Woonsocket Call. “Follow this old adage, “Autograph your work with excellence, it is a signature of who you are”.  Take great pride in all you do but always remember to be humble.  Know that success is a personal goal.”

Gayle L. Gifford, 61, Providence, a strategy consultant to nonprofits, “Be an informed citizen of the world.  Read quality news from home and abroad.  Travel. Look. Hear. Participate to create the community you want your children and grandchildren to live in. Hopefully that community is one of justice, peace and inclusion. Don’t work all day in a job that destroys what you value. Play outside.”

Crystal R. Parifitt, 41, Pawtucket, Owner of  FurBabies, a small pet salon. “Live within your means, below if you can…owning the biggest and best is overrated.  Don’t go after financial gain, choose financial stability because in 20 years you will regret the time you spent ‘chasing’ when you should have been living.”

Nancy Thomas, Cranston, President of Tapestry Communications.  “What you have done has largely been expected of you.  Now, what do you expect of yourself!  Find more than one thing you can do.  Pursue your education.  You’re not done.  Read, discuss, have opinions. Let the negative inspire you, and the positive be your lens. And, as it has always been, there is no work as important as that of raising a child.  Find your path to doing well at both.”

Barbara Peters, Newport, former AARP RI Communications Director, “Life is full of successes and disappointments. When we are young we tend to “cry” when the material things we want don’t immediately come our way. Forget the disappointments and concentrate on your successes. Nobody will hand you what you think you deserve.  [Only] hard work, dedication to your craft and sensitivity to the feelings of others will bring the rewards to you that are truly deserved.”

Cheryl Babiec, Pawtucket, Pawtucket School Teacher. “As an old saying goes….’One Man’s Junk is Another Man’s Treasure’ continues to hold true with the test of time. One of my yard sale “finds” had the following inspirational verse (though the author is unknown):‘Life is not measured by the number of breaths we take, but by the number of moments that take our breath away.’”

Herb Weiss, LRI ’12 is a Pawtucket writer covering aging, health care and medical issues.  He can be reached at hweissri@aol.com.

 

Palliative Care Can Provide Comfort to Dying Residents

Published in Woonsocket Call on May 10, 2015

           A recently published study, by Brown University researchers, takes a look at end-of-life care in America’s nursing facilities, seeking to answer the question, is knowledge and access to information on palliative associated with a reduced likelihood of aggressive end-of-life treatment?

Brown researchers say when a nursing facility resident is dying, oftentimes aggressive interventions like inserting a feeding tube or sending the patient to the emergency room can futilely worsen, rather than relieve, their distress. While palliative care can pull resources together in a facility to provide comfort at the end of a resident’s life, the knowledge of it varies among nursing directors.  A new large national study found that the more nursing directors knew about palliative care, the lower the likelihood that their patients would experience aggressive end-of-life care.

Susan C. Miller, professor (research) of health services, policy and practice in the Brown University School of Public Health and lead author of the study in the Journal of Palliative Medicine, published March 16, 2015, worked with colleagues to survey nursing directors at more than 1,900 nursing facilities across the nation between July 2009 and June 2010.  The researchers hoped to learn more about their knowledge of palliative care and their facility’s implementation of key palliative care practices.

Knowledge Is Power

According to the findings of the Brown study, the first nationally representative sample of palliative care familiarity at nursing homes, more than one in five of the surveyed directors had little or no basic palliative care knowledge, although 43 percent were fully versed.

“While the Institute of Medicine has called for greater access to skilled palliative care across settings, the fact that one in five U.S. nursing home directors of nursing had very limited palliative care knowledge demonstrates the magnitude of the challenge in many nursing homes,” Miller said. “Improvement is needed as are efforts to facilitate this improvement, including increased Medicare/Medicaid surveyor oversight of nursing home palliative care and quality indicators reflecting provision of high-quality palliative care,” she said, noting that besides quizzing the directors the researchers also analyzed Medicare data on the 58,876 residents who died during the period to identify the type of treatments they experienced when they were dying.

When researchers analyzed palliative care knowledge together with treatment at end of life, they found that the more directors knew about basic palliative care, the lower likelihood that nursing facility residents would experience feeding tube insertion, injections, restraints, suctioning, and emergency room or other hospital trips. Meanwhile, residents in higher-knowledge facilities also had a higher likelihood of having a documented six-month prognosis.

The study shows only an association between palliative care knowledge and less aggressive end-of-life care, the authors say, noting that knowledge leads to improved care, but it could also be that at nursing facilities with better care in general, there is also greater knowledge.  But if there is a causal relationship, then it could benefit thousands of nursing facilities residents every year for their nursing home caregivers to learn more about palliative care, the authors conclude.

Progress in Providing End-of-Life Care

Virginia M. Burke, J.D. President and CEO of the non-profit Rhode Island Health Care Association, said, “We were gratified that the authors found that most of the nursing directors who responded to their survey gave correct answers on all (43% of respondents) or most (36%of respondents) of the “knowledge” questions on palliative care.  We were also gratified to see that the number of hospitalizations during the last thirty days of life has declined significantly over the past ten years, as has the number of individuals who receive tube feedings during their last thirty days.  The need for continued progress is clear.”

Burke, representing three-quarters of Rhode Island’s skilled nursing and rehabilitation centers, adds, “It is not at all surprising that greater understanding of palliative care leads to better application of palliative care.”

The states’s nursing facilities are committed to providing person-centered end of life care, says Burke, noting that according to the National Palliative Care Research Center, Rhode Island’s hospitals are among the top performers for palliative care.  “We suspect that our state’s nursing facilities are as well.  We would be very interested in state specific results in order to see any areas where we can improve.”

Says spokesperson Director Michael Raia, of Rhode Island’s Health & Human Services Agency, “We need to provide the right care in the right place at the right time for all patients.”

When it comes to nursing facilities, Raia calls for reversing the payment incentives so that facilities are rewarded for providing better quality care and having better patient outcomes.  He notes that the Reinventing Medicaid Act of 2015 reinvests nursing home reimbursement rate savings into newly created incentive pools for nursing homes and long-term care providers that reward facilities for providing better quality care, including higher quality palliative care.

Bringing Resources to Families

With caregiving one of AARP’s most important issues, it’s no surprise that the organization provides a great deal of guidance on palliative care, stressing that “it involves organizations and professionals coming together to meet a person’s needs both in terms of pain management, along with emotional and spiritual perspectives,” said AARP State Director Kathleen Connell.

Connell says that “It’s is truly a team effort in which nursing home staff become key players. The resources are important to patient with chronic and terminal issues. Their families need help, too. So it is important any time we learn more about ways we can address this very important healthcare need.”

Adds Connell, “In Rhode Island, I’m confident that we have nursing homes that are dedicated to easing the difficulty of this particularly stressful stage of life. They give patients and their families enormous comfort. We certainly applaud their compassion and hope the report is helpful anywhere it identifies a need for improvement,” adds Connell.

AARP’s Caregiving Resource Center (http://www.aarp.org/home-family/caregiving/) includes an End of Life section. Check out a specific palliative care resource at  http://assets.aarp.org/external_sites/caregiving/multimedia/EG_PalliativeCare.html

To read the Brown Palliative Care Study go to http://online.liebertpub.com/doi/abs/10.1089/jpm.2014.0393.

Herb Weiss, LRI ’12 is a Pawtucket writer covering aging, health care and medical issues.  He can be reached at hweissri@aol.com.

Ex-Marathoner Shines at Wellness Event

Published in Senior Digest in the May 2015 Issue

The stars were in alignment. Just as the staff of Saint Elizabeth Community was organizing its first 5K run and walk as part of an employee fit to care wellness program, workers discovered that they were caring for an accomplished former marathon runner.

Bill McNulty, a 72-year-old afflicted with Alzheimer’s disease, had 45 marathons races, including two in Australia, under his belt. He was the perfect choice to be named an honorary starter for the nonprofit’s 5K Run-Walk for Wellness at Slater Memorial Park in Pawtucket. The event was organized with assistance from volunteer students from the Career Partnership Center at Roger Williams University in Bristol.

McNulty’s wife, Deborah, 56, shared stories of her husband’s love of marathon racing with staff at the Cornerstone Adult Services Memory Care Center, Warwick, which ultimately led to his participation in the recent wellness event.

McNulty, a Warwick resident, ran in the Boston Marathon 15 times, the New York Marathon twice and the Mount Washington Road Race 26 times. Before the onset of Alzheimer’s, he easily logged 100 miles per week just to relax and keep in shape. Earlier in his life when he lived in North Kingstown, McNulty ran more than nine miles to his job at Brown & Sharpe, also in North Kingstown, regularly stopping along the way to pick up a box of Allie’s donuts.

At the 5K event, McNulty, wearing running pants and an official T-shirt, geared  up for the upcoming race, surrounded by his wife, Debra; his son, Ian; and eight other family members. With a big smile on his face, the former marathon runner was stretching and lip syncing to the song, “Royals” by Lorde, waiting for his run.

Steven J. Horowitz, president and chief executive officer of Saint Elizabeth Community, kicked off the event by welcoming the 200 runners and walkers. By participating in the 3.1 mile race, they came to get in better physical shape and to honor McNulty. Horowitz noted how pleased he was to have Saint Elizabeth’s event added to McNulty’s prestigious list of races.

Richard Kyle, 64, a daily jogger, came to the Saint Elizabeth Community’s event on the invitation of an employee. “It’s unbelievable to me,” the Burrillville resident said of McNulty’s accomplishments.

“I can’t hold a candle to him,” says Kyle, who calculates that he runs about 31 miles a week in the Burrillville area.

McNulty’s obsession with running began while he was a high school student in Warwick, says Ian, who traveled from New Orleans to Pawtucket’s largest park to join his father for the run and celebrate Bill being named honorary starter.

Ian says even in harsh winters, his father would remain committed to running. “While some people had personal trainers to get them in shape to run, dad always had this inner drive,” Ian recalled. “It was something he had to do, and he didn’t over think it. He and his running buddies were tough and dedicated. They would just get up, have a donut and a beer and go run a marathon.”

“Racing can seem like a solitary experience,” says Ian, but over the years that belief would change. Bill began to see running as a community experience, even having a social side to it.

“My father was able to relive his glory days and even see some of his former racing buddies,” Ian said of the Slater Park event. “A lot of changes have taken place since my father was running in his prime. … He knows this event is very special, and that people are here to support him.”

By Herb Weiss, a Pawtucket-based writer who covers aging, health care and medical issues. Reach him at hweissri@aol.com.