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On June 10, national expert on pandemics and public policy Professor Howard Forman, MD, MBA, FACR, Professor of Radiology and Biomedical Imaging, Public Health (Health Policy), Management, and Economics at Yale University, spoke to Connecticut Hospice staff about COVID-19.
Professor Forman answered questions on a variety of topics relevant to professional practices and personal lives during the pandemic.
“It is possible that we are going to live the rest of our lives with a pandemic in some way, shape or form, and we are going to have to acclimate to that. Think about everything you do, and mitigate the risk as much as possible. To think we will never go out or attend family functions and gatherings would probably be ridiculous, but we should all avoid crowded, enclosed, indoor spaces or functions".
"Every single thing you do comes with some heightened risk. The thing that reduces your risk is decreasing mobility and not interacting with anybody and that’s just not how we’re going to be able to live our lives”.
The two practices he emphatically emphasized are wearing a mask always, and testing.
“If no vaccine is available I believe that testing is equivalent. If I could provide you with a $5 - $10 instant test for coronavirus that was highly sensitive, that you could do every day, you would basically eradicate this and have no problem of spread. And if we did this on a wide scale in the United States for a period of time we would stop this”.
Professor Forman stated the belief that testing will be scaled up and cheap enough for widespread implementation in the next six months.
Ideally, he said, “If you are home with someone vulnerable, test often”.
On the subject of pre/asymptomatic spread by a COVID-positive person, he confirmed that there is a documented two-day window before symptoms show when you can infect others.
“It is impossible to know if you are pre-symptomatic. Your assumption should always be at any given point in time that you might be infected – you just may not have symptoms yet”.
While his warnings are sobering, he concluded that with proper protection – wearing masks, frequent hand-washing, constant adherence to social distancing guidelines and avoiding crowded settings – your risk can be greatly mitigated.
Watch the entire session here:
Summer is here, and the natural world is exploding with life. While so many human beings stayed at home this spring, you may imagine what a ‘field day’ plants and animals have had. Our connection to all things growing is as old as our species, and we reap a myriad of benefits when in touch with nature - rejuvenation, stress-relief, increased health, sustenance, joy, creative inspiration, to name just a few.
For those unable to get outside because of social isolation or activity-limiting illness, there are many alternative routes to those life-enhancing rewards.
In this series we will discuss why and how nature is so beneficial to us and we’ll share some resources to help you bring some of the natural world to your own environment, wherever you are.
In later installments of the series we will visit the world of trees, which we know give us improved health in ways large and small. Their ability to provide oxygen, shade, medicine, and beauty is unmatched in our planet’s flora. Later, we’ll journey to the wilderness and find out how the natural landscape can improve our wellbeing and inspire our creativity, even when we are sitting indoors.
In Part 1 we start closer to home, as we explore gardens, gardening, and the therapeutic role played in our lives by our involvement with plants.
The human instinct to control our natural environment seems to have existed from our earliest days. Once we mastered the hunting and growing of ample food supplies, evidence teaches us that our ancestors began to design and plant for pleasure. Human knowledge of plant life expanded through trial and error to include nutritional, medicinal, and eventually purely aesthetic uses. When we looked at a beautiful landscape perhaps the pleasure we felt gave us the urge to try to reproduce it.
For millennia, gardens have been created as places of solace, escape, and relaxation. They have been catalysts for creativity, inspiring countless works of visual, literary and musical art. Their design is seeded in the imagination and nurtured by experiment and conditions, the only ‘rules’ being those of climate and space.
Ranging from the most grandiose and formal to a few simple containers on a sunny windowsill, there is a style to please everybody. Whether private or public, gardens can be manifestations of personal statement and cultural pride. They are sites of solitary, family, or community activity, which know no boundaries of age, geography or wealth. During times of war and, recently, pandemic, edible produce has been raised in ‘victory’ gardens, allotments, small plots and indoor pots. Anyone can garden with a minimum of material, (and most gardeners love to share or swap); very few people are immune to the enjoyment of being in one.
Before we continue, take a moment to enjoy this gallery of plants and gardens, and observe your responses to each of them:
There is a quiet thrill to be found in cultivating a life force other than our own, and wonderful moments of surprise when plants enforce their own will and spring up in unexpected places. As we nurture gardens, so do they nurture us.
Beyond their cultural, historical and social importance, gardens and gardening provide profound physiological benefits. They stimulate all our senses. One or two plants in an indoor pot can do this, or a richly planted garden outdoors. We know that aromas can trigger memories, colors can affect our emotions, shape and form feed our ability to use logic and enhance memory. Likewise, certain natural sounds can reduce our heart rates, and the taste of something healthy and fresh can encourage appetite. The physical activity of gardening on any level can improve fitness and motor ability.
Because they engage all these senses, it is clear that gardens bring huge rewards. For persons with cognitive deficits or impaired motor skills, they have a particular value: – the cerebral cortex of the brain, where sensory information is processed, is stimulated by the sights, smells, sounds, tactile textures, and taste of plants and gardens. The cerebral cortex is also where motor function is controlled and voluntary movement regulated, and it is the area of the brain responsible for processing language, planning and organizing.
The physician and writer, Oliver Sacks, explains the value of gardens:
"As a writer, I find gardens essential to the creative process; as a physician, I take my patients to gardens whenever possible. All of us have had the experience of wandering through a lush garden or a timeless desert, walking by a river or an ocean, or climbing a mountain and finding ourselves simultaneously calmed and reinvigorated, engaged in mind, refreshed in body and spirit. The importance of these physiological states on individual and community health is fundamental and wide-ranging. In forty years of medical practice, I have found only two types of non-pharmaceutical “therapy” to be vitally important for patients with chronic neurological diseases: music and gardens." (from “Why We Need Gardens” in Everything in its Place: First Loves and Last Tales).
This year more than ever, many of life’s most sustaining activities have by necessity become virtual ones. While many of us may not be able to travel or experience the beauty of gardens in person, the internet can take us there with a larger number of options and more stunning videography than ever before.
The New York Botanical Garden, a National Historic Landmark and the largest Garden in any city in the United States, is a wonderful source of information, beauty, and escape. Their website offers marvelous virtual tours through their gardens, ranging from spring flowering bulbs and blossom trees to roses in high summer. Tutorials by NYBG experts can be found there and on YouTube to help you with indoor plants and outdoor flowers and shrubs. If you want to grow some of your own fresh vegetables their website also features guides especially tailored for children and beginners.
Click here to tour the gardens or watch their free tutorials: New York Botanical Garden at home
If you would like to explore some of Great Britain’s famed gardens, including Kew Gardens, National Trust sites and The Royal Horticultural Society’s Chelsea Garden Show, this collection of virtual tours is not to be missed: Enjoy virtual British gardens
Whether in real life or virtually, the pleasure we can take in gardens and gardening is available to us in every season. We observe in the life cycles of the natural world an echo of our own finite existence, but there is comfort there in abundance. The careful preparation of a plant pot or a flower bed, and the expectant anticipation of our success, feed our sense of hope. The excitement of seeing a young shoot first emerge from our soil is hope brought to fruition.
"And don't think the garden loses its ecstasy in winter. It's quiet, but the roots are down there riotous." - Rumi
Click here to read more about the the physical and mental benefits of gardens
To read a recent study comparing the health effects of natural vs city landscape click here: Experimental Study on the Health Benefits of Garden Landscape
To read about gardens in history:
Throughout the COVID-19 pandemic, the Medical Director at Connecticut Hospice, Dr. Joseph Sacco, has kept staff and volunteers well-informed of policy changes, PPE protocols, local and national COVID-19 data, and much more, through a “Daily Update” email.
He has also tested staff frequently for coronavirus to ensure a safe environment for all, and helped to care for non-COVID and COVID-positive patients alike, with his colleagues on the Interdisciplinary Team.
Some of the most appreciated and morale-boosting gestures he has shared with staff in his Daily Updates are the jokes and contests he has inserted at the end of each email.
A recent Haiku contest drew entries from almost every department of this non-profit organization - Nursing, Dietary, IT, Security/Building Services, Arts, Medicine, Social Work, Volunteers, Business office, & Administration. No subject was off-limits, although the COVID crisis was clearly on many minds. To read the entries, scroll below.
More recently, Dr. Sacco invited Connecticut Hospice staff to submit photographs on the theme “Beauty in Adversity”.
Window visits, at work and at home, were one recurring theme; social isolation featured prominently too. But love, family, humor and resilience were in strong evidence throughout.
We invite you to enjoy some of the submitted photographs, and may you find your own beauty in adversity.
Got both my gloves on
Ignoring my ear rug burn
Caused by my tight mask
Helping families
Supporting dying loved ones
Through their hardest times
I am leaving earth
Skies are calling me to go
My nurse lifts me up
My nurse blesses my
Last breath as I float away
No pain, only love
There was a big tree
That was in the blue ocean
We love that big tree
We will live to fight
That dreaded Covid nineteen
We will hug again
Our workers need masks
So who are you gonna call
Gonna call Batman
Dress in blue scrubs again
Think about some jewelry. Nah.
Lipstick on a pig.
Wash your hands, be safe
Put on a face mask people
Social distance now!
Patience takes hard work
Humans need much more practice
Smiling helps a lot
Gloomy rainy skies
Give way to sunny weather
I want summer heat
This too shall pass then
We will celebrate our work
Each other our caring
Can’t keep my mouth shut
The filter has big holes
Orange looks good on me
Another day home
Yet one more day staying home
Flattening the curve
Three days in the past
Or three days in the future
Fourteen days from then
alone a woman dies
fever ablaze yet pallid
breath halts then expires
Bud, breeze, buzz and bloom
Harken to our higher self
Faith in renewal
My feet in the sand
A frozen drink in my hand
Please bring on summer
In a world ablaze
We cry for our leaders help
The silence deafens
Touch my cheek softly
Say goodbye without weeping
Heaven awaits me
Fearsome pandemic
Exceptional caring folks
Clouds will part some day
Row, row, row our boat
Covidly down the stream, Life
Is NOT but a Dream
Homeschooling my kid(s).
Home care patients need me, too.
Remember to breathe.
Need toilet paper...
#askingforafriend
Charmin or Scott, Please?
Trip to London, nope
The high school musical, nope
First time to prom, nope
Zoom, zoom happy hour
One drink tastes good going down
Two, three even more
History and background of Haiku poetry
Using humor to cope with stress
How nature can restore your health
Ways to maintain your creativity and mental health
Have you seen Beauty in Adversity too? Capture what that means to you in a photograph and send it to us to share on this page. Do you love to compose haiku poetry? All photos and haikus must be your own work, must be copyright free, and you agree that there will be no financial liability to Connecticut Hospice or its employees if your entry is displayed.
Send photos and haikus to Director of Arts Katherine Blossom at [email protected]
June 11, 2020 was the 46th Anniversary of the date when construction of America’s first hospice facility, Connecticut Hospice, was approved by the Connecticut Commission on Hospitals and Health Care.
The anniversary was recognized by the Office of the State Historian and CTHumanities in a feature article for Today in Connecticut History entitled "A Breakthrough in Compassionate Care for the Terminally Ill".
When the COVID-19 pandemic forced millions into a form of hibernation, many found themselves existing in a much quieter world, some even experiencing long periods of silence. Some have found the opportunity to think and create in that unusually quiet space; others, (for most of us are social beings), have reached out on phones, FaceTime, and Zoom to feel a connection they have missed. Not everyone has that luxury, and many are painfully isolated – often the disempowered, the victimized, the poor, the sick.
Recently, regardless of the extent to which communities have lifted some social distancing restrictions, hundreds of thousands of citizens have been impelled to march en masse to protest violence and discrimination against people of color.
Whether in silence or in clamor, these sentinel events have emphasized the importance of listening to (and really hearing) others, and the importance of speaking up loudly for those who need support.
In this second installment of our series on Spiritual Care in Difficult Times, The Reverend Susan Trucksess, a Connecticut Hospice Pastoral Care Volunteer, examines the profound spiritual connection made when human beings sit in silence together, and the comfort and healing of solidarity, whether words are spoken or not.
Presbyterians are wordy. Presbyterian ministers highly value the Bible as the Word of God, emphasizing Word. Presbyterian preachers preach long verbose sermons (Some might even say “endless.”) Presbyterian pastors use lots of words in conversations and communications with parishioners. (Some might even say “repetitive”). I am a Presbyterian minister...thus I tend to be wordy.
For many years I served in church settings. Then, in retirement, I came to Connecticut Hospice as a volunteer in the Pastoral Care department doing in-home care. I believed I had some experience to offer. Instead I learned I had much to learn... such as about the power of silence.
Naturally, in the course of my vocation, I had spent a lot of time with people in various straits of life, including but not exclusively those who were facing death. Now those at Connecticut Hospice who are moving toward the end of life in their homes are my “parishioners,” and our exchanges can have a different tone, a different quality, to them.
Often I walk into a home or a care center, sit at the bedside, and find that silence will be the most profound medium between the patient and me. Perhaps Mrs. Jones is presently too tired to talk. Maybe Mr. Gonzales has lost the ability to speak. Perhaps Rebecca is too angry or too sad to even look at me. John may be in a coma. What do I say in those situations? What words do I use? Of course, I can and do read from the Bible, the Torah, the Qur’an, if that seems appropriate or desirable. I can offer prayer, a blessing, an anointing, and spoken expressions of comfort and hope. And sometimes, sometimes, I can just sit in silence. As the Persian poet Rumi said,
"The quieter you become, the more you are able to hear".
At first, I have to admit, that seemed awkward. No words, no response. What was I doing there? What was I offering? Accomplishing? Nothing fancy, nothing bold, nothing noteworthy. It was humbling. And then I realized that was exactly the point, that is the point. In these moments I am sharing in the very human condition.
Each of us there - the patient and I - are going to die. Perhaps one sooner than the other, but each of us is living in the movement toward death. I am overwhelmed by a feeling of connectedness, of tenderness.
When two people (or more) know that we are in the process of being human, there is something that can happen between us. Something big, something grand, something tenderizing can take place in our midst. A kind of joy. All the things that normally distance us from one another become small and insignificant.
We will not be here forever, but we are here together now, and Spirit is with us. There can be joy in the midst of suffering, and life in the presence of death, as the wonder of life, death, and the mystery of life beyond death unfolds for all of us.
This is part of what Connecticut Hospice is all about - and it comes in many forms of caring for patients and families - with words, and without. It comes in a touch, a bandage, an injection, a bath, a warm meal, a smile, an assurance, a hope, a prayer. It comes from nurses and doctors, social workers, administrators, chaplains, aides, volunteers who cut hair, bring art supplies, music, (or dogs), transport to appointments. It comes through in-person interactions and in phone calls. It is soft and it is firm, compassionate and professional. It is caring and tending and accompanying. It is the Connecticut Hospice way. And we would be honored to serve you should you need us.
Peace and blessing, The Rev. Susan Trucksess, Pastoral Care Volunteer.
To read more on Presbyterianism: https://en.wikipedia.org/wiki/Presbyterianism
To find out more about 13th Century Persian poet Rumi's works: Rumi - America's best-selling poet
Rumi's life, death and legacy: Rumi biography
Writings on stillness: Stillness as action
Pablo Neruda on being quiet: Sylvia Boorstein reads Pablo Neruda poem
How U.S. Representative and civil rights leader John Lewis learned to use words for change: Excerpts from 'Preaching to the Chickens'
On Wednesday afternoon, May 27, the frontline caregivers of Connecticut Hospice were honored by a visit from the Thank You Tour.
Members of the Branford Fire Department, who also attended the tribute, stood to attention as a fifty-foot American flag was raised high into the air overlooking Long Island Sound.
The Thank You Tour is the brainchild of K & J Tree Service, who has put their large crane to good use during the coronavirus pandemic by visiting hospitals around the state to honor all frontline health care workers.
The display at Connecticut Hospice’s inpatient hospital in Branford also featured a giant “Thank You” sign on another of their trucks. Hand-held flags were given to all the staff who came outside to enjoy some sunshine, and those who were on duty inside with their patients waved from windows and balconies.
From the lobby, a patient and her family engaging in a window visit and FaceTime call, assisted by Connecticut Hospice Social Work and Arts staff, enjoyed the proceedings while they chatted.
The event was a memorable respite from the challenging circumstances being endured by individuals, families, healthcare organizations, communities and the nation.
It became a welcome chance to recharge batteries, honor each other, and remember the power of unity and purpose.
A great way to bring Nurses month to a close!
To see the flag-raising and some of our amazing staff enjoying the event, watch this short video:
To find out more about Thank You Tour events, click here: Thank You Tour events
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Please make a gift to help us sustain the highest standard of care.
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Call our Centralized Intake Department: (203) 315-7540.