It is hard to capture all the activity that is happening with our construction. Lower parking lot is coming along. Upper building walls are getting taller. Lower building foundation is beginning to move forward.
And check out this amazing aerial view thanks to R&H Construction!
Construction on the new Harold Schnitzer Health & Rehabilitation Care Center continues here on campus today, Monday, October 26, 2015.
Selection committee members and CSP staff checking out fabric and other options.
Off campus, a few volunteers and staff began the process last week of selecting fabrics and finishes for the new buildings. Special thanks go out to our selection committee members including Martha Soltesz and Carol Koranda!
Foundations have already been poured for the new building right next to Robison.
Walls are beginning to be framed and are going up next.
Down below Robison, work is still happening to level the ground for the new parking lot area and construction.
More construction information soon. Stay tuned.
In this season of giving:
At Cedar Sinai Park’s Robison Jewish Health Center, we are honored to provide a home and healthcare for so many wonderful residents — residents like Sarah and Abraham. Sarah* came to Robison after she fell and broke her hip while in her mid-80s, and Abraham* lived independently until he suffered a debilitating stroke just after his 86th birthday. Unfortunately the resources available, including Medicaid, do not meet the costs of Sarah or Abraham’s care.
Over half of all residents at Robison are supported by Medicaid, but this program covers only a fraction of the total costs of health care. Once these medical costs are met, CSP must seek the resources needed to provide an environment that engages and fulfills the lives of the people that call Robison “Home”. We need your help in honoring this commitment to provide life care, regardless of their ability to pay.
For over 90 years, the Jewish community has looked to Robison Jewish Health Center as a leader in elder care. We provide the highest quality of health care, but strive to do much more – we provide life care. The commitment of our supporters has helped us continue our tradition of high-quality care in a home-like environment for our residents, based on the belief that care involves more that covering basic medical needs.
During this time of Thanksgiving in our country, we are grateful for you and for the support of our community. In the spirit of #GivingTuesday**, we hope you will consider making a gift online today to support any charitable cause you deeply care about whether it is our residents in need or another organization. Online giving to Cedar Sinai Park is quick and easy. Click here to give now.
*Not their real names
**#GivingTuesday is “a global day dedicated to giving back,” and a day when people “around the world will come together for one common purpose: to celebrate generosity and to give.”
We invite you to join us for a free presentation and conversation about Medicare. On May 19 at Rose Schnitzer Manor, Cynthia Hylton from Oregon’s Senior Health Insurance Benefits Assistance Program will discuss how you can receive ongoing personal consulting for your Medicare Health Insurance concerns. This presentation will provide you with the tools you need to understand Medicare Health Insurance and the options available.
Please RSVP by May 10 here.
Families and residents are asked at the beginning of their journey into long-term care for directions on how they want care providers to proceed to address illness and imminent death.
A request for advanced interventions to treat illness is usually a request to defer death and requires hospitalization at the end of life.
A request to limit interventions to comfort care usually means no resuscitation, no ventilators, no tube feeding, possible surgery, or treatments like dialysis. It also means providing sufficient pain control to improve quality of life even if it may hasten death. It includes personal care for dignity and comfort, individual feeding of specially desired foods and liquids, and setting up space for the family to spend more time with the resident. Hospice staff can be brought to the facility at the end of life and assist other staff with special interventions to increase comfort. Paramedics will not be called when death occurs, rather the physician will be called to “pronounce” the time of death. The facility will notify family, if they are not present, and the funeral home, if appropriate.
Residents with progressive dementia, especially of the Alzheimer’s type, will, if they do not die sooner from another medical condition, enter a vegetative state when they will refuse food and liquids. It is fairly universal in the disease and leads to death. It is also painfully difficult for families to watch, not least because starvation seems unacceptable in our society, and there is a temptation to intervene. Artificial nutrition and hydration from tube feeding and intravenous treatments are available and families may choose this route. However, these interventions have not been known to extend life, as the body of the advanced Alzheimer’s patient appears unable to absorb the nutrients. These interventions also have medical complications of their own for the resident and family to navigate.
In long-term care facilities, nursing staff are on the front lines with death and usually communicate with families about its imminence. Physicians are called and orders for treatment and medication given, but nurses are best able to provide families with information and possible timelines. Receptionists, aides, social services staff, therapists, and administrators are not able to guide families beyond what they have been told by nurses.
When a resident is very ill and near death, families should request protocols for remaining in contact with nursing staff for their own comfort and reassurance. While “the good death” we continue to see on television and in movies rarely occurs, the process of dying in a long- term care facility can be made relatively comfortable and pain-free with cooperation among staff, physicians and family members. The best way to ensure this is to think of the “unthinkable” ahead of time, plan, and utilize the staff of the facility to implement a care plan acceptable for everyone.
The nature of long-term care communities is defined by the demographics of age and by impairment, both physical and cognitive. They are combined because the healthiest of older people will often remain living in the greater community, either alone, with a partner, or with extended family. When age and impairment coincide, death occurs in that community more frequently but with a different kind of shock than in the larger community.
There is no surprise in the fact that sick, old people die, but there is shock in the constant changing of the environment in a long-term care community. More residents die or move to higher levels of care because there were more of them concentrated in the one community. This academic explanation cannot describe the impact of these changes on staff, residents, families, and other visitors. The remarkable swiftness of the passage from life to death should never cease to amaze us but the frequency of the passage in long-term care settings can be distressing to all involved.
In How We Die Dr. Sherwin Nuland points out that death has always been a subject of both terror and attraction to societies advanced and primitive. Since the beginning of the 20th century, people with access to modern medicine have expected that, if they did not die violent or accidental deaths, they could expect “a good death”—dignified, pain-free, with some conscious time to interact lucidly with loved ones. That rarely happens now and it rarely happened prior to the modern medical experience. The more medical interventions and the more sophisticated means used to defer death, the less likely the patient will experience whatever they perceived as “a good death.”