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4th of July Traditions

Written by Birttni Peterson, RN
Resource Nurse, Empira

There is no doubt, that for many people, Independence Day is one of the most looked forward to days of the summer. What’s not to love? Time spent with family and friends, fireworks, tasty food, bonfires, and if we are lucky, as Minnesotans, nice weather. I’m pretty sure that most people understand the symbolism of the fireworks, like it says in the Star-Spangled Banner: And the rocket’s red glare, the bombs bursting in air. But for many people the 4th of July is like many other holidays; a perfect reason to get together and celebrate with family. Many of those families have traditions and unfortunately with this COVID virus right now most will not be able to celebrate as they would like.

Vintage American Flag With Sparklers And Smoke On Rustic Wooden Background - Independence Day Celebration ConceptWhat is the reason we celebrate with fireworks, parades, and red white and blue on the 4th day of July? Well, here’s a brief history on it.

The Revolutionary War began in 1775 and ended in 1783. The cause of this war was due to growing tension between Great Britain’s 13 colonies and the Colonial Government. On July 2nd of 1776, there was a vote to gain their Independence, it wasn’t until two days later that representatives from the 13 colonies and Continental Congress officially adopted the Declaration of Independence.

“Fun fact, John Adams thought that July 2nd would be the date that Americans would celebrate their independence.”

Now, I’m not much of a history buff… but do you know who is? Our good friend Andy Griffith.

A family tradition of mine is adventuring to my Grandparent’s house in Deerwood Minnesota. We would attend the Crosby-Ironton parade during the day. Our parade spot was right across from a Dairy Queen, so of course we always bought a treat before the parade started… even if it was only 10 o’clock in the morning. The parades have been getting shorter and shorter each year, but average to be a little over an hour. Which for a kid looking to fill her bag with candy, it wasn’t long enough. We would then make the drive home to grill hamburgers and hot dogs for lunch and if my parents were lucky, us kids would let them take a nap before our evening festivities. We would finish our 4th of July day off by being mesmerized by fireworks in the evening. What are your family traditions for Independence Day?

Like I said earlier, the 4th of July, 2020, for most Americans, is going to be celebrated differently this year. Those most affected are the residents of long term care facilities. A lack of togetherness with their families will only be amplified during this holiday. Although recently the MN Department of Health has put out guidance for long term care facilities to have outdoor visitations, it just won’t be the same.

But there are a few other ways that you can celebrate with your loved ones this 4th of July.

Bring the tradition to them. Since visitors are not allowed in nursing communities and we don’t know how the outdoor visitations will work, bringing the tradition to them may be a bit more difficult this year. A way you can still celebrate with your loved one is by decorating the outside of their window with an American Flag, window decals, and/or flowers.

Cute American Kids watching Fourth of July ParadeCall and Reminisce. If you aren’t able to carry out your normal family traditions, call and reminisce about what you have done in the years past. Take it one step further by writing down your 4th of July memories and make it into a keepsake for you and your loved one(s).

Just remember that the biggest thing for people facing tough times, especially around holidays, is that they know you are here for them and that they are cared for.

Firework and bokeh lights at night in the colors of the flag from the united states of america (blue, white and red)Resources
https://www.history.com/topics/american-revolution/american-revolution-history
https://www.timeanddate.com/holidays/us/independence-day

Click to access ltcoutdoor.pdf

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Shoot It To Me Straight Doc…

Written by Kelly Klund
Clinical Educator & Program Specialist

My Uncle Harry is more than an uncle to me. As I grew up fatherless and lived with my grandparents, Harry has been an uncle, a brother, a father figure, and most importantly, my friend.

Early this fall, as Harry planned an upcoming fishing trip, he wasn’t feeling quite up to par. Believing he was in fairly good health, he was admitted into the hospital for what was supposed to be a routine gall bladder removal. Unfortunately, the surgery did not end up being routine as expected. During the surgery, the doctor saw the need to biopsy his liver. The result was a diagnosis of end stage liver cancer. Harry was given a prognosis of two months to live without treatment and “maybe double that” if he chose palliative chemotherapy. Receiving this shockingly straight forward prognosis felt like a semi-truck had smashed straight into the heart of our family.

Coincidently, I was preparing for Empira’s next grant: ResoLute (Resident empowered solutions on Living until the end). One of the cornerstones of ResoLute is truthful prognostication. As my professional and personal lives collided, I summoned the courage to ask my Uncle Harry if I could interview him, asking some tough questions about how he felt knowing he was facing the end of his life.

During our interview, Harry said it was most important he knew the truth about his prognosis. He told me he looked at the doctor and said “Shoot it to me straight doc”. The prognosis was devastating, but the physician’s honesty gave him a sense of urgency around the work that was left to do, the relationships he had to heal, the affairs he had to get in order, and the things he had left to say.

Karen Hancock did a review on discussing prognosis in advanced life-limiting illnesses and stated “many health professionals express discomfort at having to broach the topic of prognosis, including limited life expectancy, and may withhold information or not disclose prognosis. Reasons include perceived lack of training, stress, no time to attend to the patient’s emotional needs, fear of a negative impact on the patient, uncertainty about prognostication, requests from family members to withhold information and a feeling of inadequacy or hopelessness regarding the unavailability of further curative treatment”, (Karen Hancock et al., 2007).

Another supporting journal publication by Fallowfield, Jenkins, and Beveridge discuss how deceit hurts even more than a painful truth could hurt. They state, “Ambiguous or deliberately misleading information may afford short-term benefits while things continue to go well, but denies individuals and their families opportunities to reorganize and adapt their lives towards the attainment of more achievable goals, realistic hopes and aspirations” (Fallowfield, Jenkins, & Beveridge, 2002).

In his book “Being Mortal” Atul Gawande says, “The chance to shape one’s story is essential to sustaining meaning in life” (Gawande, 2014). For our family, truthful prognostication has given Harry the opportunity to shape to his story. We are thankful for the time to do the undone, and for knowing the time to plan the next fishing trip is NOW.

If you or a loved one had a life limiting illness would you value truthful prognostication or in the words of Scarlett O’Hara subscribe to the belief that “I can’t think about that right now. If I do, I’ll go crazy. I’ll think about that tomorrow.”?

 

harry

 

References

Fallowfield, L. J., Jenkins, V. A., & Beveridge, H. A. (2002). Truth may hurt but deceit hurts more: communication in palliative care. Palliative Medicine, 16(4), 297-303. doi:10.1191/0269216302pm575oa

Gawande, A. (2017). Being mortal: Medicine and what matters in the end. New York, NY: Metropolitan Books, Henry Holt and Company.

Hancock, K., Clayton, J. M., Parker, S. M., Wal der, S., Butow, P. N., Carrick, S., … Tattersall, M. H. (2007). Truth-telling in discussing prognosis in advanced life-limiting illnesses: a systematic review. Palliative Medicine, 21(6), 507-517. doi:10.1177/0269216307080823