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Archive for the ‘Elder Care’ Category

It was an honor to give the keynote address at the Keiro Health Care conference held at the Gardena Valley Baptist Church last weekend. This was followed by a poetry writing workshop.

GEnki whole roomGiving keynote address on Dignity in Aging: A Caregiver’s Voice

Genki feather boaReading my “A Feather Boa and a Toothbrush” poem.

GEnki robertTalking poetry writing

GEnki staffKeiro Health Care: Thank you for inviting me to be part of this conference

Brandon Masashige Leong, Community Resources Mgr

Kanako Kusano, Health Promotion Specialist

Shawn Miyake, CEO:President

GEnki book lineA writer’s dream…a line of people waiting to purchase books…

Best response from audience came from an attorney: I’m going to send all my troubled clients to a poet. You do better than attorneys.

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I’ll be in L.A. on the following dates:

June 8th: Will give keynote address and a poetry writing workshop at:

                  Genki Conference: A free conference supporting caregivers at: Gardena Baptist Church

                 1630 W 158th St, Gardena, CA

June 22: Will speak on poetry and caregiving at the forum titled, “Memories of the Way We Were”

                 to be held  on June 22, 2013 from 2:30-6:30PM at the Institute For Genetic Medicine Art Gallery, Keck

                 School of Medicine, University of Southern California.

                 This is under the umbrella of the current art exhibit theme of “Aging People, Aging Planet”

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A Split Second Decision

Have you ever made a split second decision and later felt sooo good about it?
Last night we launched our anthology book by NCPA ( yes, I have a piece in it called Junkyard for Writers)
It was at this Bar and Grill in El Dorado Hills.

I was sitting at a table when an elderly  woman brought her copy to me:
She: Will you sign my book?
Me: I’ll be honored to.
She smiled at me, standing there, her eyes looking straight into mine.

About fifteen minutes later she brought her book to me:

She: Will you sign my book for me?
Me: I’ll be happy to.
I took her book with my signature and message already inked in. I lifted the cover of the
book so she couldn’t see me write and I  moved my pen, pretending to write in her book. I returned her
copy to her and she was so pleased.

She stood there, smiling, her eyes looking into mine.  I asked her to tell me how she spent her leisure time and she described all her fruit trees.

I remember seeing that look so many times in my classrooms. Students connecting looks with me,unable to disguise the genuine pleasure they were feeling over a discovery they may have made about themselves, their teacher or about learning.

That woman was the highlight of my evening because without knowing, she had tested me on how to honor one another and I  passed the test during that split second I didn’t say, “But I’ve already signed your book.”
Sometimes we do something extraordinary with the simplest of acts, don’t we, by simply remembering to dignify another human being.

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To residents in the Gardena, CA area, I’ll be giving the main address at:

Genki Conference: Caregivers’ Edition on June 8th, Saturday in Gardena.  This will be followed by a writing workshop. Please check the site below for registration and details.  IF you’re unable to get to the site, please get in touch with me. Attendance is free with Bento lunch included.

 

Genki Conference Flyer GVBC 6.13. revised. pdf.pdf

 

 

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Don’t Turn Me Into a Liar

I received two phone calls  in three days, on the same subject,  but from opposite sides of the coin. The call today was from a caregiver who had lost her husband to various illnesses and some dementia. She thanked me for helping her change her perspective on her husband’s behavior. To reprogram her mind from being aggravated at her husband’s behavior to understanding that, that was the best he could do under the circumstance.  “I feel good about how I cared for him,” she said, “it was all about changing my attitude and seeing things differently.”

The other call came from a woman who was diagnosed with Alzheimer’s. She was in a session that I presented  in Kona, on the Big Island, at the health facility where she now lives. “I felt so good and inspired listening to you speak of treating dementia people with dignity and compassion,” she said. “If this was in store for me, I felt really good about being here with this disease.

“But,” she continued, “it’s not happening. I’m not being treated with dignity. I also watch the staff and they are very rude to other residents and they just don’t understand why we’re here. What you spoke to us about being treated with dignity , is not happening.”

This morning my mother and I began a story in the Honolulu Star/Advertiser on caregiving.

The complete story  is posted by my publisher  on my Facebook:
http://www.facebook.com//FrancesKakugawa

It can also be found here:
http://www.staradvertiser.com/newspremium/20130415_Program_gives_caregivers_tools_to_cope.html?id=202969511

I’m pleased that all who were interviewed for the story are on the same page , that monies must be spent on human resources on behalf of  our loved ones who are living with Alzheimer’s and other dementia related diseases. The deliverance of nursing and medical skills must be based on the humanities.

I saw blind spots at the nursing facility where my mother resided in the late 90’s  so I volunteered  to train all staff members to  integrate their skills knowledge with compassion, and to become aware of each client as a human being.  To see how we have extended our circle of family to them for the care of our loved ones, with trust and commitment.

A month ago, I called the head nurse and was pleased to know, the list I had offered them on being humanistic nurses and aides, was still on the wall in their lounge and that list is still  current today.

It can be done, so I’m hopeful that grant monies will be used to help us all learn what it means to be human.

Otherwise, that woman who had called me from that facility turns me into a fantasy story teller.  I did promise her a rose garden.

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Conversations with Caregivers

Please join these conversations on the power of poetry for caregivers. The first site begins with:

“I told myself, I don’t care how ugly and hard caregiving can be. It’s okay because I’m writing these poems. It’s the process of giving life to something versus the process of dying.” ~ Frances H. Kakugawa 

 


 
http://jamarattigan.com/2013/03/08/friday-feast-caregiving-through-poetry/#comment-21725

 

This second site presents  a  radio interview by Fannie Cohen of  NY on how caregiving takes us to a higher level when we become poet/caregivers…..Go to Looks Like You Made It


https://itunes.apple.com/us/podcast/doing-it/id605177565

I am surrounded by individuals who know what it means to  be human and work at preserving that humanity.

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Really?

Take a few hours off, take a day off, take a week off, you caregivers need to take care of yourselves. When we, who are or have been caregivers  hear this , we know these words  are spoken by non-caregivers. It is  simpler said than done to suddenly step out of the 24/7 caregiving life. Caregiving , because it involves us at the emotional, psychological, physical and social levels,  is not a job one can close a door to  at the end of a day. It is a way of life and there are just too many doors without locks. So what can we do?

I recently exchanged the following emails with Diane, a caregiver from Sacramento who went to Hawaii for a week of vacation.

Dear Frances, I’m here in Hawaii and looking at all the beautiful trees. I’ll send you a picture. In the meantime,
my mom is back in the hospital and my sister Bonnie is there taking care of her. I’m trying hard not to let it spoil my vacation.

Aloha, Diane.

Dear Diane,

I’m going to be your mother’s voice : Yes, enjoy your Hawaii. Nothing would please me more than to have you enjoy your vacation. I’ll be fine. If I’m not fine, that’s all right, too. As you enjoy your Hawaii, I’m putting my hands together in gratitude to you for being that very loving daughter. Whether you’re here or not, it doesn’t matter because your love for me is  with me. And you know, just as I know, we don’t need to say it anymore. Whatever we need,  we already had before I got ill.

I’m in the hospital not because you went on a trip, it would have happened anyway. So enjoy Hawaii for me, too.

Dear Frances, Thank you so much for this wonderful message from my mother. It is just what she would have said.] I cried when I read it. You are an angel.

Love, Diane

Yes, words can keep the river flowing  or  put boulders into our midst. Sometimes, we need to give ourselves the right message, even if we know it came from our own pen.

One Christmas Day, I went to a football game while my brother cared for my mother. Throughout the game,  I felt guilty for having such a free and fun  time at the stadium.

When my mother was placed in a nursing facility, that same guilt became a constant companion until I gave myself the following message. What would my mother say?

These are excerpts from my poem “Dear Caregiver”

We were not joined by blood or vows

For this kind of loving…  

The love that I needed, you have given

Before there was a thief…  

We have bade farewell, you and I,

When there was a me…  

To your courage, your love and loyalty

To want to rise above the burden of care,

I press my palms together to you.

But listen to my unspoken words,

It’s time to be free.

Free from guilt, sorrow,

Physical and spiritual destruction.

Let us both know peace.

Return us to who we were.      

                                   From Mosaic Moon  

 

We can use words to work for or against us.

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On my Soapbox to Two Men  Caregivers

“Never ever take care of an Alzheimer’s patient. Institutionalize them for your own sanity.”

“You don’t do anyone favors by keeping them home. You’re forgotten the minute you walk out of the nursing home.”

I’m shouting through a megaphone on a soap box after reading the above comments from two men on giving care to loved ones with Alzheimer’s disease. I’ll try to remain calm.

1.Some sons (and daughters) are not meant to become caregivers.

2. No, they don’t remember but they deserve dignity, compassion and love from us because this is what it means to be human. Being human doesn’t end because one has no memory or speech or whose bodily functions have been eliminated.

3. Better said than done, it may seem,  but as  a caregiver for my mother the daily discoveries on how to be the best possible caregiver brought many answers not yet found in medical offices. I couldn’t change the physical and medical aspects of this disease, but I could change my attitude and this dictated to me, what caregiving was going to be about. Never, you say? There are as many circles to caregiving as there are families. Never or Always denies the individuality of each situation.

4. Above everything else that goes on in caregiving, we must preserve human dignity because whatever we do to others, we do to ourselves.

Some of my discoveries:

There are two normal worlds, mine and hers. I entered her world instead of trying to bring her into mine because the disease doesn’t allow this. So when she said, “My sister was here,” and in my world,  her sister  has been gone for years, I entered her world and asked,”Did you have a good visit?” And she shared her hallucinations with me. We flowed together, she and I, in her normal world. I often brought her into mine when we went to restaurants or walked or wheeled the mall or sat at the beach.

Yes, the constant repetitions do hit many nerves. In her world, she was asking it for the first time so I entered her world and answered each repetitive question as though it were being asked for the first time.

I also embraced the new person who was evolving before me and I learned to love this new person, perhaps more than the one before Alzheimer’s because of the care she needed and of who we were before Alzheimer’s. The changes in our roles transformed our relationship,  and had I  held on to the former, it would have evoked  helplessness and negative human emotions.

Words. Words make such a difference. They create attitudes and attitudes become part of how we perceive caregiving. To call any of her behavior  abnormal creates frustration. To call that exact behavior as her attempt to retain her own dignity brings compassion. Words.

To those  two men, I’ll put my megaphone down after I repeat my Emily Dickinson  poem, the poem written when I asked myself one day,  if my mother  could speak, what would she say?

Emily Dickinson, I Am Somebody 
 
If I could speak, this is what 
My voice would say: 
 
Do not let this thief scare you away. 
Do not let this thief intimidate you 
Into thinking I am no longer here. 
 
When you see me, tell me quickly who you are. 
Do not ask me, “Do you know me?” 
Help me retain my own dignity by not forcing me 
To say, “No, I don’t know who you are.” 
Save my face by greeting me with your name 
Even if the thief has stolen all that from me. 
It shames me to such indignities to know 
I do not know you. Help me 
In this game of pretension that the thief 
Has not stolen your name from me. 
 
My words have all forsaken me, 
My thoughts are all gone. But do not 
Let this thief forsake you from me. 
Speak to me for I am still here. 
I understand hugs and smiles and loving kindness. 
When I soil my clothing or do something absurd, 
Do not ask me “Why didn’t you?” 
If I could, I would. 
I know I have turned into a monstrous baby, 
If I could, I would not allow this thief 
To let you live and see what he 
Has stolen from me. 
 
I know my repeated questions 
Are like a record player gone bad, 
But my words are gone and this is  
The only way I know to make contact 
With you. It is my sole way of saying, 
Yes, I know you are here. This thief has stolen 
Everything else except for these questions 
And soon they, too, will be stolen away. 
 
I am still here 
Help me remain a human being 
In this shell of a woman I have become. 
In my world of silence, I am still here. 
Oh, I am still here. 
 

Gloria Steinem recently said that changing the way we think about masculinity is one of feminism’s great remaining challenges. After decades of feminism, she said, “we know that women can do what men can do… But we don’t know that men can do what women can do.” And that needs to change, because “it’s really important that kids grow up knowing that men can be as loving and nurturing as women can.”

I’m reacting to those two men alone  tonight because I know many men caregivers who are as compassionate, caring and capable as women. These men obliterate gender. I hope these caregivers, along with women caregivers,   will add their stories to this post so we can  reassure Gloria Steinem that what she suggested has been happening for decades. And more importantly, we  reach those caregivers whose voices echo those two men above.

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I’ll be posting my 2013 events calendar as they are finalized.

Oakland, CA

May 4, 2013

25th-Seal-150x150ASEB’s annual art auction will be held on May 4, 2013, from 6-9pm. This year’s fundraiser will be a celebration of 25 years of service to the East Bay community.

This year, our event will be moving to a new location, the Claremont Country Club in Oakland (not to be confused with the Claremont Hotel).

The evening will feature live and silent auction, live jazz, wonderful food and drink, and, of course, a celebration of the continuing spirit of individuals affected by memory loss.

Keynote speaker is poet and author Frances H. Kakugawa.

ASEB 25th Anniversary Celebration
May 4, 2013
6pm-9pm
Claremont Country Club
5295 Broadway Terrace
Oakland, California 94618

For more information, call (510) 644-8292

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Many months ago, I was interviewed by Nina Wu of the Honolulu Star-Advertiser about male caregivers. Nina was interested in writing an article about the rise in men caregiving for their wives. I told Nina, “caregiving makes no distinction, the demands are the same for spouses, brothers, sons.”

And I told her about Rod Masumoto, who is in Breaking the Silence, and who I have talked about here on my blog before. Rod is a very special caregiver, and I am so proud of how he came to be a better caregiver by finding his voice through poetry. Even though he said he would never write poems!

Here is the photograph of Rod and his mother, Fusae, that ran in the newspaper:

RodMatsumoto

It must have been fate that inspired Nina to do this story because at the same time she reached out to me, Rod had just contacted me to say that his mother had passed away. I am happy for Rod and his mother that their story was shared. Here is what Rod told Nina:

When he first walked into her workshop three years ago, he told her flat out that he wasn’t into poetry. And yet he penned his first poem that day, titled “What Do I Feel?” and went on to write 30 more.

Today, Masumoto, a retired safety system specialist, will tell you writing those poems saved his life.

He cared for his mother, Fusae, for 14 years until her death from Alz­hei­mer’s in September.

Before going to the workshop, he felt isolated in his daily challenges, which included helping his mother bathe, get dressed and eat. It was painful to him that she didn’t recognize her son or recall the things she had taught him.

Masumoto’s anger at the situation was growing, and he was overwhelmed.

“It’s a daily battle trying to survive, and (writing) helped me vent the anger and frustration,” he said.

As he wrote poem after poem, Masu­moto found not only an outlet for his emotions, but began to find acceptance for his mother’s situation, as well as a willingness to open up to changes.

“When you take care of somebody and remain in the box (isolated), you cannot survive,” he said. “You have to allow yourself to expand and to be flexible.”

Support groups can help you see that you are not alone, he said, or offer solutions you may not have considered. His advice is to be open to whatever services are available, whether it be home care, hospice or help around the house, so you’ll have more quality time with your loved one.

Rod and I talked to Nina back in October, but the newspaper article just ran yesterday. If you have paid access to the Star-Advertiser website, you can see the whole thing. Rod and I are at the very end.

In case you can’t read the article, here is a little bit more from the article, the part where she quotes me:

“We think caregiving is more for women because it demands so much nurturing, cleaning and tasks like giving baths,” she said. ”But at the end these men become the most compassionate, most capable caregivers.”

Caregiving is physically exhausting, according to Kaku­gawa, but other aspects of it, such as handling finances and legal matters, can be stressful as well.

Men may better be able to compartmentalize their feelings in order to focus on caregiving tasks at hand, she said, but it does not necessarily mean they experience fewer emotions.  Caregiving rises above all gender and brings us all to the humanities of  caring for a person with compassion and dignity. “

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