November 24, 2010

Engaging with Grace this Thanksgiving


As you gather together with family and friends over the Thanksgiving holiday, what are you going to talk about? I am guessing that the topic end of life choices will not be on the list of conversation starters. But perhaps it can and should be. While none of us knows the exact choices we will need to make for ourselves or a loved one at the end of life, we can open an ongoing conversation about what is important for us, what we value, and what are our wishes. As someone who has had to face end of life choices in both my professional life and in my personal life, beginning the conversation around the dining room table is much more compassionate, and empowering than beginning the dialog in the intensive care unit.

For the past three years, I have been participating in the Engage with Grace Blog Rally at the invitation of Paul Levy, CEO and President of Beth Israel Deaconess Hospital in Boston and am thrilled to see that the number of health care bloggers supporting this effort has grown exponentially each year. As we consider the exciting possibilities of participatory medicine and an increased desire for more shared decision making between health care providers and patients/families, we also must recognize that we need to ask about our loved ones wishes for medical care and intervention; understanding that they may not be identical to our own. Please join me and my family as we Engage with Grace this Thanksgiving with one slide and five questions.

With gratitude,
Pam

Things we are grateful for this year

For three years running now, many of us bloggers have participated in what we’ve called a “blog rally” to promote Engage With Grace – a movement aimed at making sure all of us understand , communicate, and have honored our end-of-life wishes.

The rally is timed to coincide with a weekend when most of us are with the very people with whom we should be having these unbelievably important conversations – our closest friends and family.

At the heart of Engage With Grace are five questions designed to get the conversation about end-of-life started. We’ve included them at the end of this post. They’re not easy questions, but they are important – and believe it or not, most people find they actually enjoy discussing their answers with loved ones. The key is having the conversation before it’s too late.

This past year has done so much to support our mission to get more and more people talking about their end-of-life wishes. We’ve heard stories with happy endings … and stories with endings that could’ve (and should’ve) been better. We’ve stared down political opposition. We’ve supported each other’s efforts. And we’ve helped make this a topic of national importance.

So in the spirit of the upcoming Thanksgiving weekend, we’d like to highlight some things for which we’re grateful:

Thank you to Atul Gawande for writing such a fiercely intelligent and compelling piece on “letting go” – it is a work of art, and a must read.

Thank you to whomever perpetuated the myth of “death panels” for putting a fine point on all the things we don’t stand for, and in the process, shining a light on the right we all have to live our lives with intent – right through to the end.

Thank you to TEDMED for letting us share our story and our vision.

And of course, thank you to everyone who has taken this topic so seriously, and to all who have done so much to spread the word, including sharing The One Slide.

Engage with Grace: One Slide Project

Happy Wabi-Sabi Thanksgiving


In the November Stress Resources Newsletter, I contrasted the Japanese aesthetic of Wabi-Sabi, the beauty of imperfection, to our westernized view of perfection (think Hallmark card, Norman Rockwell illustration, Martha Stewart anything) continually fueling our stress levels during the holiday season. I asked readers to send in their version of what a wabi-sabi holiday in their home looks like. Thanks to my sister, Hilary Katz Gould, from Huntsville, Alabama, for sending along her thoughts....have a wabi-sabi day, little sis.


Wabi-sabi Thanksgiving table at the Gould's

The pumpkin pie will have a crack in the middle, and the crust will not be flaky or gourmet. It will be made by Sam, and her middle school recipe from 7th grade. Store bought crust and easy canned ingredients. It will be tasty though, and we will only have a few more years of Sam's pumpkin pie to enjoy before college sweeps her away.

Daniela's cranberry sauce will consist of a bag of berries, and a cup of sugar, maybe some orange zest... if we happen to have oranges around. It will end up cooling in what ever bowl is around at the time. May even end up in a plastic cup, if that is the easiest for her 11 year old hands to work with.

Derrick's turkey will be stuffed with a loaf of ripped up white bread with paprika, mushrooms and some chopped onions. His mother's recipe from her Hungarian mother.

None of these dishes will be beautiful, or gourmet, or color coordinated. But, years from now, the picture of the imperfection, or wabi-sabi table will bring back wonderful memories of our family Thanksgiving.

Wishing you all a wabi-sabi Thanksgiving...filled with mindful moments and gratitude.

November 3, 2010

Technology and Resilence


When friends and colleagues hear that I teach mindfulness and resiliency skills AND that I am actively engaged in social media in health care, they often scratch their heads in confusion. Mindfulness and building resiliency are thought to be at odds with our increasingly 24/7 digital society. Let me say, I agree. But resiliency is the ability to bounce back from adversity, and often requires creative solutions to do so. While I see challenges of over saturation with information and a frantic pace of living associated with 24/7 technology, I also see wonderful opportunities for increased connection, communication, as well as decreased isolation especially by vulnerable members of our society. One of the manifestations of increased technology is its ability to narrow the divide between those with chronic illness and those without. Helping to normalize interactions and social connection in ways that were once unimaginable are now possible for the cost of an iPad...and that is resilience!

Click here to read the NY Times article that inspired me to write this post. I would love to hear your thoughts and welcome your comments.