March Celebrates Social Work

Professionals who care. Helping improve people’s lives is at the heart of social work

In honor of National Social Work Month in March, below are facts about social workers from the National Association of Social Workers:

About Social Workers

Social workers seek to improve the lives of others.

Social work is a profession for those with a strong desire to help improve people’s lives. Social workers assist people by helping them cope with issues in their everyday lives, deal with their relationships, and solve personal and family problems.

According to the Bureau of Labor Statistics, there were almost 650,000 social workers in the United States in 2014. With an expected growth in jobs of 12 percent by 2024, social work is one of the fastest growing professions in the United States.

Who are social workers?

Social work is a profession for those with a strong desire to help improve people’s lives. Social workers assist people by helping them cope with issues in their everyday lives, deal with their relationships, and solve personal and family problems.

Some social workers help clients who face a disability or a life-threatening disease or a social problem, such as inadequate housing, unemployment, or substance abuse. Social workers also assist families that have serious domestic conflicts, sometimes involving child or spousal abuse.

Some social workers conduct research, advocate for improved services, engage in systems design or are involved in planning or policy development. Many social workers specialize in serving a particular population or working in a specific setting.

What do social workers do?

Who employs social workers?

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Preventing the Flu: Good Health Habits Can Help Stop Germs

From the CDC and nurse.com

The single best way to prevent seasonal flu is to get vaccinated each year, but good health habits like covering your cough and washing your hands often can help stop the spread of germs and prevent respiratory illnesses like the flu. There also are flu antiviral drugs that can be used to treat and prevent flu.

  1. Avoid close contact.

Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too.

  1. Stay home when you are sick.

If possible, stay home from work, school, and errands when you are sick. This will help prevent spreading your illness to others.

  1. Cover your mouth and nose.

Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick.

  1. Clean your hands.

Washing your hands often will help protect you from germs. If soap and water are not available, use an alcohol-based hand rub.

  1. Avoid touching your eyes, nose or mouth.

Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth.

  1. Practice other good health habits.

Clean and disinfect frequently touched surfaces at home, work or school, especially when someone is ill. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

A nurse.com article by Sallie Jimenez focused on item #4 and shared a study concluding that hand washing decreases chances for the illness to result in deaths. Jimenez writes that “In the midst of what may be one of the worst flu outbreaks in a decade, new research reinforces the importance of proper hand hygiene protocol.”

Her article references the following: A study published in the February issue of the American Journal for Infection Control found hand washing saves lives — not just in hospitals — but all healthcare facilities, including nursing homes. Researchers looked at 26 French nursing homes from April 1, 2014, to April 1, 2015, discovering consistent measures encouraging staff and visitors to wash their hands reduces mortality and antibiotic prescription rates, according to a news release from the Association for Professionals in Infection Control and Epidemiology highlighting the results.

During the course of the study, which included 13 nursing homes randomly assigned to an intervention group and 13 assigned to a control group, a program was implemented targeting nursing home staff, visitors and outside care providers, the news release said.

As part of the program, hand sanitizer became more readily available in both pocket-sized containers and dispensers and the idea of proper hand hygiene was promoted through posters, events, work groups and education.

“The measures resulted in a lower mortality rate of 2.10 deaths per 100 residents, versus 2.65 in the control group, with a notable 30% decrease in the mortality rate during France’s major influenza outbreak in early 2015, according to the news release.”

Although the CDC stresses the single best way to prevent the flu is to get vaccinated, proper hand washing and cleansing — either with soap and water or an alcohol-based hand sanitizer if soap and water are not available — also is recommended.

 

 

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The Road to Healing Takes Time

Originally Published in Pocketful of Chelles Blog

By Michelle Kohlhof / February 19, 2018

Last week was tough. The world witnessed a tragedy that has become all too familiar, another school shooting. A day that was supposed to be about love and peace, turned dark and cold for so many. On the day after, when I dropped my little dude, Jason, off at his school, he dashed into his classroom shoving his backpack into his cubby, and my heart just broke into pieces for the families of the victims in Parkland, FL.

How could one person take seventeen beautiful souls, most of them being children? We ask ourselves why did this have to happen, we say prayers for the families who now have to learn how to move on without their child, and we call on congress for change, yet again. It’s hard to imagine how you go on after such a devastating tragedy. Simple things like going back to work, seem like mountains to climb. While we look for answers, one thing is for sure; time doesn’t stand still for the ones who need it to the most. Instead, you learn how to compromise with time, and make the most of what he gives you. We find ourselves pleading for time to just stand still, to have just five more minutes with the ones we love. But you see, time doesn’t wait for no one, and this is why there is more to life than the nine-to-five grind.

We find our humanity—our will to live and our ability to love—in our connections to one another.― Sheryl Sandberg, Option B: Facing Adversity, Building Resilience, and Finding Joy

As I mentioned at the beginning of this post, last week was tough. Sometimes you don’t get a “do over”. What you do get is a chance to put things in perspective, and not take the life you’ve been blessed with for granted. So on a whim, my husband, Travis, says to me, “you know, we can take a road trip, South, and hang out with your parents”. So, we took advantage of the long weekend (President’s Day), loaded up the truck, and off we went! And as you can imagine with a nine hour drive, I had time to reflect, time to think, and time to write…

All this time got me thinking, how can employers and HR support employees through grief and loss? Are bereavement leave policies enough? I started to research this and one article from SHRM stood out. Click here to read more. In a time of unspeakable loss, what are some big things that HR can do to support their employees and organization?

1) It’s more than policy – It’s about having a plan:

To my fellow HR professionals, let’s work together with management and executives to create a plan to support employees in their time of need. We should do more than just contact the employee and share information about our organization’s bereavement policy. One great example is what Ernst & Young did last year. They provided dedicated HR support to the family of one of their employees who was critically hurt in the Las Vegas mass shooting tragedy. Thankfully, this EY employee survived, and her story showed us that having a plan can lessen the burden on the employee and her family. It shows us that an employer can really champion for their employees when they need us to the most.

2) It’s time to lead the way:

What can we do to prepare fellow employees for a grieving employee’s return to work?  There are a lot of emotions that the employee will still be dealing with upon his return. There will be lack of focus, and difficulty with concentrating, even on the simplest of tasks. We as HR professionals have to partner with management on creating a smooth path for the grieving employee as they return to the workplace. We need to lead the way in helping the grieving employee navigate back into the environment. It is vital for his success.

3) Give some space – It takes time:

I think the single most important thing we can do to help a grieving employee return to work is to give space. What if we created a private place where the grieving employee can go to take a break when she is feeling overwhelmed with emotions? These emotions will come in waves and it is important to give space.

Some “Chelles” find their way to shore, while some live in the sea for eternity. ― Michelle Kohlhof

My closing thought, take the time to set eyes on the ones you love, and are blessed to still have in your life. It’s another chance to fill your pocket full of “Chelles”.

 

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Tips and Benefits of Journaling for Therapy

For centuries, journaling has been a tool for self-discovery. With reflective writing, your words do not have to be carefully arranged. It’s your private world and your private thoughts. You can ramble. Mention the unthinkable. Explore ideas with no worry about the consequences.

Writing as personal therapy

Journaling can help us turn a jumbled set of feelings into a coherent story. It can give us a better sense of ourselves as the author of our lives rather than a victim of circumstances. Research on writing as “expressive therapy” has revealed that it can:

Some guidance

You or your loved one may wish to try journaling. Great! A few caveats. Studies have shown:

How to get the most out of journaling

 

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Study Encourages Having a Bucket List Talk

Talking to Doctors About Your Bucket List Could Help Advance Care Planning

February 8, 2018 by Stanford University Medical Center

For physicians, asking patients about their bucket lists, or whether they have one, can encourage discussion about making their medical care fit their life plans, according to a study by researchers at the Stanford University School of Medicine.

A bucket list is a list of things you’d like to do before you die, like visiting Paris or running a marathon. It’s a chance to think about the future and put lifelong dreams or long-term goals down on a piece of paper.

For doctors, knowing their patients‘ bucket lists is a great way to provide personalized care and get them to adopt healthy behaviors, said VJ Periyakoil, MD, clinical associate professor of medicine, who said she that she routinely asks her patients if they have a bucket list.

“Telling a patient not to eat sugar because it’s bad for them doesn’t work nearly as well as saying, for example, if you are careful now, you will be able to splurge on a slice of wedding cake in a few months when your son gets married,” Periyakoil said.

The study will be published Feb. 8 in the Journal of Palliative Medicine. Periyakoil, an expert in geriatrics and palliative care, is lead author.

The researchers, who surveyed 3,056 participants across the United States, found that by far the majority of respondents—91 percent—had made a bucket list. Survey results also showed that respondents who reported that faith and spirituality were important to them were more likely to have made a bucket list. The older the respondents were, the more likely they were to have a bucket list, and, not surprisingly, those younger than 26 tended to include more “crazy things” on their lists, such as skydiving.

Bucket list categories

Six general themes tended to describe the items on respondents’ bucket lists: 79 percent included travel; 78 percent included accomplishing a personal goal, such as running a marathon; 51 percent included achieving a life milestone, such as a 50th wedding anniversary; 16.7 percent included spending quality time with friends and family; 24 percent included achieving financial stability; and 15 percent included a daring activity.

“When you just Google the term ‘bucket list,’ it’s huge how much interest there is in this,” Periyakoil said. “It provides a very nice framework for thinking about your life goals, health and your mortality.”

Past research has found that when doctors talk to patients—especially those with chronic or terminal illnesses—about the patients’ goals for future care, it can be a vital part of the advance-care planning process. But it’s often awkward to have these conversations, particularly when they are about the end of life, the study said.

“If a patient wants to attend a beloved grandchild’s wedding or travel to a favored destination, treatments that could potentially prevent her from doing so should not be instituted without ensuring her understanding of the life impact of such treatments,” the study said.

Discussing a patient’s bucket list is just a good way to start these conversations, Periyakoil said. Most people are far more open to talking about their life’s goals in this context before filling out an advance directive, a written statement of a person’s wishes regarding medical treatment at the end of life, Periyakoil said.

‘Find out what actually motivates them’

“It’s important for physicians to talk to patients and find out what actually motivates them,” she said. She encourages both doctors and patients to bring up the topic of a bucket list. By discussing how a treatment or surgery might affect the patient’s life, and then discussing what the patient’s goals are, the best possible care plan can be laid out, she said.

“I had a patient with gall bladder cancer,” Periyakoil said. “He was really stressed because he wanted to take his family to Hawaii but had treatment scheduled. He didn’t know he could postpone his treatment by two weeks. When doctors make recommendations, patients often take it as gospel.”

After an informed discussion about his options and the side effects of the cancer treatments, he and his physician decided to postpone the treatment. He made the trip to Hawaii with his family, then returned to start cancer treatments, the study said.

“Patients don’t see the relevance of an advance directive,” said Periyakoil. “They do see the relevance of a bucket list as a way to help them plan ahead for what matters most in their lives.”

Explore further: Most physicians would forgo aggressive treatment for themselves at the end of life

More information: Vyjeyanthi S. Periyakoil et al, Common Items on a Bucket List, Journal of Palliative Medicine (2018). DOI: 10.1089/jpm.2017.0512

Journal reference: Journal of Palliative Medicine

 

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Veterans Can Access Mental Health Services

Most Vets Don’t Know What Mental Health Services VA Offers. So Here You Go

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Roughly half of all post-9/11 veterans who may need mental health care do not seek it through the Department of Veterans Affairs or in the private sector, according to a recent report by the National Academy of Sciences, Engineering, and Medicine.

Alarmingly, the report also says a significant number of veterans are unaware of the services available to them from the Veterans Health Administration — the VA’s medical arm.

Veterans who need mental health care but haven’t sought VA help cite several reasons, including “that they do not know how to apply for VA mental health care benefits, they are unsure whether they are eligible, or they are unaware that VA offers these benefits,” according to the Congressionally mandated Jan. 31 report.

“I was dismayed to learn how many veterans didn’t know how to access care,” Ralph Bozella, Chairman the of Veterans Affairs and Rehabilitation Commission for The American Legion, told Task & Purpose. “The VA has done a great job advertising their mental healthcare services on the web and via social media.”

But, he added, “At this point, I think the entire veteran community needs to do more to ensure veterans in need link up with the care they require. We all need to play a more active role here.”

To help with that, here’s a list of mental health services the VA provides to recently transitioned veterans.

Are you a combat vet?

Veterans who served in a combat zone can receive medical services — including mental health care — for five years through the VA, beginning the day of their discharge. This isn’t the same as having a service-connected disability rating; instead, think of it as free health insurance. Eligible vets will have free care and medications for any condition that might be related to their service; there’s no enrollment fee or premium, but you do have to cover copayments. This also opens you up to the VA’s CHOICE program, which means you can receive care through a private-sector specialist at the VA’s expense, not yours.

Soon, every transitioning vet can receive a year of mental health care through the VA.

Last month President Donald Trump signed the executive order “Supporting Our Veterans During Their Transition from Uniformed Service to Civilian Life.” It expands VA mental health care services to the 60% of recently separated vets who were previously deemed ineligible — usually because they lack a verified service-connected disability or service in a combat zone. Beginning in March, all transitioning service members with an honorable discharge will be eligible for 12 months of mental health care through the VA. Though the details of the program are still being worked out, veterans will be eligible to receive care at VA facilities — or in the private sector through CHOICE, if a local clinic can’t meet their needs.

Related: Here’s What We Know About Trump’s Executive Order To Combat Veteran Suicide »

Emergency mental health care is available for veterans with OTH discharges.

Though the executive order provides a year of care to many veterans, it doesn’t cover those with “bad paper” discharges — punitive discharges that preclude access to Veteran Affairs benefits, like education and health care. But last March, the VA launched a separate program offering emergency mental health services for veterans with other-than-honorable discharges. Though not all vets with bad paper are eligible, those with an OTH discharge in need of emergency mental health care can receive treatment through the Veterans Health Administration for up to 90 days — inpatient, residential, or outpatient care.

The VA offers much more if you’re enrolled in their system, though.

Veterans who qualify to register with the Veterans Health Administration enjoy a variety of mental health services. These include counseling, therapy, and, often, a treatment plan that includes prescribed medication. The range of coverage is fairly expansive, with experts able to offer support to veterans suffering from post-traumatic stress disorder, anxiety, depression, substance abuse, and stress, among other concerns. Additionally, the VA offers short-term inpatient care for vets suffering from life-threatening mental illness; outpatient care to a psychological rehabilitation and recovery center; video conferencing with a care provider; and residential rehab programs.

If you need immediate help, or just someone to talk to, resources are always available.

For those in need of immediate support, responders with the Veterans Crisis Line can be reached by calling 1-800-273-8255 and pressing 1; via text, by sending a message to 838255; or online. The conversations are confidential and the line is open 24 hours a day, 7 days a week year-round, and the staff is trained to assist veterans of all ages and circumstances.

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Spirituality and Patients

Viewpoint

Spirituality is a key dimension of quality palliative care, yet palliative care programs need models of care to integrate spiritual care into standard practice. As with all domains of palliative care, there is also a need to generate evidence supporting clinical practice. This study makes an important contribution to the fields of palliative care and spiritual care by testing a model of outpatient spiritual care and including important patient-centered outcomes.

In their discussion, the study authors acknowledge that other variables might have influenced their findings and that some of the tools they used might be measuring psychosocial factors rather than strictly religious or spiritual ones. However, these overlapping constructs are related to purpose, meaning, comfort, and peace-all of which are associated with quality of life, regardless of the patient’s specific faith or belief system.

Chaplains are the spiritual care specialists within interdisciplinary teams, and their contributions, as well as outcomes of their work, have not been well supported or -studied. The Spiritual-AIM intervention has great potential to guide the training of other chaplains and to help achieve a higher level of care for patients and families.

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Resourceful Books

Communication in palliative care [reading list]

Palliative care is now a cemented service offered by health care services globally, and in the United Kingdom the hospice care sector provides support to 200,000 people each year. The care given to the terminally ill, as well as their family and friends is vital in supporting individuals through what is, for most, the most challenging time of their lives. This care ranges from clinical medical practice to spiritual support, and aims to put individuals in as much comfort as is possible. People often find it difficult to discuss death and the topic is still widely considered to be taboo. This is in direct conflict with the principles of palliative care, which encourages active and clear communication from all those involved in the process.

To convey the importance of communication in effective palliative care, and encourage an open dialogue on the subject of death and dying, we have collated a reading list on these topics below.

Communicating with children when a parent is dying” by Cynthia W. Moore and Paula K. Rauch from the Oxford Textbook Communication in Oncology and Palliative Care (2017)

This chapter provides suggestions for clinicians on supporting parents’ open communication with their children, drawing on the authors’ extensive clinical experience of providing parent guidance to patients.

Discontinuation of Life-Sustaining Therapies” by Kathy Plakovic from the Clinical Pocket Guide to Advance Practice Palliative Nursing (2017)

The authors outline how withholding and/or withdrawing life sustaining medicines are processes that fundamentally rest on the shared decision-making of carer, patient, and family.

Defining a ‘good’ death” by Karen E. Steinhauser and James A. Tulsk from the Oxford Textbook of Palliative Medicine 5th Edition (2015)

This chapter explores the reappearance within the last 40 years of the definition of a ‘good death’ in medical contexts, and what the clinical implications of using the terminology ‘good death’ may be for practitioners and patients alike.

The doctor’s room by Hush Naidoo. CC0 public domain via Unsplash.

Truth telling and consent by Linda L. Emanuel and Rebecca Johnson from the Oxford Textbook of Palliative Medicine 5th Edition (2015)

This chapter focuses on the role of truth-telling in therapeutic relationships and the ways in which effective communication can maintain hopes and deliver information sufficient for informed consent at the same time in palliative care.

Cicely Saunders and her early associates: A kaleidoscope of effects” by David Clark from To Comfort Always: A History of Palliative Medicine Since the Nineteenth Century (2016)

David Clark looks at the specific contributions made by Dr Cicely Saunders and her colleagues to modern palliative care.

Talking with patients” by Catherine Proot and Michael Yorke from Life to be Lived: Challenges and Choices for Patients and Carers in Life-threatening Illnesses (2014)

The authors discuss how talking with patients stands at the heart of the patient-carer relationship. This communication involves providing information, but also listening, as patients must feel that their concerns and feelings are understood.

Talking and Working with Dying Patient: True Grief and Loss” by Lisa Humphrey from The Oxford  Handbook of Ethics at the End of Life (2016)

A palliative care and hospice physician reflects on the lessons learnt about grief and dying over the course of her training and career.

Think adult—think child! Why should staff caring for dying adults ask what the death means for children in the family?” from the British Medical Bulletin

This article discusses the lack of awareness on the effect death has on children and how carers looking after ill parents should begin to consider the short and long term effects on children and offer appropriate support as part of their duty of care.

Featured image credit: Gress, park bench by Olesya Grichina. CC0 Public Domain via Unsplash.

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Grief During the Holidays: Some Tips

The winter holidays are generally perceived as “the most wonderful time of the year.” But for those who are facing grief after the death of a loved one, the holidays may instead be a time filled with pain and sadness.

Even those for whom grief is not as fresh, the holidays may serve as an annual reminder of the loss—not only of that person, but of tradition and celebration.Multi Generation Family Meal

Bereavement professionals working in hospice and palliative care understand how difficult this season can be. They support families coping with loss all year long. Bereavement counselors stress the importance of making decisions that feel right to the grieving person, and giving oneself permission to make new or different choices at the holidays.

Experts in Grief offer some tips:

Be Willing to Change Traditions

Holidays often center on certain traditions and rituals. For some, continuing these traditions without a loved one may be an important way to continue sharing their memory. For others, it may be more comforting to develop new rituals to help lessen the pain and immediacy of the loss.

Help Reduce Stress

While the holidays can be filled with meaning, they can also be filled with pressure and stress because of additional tasks such as shopping, baking and decorating. Grieving people should be encouraged to prioritize what needs to be done, and focus on those projects that may bring them pleasure. Perhaps the gift list can be pared down, cards need not be sent out, or another family member can cook the family dinner this year.

Remember those Who Have Died

The holidays can bring opportunities to remember the person who has died in a way that is personally meaningful. Some families choose to participate in holiday events at a local hospice. Others may choose to share special family stories over a meal. Some may find that making a donation to a special charity or volunteering time to help others in need may be a comforting way to honor their loved one.

The professionals at Houston Hospice know of the importance of providing emotional and spiritual support to those who are grieving but most importantly, they remind us that a person grieving should do what’s most comfortable for him or her during this time of year.

Houston Hospice offers a variety of grief support groups as one way to manage grief. All support groups are open to the public at no charge. If you or a loved one need help, please call 713-677-7131 to learn more.

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From Oil Executive to Hospice Volunteer

Changing Roles

At the end of 2016 Judy Calabria faced a life event that most of us encounter several times. She was leaving a job — the only job she’d ever had. Judy joined Shell Oil Company as a programmer in 1984. Her work took her to places like The Hague and Kuala Lupur occasionally, but Houston remained home base. At the time of her retirement, Judy was managing people and processes related to major IT outages, disaster recovery and crisis response. Even though Shell had been her only employer, Judy wasn’t leaving all of her work routine behind. Rather, she decided to engage more fully into her role as a Houston Hospice Volunteer — a position that was already vying with the oil business to define her.

Judy began volunteering at Houston Hospice in February 2009, and she was named Houston Hospice Volunteer of the Year for 2017. Volunteer Coordinator, Elisa Covarrubias says that Judy assists with anything that needs to be done. “She delivers meals at Thanksgiving and gifts and cards to our patient families for Christmas. Every Friday she visits patients in the inpatient care unit. She has even made numerous emergency visits to be with patients who were in distress at the request of our nursing staff. Judy spends hours visiting and comforting as many patients as necessary. Truly, she does anything we ask. She visits patients, assembles and delivers Angel Bags of groceries and hygiene items for our families in need, trains new volunteers, works in the office and stocks and cleans the snack bar.”

VolunteerismJudy Calabria

Judy credits Shell with encouraging her volunteerism. “When I got to Shell in 1984 they had a really robust volunteer program for their employees. For many years I got involved in Veteran’s Day parties at the VA Hospital, Martin Luther King, Jr. Community Center Easter egg hunts, chaperoning kids to the zoo, holiday projects, fixing up homes, and many other volunteer projects that Shell offered to their employees. I liked being able to give back and help others. In the late 1990s I got away from volunteering for 7 or 8 years because I was traveling internationally. When my father passed away in 2008, I started thinking about things in my life that I missed and that made me happy. Volunteering was one of them. Both of my parents were under hospice care up in Ohio, and I really liked how hospice helped my family, so I asked the Ohio hospice for advice on how to select a hospice in Houston.”

The staff at nonprofit Valley Hospice in Ohio suggested Judy look for a nonprofit hospice in Houston. They also told her to look for specific accreditation. Houston Hospice met the criteria, so Judy signed up and applied the skills she’d learned at Shell to help hospice patients.

Applying Executive Skills to Hospice

“At Shell, I learned the importance of truly listening to what is being said and not assuming too much too fast. At Houston Hospice, these qualities are just as important. Communications is key when volunteering at hospice; knowing when to say something to a family member, patient, or a hospice employee, and knowing what to say during difficult or emotional interactions. It’s even knowing when to listen versus talk.”

Judy believes the tight deadlines at Shell taught her how to prioritize. “I prided myself on being able to juggle my work and the work of my team based on priorities. My motto when volunteering at Houston Hospice is that I’ll do anything the Volunteer Coordinators ask me to do. That’s why I have been so lucky to be involved in so many different activities at Houston Hospice. I look forward to continuing to help Houston Hospice in any capacity they need. I also appreciate all the Houston Hospice volunteers who do a smaller subset of hospice activities. They are just as vital to making Houston Hospice such a special place.”

Judy’s global experiences taught her about diversity and respecting the value that everyone brings to the table. “That has helped me a lot in working at Hospice, whether I’m talking to patients, family members, friends, or hospice employees. I’m always amazed at our similarities and our differences, and how there always seems to be a way to bond us together, even during difficult times.”

Opportunities to Smile

People often ask Judy why she volunteers for a hospice because they assume it would be depressing. Judy tells them that there are some conversations that are sad, but there are opportunities to smile and help people in ways that she would not have imagined. “I don’t sing, but one day I was asked to hum Christmas carols to a patient. I was amazed at the calming effect my humming had on the patient. Once I sat with a gentleman who was alert but rarely spoke or responded to anyone. I was telling him a little about me and how lucky I was to have been able to see and do things I never imagined. He actually spoke to me and even held my hand.”

Volunteers are an integral part of nonprofit Houston Hospice’s team. To learn more about volunteering at Houston Hospice, call 713-467-7423 or visit www.houstonhospice.org.

—Karla Goolsby, Houston Hospice Communications Specialist

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