No One Dies Alone | FLUX

Volunteers provide companionship for patients nearing the end of their lives.

Martie Blodget volunteers for the organization No One Dies Alone where she sits with people in their last moments before death.

Martie Blodget appreciates the cyclical weather patterns of the Pacific Northwest. She finds the near-constant rain to be calming, cleansing, and predictable. She often bikes along the Willamette River trails, riding through the rain and the early morning fog. When she needs time to herself, she takes her kayak to Smith River to see the birdlife. She finds solace in the sights and smells around her. Most nights she cooks dinner with her husband in their quaint, comfortable home surrounded by pictures of their six grandchildren.
No one would ever suspect she is waiting for death.

Blodget is a volunteer for No One Dies Alone, a program first implemented ten years ago at Sacred Heart Medical Center University District in Eugene, Oregon. No One Dies Alone (NODA) is a volunteer organization that provides companions to dying patients who would otherwise be alone. Volunteers can serve as a surrogate family?watching over patients, making sure they are comfortable, alerting the staff if they need assistance, and providing a sense of companionship at the end of life. Those involved with NODA believe this support is a basic human right and a necessity in life?s final moments.

??????????? ?There are only two things that people inevitably do,? says Sandra Clarke, a former Sacred Heart staff nurse. ?They are born, and they die. You do not come into this world alone, and you shouldn?t have to leave it that way.?

For Clarke, the program is of great personal importance. Seventeen years ago, Clarke was working when an elderly gentleman nearing the end of his life requested a favor: he asked her to sit with him and hold his hand as he died. Touched by his request, she agreed, but was forced to leave the room in order to tend to her other patients.

When she returned to the man?s room an hour later, he had passed with his hand outstretched on the bed. The man, who had outlived all of his relatives, died alone.

?It really resonated with me how unjust it was, that someone asked something so simple of me and I couldn?t do it,? Clarke says.

Inspired by her story, Director of Spiritual Care Bob Sherry and Program Director Carleen McCormack formed NODA seven years later.

?People who have no family and people who have huge families do this?it touches everyone,? Clarke says. ?And it has definitely helped with my guilt. Every time I volunteer it makes me feel like yes this is right, this is the way it should be.?

Though it began with a group of only ten volunteers, the program just celebrated its ten-year anniversary. The organization now has a volunteer base of over sixty.

The training process for volunteers is extensive. In order to participate in NODA, applicants must volunteer for a minimum of three months in some other capacity for the hospital and complete a rigorous eight-hour training program.

?[We train] people for how to really be present at the bedside for someone,? McCormack says. ?We really stress that there be no real agendas, particularly religious agendas, at the bedside. It?s one human being, being there for another.? After completion, volunteers sign up for shifts during times they are available and receive calls from a vigil coordinator when needed.

?We want [volunteers] to get to know us; we want to get to know them,? McCormack says. ?It?s a very intimate personal type of volunteerism to be part of No One Dies Alone. You?re one-on-one at a patient?s bedside. We want to make sure that people are prepared for that.?

Martie Blodget?s past experience as a volunteer with Sacred Heart?s Hospice program, which provides end-of-life care, gave her just this sort of preparation when she started working with NODA nine years ago.

?I was very gung-ho [when I started] so I said I was available 24/7,? Blodget says. ?Then you start getting calls. And it?s a little scary at first.?

On Blodget?s first call, she arrived at the hospital late in the evening. She expected her patient, an elderly man, to be in a drug-induced comatose state. Blodget was shocked to find he was perfectly lucid?he even asked her to sing Gilbert and Sullivan songs. She says she?ll never forget that call.

?I said, ?This guy wants to sing some Gilbert and Sullivan? I know a few,? Blodget says. ?So we sang together, and he professed that he had such a wonderful time with all these people coming to be with him. And he died the next day very peacefully.?

Although others might find the experience upsetting, Blodget felt remarkably at peace when she returned home.

?I was so delighted that I could be there for him,? Blodget says. ?I mean, what are we there for? We?re there to act as surrogate family. So that?s my full focus ? definitely on ?let?s get this person dying as quickly and as comfortably as possible.??

Blodget?s second experience with NODA was very different. Her patient, a woman who had just had her ventilator removed, died within minutes of her arrival. Still, Blodget found the experience moving.

?It was a really beautiful experience,? Blodget says. ?Whatever that energy force is in us, I really felt like I could almost see that leave her body and go right out into a tree. I felt a sense of calm?I felt a sense of energy leaving a body that was worthless.?

McCormack says these kinds of experiences are common amongst volunteers, although emotional connections between volunteers and patients are much rarer than many expect. Because volunteers have no personal history with the patient, a deep emotional reaction is not common, as the volunteers? focus is to help dying patients pass on from this life.
While some may be unable to fathom feeling calm detachment in the face of death, Blodget says this is largely due to society?s concept of death itself.

?[Society?s] association is that death is loss, and for most of us, our family, and our friends, that?s exactly what it is,? Blodget says. ?But if we could actually step away and watch the dying process without the emotion, it?s a beautiful experience, it?s a beautiful process. It?s such a natural process to watch it happen.?

This realization has caused Blodget to become comfortable with death and its inevitability. So much so, in fact, that she already has plans for her own.

?I told my family that when my time comes, what I want them to do is bundle me up really well, somehow get me in a lawn chair and get me outside because nature means everything to me,? Blodget says. ?My view on death [has changed].

It is that I?m not afraid to die, but I am afraid not to live.?

McCormack also believes people should cherish death.

?It?s a privilege, really, to be present for a very sacred time in a person?s life?the passing from one life to the next,? McCormack says. ?People are not born alone, and we feel that people should have a presence when they die. That?s what this program is really about.?

Source: http://www.fluxstories.com/2012/02/no-one-dies-alone/

j edgar hoover jonathan papelbon jonathan papelbon trisomy 13 veterans barbados resorts the call

Program urges smokers switch to smokeless tobacco

In this Thursday, Oct. 27, 2011 photo, a billboard by switchandquitowensboro.org stands along New Hartford Road in Owensboro, Ky. Dr. Brad Rodu, the director of the organization, and professor and researcher at the University of Louisville, is heading a new campaign for smokers to use smokeless tobacco in order to quit smoking, based on 20 years of research. (AP Photo/Stephen Lance Dennee)

In this Thursday, Oct. 27, 2011 photo, a billboard by switchandquitowensboro.org stands along New Hartford Road in Owensboro, Ky. Dr. Brad Rodu, the director of the organization, and professor and researcher at the University of Louisville, is heading a new campaign for smokers to use smokeless tobacco in order to quit smoking, based on 20 years of research. (AP Photo/Stephen Lance Dennee)

FILE – In this Sept. 28, 2010 file photo, smokeless tobacco products, including Ariva, are displayed in Richmond, Va. In the smoker-heavy state of Kentucky, a cancer center is suggesting something that most health experts won’t and the tobacco industry can’t: If you really want to quit, switch to smoke-free tobacco. (AP Photo/Steve Helber, File)

Dr. Brad Rodu, the director of switchandquitowensboro.org, and a professor and researcher at the University of Louisville, displays his book “For Smokers Only,” written in 1995 at his Louisville, Ky., office. Rodu is heading a new campaign for smokers to use smokeless tobacco in order to quit smoking, based on 20 years of research utilizing billboards, radio, print and other advertising. (AP Photo/Stephen Lance Dennee)

In this Thursday, Oct. 27, 2011 photo, Dr. Donald Miller, director of the James Graham Brown Cancer Center, speaks during a news conference during a Breast Cancer Awareness Month postage stamp unveiling in Louisville, Ky. (AP Photo/Stephen Lance Dennee)

In this Thursday, Oct. 27, 2011 photo, Dr. Brad Rodu, the director of switchandquitowensboro.org and a professor and researcher at the University of Louisville, looks through a microscope at a slide in his Louisville, Ky. Rodu is heading a new campaign for smokers to use smokeless tobacco in order to quit smoking, based on 20 years of research utilizing billboards, radio, print and other advertising. (AP Photo/Stephen Lance Dennee)

In the smoker-heavy state of Kentucky, a cancer center is suggesting something that most health experts won’t and the tobacco industry can’t: If you really want to quit, switch to smoke-free tobacco.

The James Graham Brown Cancer Center and the University of Louisville are aiming their “Switch and Quit” campaign at the city of Owensboro. It uses print, radio, billboard and other advertising to urge smokers to swap their cigarettes for smokeless tobacco and other products that do not deliver nicotine by smoke.

Supporters say smokers who switch are more likely to give up cigarettes than those who use other methods such as nicotine patches, and that smokeless tobacco carries less risk of disease than cigarettes do.

“We need something that works better than what we have,” said Dr. Donald Miller, an oncologist and director of the James Graham Brown Cancer Center, which supports the effort along with the University of Louisville. “This is as reasonable a scientific hypothesis as anybody has come up with and it needs to be tried.”

The campaign runs counter to the prevailing opinion of the public health community, which holds that there is no safe way to use tobacco. Federal researchers, however, have begun to at least consider the idea that smokers might be better off going smokeless.

The National Cancer Institute at the National Institutes of Health says on its website that the use of all tobacco products “should be strongly discouraged,” and that there is “no scientific evidence that using smokeless tobacco can help a person quit smoking.” But this year it approved funding for a study that might provide some of that very evidence.

“Switch and Quit” is directed by Brad Rodu, a professor of medicine at the University of Louisville. He analyzed the 2000 National Health Interview Survey and found that male smokers who switched to smokeless tobacco were more likely to quit smoking than those who used nicotine patches or gum.

“Americans are largely misinformed about the relative risks. … They think smokeless tobacco is just as dangerous,” Rodu said. “This level of misinformation is an enormous barrier to actually accomplishing tobacco-harm reduction because if people believe that the products have equal risk, there’s not a real incentive.”

The program is funded through Rodu’s research money, which includes grants from the tobacco industry. Grants through the University of Louisville are unrestricted, which the program says “ensures the scientific independence and integrity of research projects and activities.”

“There’s absolutely no influence whatsoever,” Rodu said. “I decide, along with my colleagues, how we use the money, for what projects, and this is entirely the case. I would not have a situation where there was some control over the kind of projects I undertake.”

Tobacco companies want to market more smokeless tobacco and other cigarette alternatives to make up for falling cigarette sales. Some have introduced “snus” ? small pouches like tea bags that users stick between the cheek and gum ? and dissolvable tobacco ? finely milled tobacco shaped into orbs, sticks and strips.

But they’re barred by federal law from explicitly marketing them as less risky than cigarettes ? at least for now. That means the “Switch and Quit” program can do something the tobacco industry itself cannot: claim that smokeless tobacco has a health benefit when compared to smoking.

The program says smoking kills about 220 adults a year in and around Owensboro. The state of Kentucky, a leading tobacco grower, has the nation’s highest smoking and lung cancer rates.

Owensboro and the surrounding area consume about 3 million cigarettes a week, according to the program. That amounts to well over a pack for every man, woman and child in the community of about 115,000 people.

Owensboro resident Vernon Goode had smoked for about 10 years before he recently traded his Marlboros for dissolvable tobacco tablets. The campaign didn’t inspire him to quit, but he said he thought it was a good idea.

“I was just wanting to quit because, you know, I could feel it in my lungs,” Goode said. “I’ll smoke a cigarette every once in a while, but not very often. I want to quit altogether and I’m just using this right here as I guess what you’d call a stepping stone.”

The Owensboro program has raised concerns among some in the public health community who say organizers are claiming smokeless tobacco is a healthier alternative to smoking without approval from the Food and Drug Administration.

A 2009 law gives the FDA authority to evaluate health risks of tobacco products and approve those that could be marketed as safer than what’s currently for sale. None have been given the OK yet. The FDA also plans to regulate electronic cigarettes, battery-powered plastic and metal devices that heat a liquid nicotine solution in a disposable cartridge, creating vapor that users inhale.

Matthew Myers, president of the Campaign for Tobacco-Free Kids, called the program “a giant experiment with the people of Owensboro without rules or guidance designed to protect individuals from experimental medicine.”

Smokeless tobacco isn’t a safe alternative to cigarettes, according to the Centers for Disease Control and Prevention. Health warnings on the products required by the FDA state the same thing.

However, some studies, including a 2007 report from the Royal College of Physicians in London titled “Harm Reduction in Nicotine Addiction,” suggest that some smokeless tobacco products are about 90 percent less harmful than cigarettes.

“The worst that you can say about smokeless tobacco is that it’s the lesser of two evils,” said Dr. Randall Thomas, an oncologist with the Owensboro Medical Health System. The health system, the community’s largest employer, is going smoke-free in 2013 and is offering Rodu’s program as one of a variety of quit-smoking tools for its employees.

“I don’t think we have any problem in telling a person that drinks a six-pack a day that if they could cut it back to two beers a day or two drinks a day that their health risks are greatly reduced,” Thomas said. “Finding a way to let people have their nicotine that carries less risk, it’s the realistic solution.”

The Owensboro program doesn’t suggest pharmaceutical nicotine replacement gum or patches. That’s because they are regulated to provide very small doses of nicotine and are recommended for only a short period of time, while smokeless tobacco can be used as long as a smoker needs, Rodu said.

Myers, of the Campaign for Tobacco-Free Kids, said more research is needed before anyone should suggest that the nation’s 46 million smokers would be better off using smokeless tobacco. In the meantime, he said, there are a host of FDA-approved products that can help people give up smoking.

“There’s a right way and a wrong way to determine whether smokeless tobacco can and should be marketed as a way to help people quit,” Myers said.

The National Cancer Institute approved funding earlier this year for a nationwide 1,250-person study to look at whether being given a snus product changes the habits of smokers who are not motivated to quit.

The tobacco industry sees smokeless tobacco as its future, said Matthew J. Carpenter, a psychology professor at the Medical University of South Carolina who is conducting the yearlong study.

Carpenter said the snus study will examine what smokers do when given smokeless tobacco. He won’t look at the health effects, or advise smokers to use the snus to quit.

“They are probably safer than conventional cigarettes, if for no other reason than you’re not burning anything, you’re not smoking anything, you’re not inhaling any smoke,” he said.

“If you compare it to conventional cigarettes, they’re probably a little bit better. If you compare it to quitting, they’re absolutely worse.”

___

Michael Felberbaum can be reached at http://www.twitter.com/MLFelberbaum.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/bbd825583c8542898e6fa7d440b9febc/Article_2011-10-28-Tobacco-Switch%20and%20Quit/id-301ea129efb9464291cbb2a89d856ec2

beef wellington ronnie brown man up man up wayne newton naomi wolf ron paul 2012