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January 15, 2014     The Julian News
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January 15, 2014
 

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January 15, 2014 The Final Journey - part a by Judy Jarvis, RN In part two of The Final Journey we discussed the Mental, Physical and Spiritual toll a family endures in caring for one with a terminal diagnosis. We emphasized the importance of open communication, respecting the wishes of our loved one and how to prepare ourselves for that time when our loved one expresses the desire to stop fighting and accept the reality that a cure is no longer possible. We acknowledged the emotional turmoil that caregivers feel as they know the outcome will leave them behind to mourn their loss. It takes a deeply committed love to set our own feelings aside to support the m wishes of the person on this Final Journey_ So now we are seeking comfort and quality of life for as long as we have together, This is best managed by Hospice Care whose sole purpose is to create a team of experts committed to developing a plan of care that will allowing your loved one relief from pain, and other uncomfortable symptoms. Hospice is not all about death, instead more about creating an environment where the patient and their family can live as comfortably as possible, for as long as possible. It is about understanding the dying process and providing an environment in your home or in special care settings that support all involved in this final journey to the end of life. As a Hospice RN I have observed many subtle clues that your loved one may exhibit which are indications that the dying process has started. There is no way to estimate a timeframe as to days, weeks or months as each death is individual and circumstances other than the physical body's decline, can influence how long this process will take. It is absolutely amazing how the dying loved one maintains control of their death by bringing families together, providing healing of old wounds, forgiving or seeking forgiveness, in preparation for this separation. This occurs without conscious awareness, it is simply completing a checklist as they prepare to leave us behind, though often provides comfort and healing to the family unit. I have listed other subtle symptoms of your loved one's checklist that seem to be consistently observed on a majority of patients. Keep in mlnd'these are not conscious things and my commentsare based on my many years of experience and my interpretation of their possible significance in the dying process Caregivers and family members may notice any or all of these during the next days, or weeks. Loss in desire to eat, even favorite foods The first system the body begins to shut down is the GI system. It is not uncomfortable, yet very effective at slowing the other bodily systems in preparation for death. Since the digestive system is shutting down, to force feed the patient can cause bloating, nausea and more discomfort so respect their wishes. If they want to eat, let them, but most likely it wilt be for oral gratification not nutritional need. Sleeping much more, anytime day or night This allows the body to spend more time with the subconscious, which I liken to having one foot on the other side. It is here that dreams and visions of angels, or dying loved ones provide comfort to our patient, it is as though the veil between this world and the other side thins and when asleep your loved one is in a very peaceful place. While awake they are more aware of the pain, physical discomfort and also anxiety that family members may be having. Sit quietly beside them. They are aware of your presence at some level and allowing them to sleep as long as they need respects the work they are doing that we cannot understand. Withdrawing, and disinterest in things they usually enjoy. This could be a distancing from family and friends in preparation for their journey away from them. A need to organize and fix things that are unimportant Often seen when the patient has a "knowing" that they will be leaving soon and they must get things in order before they leave. They don't say that they just put things in order. I doubt they know why, they just feel compelled to do it. Increased talking about the past, work, family, or youth. All experts agree we go through a life review before we die. Encourage them to talk about this. Often they can be seen physically acting out in ways their review reminds them of. This is often seen as anxiety, when it may just be swimming or climbing, or some activity related to the content of the review they are experiencing. Asking questions about heaven or expressing an interestin what happens after you die They often speak of seeing light, spirits, or an essence of someplace in the distance, this leads them to ask about such things Reaching up or talking more while sleeping Sometimes carrying on conversations during sleep is seen as hallucinations, though often they are seeing things or people and they are real to them. Allow them to share what they experience, it could be a gift to you. Blank stares often directed upward (such as toward a corner of their ceiling) As they get closer they see something that we cannot and you usually will find that they stare intently at it. Most often they are not afraid, instead interested and surprisedyou can't see what they see. A burst of energy and alertness we call a "Rally" Families often misinterpret this as a reversal from the dying process. Instead I believe it is usually a final push from your loved one to connect one last time. So savor and cherish the moments. As I have always said each death is very unique and completely unscripted, though most any nurse, hospice worker or caregiver can attest to seeing some or most of these in their loved ones or patients. With an awareness of this you and your family will be able to support and share these experiences with your loved one. Family members often witness some variations of these and are concerned it is overmedication of pain or sedation causing chemically induced hallucinations or restlessness. This is rarely the cause, and to withhold these medications could well increase your loved one's discomfort. As your loved one's caregiver you help them most by going along with My Thoughts by Michele Harvey Facebook for Julian i've been a facebook user for less than two years. I've seen it change from something gossipy and political to something useful. Here in Julian we have several facebook pages just for people in Julian and the surrounding areas. Ramona also has similar pages. What I really like about these pages is that they are actually helpful. All the opinionated entriei have become less and less prominent and the entries that are helpful or educational are showing up more and more often. The political postings that manage to show up on Julian pages are pertinent to Julian, not to San Diego and not to Southern California in general. My favorite facebook pages are community type pages. Lost dogs are often announced and then numbers of people help find the missing dogs. Pictures of new babies, favorite recipes and animals, both pets and farm animals are posted. Some of my favorite photos show new baby goats. They are just so darn cute! One user had to get rid of her farm animals really quickly. By posting her need on Julian Connection, she was able to find caring homes for all of her animals. Another user is moving and needs to get rid of empty boxes and other trash in a hurry. Her need was met right away. Facebook in Julian has proven to be a huge blessing. On our local facebook pages we get to see prom photos, sport photos of local students and graduation photos posted by proud parents and grandparents. I've seen progress photos of the garden at Julian Elementary school. I've seen many wondrous photos of sunsets and a few photos of local rainbows. One shop keeper posts nightly photos of sunsets that She takes each evening before she leaves he[ shop for the night.+ I'm grateful that she takes the time to share so much beauty with us all. On our Julian faCebook pages we ask if we will be getting rain or snow, and exactly where. Answers come rapidly and accurately. People feel free to ask for help when needed or for beds, carpet, excess fruit and hundreds of other items that people need or that people need to get gone. When I needed a cherry pitter, I posted my need on a Julian facebook page and bought one locally within days. It was cheaper and quicker than buying one on the internet. Recipes are often posted when asked for. Currently I have a friend helping me to find a really good dill pickle recipe, rve tried some that were too spicy or garlicky and what I want is one that tastes like a real Kosher style dill pickle that I can hot pack without a pressure canner and then store my pickles on a shelf without taking up space in my refrigerator. I know from experience that one of my facebook friends will find just the right recipe for me. With the recipe in hand, I will be ready for my cucumbers and dill when they are ripe. Announcements are made for public meetings, musical and other local events, fundraising dinners and other calendar items that may otherwise go by unnoticed. Community group meeting times for local clubs along with library events have been asked for and answered. I post notices for the Julian Historical Society programs because they are interesting and each program teaches us something more about Julian's history. I also post notices for time and days for people to pick up distributed food from Feeding America. I post ideas for using the food we pick up on Feeding America distribution days because sometimes many of us don't know how to cook the fresh vegetables that we receive. As a side note, spaghetti squash can be cut in half lengthwise, and then steamed until soft. Use a fork to pull the strings out of the shell and serve with spaghetti sauce. All of that broccoli we received can be cut up and blanched (dipped for a short time in boiling water), cooled, and then put into Ziploc ba9s. The broccoli can also be added to cheese soup, omelets, pasta and salads. Ask the question of what to do with several pounds of broccoli or most any other question about practical things at Julian Connection on facebook and you will get lots of answers. rve seen posts from people selling firewood and from people buying scrap metal. Selling one or two items when you didn't make the deadline to publish in The Julian News, works on facebook. Having a candle party, an essential oil party, a fundraising dinner at The American Legion or at Julian High School, and you can post it on a Julian page on facebook. My husband Mike posts weather conditions for at least two or three days in advance. Some users post information on traffic accidents and road construction delays. Hunters that are poaching get shown or at least talked about. When we find arrows in our yard where hunting or trespassing are absolutely not allowed, we tell our facebook friends. Mountain lion sightings get posted and congratulations for birthdays, anniversaries and other special personal events sometimes are announced with photos. I like humorous postings and one of my favorites was from a neighbor who talked about her teenage rooster. He tries to crow, but just like a teenage human boy, his voice comes out squeaky. A little humor can bring great chuckles. Death notices get posted and lots of hugs follow. That shows what a great community we live in. The postings I see on our local Julian facebook pages give me more reasons to be happy to live in the Julian area. Noticing the positive changes that have evolved with our local facebook users makes me glad I jumped on this wagon and have held on. Anyone need vegetable seeds? You can find details on facebook/ Julian Connection. These are my thoughts. 3ates Open 7 Days 7a.m. to Dark Office. M-F 9 to 4 closed Sa!  Su Julia Nejo August 12, 1924 - January 1, 2014 Graveside services January 18, 2014 at Bloomdae Cemetery: 10am, Mesa Grande Reservation. Lunch to follow the services at Mesa Grande Fire Station. Contact Mercedes Amavisca - 760 782 3411, (cell) 760 822-4780 for information. whatever they are experiencing, keeping them safe and allow them to go through their subconscious checklist. When you do this you will find your loved one will settle peacefully and you can find solace in knowing that you, in some small way, helped them find peace and comfort in their final days. Next month: We'll discuss what we may see when our loved one is actively dying. How family dynamics often come full circle before one dies. Judy Jarvis is a 20 year Intensive Care RN with 12 years of Hospice Care. She moved to Santa Ysabel in 2009 with her husband and son. She is writing a book on Death and Dying and is an end-of-life counselor for our community. Reach her @ judyjarvism@gmail.com The Julian News 5 HOME SERVICES CABINETRY. FRAMING ROOFING - HOME REPAIRS SIGNS ARTWORK ROBERT GEORGE 765 1445 i Atr I tl ]n.lnll 11 Bruce Strachota Grading, Demolition, Underground Utilities, Dump Truck, Excavation, Loader, Bobcat Rental, Rock & Base 152 celh 619-972-0152 J IITOOLA00EQ I II FOR rHOS00/0000VlOaS II 760-765-4816 I /L II 00582 78 "Serving the Community of Julian" GATED, SECURE STORAGE SITES -- FULLY ENCLOSED YARD INDUSTRIAL/BUSINESS SITE FOR MACHINERY & EQUIPMENT STORAGE Outside Storage - Trailers, Boats, Cars, RV's Unit Sizes - 5x10. 10x10 10x15 10x20. 10x30 00MINI SlrOUOl ] 3582 Highway 78 at Newman Way 0076o00765.2601 Fax 765-2797 POPE TREE SERVICE All Your Tree Service Needs Commercial Oak and Pine our Specialty CA. State License #7o4192 76o This Is Not A NIMBY Thing We can't nationalize SDG&E because it shouldn't be a 'national' government run industry; it should belong to California. So perhaps we need to find another word. WHY, you ask, even THINK about such a move? How horridly LIBERAL! Not to mention Socialist. Well, read on. SDG&E is supporting (e.g. has contracted to buy electricity from) a solar installation in Wynola, which will bulldoze over 100 trees, move boulders, and generally create an ugly eyesore and be a very unwelcome neighbor to the property owners there. Solar is good? Yes. Solar is always good everywhere? No. If, instead condoning the destruction of many acres of our beautiful back country, SDG&E were to support putting solar installation on house roofs (like yours and mine) it could probably create the same amount of electricity at less cost. But this wouldn't create PROFITS and pay various corporate bureaucrats their high salaries. Such as the $2,500,000 plus compensation package for SDG&E's CEO (as of 2010, that is) that keeps him on the job. No one in the Federal Government I know received anything near a $2,500,000 compensation package though it is true that State and County employees seem to do better. But, you say, SDG&E is owned by the people and they get profits, too. Maybe, eventually, but... The same official report that detailed generous compensation packages for top officers (they're not as generous, you can be sure, for the guys we know out working on the lines) stated, "All of the outstanding SDG&E common stock is owned by Enova Corporation and all of the outstanding common stock of Enova Corporation is owned by Sempra Energy." In 2012 the Eecutive Chairman of Sempra Energy, received compensation for his hard work of $8,209,671. Another report says Enova is a "Holding company formed in 1996 for the San Diego Gas & Electric Company. While there are several other companies under the Enova rubric, 97% of its revenue is from SDG&E. Enova merged in 1998 with Pacific Enterprises to form Sempra Energy. Enova is still maintained as a subsidiary." You think the Government is confusing? Not like this. The whole Wynola Project, in fact, seems a bit, er, opaque, top to bottom. Both the addresses for Michael Melone, the applicant for a county permit for the Wynola project (14 Wall Street, 20th Floor, NY) and for the Owner, Calico Ranch Solar, LLC (222 S. 9th St., Suite 1600, Minneapolis) are advertised on the Internet as "virtual office space." One hopes forMr. Melone's sake that he shares the 20th floor with others as in June and July of last year a series of scamming letters was sent out from the address. Ecos Energy, which the U-T reported is in charge of the project (and owned by one Thomas Melone???) also has the Minnesota 'virtual office space' address and Thomas Melone is also President of AIIco Renewable Energy for which Michael Melone, who submitted the application to the County, apparently also works and which is reportedly connected to the Wynola project... Maybe the right word is "statize"? "California-ize?" How about simply expropriate and put power back into the hands of the people, where it was before Enron came along?