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WATERBURY
- Dr. Richard Silverman had worked at
the Cedar Lane Rehabilitation and Health Care Center
for about a year before deciding his patients needed more from him
than a routine exam.
Sensing their desire for more frequent human contact,
the pulmonary critical-care physician from
Southbury formed the Home to Home Foundation.
The group has a 10-member
board of directors that meets once a month to arrange activities
and events
for nursing homes and acute life care centers
in Waterbury, which has the greatest concentration
of long-term care facilities in Connecticut.
Even with a busy practice,
Silverman finds time each day for the foundation. Sometimes, he'll
cradle his
cellular phone in one hand and eat lunch with the
other while he arranges a program or makes contact
with someone who'd like to help. His wife jokes that
he's taken on another job; Silverman said the
foundation is too important to him not to give 100 percent.
Because it is a program of the Western Connecticut
Area Agency for the Aging, the foundation has
nonprofit status. Silverman has the backing of
the Connecticut Association of Health Care Facilities, which oversees more
than 300 life care centers in
the state.
Local businesses and corporations
have pledged volunteers, and some have agreed to donate money,
although most are holding out until
the foundation is
better established. "We're not trying to put focus on
what nursing homes are doing wrong," said Tavis Tindall, a Waterbury
lawyer who is on the foundation's Board
of Directors. "We're trying to complement and supplement. We
want to enhance what they're doing."
With federal reimbursements
on a constant decline, Silverman knows life care centers have to
pinch pennies. "They work within the
restraints of their budgets, and they do a terrific job," he
said. "I just thought I could do above and beyond just a routine
exam."
So far, the foundation
has completed five projects. It sponsored a marigold growing contest
for between
90 and 100 residents of Cedar Lane and Cheshire House, a 60-bed,
skilled nursing and rehabilitation facility on
East Main Street. It recruited students from Holy Cross High School
to plant vegetable gardens at the facilities while residents watched,
and it coordinated plant deliveries to the Country Manor Rehabilitation
Center and the Waterbury Extended Care Facility.Students from Rotella
Magnet School got involved by drawing and painting large pictures
and murals that brighten the walls at Cedar Lane. Last weekend, between
10 and 12 facilities in Waterbury, Prospect, Naugatuck and Wolcott
got plant deliveries courtesy of the foundation.
Working with recreational
therapists, the board has proposed a number of other ideas, including
ice cream socials, Olympic-style games,
mystery trips, visits by pets, musical performances, indoor miniature
golf tournaments, antiques road shows, theater trips, fashion shows,
fishing trips, sporting events, antique car exhibits and visits by
sports stars.
"We all sit around at our meetings and we just come up with
as many ideas as we can," Silverman said. He talked excitedly
about starting a pen pal program between residents and area school
children, and making care packages for people to ease their transition
from independent living to a life-care center.
An often lonely existence
in a perfect world,. according to Silverman, all residents
of long term care facilities would experience the same joys as people
who live independently. However, that is not reality. Many, people
who enter long-term care face
it alone, said Silverman; an assistant clinical professor at the
Yale University School of Medicine who practices at St. Mary's and
Waterbury hospitals. Often, they don't have
family to. visit them, and they make few
friends
except for the staff During a recent tour of the 180-bed Cedar Lane,
the doctor painted to a few -patients . who never ,leave their beds.
Most are hooked to ventilators, a cruel sentence after a lifetime of
smoking.
Being-bedridden doesn't mean they can't benefit from human contact
and social activity; Silverman said as he walked the halls; smiling
at and waving to patients, "These people's faces light up
when they see someone, something, out of the normal routine," he
said.
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Inspiring his patients
Sometimes, Silverman said, patients need a little extra motivation
to get better. He once knew a badly injured woman who was afraid
to learn to walk again. On a whim, he made her a deal, If she
could string together a few steps without stopping, he'd spring
for a lavish dinner. "About three days later, she walked
20 feet," he said, laughing as he told the story. "And
we went out. It cost me about $300."
People don't have to perform extraordinary feats to get Silverman's
attention. He knew Rich Marino, a resident of the Cedar Lane, was
a huge wrestling fan, so he invited him to a match at the' Hartford
Civic Center.
Marino enjoyed the evening so much that Silverman decided to bring
wrestling to Cedar Lane, where he. is in charge of pulmonary rehabilitation.
He convinced Jake "The Snake" Roberts, a World Wrestling
Federation icon, to visit the facility to entertain the residents.
People like Marino, 33, who suffered a traumatic brain injury
in a car accident when he was a teenager, don't often have guardian
angels like Silverman looking out for them, said Phyllis Belmonte,
Cedar Lane's administrator. "The look that you see on Dr.
Silverman's face when he talks about improving these people's lives
is the wane look you see on the residents' faces when they experience
something good," she said.
Needed: money, volunteers
Silverman has shown he has the passion and commitment to launch
the foundation. All he needs now is cash and people willing to
volunteer.
"I have a bunch of people who have ideas and vision.
I need people to help implement it," he said.
"My feeling is you give me five or 10 minutes I can sell you on
this." The foundation has a grant writer, accountant and financial
planner looking for money sources, and Tindall suspects the group
will ask the Waterbury Foundation to get involved.
There will be corporate solicitation, and fund-raisers will be
held. A spokesperson is being sought; possibilities include actress
and Bridgewater resident Mia Farrow and actor and Waterbury native
Dylan McDermott, who is related to Marino, the Cedar Lane resident.
The first major fund-raiser is planned for September, when a theater
troupe from Massachusetts will come
to Waterbury to perform. A representative from Mayor Michael J.
Jarjura's office will be asked to help coordinate the event.
Silverman thinks that if the foundation can succeed
in Waterbury, it can be a model for similar groups across the state
and around the country. He knows of no other organization like
it.
"The goal is to encompass the entire state as soon as we
get more backing," he said.
Providing interaction
Board member Joni Barnett said her husband; Jerrold, is the type
person the foundation hopes to aid. A massive stroke in 1999 rendered Barnett, a widely respected
Superior Court judge, unable to speak and write.
He lives at Cedar Lane, where he gets frequent visits from his
wife, family and friends. He craves the interaction -
the foundation's primary mission.
"The kind of thing I give to him this program will give to
others," Joni Barnett said. "He's a brilliant man who
cannot speak and cannot write. He needs contact: He seeks stimulation."
Marino has befriended Silverman, and they usually visit when
the doctor does rounds. "This is the stuff that brightens his
day," Silverman said gas gestured to the walls in Marino's
small room, which are covered with framed photographs of professional
athletes and wrestlers. There are life-size cutouts of New York,
Yankee Derek Jeter and wrestlers The Rock and The Undertaker.
Marino also has an extensive collection of wrestling videos.
Even his
pillow case has a wrestler on it.
"He's more or less why I started this," Silverman
said, as he looked through a picture book of wrestlers with Marino.
" I saw how he reacted when he got something, and it just took, off
from there."
Belmonte said she wishes the foundations programs could be extended
to all life-care centers. "What I like about this is that
it gives the residents an opportunity to be part of the community
at large," she said.
Tindall said he now appreciates how even just a few moments talking
with a life-care center resident can brighten their day. He remembers
how his great-grandmother craved the attention when she was in
a nursing home.
"What was so important to her was the human touch, bringing
kids in and letting them talk to her," he said. "It
makes a big difference.
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