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Photos by Jamison C. Bazinet / Republican-American
Dr. Richard Silverman and Richard Marino share a laugh in Marino's room in the Cedar Lane Rehabilitation and Health Care Center.

Home to Home News

Doctor leads group in bringing life, hope to the forgotten in nursing homes
By Chris Gardner ©2002 Republican-American

 

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.

 

 

 

 

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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