A PUBLICATION OF HOSPICE OF THE PIEDMONT ● SUMMER 2011 The Elephant in the Room A re the topics of death and grief taboo? Many people in our society behave as if they are. For many people the fact that a loved one has died is the “elephant in the room.” Terry Kettering writes about the metaphor of the elephant in the room in her poem and it goes like this: There’s an elephant in the room. It is large and squatting so it is hard to get around it. Yet we squeeze by with, “How are you?” and “I’m fine.” and a thousand other forms of trivial chatter. We talk about everything else – except the elephant in the room. We all know it is there. We are thinking about the elephant as we talk together. It is constantly on our minds. For, you see, it is a very big elephant. It has hurt us all, but we do not talk about the elephant in the room. So if everyone sees it, why does no one talk about the elephant? Why do people avoid talking about death and grief? Yes, talking about it often causes discomfort. It could even be frightening to some. Talking about the death of a loved one can bring up thoughts and feelings about our own mortality and the eventual deaths of others we love. But we cannot avoid the fact that death is a part of life. Some even believe that when we are fully aware of this fact, our lives become richer. We worry that people will get offended or upset or that somehow talking about the loved one who has died will make things worse, not better. “People might not want to be around me if I talk about how sad I am, how much I miss my loved one.” But often the reality is that the elephant, the issue of death and grief, isn’t as problematic as the fact that we avoid it and don’t talk about it. Avoiding the topics of death and grief can isolate those who are grieving at the exact time that they need the support of others. Avoidance can cause those who need to share their feelings and tears, or can’t help but share them, feel abnormal. The reality is that outwardly mourning the loss of a loved one is natural, normal and healthy. And when someone is brave enough to bring up the topic, mention the loved one’s name, express a feeling of sadness, anger, guilt or even relief, tension can be released. Permission has been granted that it is okay to talk about it. The issue is on the table and now it can be addressed. We can even learn about our own strengths when dealing with our adversity. And don’t forget that we teach our children how to cope with loss through our own actions. Don’t we want our children to come to us for support and with questions? How will they know to do so, if we cannot be open to it ourselves? Terry Kettering’s poem ends: For if we talk about her death, Perhaps we can talk about her life. Can I say, “Barbara” to you And not have you look away? For if I cannot, Then you are leaving me alone In a room – with an elephant. Many grieving people, family members and friends often think that by avoiding discussions about grief and loss they are protecting each other from difficult thoughts and feelings. But like the elephant in the room, everyone is already thinking about it and knows it is there. Rather than each individual grieving alone, here is an opportunity to do your grieving and supporting together. HOSPICE OF THE PIEDMONT ● 675 PETER JEFFERSON PARKWAY ● SUITE 300 ● CHARLOTTESVILLE, VIRGINIA 22911● 434-817-6900 ● WWW.HOPVA.ORG HORIZON ● LIVING WITH LOSS The Power of Storytelling S haring memories and stories can be a healing experience after someone has died. It is important to share about the life that was lived, as well as your experience of the illness, death, and your own bereavement. It’s easy to become focused on the recent events of the illness and death, losing sight of the healing possibilities in recollecting the whole of our loved one’s life. Storytelling provides an opportunity to celebrate the loved one’s memory publicly with other caring people who can be influenced by the life that was lived. Storytelling is powerful not only for the storyteller, but for the listeners, as well. Storytelling is also an important and effective way to keep loved ones’ memories alive for future generations. It builds memories in children who are too young to remember the deceased, but who need a sense of who this person was and how this relative fits into the family system and history. Some people have difficulty starting the story. The following are examples of story titles one might consider as jumping off points. The Places Where We Lived Favorite Things We Have Done Together The Best Joke Played On Me _______’s Hopes and Dreams Great Trips We Took Together What I’ll Miss Most About ______ The Funniest Time We Ever Had Together It is amazing to watch the light come back in a grieving widow’s eye when you ask her how she met her husband. So many people share that they don’t know what to say to a grieving person. Not many people think to ask a question or invite the mourner to tell a meaningful story about the loved one. Even better, sharing a special memory with the grieving person about the person who has died is often better than any offer of condolence. Adapted from Dan Diego Hospice and Palliative Care’s “Living With Grief Series” To live in hearts we leave behind is not to die. — Thomas Campbell Bereavement Support Services Bereavement support groups bring together a small group of people to learn about the grieving process and be with others who are grieving. Educational and experiential workshops on grief-related issues aid in coping with the death. Short-term grief counseling provided by bereavement counselors meets individual needs. Referrals to community resources provide additional support. Youth services, provided through the Journeys program, offers children and teens (ages 4 — 18 years old) support and grief education using art and other creative means to express inner 2 SUMMER 2011 feelings. Youth services include individual and group work and bereavement camps throughout the year. Nondenominational memorial services help to remember loved ones who have died. Educational presentations on grief and loss issues are offered to community groups and organizations. Outreach through mailings of educational and supportive material, reminders of upcoming events and quarterly mailing of Horizon, a Hospice of the Piedmont publication dedicated to grief education and support. HORIZON ● LIVING WITH LOSS Spiritual Steps Along the Grief Journey By Denise Kirchner, RN, MN, MPS Director of Counseling G rief can present challenges to the bereaved physically, disrupting sleep and appetite and leading to actual pain; emotionally, through a roller-coaster of feelings; socially, in feeling isolated from normal routine; intellectually, preoccupied with the loved one or things that must be done; and also spiritually. Many people experience and express their spiritual nature through an organized faith tradition where there are common shared beliefs and rituals. For others, spirituality has more to do with their individual connection to or relationship with the people and world around them, than it does with any communal beliefs or gathering at a place to worship with others. Actually, being in touch with one’s spirituality can be both an individual and communal experience. No matter how one defines spirituality, it includes an awareness that a person does not exist in a vacuum; that life has meaning and purpose; that we matter in this world. These are the kinds of things that cause us to stop and ponder the meaning of life and are often wrestled with during bereavement. How does one come to terms with the absence created when someone we love dies? Why am I having such a hard time accepting this death? Why did they have to die? Is it okay to feel relieved that their suffering is over? While there are an infinite number of responses to those questions unique to each individual, the common spiritual experience is of trying to make sense of or find meaning in what has happened. How we make sense of anything that happens is a reflection of our personality and life experiences, what we have learned formally and informally from written word and example, what we believe to be truths, and what we value. Our perspective may be shaped by a faith tradition, but can also come from other sources such as nature, science and the arts. We may find answers in personal reflection and also in discussion with others. We may find comfort in grieving alone or seeking support through church family or support group. We may be encouraged by religious beliefs or our own internal strength. Whatever the source for coming to terms with the meaning of our lives both before and after the death of one we loved, it is important to make this spiritual quest part of the grief journey. “Finding meaning begins in questioning. Those who do not search, do not find.” (Anonymous) HORIZON A Publication of Hospice of the Piedmont Writing Contributors: Erin Webb, MSW Bereavement Counselor/Coordinator Laurie Haan Bayma, MS, BSN, RN Bereavement Counselor/Coordinator Denise Kirchner, RN, MN, MPS Director of Counseling Design & Layout Contributor: Denise Ritchie Administrative Coordinator Email: bereavementinfo@hopva.org Address: 675 Peter Jefferson Parkway, Suite 300 Charlottesville, VA 22911 Phone: 434.817.6900 or 800.975.5501 SUMMER 2011 3 NONOPROFIT ORGANIZATION U.S. POSTAGE PAID CHARLOTTESVILLE,VA PERMIT # 320 675 Peter Jefferson Parkway, Suite 300 Charlottesville, VA 22911 A publication dedicated to grief education, support, and the offer of hope. Myth Self-Care Tip There are right ways and wrong ways to grieve. Reality No two people grieve alike, even when experiencing the same loss. Your grief is based on a variety of factors, including your relationship with the deceased, your personality, other losses, and current stressors. Your reactions will be unique to you. Listen to your body. If you need to cry, then cry. If you need to sleep, then do so. If you need to talk to someone, seek out someone who can listen. If you need to reminisce, then take the needed time. It is important throughout the grief process that you go with the flow when possible. HORIZON ● LIVING WITH LOSS BEREAVEMENT CALENDAR OF EVENTS Advance registration required for all events. Bereavement Support Groups and Workshops Bereavement Support Group for Adults Wednesdays, July 27 - September 14, 2:00 - 3:30pm Wednesdays, September 21 - November 9, 5:30 - 7:00pm Meet for eight consecutive weeks to learn about the grieving process and be with others who are grieving. These groups are for adults who have experienced the death of a loved one and three months have passed since the death. CALL ASAP TO REGISTER! Remembering Our Children Men’s Breakfast Club The 3rd Thursday of each month at 8:30am Location: the English Inn of Charlottesville, 2000 Morton Drive (behind Emmett Street Bodo’s Bagels) Be part of a social gathering for men. Gain support through conversation and connection with other men experiencing the ups and downs of grief. (Breakfast buffet available, payable by attendee at front desk.) The 1st Monday of the month 5:30 – 7:00pm If you are a parent or family member who has experienced the death of a child, we invite you to join us for education about grief and loss, support, and healing. Beginning Your Grief Journey — First Wednesday of Every Month! Join us for a time of education and sharing for the newly bereaved. We will introduce basic grief concepts and provide time to begin to share the story of your loss in a group setting. July 6: 1:00 - 3:00pm August 3: 6:00 - 8:00pm September 7: October 5: 1:00 - 3:00pm 6:00 - 8:00pm Monthly Drop-In Support Sessions Open bereavement support groups for any adult who has been affected by the death of a friend or family member. This is an opportunity to discuss grief topics and receive support from others going through the grief process. NOW IN 2 TION LOCA S! 2nd Monday of the month 5:30 – 7:00pm Hospice of the Piedmont offices Bereavement calendar updated regularly on website: www.hopva.org 2nd & 4th Fridays of the month 3:00 - 4:30pm Senior Center 1180 Pepsi Place Charlottesville In case of inclement weather, events will be cancelled if that county’s schools have been closed. 675 Peter Jefferson Parkway, Suite 300, Charlottesville, VA 22911 • 434-817-6900 • 800-975-5501 S U M M E R 2011 A Spring Camp Update On Saturday, May 14, 2011 The Journeys Program at Hospice of Laurie Haan Bayma, MS, BSN, RN Bereavement Coordinator/Counselor the Piedmont held its annual Spring Day Camp at Triple C Camp. 67 children and teens attended from five counties. This was our largest group yet! Hospice staff, volunteers, Journeys Helpers, school counselors, as well as the awesome staff at Triple C Camp provided group leadership and supervision. Campers created a book where they began to “Tell their Story,” which included sections related to their loved one who had died. They took photos, played games, ate great food, flew through the air on the Flying Squirrel, participated in a healing circle, and concluded the day by sending balloons into the air, with notes to their loved ones attached. FAMILY NIGHT Thursdays, July 21, 5:30 – 7:00pm Children (ages 5+), teens and their parents/guardians are invited to a workshop that will provide support and help answer questions about the grief journey. The workshop will begin with a light dinner followed by time for all family members to learn together about the basics of the grief journey — education that is extremely helpful to all ages. Children and teens will have time with our art therapists and volunteers for creative expression, while parents meet with a bereavement counselor to further understand their own and their children’s/teen’s grief journeys — and to introduce the additional services and support available. The workshop is offered at no charge due to the generosity of community contributions. Support Group for Children, Teens and Parents Thursdays, 5:30 – 7:00pm New groups start: September 1 and October 13 Our 6-week groups create a safe space for families to find healing after a death. After dinner donated by a local restaurant, adults meet with a bereavement counselor while children/teens meet with an art therapist and use art to express their feelings. Activities and discussions are aimed at covering specific weekly topics and are designed to draw out memories, reflect on loss, and learn coping skills. FALL FAMILY CAMP Saturday, November 5 -- Sunday, November 6, 2011 The Journeys Fall Family Overnight Camp will be at Triple C Camp on Route 20, just 6 miles south of Charlottesville. Children (ages 5+), teens and their families who have experienced the death of a loved one or close friend are invited. A parent/guardian must accompany their children coming to this family event. Children and teens who have attended camp with us before are encouraged to attend each camp we have, as we strive to be a source of support throughout the grief journey and the school-aged years. A variety of activities will be offered — from games and outdoor experiences, to grief education and activities that will encourage bonding and communication — while memorializing loved ones. We expect this camp to fill quickly, so we encourage you to get your applications in soon. Applications must be received by Monday, October 31, 2011. Forms are available at our website www.hopva.org for you to print out and mail. 675 Peter Jefferson Parkway, Suite 300, Charlottesville, VA 22911 • 434-817-6900 • 800-975-5501 S U M M E R 2011 B