'Hold Your Memory': What Hospice Workers Learned About Saying Goodbye
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But when they do have that opportunity, it can be one of the most intense moments of their life.\u003c/p>\n\u003cp>Bay Area artist Wendy MacNaughton is familiar with this process, from spending time with her aunt — who had Parkinson’s — before she died. [pullquote size=\"medium\" align=\"right\" citation=\"Wendy MacNaughton, artist and author, ‘How to Say Goodbye’\"]‘Drawing is a way that I am able to look at things and to be present with people. So I started drawing her every day as she was dying.’[/pullquote] MacNaughton said that at first, she was uncomfortable being around her aunt.\u003c/p>\n\u003cp>“I’d never been at the bedside with somebody who was dying, and I didn’t know what to do,” MacNaughton said. “I didn’t know what to say. I was afraid to really sit and be with her.”\u003c/p>\n\u003cp>But for MacNaughton, “drawing is a way that I am able to look at things and to be present with people,” she said. “So I started drawing her every day as she was dying.”\u003c/p>\n\u003cp>Days after her aunt’s passing, MacNaughton received a call from the Bay Area Zen Hospice Guest House inviting her to become their artist-in-residence. The “universe steps in, as it sometimes does,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>During her residency, \u003ca href=\"https://www.wendymacnaughton.com/illustration/how-to-say-goodbye\">MacNaughton wrote and illustrated the book \u003cem>How to Say Goodbye\u003c/em>\u003c/a>. The book, as she describes it, contains “the wisdom of the hospice caregivers: how to, in a way, be present with somebody in the last days of their life.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/forum/2010101894355/how-to-say-goodbye-to-the-dying\">KQED Forum spoke to MacNaughton, and nurse Ladybird Morgan\u003c/a>, who is the co-founder of the Humane Prison Hospice Project and has worked in end-of-life care for two decades. The two shared their thoughts on how to navigate the difficult process:\u003c/p>\n\u003ch2>1. Keep these 5 phrases in mind\u003c/h2>\n\u003cp>MacNaughton shared what the executive director of the Zen Hospice Guest House learned — which are the five phrases that people can say to help them let go, and not leave anything unsaid to a loved one.\u003c/p>\n\u003cp>\u003cstrong>The phrases are:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>I forgive you.\u003c/li>\n\u003cli>Please forgive me.\u003c/li>\n\u003cli>Thank you.\u003c/li>\n\u003cli>I love you.\u003c/li>\n\u003cli>Goodbye.\u003c/li>\n\u003c/ul>\n\u003cp>“There are ways to start a conversation so that nothing is left unsaid. It doesn’t change anything, right? We’re still learning. We’re still letting go of a person. We’re still going to lose them. And maybe we’ll always have some regrets,” MacNaughton said. “I don’t think it’s possible for us to say it all and resolve it all: That’s just not possible. But we can do our best.”\u003c/p>\n\u003cp>In life, MacNaughton said many people are not the type to go right into challenging conversations with others. [aside postID=news_11923381 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/08/pexels-valeria-boltneva-12965-CROPPED-1020x680.jpg'] “But the end of life is an opportunity to say those things that we’ve maybe been avoiding our whole lives, that we hold so deep in our heart that we want to let go of,” she said. “Two of the five things are about forgiveness, but maybe it’s more about letting go of things that we’ve held onto so that we can let go of the person who we love.”\u003c/p>\n\u003cp>The Prison Hospice Project’s Ladybird Morgan added that these questions can also be “a pathway to someone getting confirmation that they mattered in the world, and they were noticed.”\u003c/p>\n\u003cp>“‘Did you see? Did you understand what I meant? Did you really actually feel me?’” she said she imagines a dying person wondering. “‘Yes, I felt you. I saw you. I love you.’”\u003c/p>\n\u003ch2>2. Be present in the moment\u003c/h2>\n\u003cp>MacNaughton describes herself as a “doer.” Some people, however, may have to turn off their problem-solving brain in this situation.\u003c/p>\n\u003cp>“I am somebody who wants to fix things. I want to make things out of things,” she said. “And time and time again, life is teaching me, ‘We can’t fix things. We can’t do a lot.’”\u003c/p>\n\u003cp>“All we can do is really slow down and open up and be there with somebody in a way that is close and intimate and loving,” MacNaughton said.\u003c/p>\n\u003cp>Morgan said when dealing with the death of a loved one and trying to find closure, people can seek a place of trust and know that their connection — and love — is real.\u003c/p>\n\u003cp>“I think the only thing I can say right now in this moment is just hold your memory. Hold your love for this being close to you. That is real and that exists,” she said.\u003c/p>\n\u003ch2>3. Requests may have deeper meanings — especially around food\u003c/h2>\n\u003cp>A listener named Erin called in to describe her experience as a kitchen manager at Zen Hospice Guesthouse. She said the experience was a lesson in learning how “food isn’t really about food. It’s about all these other things happening.”\u003c/p>\n\u003cp>Erin described asking someone what they wanted to eat and “it would be this opening to talk about [how] they escaped the Holocaust, and they want some chicken matzo ball soup.”\u003c/p>\n\u003cfigure id=\"attachment_11961628\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11961628\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage.jpg\" alt=\"A collage of colorful illustrations that depict scenes from hospice care, with figures in bed as other figures sit around them.\" width=\"1900\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage.jpg 1900w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage-800x539.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage-1020x687.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage-160x108.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage-1536x1035.jpg 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Illustrations from Wendy MacNaughton’s book ‘How to Say Goodbye’ \u003ccite>(Courtesy of Wendy MacNaughton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One woman wanted to drink beer and milk all day. Another man requested a fancy pot roast that he couldn’t eat.\u003c/p>\n\u003cp>“He just wanted to smell, and see all the incredible communities that would gather around food,” she said.\u003c/p>\n\u003ch2>4. Remember the scope of the world\u003c/h2>\n\u003cp>Morgan said she got into hospice work because death reminds her that “life isn’t just about me.”\u003c/p>\n\u003cp>“People are dying in so many different ways: suddenly, dramatically, violently, sometimes with grace, sometimes with planning,” she said. “But there’s many, many ways to die.” [pullquote size=\"medium\" align=\"right\" citation=\"Ladybird Morgan, co-founder, Humane Prison Hospice Project \"]‘What’s really important is taking away this mysticism, and this magical quality, of ‘being at the bedside’ — and [instead] remembering that the whole universe is here supporting us in living and dying.’[/pullquote] Even though the experience of being at the bedside of a dying person can feel small-scale and intimate, Morgan stressed the importance of remembering our place in the wider world when death is on the horizon.\u003c/p>\n\u003cp>“What’s really important is taking away this mysticism, and this magical quality, of ‘being at the bedside’ — and [instead] remembering that the whole universe is here supporting us in living and dying,” she said.\u003c/p>\n\u003cp>“How do we make more space for all of us, to be able to see what our role is in it?” asked Morgan. “Not just the magical people who happen to choose to do the work?”\u003c/p>\n\u003cp>This awareness of the wider world, and our place in it, is also helpful when considering how you could support a partner or friend who’s losing \u003cem>their \u003c/em>loved one. It is natural for people to want to be the perfect support system, acknowledged Morgan, when a KQED Forum listener asked how she could best help her husband as his father began to pass.\u003c/p>\n\u003cp>“Just be yourself,” Morgan advised. “We want to get it right. We want to do it right. But you can’t get everything right. [So you should] do what you can, when you can.”\u003c/p>\n\u003cp>She encouraged listeners to “remember that it’s not just about you,” in that there are many other outlets, like nature, art, food, museums and music, with which a person can “nourish” themselves at this difficult time, without their partner or friend needing to be their sole source of solace.\u003c/p>\n\u003cp>“It’s not just about having a conversation, or making someone talk about something or even going to therapy, which is wonderful,” Morgan said. “But just remember the bigger scope of what’s available to you.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"KQED Forum spoke to Bay Area illustrator Wendy MacNaughton, and nurse Ladybird Morgan, who is the co-founder of the Humane Prison Hospice Project. They shared tips on how to navigate the difficult process.","status":"publish","parent":0,"modified":1695144775,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1435},"headData":{"title":"'Hold Your Memory': What Hospice Workers Learned About Saying Goodbye | KQED","description":"KQED Forum spoke to Bay Area illustrator Wendy MacNaughton, and nurse Ladybird Morgan, who is the co-founder of the Humane Prison Hospice Project. They shared tips on how to navigate the difficult process.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"audioUrl":"https://www.podtrac.com/pts/redirect.mp3/pdst.fm/e/chrt.fm/track/G6C7C3/traffic.megaphone.fm/KQINC4481065337.mp3?updated=1694459490","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11961447/what-hospice-workers-learned-about-saying-goodbye","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Not everyone has the chance to say goodbye to someone who’s dying. But when they do have that opportunity, it can be one of the most intense moments of their life.\u003c/p>\n\u003cp>Bay Area artist Wendy MacNaughton is familiar with this process, from spending time with her aunt — who had Parkinson’s — before she died. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Drawing is a way that I am able to look at things and to be present with people. So I started drawing her every day as she was dying.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Wendy MacNaughton, artist and author, ‘How to Say Goodbye’","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp> MacNaughton said that at first, she was uncomfortable being around her aunt.\u003c/p>\n\u003cp>“I’d never been at the bedside with somebody who was dying, and I didn’t know what to do,” MacNaughton said. “I didn’t know what to say. I was afraid to really sit and be with her.”\u003c/p>\n\u003cp>But for MacNaughton, “drawing is a way that I am able to look at things and to be present with people,” she said. “So I started drawing her every day as she was dying.”\u003c/p>\n\u003cp>Days after her aunt’s passing, MacNaughton received a call from the Bay Area Zen Hospice Guest House inviting her to become their artist-in-residence. The “universe steps in, as it sometimes does,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>During her residency, \u003ca href=\"https://www.wendymacnaughton.com/illustration/how-to-say-goodbye\">MacNaughton wrote and illustrated the book \u003cem>How to Say Goodbye\u003c/em>\u003c/a>. The book, as she describes it, contains “the wisdom of the hospice caregivers: how to, in a way, be present with somebody in the last days of their life.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/forum/2010101894355/how-to-say-goodbye-to-the-dying\">KQED Forum spoke to MacNaughton, and nurse Ladybird Morgan\u003c/a>, who is the co-founder of the Humane Prison Hospice Project and has worked in end-of-life care for two decades. The two shared their thoughts on how to navigate the difficult process:\u003c/p>\n\u003ch2>1. Keep these 5 phrases in mind\u003c/h2>\n\u003cp>MacNaughton shared what the executive director of the Zen Hospice Guest House learned — which are the five phrases that people can say to help them let go, and not leave anything unsaid to a loved one.\u003c/p>\n\u003cp>\u003cstrong>The phrases are:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>I forgive you.\u003c/li>\n\u003cli>Please forgive me.\u003c/li>\n\u003cli>Thank you.\u003c/li>\n\u003cli>I love you.\u003c/li>\n\u003cli>Goodbye.\u003c/li>\n\u003c/ul>\n\u003cp>“There are ways to start a conversation so that nothing is left unsaid. It doesn’t change anything, right? We’re still learning. We’re still letting go of a person. We’re still going to lose them. And maybe we’ll always have some regrets,” MacNaughton said. “I don’t think it’s possible for us to say it all and resolve it all: That’s just not possible. But we can do our best.”\u003c/p>\n\u003cp>In life, MacNaughton said many people are not the type to go right into challenging conversations with others. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11923381","hero":"https://ww2.kqed.org/app/uploads/sites/10/2022/08/pexels-valeria-boltneva-12965-CROPPED-1020x680.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp> “But the end of life is an opportunity to say those things that we’ve maybe been avoiding our whole lives, that we hold so deep in our heart that we want to let go of,” she said. “Two of the five things are about forgiveness, but maybe it’s more about letting go of things that we’ve held onto so that we can let go of the person who we love.”\u003c/p>\n\u003cp>The Prison Hospice Project’s Ladybird Morgan added that these questions can also be “a pathway to someone getting confirmation that they mattered in the world, and they were noticed.”\u003c/p>\n\u003cp>“‘Did you see? Did you understand what I meant? Did you really actually feel me?’” she said she imagines a dying person wondering. “‘Yes, I felt you. I saw you. I love you.’”\u003c/p>\n\u003ch2>2. Be present in the moment\u003c/h2>\n\u003cp>MacNaughton describes herself as a “doer.” Some people, however, may have to turn off their problem-solving brain in this situation.\u003c/p>\n\u003cp>“I am somebody who wants to fix things. I want to make things out of things,” she said. “And time and time again, life is teaching me, ‘We can’t fix things. We can’t do a lot.’”\u003c/p>\n\u003cp>“All we can do is really slow down and open up and be there with somebody in a way that is close and intimate and loving,” MacNaughton said.\u003c/p>\n\u003cp>Morgan said when dealing with the death of a loved one and trying to find closure, people can seek a place of trust and know that their connection — and love — is real.\u003c/p>\n\u003cp>“I think the only thing I can say right now in this moment is just hold your memory. Hold your love for this being close to you. That is real and that exists,” she said.\u003c/p>\n\u003ch2>3. Requests may have deeper meanings — especially around food\u003c/h2>\n\u003cp>A listener named Erin called in to describe her experience as a kitchen manager at Zen Hospice Guesthouse. She said the experience was a lesson in learning how “food isn’t really about food. It’s about all these other things happening.”\u003c/p>\n\u003cp>Erin described asking someone what they wanted to eat and “it would be this opening to talk about [how] they escaped the Holocaust, and they want some chicken matzo ball soup.”\u003c/p>\n\u003cfigure id=\"attachment_11961628\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11961628\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage.jpg\" alt=\"A collage of colorful illustrations that depict scenes from hospice care, with figures in bed as other figures sit around them.\" width=\"1900\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage.jpg 1900w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage-800x539.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage-1020x687.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage-160x108.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage-1536x1035.jpg 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Illustrations from Wendy MacNaughton’s book ‘How to Say Goodbye’ \u003ccite>(Courtesy of Wendy MacNaughton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One woman wanted to drink beer and milk all day. Another man requested a fancy pot roast that he couldn’t eat.\u003c/p>\n\u003cp>“He just wanted to smell, and see all the incredible communities that would gather around food,” she said.\u003c/p>\n\u003ch2>4. Remember the scope of the world\u003c/h2>\n\u003cp>Morgan said she got into hospice work because death reminds her that “life isn’t just about me.”\u003c/p>\n\u003cp>“People are dying in so many different ways: suddenly, dramatically, violently, sometimes with grace, sometimes with planning,” she said. “But there’s many, many ways to die.” \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘What’s really important is taking away this mysticism, and this magical quality, of ‘being at the bedside’ — and [instead] remembering that the whole universe is here supporting us in living and dying.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Ladybird Morgan, co-founder, Humane Prison Hospice Project ","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp> Even though the experience of being at the bedside of a dying person can feel small-scale and intimate, Morgan stressed the importance of remembering our place in the wider world when death is on the horizon.\u003c/p>\n\u003cp>“What’s really important is taking away this mysticism, and this magical quality, of ‘being at the bedside’ — and [instead] remembering that the whole universe is here supporting us in living and dying,” she said.\u003c/p>\n\u003cp>“How do we make more space for all of us, to be able to see what our role is in it?” asked Morgan. “Not just the magical people who happen to choose to do the work?”\u003c/p>\n\u003cp>This awareness of the wider world, and our place in it, is also helpful when considering how you could support a partner or friend who’s losing \u003cem>their \u003c/em>loved one. It is natural for people to want to be the perfect support system, acknowledged Morgan, when a KQED Forum listener asked how she could best help her husband as his father began to pass.\u003c/p>\n\u003cp>“Just be yourself,” Morgan advised. “We want to get it right. We want to do it right. But you can’t get everything right. [So you should] do what you can, when you can.”\u003c/p>\n\u003cp>She encouraged listeners to “remember that it’s not just about you,” in that there are many other outlets, like nature, art, food, museums and music, with which a person can “nourish” themselves at this difficult time, without their partner or friend needing to be their sole source of solace.\u003c/p>\n\u003cp>“It’s not just about having a conversation, or making someone talk about something or even going to therapy, which is wonderful,” Morgan said. “But just remember the bigger scope of what’s available to you.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11961447/what-hospice-workers-learned-about-saying-goodbye","authors":["11867","11757"],"categories":["news_457","news_8"],"tags":["news_32707","news_1386","news_18538","news_27626","news_18509","news_33202","news_2109","news_4803","news_33201"],"featImg":"news_11961472","label":"news"},"news_11616766":{"type":"posts","id":"news_11616766","meta":{"index":"posts_1591205157","site":"news","id":"11616766","score":null,"sort":[1505511418000]},"guestAuthors":[],"slug":"are-california-dreamers-snatching-health-care-jobs-from-citizens-nope-say-experts","title":"Are California Dreamers Snatching Health Care Jobs from Citizens? Nope, Say Experts","publishDate":1505511418,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>As the Trump administration moves to phase out Deferred Action for Childhood Arrivals, or DACA, and members of Congress consider bills to permanently protect undocumented immigrants brought to the United States as children, some employers and scholars in California's growing health care sector worried that losing health workers whose DACA work permits expire could affect American patients.\u003c/p>\n\u003cp>In the health care field, they say, DACA recipients are not taking jobs from American workers -- contrary to the recent \u003ca href=\"https://www.justice.gov/opa/speech/attorney-general-sessions-delivers-remarks-daca\" target=\"_blank\" rel=\"noopener noreferrer\">assertion\u003c/a> by U.S. Attorney General Jeff Sessions. And they wonder what will happen to the investment that U.S. schools and employers have made in educating and training these young people.\u003c/p>\n\u003cp>\"We need more health professionals,\" said Joanne Spetz, a health care workforce expert at UC San Francisco. \"It's been hard for some employers to even fill the openings they have now.\"\u003c/p>\n\u003cp>Since 2012, DACA has granted protection from deportation and temporary work permits to almost 800,000 immigrants between the ages of 16 and 30. An estimated 690,000 currently have DACA. Nine out of 10 of them hold jobs, and almost half are enrolled in school, according to a survey by UC San Diego political scientist Tom Wong, which was conducted for the left-leaning \u003ca href=\"https://www.americanprogress.org/issues/immigration/news/2017/08/28/437956/daca-recipients-economic-educational-gains-continue-grow/\" target=\"_blank\" rel=\"noopener noreferrer\">Center for American Progress\u003c/a>.\u003c/p>\n\u003cp>It's hard to say exactly how many DACA recipients are currently working in health care, as employers may not know if their employees have DACA. But Randy Capps at the Migration Policy Institute, a non-partisan think tank, has \u003ca href=\"http://www.migrationpolicy.org/research/education-and-work-profiles-daca-population\" target=\"_blank\" rel=\"noopener noreferrer\">looked at the industries\u003c/a> where young adults eligible for DACA work. He estimates that, as of 2014, there were close to 14,000 DACA recipients working in health-related occupations nationally. Roughly one in four DACA recipients live in California.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On the education front, \u003ca href=\"http://www.phdreamers.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Pre-Health Dreamers\u003c/a>, a network of hundreds of health career-bound undocumented students, estimates nearly 70 DACA recipients are enrolled in medical schools across the country, while hundreds more are studying allied health fields.\u003c/p>\n\u003cp>California as a whole faces a shortage of thousands of primary care providers as soon as 2025, according to a \u003ca href=\"https://www.ucsf.edu/news/2017/08/408046/california-demand-primary-care-providers-exceed-supply-2030\" target=\"_blank\" rel=\"noopener noreferrer\">report \u003c/a>released this month by Spetz and other researchers at UCSF. Most hospitals in California are already having difficulties recruiting experienced nurses, particularly in emergency rooms and intensive care units, said Spetz.\u003c/p>\n\u003cp>\"There is a real need for experienced nurses now, both because hospitals need to have nurses with experience to carry out the more complicated tasks, and also to help mentor and prepare new graduates that are coming into workforce,\" said Spetz.\u003c/p>\n\u003cp>That makes DACA recipients like Eli Oh a hot commodity. He’s a nurse who is part of a roving emergency response team at Stanford Health Care. Oh also works a second job as a traveling intensive care nurse at San Jose’s Regional Medical Center and other hospitals in the South Bay.\u003c/p>\n\u003cp>\"If you're someone who doesn't handle stress well this might not be the job for you because someone is dying in front of you, and you're responsible,\" said Oh, after just finishing his graveyard shift one recent morning.\u003c/p>\n\u003cp>Staying calm while helping patients come back from the brink of death in the middle of the night might seem like a grueling schedule to plenty of people, but Oh said it's not as tough as what he's been through already.\u003c/p>\n\u003cp>Oh was 11-years-old when he came from South Korea with his family. They arrived on a tourist visa, escaping the Asian financial crisis of the 1990s, and stayed. His dad had lost his job as an industrial engineer in Korea, and was not proficient in English. He could only find work as a house painter in the U.S., Oh said.\u003c/p>\n\u003cp>\"There were a lot of winters where we just couldn't make rent,\" said Oh, who grew up in the Cupertino area. \"I grew up getting evicted.\"\u003c/p>\n\u003cp>When he was 21, and working as a waiter to pay his way through nursing school, his family got evicted once more. Oh had to pick up another under-the-table job to keep a roof over his family's head, he said.\u003c/p>\n\u003cp>\"I was going to nursing school full time and pulling 16-hour days That was probably the hardest time of my life. I was paying rent for my entire family for months,\" he said.\u003c/p>\n\u003cp>One thing that kept Oh going was the hope that, one day, he could work legally as a nurse. He had done his research, and knew that nursing skills were in increasing demand and well compensated.\u003c/p>\n\u003cp>When President Obama used executive action to create DACA in 2012, Oh signed up. He has been able to work as a nurse for five years, and he was initially saddened by the news that the Trump administration was ending the DACA program. But Oh also feels grateful for the chance he had to gain professional experience.\u003c/p>\n\u003cp>\"DACA has given us so many of us the skills, the resources and the education that we need to survive as immigrants anywhere in the world,\" said Oh, 30. \"And so I could be angry and bitter, you know a lot of us struggle with that. But I'm choosing gratitude instead.\"\u003c/p>\n\u003cp>Oh's employers at Stanford Health Care declined to comment for this story, but pointed us to a \u003ca href=\"http://undocumented.stanford.edu/2017/09/05/stanford-statement-daca/\" target=\"_blank\" rel=\"noopener noreferrer\">letter\u003c/a> sent by Stanford University President, Marc Tessier-Lavigne, to the White House.\u003c/p>\n\u003cp>Investing in the education of DACA holders, \"is an investment in our country’s future, as they apply their talents to strengthening our society and to driving economic growth,” wrote Tessier-Lavigne.\u003c/p>\n\u003cp>Stanford Health Care's jobs website currently shows more than 110 openings in nursing, including 11 positions for critical care nurses in intensive care, neurosurgery and other teams in Palo Alto.\u003c/p>\n\u003cp>Across the San Francisco Bay, a nonprofit health center, La Clinica de la Raza, has 12 job openings at its network of community clinics in Solano, Contra Costa and Alameda counties.\u003c/p>\n\u003cp>If DACA ends, La Clinica could lose about 10 percent of its employees as their work permits expire, said Jane Garcia. These are staff members who might be working as social workers, receptionists, medical assistants, therapists, dental hygienists and in other fields.\u003c/p>\n\u003cp>\"The whole possibility that I would lose a big chunk of my workforce that is bilingual, that lives in the community, is daunting, extremely sad and problematic,\" said Garcia, whose clinics see more than 90,000 patients per year, especially in the Bay Area’s large immigrant communities. \"It's very costly to recruit and hire regular staff and so it'd be very, very disruptive to our operations.\"\u003c/p>\n\u003cp>Employers like Stanford and La Clinica could spend about $20,000 to recruit and train replacements for registered nurses and even more for specialized nurses, said Spetz, the UCSF researcher.\u003c/p>\n\u003cp>But for the nurses themselves, there is no shortage of work opportunities in other countries, she said.\u003c/p>\n\u003cp>\"Nurses who might get pushed out of their jobs in the U.S. will easily be able to find work in Canada, Australia, England, Ireland and developing countries,\" said Spetz.\u003c/p>\n\u003cp>Moving to Canada is a possibility that Oh, the critical care nurse, is keeping in mind if he becomes unable to legally work in the U.S. But he would prefer to stay and work in the San Jose area, where his family lives.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"I mean, I may go from saving lives to potentially considering driving Uber for a living,\" said Oh, standing in the lobby of the San Jose hospital and thinking about his uncertain future. \"And then Plan C is always Canada.\"\u003c/p>\n\n","blocks":[],"excerpt":"California faces a shortage of primary care providers, says a recent report by UCSF researchers. ","status":"publish","parent":0,"modified":1505532418,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1341},"headData":{"title":"Are California Dreamers Snatching Health Care Jobs from Citizens? Nope, Say Experts | KQED","description":"California faces a shortage of primary care providers, says a recent report by UCSF researchers. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11616766 https://ww2.kqed.org/news/?p=11616766","disqusUrl":"https://ww2.kqed.org/news/2017/09/15/are-california-dreamers-snatching-health-care-jobs-from-citizens-nope-say-experts/","disqusTitle":"Are California Dreamers Snatching Health Care Jobs from Citizens? Nope, Say Experts","path":"/news/11616766/are-california-dreamers-snatching-health-care-jobs-from-citizens-nope-say-experts","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the Trump administration moves to phase out Deferred Action for Childhood Arrivals, or DACA, and members of Congress consider bills to permanently protect undocumented immigrants brought to the United States as children, some employers and scholars in California's growing health care sector worried that losing health workers whose DACA work permits expire could affect American patients.\u003c/p>\n\u003cp>In the health care field, they say, DACA recipients are not taking jobs from American workers -- contrary to the recent \u003ca href=\"https://www.justice.gov/opa/speech/attorney-general-sessions-delivers-remarks-daca\" target=\"_blank\" rel=\"noopener noreferrer\">assertion\u003c/a> by U.S. Attorney General Jeff Sessions. And they wonder what will happen to the investment that U.S. schools and employers have made in educating and training these young people.\u003c/p>\n\u003cp>\"We need more health professionals,\" said Joanne Spetz, a health care workforce expert at UC San Francisco. \"It's been hard for some employers to even fill the openings they have now.\"\u003c/p>\n\u003cp>Since 2012, DACA has granted protection from deportation and temporary work permits to almost 800,000 immigrants between the ages of 16 and 30. An estimated 690,000 currently have DACA. Nine out of 10 of them hold jobs, and almost half are enrolled in school, according to a survey by UC San Diego political scientist Tom Wong, which was conducted for the left-leaning \u003ca href=\"https://www.americanprogress.org/issues/immigration/news/2017/08/28/437956/daca-recipients-economic-educational-gains-continue-grow/\" target=\"_blank\" rel=\"noopener noreferrer\">Center for American Progress\u003c/a>.\u003c/p>\n\u003cp>It's hard to say exactly how many DACA recipients are currently working in health care, as employers may not know if their employees have DACA. But Randy Capps at the Migration Policy Institute, a non-partisan think tank, has \u003ca href=\"http://www.migrationpolicy.org/research/education-and-work-profiles-daca-population\" target=\"_blank\" rel=\"noopener noreferrer\">looked at the industries\u003c/a> where young adults eligible for DACA work. He estimates that, as of 2014, there were close to 14,000 DACA recipients working in health-related occupations nationally. Roughly one in four DACA recipients live in California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On the education front, \u003ca href=\"http://www.phdreamers.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Pre-Health Dreamers\u003c/a>, a network of hundreds of health career-bound undocumented students, estimates nearly 70 DACA recipients are enrolled in medical schools across the country, while hundreds more are studying allied health fields.\u003c/p>\n\u003cp>California as a whole faces a shortage of thousands of primary care providers as soon as 2025, according to a \u003ca href=\"https://www.ucsf.edu/news/2017/08/408046/california-demand-primary-care-providers-exceed-supply-2030\" target=\"_blank\" rel=\"noopener noreferrer\">report \u003c/a>released this month by Spetz and other researchers at UCSF. Most hospitals in California are already having difficulties recruiting experienced nurses, particularly in emergency rooms and intensive care units, said Spetz.\u003c/p>\n\u003cp>\"There is a real need for experienced nurses now, both because hospitals need to have nurses with experience to carry out the more complicated tasks, and also to help mentor and prepare new graduates that are coming into workforce,\" said Spetz.\u003c/p>\n\u003cp>That makes DACA recipients like Eli Oh a hot commodity. He’s a nurse who is part of a roving emergency response team at Stanford Health Care. Oh also works a second job as a traveling intensive care nurse at San Jose’s Regional Medical Center and other hospitals in the South Bay.\u003c/p>\n\u003cp>\"If you're someone who doesn't handle stress well this might not be the job for you because someone is dying in front of you, and you're responsible,\" said Oh, after just finishing his graveyard shift one recent morning.\u003c/p>\n\u003cp>Staying calm while helping patients come back from the brink of death in the middle of the night might seem like a grueling schedule to plenty of people, but Oh said it's not as tough as what he's been through already.\u003c/p>\n\u003cp>Oh was 11-years-old when he came from South Korea with his family. They arrived on a tourist visa, escaping the Asian financial crisis of the 1990s, and stayed. His dad had lost his job as an industrial engineer in Korea, and was not proficient in English. He could only find work as a house painter in the U.S., Oh said.\u003c/p>\n\u003cp>\"There were a lot of winters where we just couldn't make rent,\" said Oh, who grew up in the Cupertino area. \"I grew up getting evicted.\"\u003c/p>\n\u003cp>When he was 21, and working as a waiter to pay his way through nursing school, his family got evicted once more. Oh had to pick up another under-the-table job to keep a roof over his family's head, he said.\u003c/p>\n\u003cp>\"I was going to nursing school full time and pulling 16-hour days That was probably the hardest time of my life. I was paying rent for my entire family for months,\" he said.\u003c/p>\n\u003cp>One thing that kept Oh going was the hope that, one day, he could work legally as a nurse. He had done his research, and knew that nursing skills were in increasing demand and well compensated.\u003c/p>\n\u003cp>When President Obama used executive action to create DACA in 2012, Oh signed up. He has been able to work as a nurse for five years, and he was initially saddened by the news that the Trump administration was ending the DACA program. But Oh also feels grateful for the chance he had to gain professional experience.\u003c/p>\n\u003cp>\"DACA has given us so many of us the skills, the resources and the education that we need to survive as immigrants anywhere in the world,\" said Oh, 30. \"And so I could be angry and bitter, you know a lot of us struggle with that. But I'm choosing gratitude instead.\"\u003c/p>\n\u003cp>Oh's employers at Stanford Health Care declined to comment for this story, but pointed us to a \u003ca href=\"http://undocumented.stanford.edu/2017/09/05/stanford-statement-daca/\" target=\"_blank\" rel=\"noopener noreferrer\">letter\u003c/a> sent by Stanford University President, Marc Tessier-Lavigne, to the White House.\u003c/p>\n\u003cp>Investing in the education of DACA holders, \"is an investment in our country’s future, as they apply their talents to strengthening our society and to driving economic growth,” wrote Tessier-Lavigne.\u003c/p>\n\u003cp>Stanford Health Care's jobs website currently shows more than 110 openings in nursing, including 11 positions for critical care nurses in intensive care, neurosurgery and other teams in Palo Alto.\u003c/p>\n\u003cp>Across the San Francisco Bay, a nonprofit health center, La Clinica de la Raza, has 12 job openings at its network of community clinics in Solano, Contra Costa and Alameda counties.\u003c/p>\n\u003cp>If DACA ends, La Clinica could lose about 10 percent of its employees as their work permits expire, said Jane Garcia. These are staff members who might be working as social workers, receptionists, medical assistants, therapists, dental hygienists and in other fields.\u003c/p>\n\u003cp>\"The whole possibility that I would lose a big chunk of my workforce that is bilingual, that lives in the community, is daunting, extremely sad and problematic,\" said Garcia, whose clinics see more than 90,000 patients per year, especially in the Bay Area’s large immigrant communities. \"It's very costly to recruit and hire regular staff and so it'd be very, very disruptive to our operations.\"\u003c/p>\n\u003cp>Employers like Stanford and La Clinica could spend about $20,000 to recruit and train replacements for registered nurses and even more for specialized nurses, said Spetz, the UCSF researcher.\u003c/p>\n\u003cp>But for the nurses themselves, there is no shortage of work opportunities in other countries, she said.\u003c/p>\n\u003cp>\"Nurses who might get pushed out of their jobs in the U.S. will easily be able to find work in Canada, Australia, England, Ireland and developing countries,\" said Spetz.\u003c/p>\n\u003cp>Moving to Canada is a possibility that Oh, the critical care nurse, is keeping in mind if he becomes unable to legally work in the U.S. But he would prefer to stay and work in the San Jose area, where his family lives.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I mean, I may go from saving lives to potentially considering driving Uber for a living,\" said Oh, standing in the lobby of the San Jose hospital and thinking about his uncertain future. \"And then Plan C is always Canada.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11616766/are-california-dreamers-snatching-health-care-jobs-from-citizens-nope-say-experts","authors":["8659"],"programs":["news_6944","news_72"],"categories":["news_457","news_1169","news_8"],"tags":["news_20226","news_4803","news_3173"],"featImg":"news_11616946","label":"news_72"},"news_110488":{"type":"posts","id":"news_110488","meta":{"index":"posts_1591205157","site":"news","id":"110488","score":null,"sort":[1378789243000]},"guestAuthors":[],"slug":"whos-protecting-the-abused-elderly","title":"Who's Protecting the Abused Elderly?","publishDate":1378789243,"format":"aside","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cfigure id=\"attachment_110521\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/6633_transform.jpg\">\u003cimg class=\"size-full wp-image-110521\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/6633_transform.jpg\" alt=\"Elsie Fossum's nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum's nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Elsie Fossum's nieces and nephews say she was the aunt you wanted to have. “She gave us our first car!” said Janet Flynn, Fossum’s niece.\u003c/p>\n\u003cp>“A '59 Ford Galaxy with massive fins on it,” Fossum’s nephew, Jim Fossum, recalled. “It was two-tone paint — pink or coral, whatever you want to call it — and white with gold hubcaps and stuff. It was just something else.”\u003c/p>\n\u003cp>Sitting in the sun-dappled backroom of a lakeside home in Walker, Minn., the Fossums remembered their aunt. Elsie Fossum was a teacher who never married or had kids. After moving to Southern California in the 1940s, she worked mostly as a librarian.\u003c/p>\n\u003cfigure id=\"attachment_110505\" class=\"wp-caption alignright\" style=\"max-width: 228px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Elsie-Fossum.jpg\">\u003cimg class=\"size-medium wp-image-110505 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Elsie-Fossum-228x300.jpg\" alt=\"Elsie Fossum travelled widely, say her family members, and New Zealand was one of her favorite countries. (Photo courtesy of the Fossum family)\" width=\"228\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum traveled widely, say her family members, and New Zealand was one of her favorite countries. (Photo courtesy of the Fossum family)\u003c/figcaption>\u003c/figure>\n\u003cp>“She would come for the summer with this tiny Samsonite suitcase,” Flynn said. “She would be impeccably dressed, mixing and matching, and her hair was always done. She always looked wonderful.”\u003c/p>\n\u003cp>On the morning of July 3, 2006, Elsie Fossum lay in a pool of blood on her bedroom floor at Claremont Place, a Los Angeles-area assisted living facility where the 95-year-old woman had lived for two years. Her eyes were bruising black, her lip and upper palate were badly cut, and her right arm was broken.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She was alive.\u003c/p>\n\u003cp>“She looked like she went four or five rounds with Muhammad Ali,” Beverlee McPherson recalled when Fossum returned from the hospital. McPherson, a registered nurse, supervised the nurse assistants at Claremont Place.\u003c!--more-->\u003c/p>\n\u003cp>Nurse assistants provide intimate care. They bathe, feed and dress the elderly, ill or disabled. The lone caregiver on Fossum’s floor that night reported Fossum fell, but McPherson and other Claremont Place staff suspected abuse.\u003c/p>\n\u003cp>Less than three weeks later, Fossum died. Her 109-pound frame succumbed to her wounds and to dehydration. Fossum was unable to take much food or water through her swollen mouth. A Los Angeles County coroner could not rule out assault and called the manner of Fossum’s death undetermined. McPherson is resolute.\u003c/p>\n\u003cp>“I’m 100 percent convinced she didn't fall out of bed, 100 percent. If you saw this woman's face, I mean her entire face was beaten to a pulp.”\u003c/p>\n\u003cp>Emergency room nurses who treated Fossum at the hospital also suspected abuse, according to official records. The hospital quickly notified the California Department of Public Health, the agency responsible for de-certifying nurse assistants and home health aides who violate standards of care.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-noaction.png\">\u003cimg class=\"alignleft size-medium wp-image-110511\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-noaction-258x300.png\" alt=\"Public Health - noaction\" width=\"258\" height=\"300\">\u003c/a>Internal documents obtained by the Center for Investigative Reporting show department investigators shelved Fossum's case for 6½ years. In February of this year, department investigators closed the case and determined no action was warranted against Fossum's caregiver.\u003c/p>\n\u003cp>After her aunt’s funeral, Janet Flynn said Claremont Place staff alerted the family that Elsie Fossum may have been a victim of elder abuse. Seven years later, the family is no closer to understanding what happened to their aunt. Their calls and emails to state agencies and local police turned up little information. They have never heard from California’s Department of Public Health.\u003c/p>\n\u003cp>“I would think that this would be very chilling to anyone who has loved ones in a facility, especially if they're not immediately local like we weren't,” Flynn said. “And you think safeguards are in place and you think that staff are qualified and that this is being regulated, and this I find chilling.”\u003c/p>\n\u003cp>The Los Angeles County Sheriff’s Department has decided Fossum's case warrants further review. A detective there said they opened a homicide investigation into her death this year. Fossum's caregiver is the sole person of interest.\u003c/p>\n\u003cp>\u003cstrong>A sprawling backlog of cases\u003c/strong>\u003c/p>\n\u003cp>Fossum’s case is not the only one where department investigators were slow to act after allegations of physical or sexual abuse.\u003c/p>\n\u003cp>In October 2007, nurse assistant Ricky Diocampo molested a 59-year-old female patient at Del Rio Sanitarium in Los Angeles County. This was not the first time Diocampo had assaulted this woman, court records would later show. In 2009, Diocampo pled guilty to patient abuse.\u003c/p>\n\u003cp>It was not until two years after his conviction that officials with California's Department of Public Health revoked Diocampo’s certification as a nurse assistant. Diocampo did not respond to phone calls, notes or visits to his Long Beach home. It is unknown whether Diocampo worked at other care facilities in the years before state regulators acted against him.\u003c/p>\n\u003cfigure id=\"attachment_110510\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Ron-Chapman-02.jpg\">\u003cimg class=\"size-medium wp-image-110510 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Ron-Chapman-02-300x168.jpg\" alt=\"Ron Chapman, head of the California Department of Public Health, says he doesn't understand the reason for the decline in case referrals to the Attorney General's office. (Adithya Sambamurthy/The Center)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ron Chapman, head of the California Department of Public Health, says he doesn't understand the reason for the decline in case referrals to the attorney general's office. (Adithya Sambamurthy/The Center)\u003c/figcaption>\u003c/figure>\n\u003cp>“I would tell anybody: Do not count on the government taking care of you,” said Brian Woods, who oversaw the department’s Southern California investigations office in 2006. “They are overworked. They can’t get in there. Your case might get looked at 10 years later.”\u003c/p>\n\u003cp>Woods said cases languished during his tenure because of a sprawling backlog of hundreds of complaints. He said his investigators lacked the training to handle complex cases, and he had too few investigators to begin with. Woods left his position in 2008.\u003c/p>\n\u003cp>From 2004 to 2008, public health regulators piled up more than 900 cases in Southern California -- cases that involved severe injuries and suspicious deaths.\u003c/p>\n\u003cp>“There were a number of reasons for that backlog, including poor management decisions during that time in terms of how to use the resources that were available,” said Ron Chapman, who heads California’s Department of Public Health. “A backlog for investigating complaints is inexcusable; it should not have occurred.”\u003c/p>\n\u003cp>Chapman said a plan was implemented in 2009 to address the backlog.\u003c/p>\n\u003cp>“In the two years that I've been in the job, there's now new management from top to bottom,” he said. “We're staying on top of all the complaints as they come in.”\u003c/p>\n\u003cp>But since Chapman's been on the job, the number of nurse assistants who have lost their certifications has dropped dramatically. In fiscal year 2008, the department revoked or denied certifications in 27 percent of cases. In fiscal years 2011 and 2012, that number dropped to 9 percent.\u003c/p>\n\u003cp>Chapman said he sees no evidence that addressing the backlog has undermined the quality of the department’s investigations. But Marc Parker, who led the investigations section for nine years, said he was forced to cut corners.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-vanishingbacklog.png\">\u003cimg class=\"alignleft size-medium wp-image-110513\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-vanishingbacklog-238x300.png\" alt=\"Public Health - vanishingbacklog\" width=\"238\" height=\"300\">\u003c/a>“Hundreds of cases were closed, hundreds, with nothing but a phone call,” Parker said. “The directions were to reduce this backlog, get these cases done. Staff was prohibited from traveling, restricted to sitting at their desk ... except only in the most dire cases.”\u003c/p>\n\u003cp>Parker said without facility visits, investigators are unable to see the layout of a room, conduct impromptu interviews, or assess a person's body language.\u003c/p>\n\u003cp>“You lose all the basic cues, all the ‘tells’ that people have,” he said. “Their facial expression, eye movements, their body posture, their legs are crossed, they're turning away from you, they look you in the eye, they don't. If you're doing it on the telephone, all of that is gone.”\u003c/p>\n\u003cp>According the Parker, the practice of shortchanging investigations continues today. “I get emails; I get phone calls from folks who tell me what's going on.”\u003c/p>\n\u003cp>Parker, who retired in December of 2011, said he left earlier than planned. “I could not protect the public any longer,” Parker said. “There was just a failure to protect the most vulnerable people in our state from abuse and neglect.”\u003c/p>\n\u003cp>\u003cstrong>Fewer cases sent to prosecutors\u003c/strong>\u003c/p>\n\u003cp>Public health regulators are legally bound to report all suspected criminal wrongdoing to the state attorney general's office. Over the three years before the department addressed the backlog, it referred 88 deaths for criminal prosecution. But that number has plummeted. In 2011, the department referred two deaths.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-patientdeaths.png\">\u003cimg class=\"alignright size-medium wp-image-110512\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-patientdeaths-243x300.png\" alt=\"Public Health - patientdeaths\" width=\"243\" height=\"300\">\u003c/a>Paul Greenwood, who has been prosecuting elder abuse cases for nearly two decades as head of the San Diego district attorney’s elder abuse unit, finds that baffling.\u003c/p>\n\u003cp>“I don’t know how many nursing homes there are in California or how many deaths a year there are in the facilities, but the number is going to be huge,” Greenwood said. “And to think there are only two suspicious deaths? No, I just frankly cannot believe that.”\u003c/p>\n\u003cp>Chapman said his staff is drafting agreements with the attorney general's office to improve communication and work better with them as a partner.\u003c/p>\n\u003cp>“We don't understand that decline in numbers,” he said. “It's very concerning to me and we are looking into it.”\u003c/p>\n\u003cp>Chapman said while he's confident no complaints have been mishandled, he is open to the possibility of reviewing closed cases, including the death of Elsie Fossum.\u003c/p>\n\u003cp>“It sounds absolutely horrible,” Chapman said. “We should be doing investigations on all complaints. If that's not happening that's a problem and we need to address it, and I'll be looking into that case.”\u003c/p>\n\u003cp>\u003cem>This story was co-reported with Ryan Gabrielson of the Center for Investigative Reporting. \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\">Read his story, \u003c/a>\u003c/em>\u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\">Quick dismissal of caregiver abuse cases puts California patients at risk.\u003c/a>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F105786096%3Fsecret_token%3Ds-lRcYE\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ciframe src=\"http://embed.verite.co/timeline/?source=0Ai_7jS90j6v-dF95M2NCUXFJZmVrNXZyQnJ5OVNaZGc&font=Bevan-PotanoSans&maptype=toner&lang=en&height=650\" frameborder=\"0\" width=\"100%\" height=\"650\">\u003c/iframe>\u003c/p>\n\n","blocks":[],"excerpt":"The state's Department of Public Health failed to investigate serious cases, including suspicious deaths.","status":"publish","parent":0,"modified":1378858568,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":45,"wordCount":1642},"headData":{"title":"Who's Protecting the Abused Elderly? | KQED","description":"The state's Department of Public Health failed to investigate serious cases, including suspicious deaths.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"110488 http://ww2.kqed.org/news/?p=110488","disqusUrl":"https://ww2.kqed.org/news/2013/09/09/whos-protecting-the-abused-elderly/","disqusTitle":"Who's Protecting the Abused Elderly?","path":"/news/110488/whos-protecting-the-abused-elderly","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_110521\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/6633_transform.jpg\">\u003cimg class=\"size-full wp-image-110521\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/6633_transform.jpg\" alt=\"Elsie Fossum's nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum's nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Elsie Fossum's nieces and nephews say she was the aunt you wanted to have. “She gave us our first car!” said Janet Flynn, Fossum’s niece.\u003c/p>\n\u003cp>“A '59 Ford Galaxy with massive fins on it,” Fossum’s nephew, Jim Fossum, recalled. “It was two-tone paint — pink or coral, whatever you want to call it — and white with gold hubcaps and stuff. It was just something else.”\u003c/p>\n\u003cp>Sitting in the sun-dappled backroom of a lakeside home in Walker, Minn., the Fossums remembered their aunt. Elsie Fossum was a teacher who never married or had kids. After moving to Southern California in the 1940s, she worked mostly as a librarian.\u003c/p>\n\u003cfigure id=\"attachment_110505\" class=\"wp-caption alignright\" style=\"max-width: 228px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Elsie-Fossum.jpg\">\u003cimg class=\"size-medium wp-image-110505 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Elsie-Fossum-228x300.jpg\" alt=\"Elsie Fossum travelled widely, say her family members, and New Zealand was one of her favorite countries. (Photo courtesy of the Fossum family)\" width=\"228\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum traveled widely, say her family members, and New Zealand was one of her favorite countries. (Photo courtesy of the Fossum family)\u003c/figcaption>\u003c/figure>\n\u003cp>“She would come for the summer with this tiny Samsonite suitcase,” Flynn said. “She would be impeccably dressed, mixing and matching, and her hair was always done. She always looked wonderful.”\u003c/p>\n\u003cp>On the morning of July 3, 2006, Elsie Fossum lay in a pool of blood on her bedroom floor at Claremont Place, a Los Angeles-area assisted living facility where the 95-year-old woman had lived for two years. Her eyes were bruising black, her lip and upper palate were badly cut, and her right arm was broken.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She was alive.\u003c/p>\n\u003cp>“She looked like she went four or five rounds with Muhammad Ali,” Beverlee McPherson recalled when Fossum returned from the hospital. McPherson, a registered nurse, supervised the nurse assistants at Claremont Place.\u003c!--more-->\u003c/p>\n\u003cp>Nurse assistants provide intimate care. They bathe, feed and dress the elderly, ill or disabled. The lone caregiver on Fossum’s floor that night reported Fossum fell, but McPherson and other Claremont Place staff suspected abuse.\u003c/p>\n\u003cp>Less than three weeks later, Fossum died. Her 109-pound frame succumbed to her wounds and to dehydration. Fossum was unable to take much food or water through her swollen mouth. A Los Angeles County coroner could not rule out assault and called the manner of Fossum’s death undetermined. McPherson is resolute.\u003c/p>\n\u003cp>“I’m 100 percent convinced she didn't fall out of bed, 100 percent. If you saw this woman's face, I mean her entire face was beaten to a pulp.”\u003c/p>\n\u003cp>Emergency room nurses who treated Fossum at the hospital also suspected abuse, according to official records. The hospital quickly notified the California Department of Public Health, the agency responsible for de-certifying nurse assistants and home health aides who violate standards of care.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-noaction.png\">\u003cimg class=\"alignleft size-medium wp-image-110511\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-noaction-258x300.png\" alt=\"Public Health - noaction\" width=\"258\" height=\"300\">\u003c/a>Internal documents obtained by the Center for Investigative Reporting show department investigators shelved Fossum's case for 6½ years. In February of this year, department investigators closed the case and determined no action was warranted against Fossum's caregiver.\u003c/p>\n\u003cp>After her aunt’s funeral, Janet Flynn said Claremont Place staff alerted the family that Elsie Fossum may have been a victim of elder abuse. Seven years later, the family is no closer to understanding what happened to their aunt. Their calls and emails to state agencies and local police turned up little information. They have never heard from California’s Department of Public Health.\u003c/p>\n\u003cp>“I would think that this would be very chilling to anyone who has loved ones in a facility, especially if they're not immediately local like we weren't,” Flynn said. “And you think safeguards are in place and you think that staff are qualified and that this is being regulated, and this I find chilling.”\u003c/p>\n\u003cp>The Los Angeles County Sheriff’s Department has decided Fossum's case warrants further review. A detective there said they opened a homicide investigation into her death this year. Fossum's caregiver is the sole person of interest.\u003c/p>\n\u003cp>\u003cstrong>A sprawling backlog of cases\u003c/strong>\u003c/p>\n\u003cp>Fossum’s case is not the only one where department investigators were slow to act after allegations of physical or sexual abuse.\u003c/p>\n\u003cp>In October 2007, nurse assistant Ricky Diocampo molested a 59-year-old female patient at Del Rio Sanitarium in Los Angeles County. This was not the first time Diocampo had assaulted this woman, court records would later show. In 2009, Diocampo pled guilty to patient abuse.\u003c/p>\n\u003cp>It was not until two years after his conviction that officials with California's Department of Public Health revoked Diocampo’s certification as a nurse assistant. Diocampo did not respond to phone calls, notes or visits to his Long Beach home. It is unknown whether Diocampo worked at other care facilities in the years before state regulators acted against him.\u003c/p>\n\u003cfigure id=\"attachment_110510\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Ron-Chapman-02.jpg\">\u003cimg class=\"size-medium wp-image-110510 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Ron-Chapman-02-300x168.jpg\" alt=\"Ron Chapman, head of the California Department of Public Health, says he doesn't understand the reason for the decline in case referrals to the Attorney General's office. (Adithya Sambamurthy/The Center)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ron Chapman, head of the California Department of Public Health, says he doesn't understand the reason for the decline in case referrals to the attorney general's office. (Adithya Sambamurthy/The Center)\u003c/figcaption>\u003c/figure>\n\u003cp>“I would tell anybody: Do not count on the government taking care of you,” said Brian Woods, who oversaw the department’s Southern California investigations office in 2006. “They are overworked. They can’t get in there. Your case might get looked at 10 years later.”\u003c/p>\n\u003cp>Woods said cases languished during his tenure because of a sprawling backlog of hundreds of complaints. He said his investigators lacked the training to handle complex cases, and he had too few investigators to begin with. Woods left his position in 2008.\u003c/p>\n\u003cp>From 2004 to 2008, public health regulators piled up more than 900 cases in Southern California -- cases that involved severe injuries and suspicious deaths.\u003c/p>\n\u003cp>“There were a number of reasons for that backlog, including poor management decisions during that time in terms of how to use the resources that were available,” said Ron Chapman, who heads California’s Department of Public Health. “A backlog for investigating complaints is inexcusable; it should not have occurred.”\u003c/p>\n\u003cp>Chapman said a plan was implemented in 2009 to address the backlog.\u003c/p>\n\u003cp>“In the two years that I've been in the job, there's now new management from top to bottom,” he said. “We're staying on top of all the complaints as they come in.”\u003c/p>\n\u003cp>But since Chapman's been on the job, the number of nurse assistants who have lost their certifications has dropped dramatically. In fiscal year 2008, the department revoked or denied certifications in 27 percent of cases. In fiscal years 2011 and 2012, that number dropped to 9 percent.\u003c/p>\n\u003cp>Chapman said he sees no evidence that addressing the backlog has undermined the quality of the department’s investigations. But Marc Parker, who led the investigations section for nine years, said he was forced to cut corners.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-vanishingbacklog.png\">\u003cimg class=\"alignleft size-medium wp-image-110513\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-vanishingbacklog-238x300.png\" alt=\"Public Health - vanishingbacklog\" width=\"238\" height=\"300\">\u003c/a>“Hundreds of cases were closed, hundreds, with nothing but a phone call,” Parker said. “The directions were to reduce this backlog, get these cases done. Staff was prohibited from traveling, restricted to sitting at their desk ... except only in the most dire cases.”\u003c/p>\n\u003cp>Parker said without facility visits, investigators are unable to see the layout of a room, conduct impromptu interviews, or assess a person's body language.\u003c/p>\n\u003cp>“You lose all the basic cues, all the ‘tells’ that people have,” he said. “Their facial expression, eye movements, their body posture, their legs are crossed, they're turning away from you, they look you in the eye, they don't. If you're doing it on the telephone, all of that is gone.”\u003c/p>\n\u003cp>According the Parker, the practice of shortchanging investigations continues today. “I get emails; I get phone calls from folks who tell me what's going on.”\u003c/p>\n\u003cp>Parker, who retired in December of 2011, said he left earlier than planned. “I could not protect the public any longer,” Parker said. “There was just a failure to protect the most vulnerable people in our state from abuse and neglect.”\u003c/p>\n\u003cp>\u003cstrong>Fewer cases sent to prosecutors\u003c/strong>\u003c/p>\n\u003cp>Public health regulators are legally bound to report all suspected criminal wrongdoing to the state attorney general's office. Over the three years before the department addressed the backlog, it referred 88 deaths for criminal prosecution. But that number has plummeted. In 2011, the department referred two deaths.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-patientdeaths.png\">\u003cimg class=\"alignright size-medium wp-image-110512\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-patientdeaths-243x300.png\" alt=\"Public Health - patientdeaths\" width=\"243\" height=\"300\">\u003c/a>Paul Greenwood, who has been prosecuting elder abuse cases for nearly two decades as head of the San Diego district attorney’s elder abuse unit, finds that baffling.\u003c/p>\n\u003cp>“I don’t know how many nursing homes there are in California or how many deaths a year there are in the facilities, but the number is going to be huge,” Greenwood said. “And to think there are only two suspicious deaths? No, I just frankly cannot believe that.”\u003c/p>\n\u003cp>Chapman said his staff is drafting agreements with the attorney general's office to improve communication and work better with them as a partner.\u003c/p>\n\u003cp>“We don't understand that decline in numbers,” he said. “It's very concerning to me and we are looking into it.”\u003c/p>\n\u003cp>Chapman said while he's confident no complaints have been mishandled, he is open to the possibility of reviewing closed cases, including the death of Elsie Fossum.\u003c/p>\n\u003cp>“It sounds absolutely horrible,” Chapman said. “We should be doing investigations on all complaints. If that's not happening that's a problem and we need to address it, and I'll be looking into that case.”\u003c/p>\n\u003cp>\u003cem>This story was co-reported with Ryan Gabrielson of the Center for Investigative Reporting. \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\">Read his story, \u003c/a>\u003c/em>\u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\">Quick dismissal of caregiver abuse cases puts California patients at risk.\u003c/a>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F105786096%3Fsecret_token%3Ds-lRcYE\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"http://embed.verite.co/timeline/?source=0Ai_7jS90j6v-dF95M2NCUXFJZmVrNXZyQnJ5OVNaZGc&font=Bevan-PotanoSans&maptype=toner&lang=en&height=650\" frameborder=\"0\" width=\"100%\" height=\"650\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/110488/whos-protecting-the-abused-elderly","authors":["243"],"programs":["news_6944"],"categories":["news_6188","news_13"],"tags":["news_3144","news_1153","news_18543","news_4803","news_4802","news_2813","news_2081"],"featImg":"news_110521","label":"news_6944"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/powerpress/1440_0017_BayCurious_iTunesTile_01.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://ww2.kqed.org/app/uploads/2021/10/BBC_1400.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. 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The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.","airtime":"SAT 4pm-5pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png","officialWebsiteLink":"https://www.revealnews.org/episodes/","meta":{"site":"news","source":"npr"},"link":"/radio/program/reveal","subscribe":{"apple":"https://itunes.apple.com/us/podcast/reveal/id886009669","tuneIn":"https://tunein.com/radio/Reveal-p679597/","rss":"http://feeds.revealradio.org/revealpodcast"}},"says-you":{"id":"says-you","title":"Says You!","info":"Public radio's game show of bluff and bluster, words and whimsy. 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