WGBH Journal; Elderly Care; Adams
Good afternoon and welcome the dbx Journal. I'm Bill Gavin is. A foster careprogram for elderly patients is being established at Mass General Hospital. The topic of the first pieceon today's show. We'll hear about the proposed restoration of two historic homes inQuincy the birthplace of John and John Quincy Adams. Will have features on kidsin Boston in the summer with a little do. A sand castle building contest in Ipswich.And commentary from the lines.When elderly patients are released from hospitals they're often faced with limited alternatives. Formany the option of living with their families does not exist and the thought of entering a nursinghome is either financially impossible or emotionally distressing. Nonethelessmany elderly patients often need some kind of support after release from the hospital environment.In response to this need Massachusetts General Hospital is establishing a pilot foster
care program for its elderly patients. MARTIN Keller has this report.On one and he hopes through the community has a responsibility not onlyfor the patients who are born here but how to respond. To theafter care of their patients. When I'm. Being responsiblefor continuing care when a patient leaves the queueand if it is well-planned and. Can oftenprevent readmission nurse.Traditionally the use of foster care is limited to the young. But this for MassachusettsGeneral Hospital will implement a one year pilot foster care program for some of its elderlypatients. The program one of only two in the nation is a precursor of whatmay lie ahead for elderly patients upon hospital release. It will not only present ahopeful option to patients but may also aid hospitals in breaking the endless
cycle of elderly readmissions because of poor post hospital care.Social worker Amy Judd explains there are many elderly peoplewho. Live alone and really because of their physical andemotional needs really shouldn't be living alone. They live in adequatehousing situations and they don't have the support of care that they really need.Many of these patients we've had a place in nursing homes in the past. Andmany patients are really reluctant to consider nursing home placementprimarily because they see nursing home care as. The andto their independence. And.Their sense of individuality. Presently. Elderly peoplewho really do need the support of care. Rather than accept a nursing homeplacement cling to inadequate living situations and often
isolated lots. And repeal that family carewould be eagerly accepted by such patients.Family Care Not only will answer the need of the individual patient the hospital finditself relieved of the increasingly difficult problem of placement businessman Jeanette Butlerexplains.One of the problems that we have had within the past year or so. Hasbeen due to a scarcity of beds and nursing homesso that it's been very difficult in some cases for us to placepatients in nursing homes because there haven't been any bads. And ifwe had an alternative to nursing homes we would be able to place some of these patients.One of the results of not having enough nursing home beds is that patients stay in aMassachusetts General longer than medically necessary and. They aretaking up a bad abetter not a patient. In addition for Medicaid patientswho are in the hospital beyond medical necessity the hospital is not reimbursed for
embarrassment right so the hospital loses money. This is true about the hospitals of course as well.On any one day between 30 and 40 elderly patients remain at Mass General beyond medicalnecessity because they have no place to go. While not all would be appropriate for fostercare the hospital plans to place approximately 30 patients during the first year withhopes of future expansion of the program. Many of the patients have previously livedalone and this is no longer a good after care solution. Some will needminimal assistance with bathing dressing or diet. For this type of person the veryopportunity to enter into the social stimulation of family life will be significant.Others may be more disabled for instance needing the use of a walker.Each family willing to provide a foster home will be screened and trained. The goalbeing a good match between patient needs and family resources. Amy Judd describesthe process interesting.Introductory program during which we outline our program
we include a description of the type of patients we intend to place andalso the responsibilities that family members will have to assume in taking a patient.The next step is for an interested family to complete anapplication. And return it to Mass General Hospital.We then intend to follow up these applications with a home visit and will also becontacting references on the families. Once we have completed a homevisit we as a staff discuss the particular family thatsupplied to the program and we're basically considering boththe physical structure of their home its safety itscleanliness and. You know whether or not there are too many stairs.And also the interest motivation and attitude ofthe applicant family. You try to match the needs of the patient to the needs ofthe family. Absolutely. As we interview families we tried to get an
idea of what type of patient with would fit best into their home andlifestyle and also what kinds of needs they are capable ofmeeting. When we interview patients we will be assessing theirneeds their medical needs nursing needs psychosocial needs andthen place them with a family who is most capable of meeting their needs. Wealso want to have patients from families matched in terms of compatiblelifestyles. We want people to feel comfortable in familyhomes for GBH Journal Kelleher.Part of a character in the drama of New England is defined by its historic sites and traditions.
Much of the early history of this country can be traced to the region building standing for hundreds of years markingthe time of our past. Two historic buildings in Quincy However in a stateof disrepair and require substantial government funding for the restoration.Reporter Lisa Mullins has more medically to how you look at what the well painof the well-maintained what is behind what yousee on the surface behind the exterior it's all interior work has to be done. The underpinning in thishouse the basement has to be completely done all this lot of dry rot.Welcome to the John Quincy Adams birthplace. This is the House that John andAbigail call the old cottage that they love so much in Braintree and it's theHouse that John Adams bought Abigail to as his bride in 1764.They lived here for 20 years during the revolution. However the house is much older than that. Thehouse dates from 16th 63 when it was originally built by a man named SamuelDelta.
Over 18000 visitors have passed through the John Adams and John Quincy Adams homes in asingle year. The two Quincy national landmarks are the site of the two oldest presidentialbirth places in America. And Quincy is the only city where two United States presidents wereborn. But the homes are in trouble structurally they're unstable and needto be restored. But the city of Quincy said it just doesn't have the money to make thoserepairs for this reason a bill as been proposed to place the homes with the government in thehands of the National Park Service a bill is already been passed in the house but has yet tobe heard in the Senate. The Adams mansion is separate from the two homes andis now under the control of the Park Service and with a little help from the Senate. TheJohn Adams and John Quincy Adams birth places will soon be receiving federal funding.Caretaker William Van Riper explain more about the proposed bill.If the federal government the Department of Interior the park services willadminister the property as property like the mansion is right now. So that's all controlledby the federal government the city the state the quinta Sturrock a society has
nothing to do with the Adams national storks I saw federal and that'swhat they hope to do with these homes so that any financial responsibility will not bethe city's obligation. It will be the federal government's obligation an economic question.Essentially city feels as though they don't have the financial resourcesto maintain the powers that they should be. So they propose to the federal government they takethem over and that's where it stands right now. The houses need in excess of$500000 restoration and the city is of the opinion they just simply cannotcome up with that type of funding.Specifically what in restoration I noticed in the in the other building one one room wasclosed off entirely because of the floor.The east side of John Adams house is falling towards Franklin Street. It's pulling away from thestructure and there's insect infestation throughout the housesthe roofs have to be done over again. Basically it's structural work. The structureshave to be reinforced primarily.
Just over three centuries this is an abandoned reason.No not at all. Everything is waiting for federal legislation.Well the waiting may be longer than desired according to Dennis Gallivan deputy regionaldirector of the National Park Service in Boston. Even if the bill is passed in the Senate thisyear appropriations won't be available for another year. But in the meantime theNPF will use what's called a maintenance rehabilitation fund for repairs that needimmediate attention such as a leaky roof or an unstable floor.Then before the funding comes through the NPF will prepare a historic structure reportwhich will include research done to set guidelines for future repairs a shingled rooffor example will be replaced with a wooden shake roof like the original.Special attention is being given to the homes because of the great significance in history.Caretaker William Van Riper explained why Mrs. Beswick that of the twoalters presidential birthplace of the United States of America an offense where they are the original
structures. A good 90 percent of what we're looking at is the originalSo that itself. Historically thesignificance of the homes plus what transpired here with the people with the absoluteliving on the property is of great historical value to the development of our country. So much ofthe revolution was discussed here. The feasibility of pulling off a revolution.The legalities of the state constitution of Massachusetts was drafted in John Quincy Adams tosolve things of this nature just incredible historybecause of the size historical significance the homes attract a large number oftourists but to visitors the structural deterioration of the houses isn't veryobvious.Superficially you're looking at the property and it looks actually looks well maintained the grounds look nice thehouses are painted and anyhow this pain is going to look good it just has a niceappearance and is good and it's what's underneath the paint that they don'tsee we don't take them up to the roof we don't take them to the attic. We don't take them into the cellar
but they were there and put their hands on some of the beams and see the dry rot and see what happened to thehomes. Then I think they have a different term potations different opinion of property.But right now they just don't look at it seriously.Mr. William Van Riper though realizes the crucial situation the homes are in right now.His hope is just that the homes will be restored and that people throughout the United States can seethese pieces of American history and I see lot of the properties maintained andpreserved for Americans of the future then that's all we can ask for.That's all we have up until this point 978 the fact the houses are still here and thatAmericans that are interested are people all over the world that are interested to come here and visit thehome. And I think that's the key. I mean history is an ongoingreality. And if we're going to preserve our historical treasures we have to work for themfor GBH Journal.I'm Lisa Mullins.
Despite efforts on the part of both federal and local agencies to provide money for jobs for citykids in the summer youth unemployment runs very high. And while summerprovides many of us with the time for vacations kids without jobs and without the opportunity togo away remain in a hot and humid city with little to do. So many ofthem take to the streets to hang out to be outside to congregate with friends. But theimage which they project does not always reflect the reality of the situation.Mike Marshall repaired this report each June thousandsof Boston teenagers are faced with the prospect of a frustrating boring summer.This is due to the huge seasonal increase in unemployment among youth during July andAugust. The consequences of this job shortage is sometimes obvious
delinquency drinking and drug abuse are all aggravated by summertime boredom.However these activities are not the mainstay of unemployed adolescents.Instead a much more subtle ritual appears to be the most common pastime.The names it is called by vary but this activity is probably best described ashanging out. Hanging out simply entails occupying a certainlocale and maintaining a report with others who are also hanging out suchgatherings probably constitute loitering in the eyes of most people. Howeverthe youth who engage in the activity downplay such notions of vagrancyto them. Hanging out is not an alternative to a job but actually a vocation initself.People here work you have to work do your workand.Get a better track.
Right now I would have you know if you were going to work with.Them. I think it's pathetic to have to work in a.Jobs are not a popular subject for discussion among the unemployed youth.When the topic arises many teenagers downgrade the importance of employment ordeny wanting it at all. Inevitably they blame society at large for thelack of a job. Government in particular is cited as a culprit. Mostteenagers appear to have little efficacy in local state or federal efforts to easeunemployment. Politics in general is often viewed with a bitter cynicism.Not heard of people.They're rapping withpassers by is not the only diversion involved in hanging out someyouths pursue other activities on the street corners amateur musical and
theatrical performing is especially popular. Boston is a city alreadycrowded with street performers standards for such activities are unusually high.The young artists are aware of this but they still manage to approach their crafts with acasual and unpretentious attitude. Some examples exist in asaxophone player and street comic I encountered one afternoon in Chelsea.I probably thought.Of this before. Somebodyor this girl for the thought of God sort of thought areally good dinner a couple of course if I don't like.That would my parents love me but they had a weird wish mymother love me with.My measure it with my
players. I got it but it was got to be all bad I woulddie die by hanging out.Does bring some pleasure to those left unemployed in the summer. However theyouth who engage in the pastime realize that it is not a legitimate activity in the eyes ofsociety. Most people regard gangs of teenagers on the streets as a nuisance atbest. The stigma does little for the self-esteem of unemployed adolescents.Most have no alternative to hanging out but they are regardless considered deviant inpursuing the activity. This is a bitter paradox for many teenagers.Ultimately it can only increase the alienation that they already experience throughunemployment.They could think of the work of explaining yourself to death with them with. You know it iswhy they appear you know just sitting around doing nothing. Why don't they do some with just selfyou know. That's what their fate I guess or people are thinking. Of course that's what people arethinking. You know. If they need to get anything bill due to time just like we
said to the police when the police go up and you know make us do our bit where we say theygot something better to do with their time you know what I mean. Same thing. But Imean like I said I. I feel I did say everybody got one life to live. You know.If you're old enough to have the opportunity to to live it the way you want to.OK. For GBH Journal this is Mike Marshall.Last Saturday a steep hill beach in Ipswich mass underwent a serious transformation.It wasn't the usual oil spill. He was a 1978 sandcastle competition.
Design professionals architects and family spread along the beach designing and buildingcastles. REPORTER No longer was there and spoke to some of those competing for the covetedGolden shovel award back in from Worcester.And I've made a castle here that I'm rather proud of because I view with no tools whatsoeverexcept in my hands and occasionally a rubber ball to help make the track.McConnell stop supporting. Some of them are lying for toolong I just made and in fact and would describe it I mean what exactly does it do.There are Iraq.Passageways. And rubber ball. And the rubber balls goover bridges and through tunnels and under bridges and so forth. It starts.At the top and it is probably a total drop of four or five feet by the time you getto the bottom with a reproduction of the Silvia and Bombay it wassupposedly we could figure it out and I think the 980.
And get made but I was still there.Excavation they had been made up since then andalthough scale excavation to the scale on the mountain thescale the scale the ocean is not thescale. Not about does it.I see that part of it is part of the city is sort of and that was thatwith those fields they were not at the point.Of my excavation records were taken from 1900 with the latestrecord I had of how many people were involved in the war we had80 people in this project and part of them were on thelobster which is adjacent to this so I think maybe there are 35 or 40.Primarily its a large base facing out toward the ocean. And he's playing aflute. So you can see his face nose mouth ears and so forth with a hat on
you know in his hands. And then above his head.People. In the back are eventually becomes a pipeorgan.In addition to the Pied Piper of Castle Hill there was the more traditional architectureof medieval castles Swiss villages pyramids Sphinxes andfuturistic dwellings there were Buddhas a giant cat a huge turtleand a McDonald's hamburger. The beach was cluttered with over a thousand peopleand at least two hundred twenty sand sculptures one group did a conceptual piece.They buried themselves from the neck down and called it a think tank. And there was musicsupplied by the roaming Cambridge brass ensemble. There was even a 60foot Aardvark.What inspired you to do an aardvark. They happened to be very day marking the sixthanniversary of the birth of the very birth of Aardvark in captivity. It was on that day that Iwould write a song called the aardvark. I would talk to the group which has in turn
inspired the project which you can hearfor GBH Journal.This is new walker.First of all preserving time lines.It's the season to preserve the guidance of tomatoes corn beansberries. We put them up in our household any I'm the modern housewife is not tosay she cans things but it's not the can but I'm glad that's been the traditionalstorage for plenty of garden sass. The mason jar is already in thefreezer by many decades but it's contemporary too. The
mason jar with its accessible wide open top has been a basic household accessory formore than a hundred years. The kind of homely invention that didn't get into the encyclopediabut is its own monument our observance of the 100th anniversary of the masonson this program nearly 20 years ago brought a letter from one family that had beenputting things up in the same mason jars for 75 years. This carried throughthree generations and as many moved moves they carried the mason jars with themjust as they did the old wooden chopping bowl for deicing the Salar inpeppers and green tomatoes. No argument there about refillable containers.An older generation tended to make a distinction between putting up vegetables and preservingfruits special efforts in preserving went to the items of local origin beachplums on the Cape. If the current bushes had escaped the White Pine best torust or their ruthless extermination to protect the pines co-hostof the same disease. But homemade relishes on the pride of the pantry
shelves before there were salads. There were relishes and happily they have notbeen displaced. Chutney mustard pickles rhubarbsauce. Whether to put out blueberries depends on the number of pickers in thefamily it's slow work even when it comes to the high bush berries are accessible andeasily visible in the woods. When pickers are enterprising enough to discover aprofitable patches of a low bush kind and twined with a wild strawberry monitorhalf hidden by all or a milkweed only the wild blueberry has enough flavor to beworth putting up and with a cultivated kind priced at 1:45 a pint in thesupermarket. Only the product of family energy can be afforded.As summer slips toward fall the light vacationer captures the ripening seasoncolor creeping into ground cover blueberry leaves already bronze the secondcutter hay is down where there's an art to make it worth cutting 10 the animals in thefield to pasture it round the second cut. Then they went on for years of the old
French who had for the second hay cutting as naturally as he says Timothy hay or clover.One wonders how such a word as round got established in grass roots simplicity of ruralspeech. An early immigrant perhaps from Longfellow Cadia.One may be curious as to how such a phrase is putting things up took idiomatic root in thelanguage. It's a question of course about any idea and always a question how local itis. Take hook line and sinker as familiar as sand in the NewEngland coast. But when I witness in the James Earl Ray Herring said it saidhe thought Mark Lane had swallowed a four story hook line and sinker. It broke up thecommittee was the expression so new to them. Was it just any quaint expressionwould relieve the tension. Trigger laughter.It's strange to read that have its great Peabody Museum is considering selling some of itshistoric collections. One thinks of a museum as acquiring collections notdispensing them custodians of the record of the rays. That's what a curator of the
Smithsonian says in letting out the news of the discussions at the Peabody.It makes him so mad he's written the local persons with clout as he puts it to tryto stop it but the Peabodys critic admit they're in a bind his words again.They need money to maintain their collections but the university won't let them compete.With its own fund raising have it has a policy known as every tub stands on its ownbottom meaning its responsible for its own financing. Museums are amoat of the college freshman but their upkeep is part of the cost of his education. WhenKai's Metcalf was having librarian he once supported the just placing a book on theshelf which was a commitment of two dollars museums have somewhat comparableeconomies modern requester University are expected to provide for futuremaintenance like permanent care for a cemetery lot. But this was not aconsideration of earlier bequests the collections the Peabody as reported considering tosell include American Indian portraits acquired in 1882
when Conant was present when he was impatient with the success of the curator of rarebooks to find owners could more usefully be applied to a newchemistry building he thought. When Keith Kane was a senior member of Harvard's governingboard he started a study of the relation of the costs of museums and special librariesto undergraduate tuitions. But nothing came of it. It depended on one point of view.Some cases are easier than others. When the athletic department one season reported adeficit of one hundred thousand dollars President Clinton said that was not a deficit. But the costof an athletic department the Peabody Museum director says no decision has been reachedon selling any collection but it will have to be something that will yield around a million dollars and ahalf to get it.Out of a bind.For Wednesday the 23rd day of August 1978 that's GBH Journal of regional news
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- Elderly Care; Adams
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