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ChristianaCare and Partners Launch Delaware’s First Nurse Anesthesiology Program
Wilmington University, in collaboration with ChristianaCare and the support of Anesthesia Services, P.A. (ASPA), announces the Delaware Nurse Anesthesiology Program at ChristianaCare and Wilmington University, Delaware’s first nurse anesthesiology program. This innovative, full-time, 36-month offering leads to a Doctor of Nursing Practice (DNP) degree, preparing graduates to sit for the National Certification Exam and become certified registered nurse anesthetists (CRNAs). A CRNA (or nurse anesthetist) is an advanced practice registered nurse who administers anesthesia and provides related care before, during, and after surgical, therapeutic, diagnostic, and obstetrical procedures. The program will offer students over 2,000 hours of hands-on clinical experience in high-acuity environments across various surgical specialties, supported by partnerships with ChristianaCare, ASPA—the largest anesthesia group in Delaware—as well as other health care organizations. Students will refine their clinical skills and decision-making in state-of-the-art simulation labs while engaging in diverse clinical settings. Led by experienced practitioners and educators, the curriculum integrates anesthesiology-specific coursework with advanced nursing practice, ensuring graduates are well-prepared to meet the evolving demands of clinical practice and systemic health care challenges. “We are proud to partner with ChristianaCare and ASPA to launch this transformative program,” says Wilmington University President Dr. LaVerne Harmon. “At Wilmington University, our caring, student-centered approach prioritizes academic excellence and personal well-being. While this initiative addresses Delaware’s critical need for anesthesiology professionals, we will focus equally on fostering an environment where students can excel and grow into compassionate, skilled leaders in the evolving health care field.” “ChristianaCare is excited to partner with Wilmington University and our colleagues at ASPA in this much needed program to help address Delaware’s growing need for highly qualified CRNAs,” says Janice E. Nevin, M.D., MPH, president and CEO of ChristianaCare. “By providing advanced training and education in anesthesiology services, we are helping to develop the next generation of health care experts who will serve our community with high-quality, safe care.” The U.S. Bureau of Labor Statistics projects a 38% growth in nurse anesthetist employment from 2022 to 2032, driven by increased demand for health care services like elective surgeries. Delaware’s health care system faces similar challenges due to a shortage of anesthesiologists and CRNAs, with many nearing retirements. With 15 programs in neighboring Pennsylvania unable to accommodate all qualified applicants, the Delaware Nurse Anesthesiology Program at ChristianaCare and Wilmington University aims to bridge this gap, providing essential local training to meet the growing demand in the workforce. “With an emphasis on evidence-based practice and patient-centered care, our graduates will be exceptionally equipped to provide high-quality anesthesiology services in diverse health care environments,” says Wilmington University Vice President of Academic Affairs Dr. Denise Wells. “This collaboration aims to cultivate a local pipeline of skilled registered nurses who will advance their careers as CRNAs, contributing to Delaware’s workforce and the surrounding region.” “Anesthesia Services, P.A. has been leading and innovating anesthesia care delivery in Delaware for the past 37 years,” says ASPA Board Chair Li Maceda, M.D., MBA. “This joint partnership with ChristianaCare and Wilmington University allows us to combine our expertise and resources to train the next generation of anesthesia providers for the communities that we serve and exemplifies our commitment to invest in the future advancement of perioperative care.” Dr. Jacqueline Mainwaring was recently named inaugural director of the Delaware Nurse Anesthesiology Program at ChristianaCare and Wilmington University. “I am excited to be part of this groundbreaking initiative that will provide critical care nurses in our state with the opportunity to advance their careers and become leaders in anesthesiology care,” says Dr. Mainwaring, also an associate professor. “We are committed to creating a high-quality program that prepares our graduates to excel in today’s complex health care landscape. This program will not only address the shortage of anesthesiology professionals in Delaware and the region but will foster a learning environment that emphasizes student well-being, clinical excellence, and interprofessional collaboration.” Leaders of the Delaware Nurse Anesthesiology Program at ChristianaCare and Wilmington University, currently in Capability Review, are pursuing initial accreditation from the Council on Accreditation of Nurse Anesthesia Educational Programs (COA). Please note, no students can be enrolled until initial accreditation has been awarded. Below is contact information for the COA: Council on Accreditation of Nurse Anesthesia Educational Programs (COA) 10275 W. Higgins, Suite 906 Rosemont, IL 60018 Phone: 224-275-9130 Email: accreditation@coacrna.org www.coacrna.org
Money vs Memories in Retirement
Summary: This article explores whether or not money or memories will bring more comfort to the elderly. It is written with the underlying assumption that there is already enough money to meet basic living expenses. As we age, the question of what will bring us the most comfort in our twilight years becomes increasingly relevant. For many, it comes down to two key aspects: money and memories. On the one hand, financial security provides a foundation of comfort, ensuring that one’s needs are met without the fear of lacking resources. On the other hand, cherished memories bring emotional warmth, helping individuals navigate the often-challenging aging journey. In this article, we will explore which of these two — money or memories—plays a more significant role in delivering comfort in old age, assuming one has enough financial resources to cover basic living expenses. While I appreciate that good health takes precedence over money and memories, we unfortunately do not have complete control over our health. However, we have control over our decision to save our money to give us comfort. Or we can choose to spend our money to create memories that will provide us with comfort. Financial Security: A Foundation for Comfort Money is a powerful enabler, allowing us to meet our needs and desires. It's particularly important in the context of aging because it can mitigate many of the hardships of growing older. 1. Access to Quality Healthcare: One of the most significant concerns for elderly individuals is health. With aging comes a higher likelihood of chronic conditions, disabilities, and the need for regular medical attention. Financial security allows individuals to afford quality healthcare, access advanced treatments, and have the freedom to choose the best facilities. Having sufficient money provides a critical safety net for those who experience sudden medical emergencies or need long-term care. 2. Comfortable Living Arrangements: As people age, they often face the decision of where to live. While some prefer to stay home, others may move to assisted living facilities or hire caregivers. Financial resources enable elderly individuals to choose comfortable living environments tailored to their needs and preferences. A well-maintained home, access to mobility aids, or a peaceful retirement community can significantly enhance an individual’s day-to-day life. 3. Freedom and Autonomy: Financial independence in old age allows for greater autonomy. With money, elderly individuals can control their lives by making choices that suit their preferences, such as travelling, pursuing hobbies, or supporting loved ones. The ability to make decisions about healthcare, leisure, or everyday living preserves dignity and independence, both of which are central to feeling comfortable and fulfilled. 4. Reducing Stress and Anxiety: Aging can bring about several uncertainties, especially health and mobility. However, financial security can significantly reduce the stress and anxiety of worrying about the future. Knowing that expenses, including potentially unforeseen ones, are covered allows elderly individuals to focus on enjoying life rather than constantly fretting over how to afford their basic needs. This peace of mind is invaluable in ensuring a comfortable old age. While money plays a crucial role in creating a foundation of comfort, it has emotional and psychological well-being limitations. This is where memories come into play. Memories: Emotional Anchors in the Journey of Aging As the years pass, memories become a primary source of emotional sustenance. They connect individuals to their past, their loved ones, and the experiences that shaped their lives. When people reflect on what matters most to them in old age, it’s often not material wealth but the moments that brought them joy, love, and meaning. 1. Emotional Fulfillment: Memories of joyful experiences, adventures, and time spent with loved ones can offer deep emotional fulfillment in old age. Recalling meaningful moments provides a sense of accomplishment and satisfaction, reminding individuals of the richness of their lives. For many, the bonds formed with family and friends, the challenges overcome, and the dreams pursued give life meaning and offer comfort in later years. 2. Connection to Loved Ones: As elderly individuals have fewer physical responsibilities, they often spend more time reminiscing. Positive memories help bridge the gap between generations, allowing the elderly to connect with their children, grandchildren, and even great-grandchildren. Sharing stories from the past strengthens family bonds and ensures that their legacy lives on, creating a sense of continuity and significance. 3. Combatting Loneliness: People may experience increased isolation as they age, particularly after losing a spouse or friends. In such times, memories serve as a balm for loneliness. Even in moments of solitude, recalling past experiences, adventures, or time spent with loved ones can bring comfort. Memories provide companionship in their own right, filling the gaps left by physical absence and reducing feelings of loneliness. 4. Identity and Self-Continuity: Our memories are integral to our identity. They help us understand who we are by reminding us of the paths we've taken, the challenges we’ve faced, and the triumphs we’ve celebrated. For elderly individuals, the ability to look back on a life well-lived reinforces their sense of self. Memories act as an anchor, helping them feel grounded as they navigate the changes that come with aging. 5. Psychological Resilience: Life is inevitably full of hardships, and old age is no exception. However, memories of overcoming past difficulties provide emotional strength and resilience. Looking back on moments of hardship reminds elderly individuals that they’ve faced challenges before and emerged stronger. This sense of resilience can be empowering in the face of the physical and emotional challenges of aging. Balancing Money and Memories It’s essential to recognize that money and memories are not mutually exclusive; they often complement each other. While financial security provides the external comfort and security needed to navigate old age, memories provide the internal warmth and emotional fulfillment that give life depth and meaning. In determining which offers more comfort, it’s essential to consider an underlying assumption: there is already enough money to meet basic living expenses. In this scenario, it becomes clear that while financial resources are essential, memories are more significant. Consider the following: 1. Life Experiences Are Often Enabled by Money: The ability to create cherished memories often depends on financial resources. Travelling, pursuing hobbies, and spending quality time with loved ones may all require money. However, the memories created from these experiences—not the money spent—bring lasting comfort. In old age, the satisfaction of having lived a rich life full of meaningful experiences often outweighs the material possessions acquired. 2. Financial Security Loses Meaning Without Emotional Fulfillment: Imagine having all the money needed in old age but lacking meaningful memories or connections to loved ones. In this case, wealth would bring only a hollow sense of comfort. With emotional fulfillment, money is likely to provide lasting satisfaction. In contrast, those with a lifetime of cherished memories may find comfort even in modest circumstances, as their inner wealth—their experiences—remains invaluable. 3. The Longevity of Memories vs. Material Wealth: As we age, our ability to enjoy material goods and external pleasures may diminish due to declining health or physical limitations. However, memories transcend physical limitations. Even if elderly individuals cannot travel or engage in once-loved activities, they can still find joy in recalling their past. In this sense, memories have a longevity that material wealth may lack. 4. Regret and Fulfillment in Old Age: Many studies have shown that people regret missed opportunities and unfulfilled relationships far more than financial shortcomings at the end of life. The things that bring peace and comfort in old age are often intangible: love, connection, purpose, and meaning. Memories of having lived a full life, having nurtured relationships, and having followed one’s passions often bring a greater sense of contentment than wealth alone. The Enduring Power of Memories In the context of aging, both money and memories play significant roles in creating comfort. Financial security provides the practical means to ensure health, independence, and a comfortable lifestyle, while memories offer emotional sustenance, a sense of identity, and a connection to loved ones. At Retire with Equity, we suggest everyone create an emergency fund of at least 5% of their retirement savings. One primary purpose of this fund is to pay for unexpected healthcare needs, such as assisted living or hiring caregivers. Given that basic financial needs are met, memories—those intangible, priceless moments—tend to provide the most incredible comfort in old age. They remind us of the richness of life, the love we’ve shared, and the experiences that have shaped who we are. While money offers external comfort, memories provide internal peace, warmth, and solace as we navigate the later stages of life. Ultimately, what will comfort us in our golden years is not how much money we have in the bank but how much life we’ve genuinely lived. Don't retire---Re-Wire
New Trends and Treatments in Menopause Care
If you’re in your 40s and you menstruate, you may already be experiencing the effects of menopause: the point in life when your menstrual cycle stops permanently, which arrives for most people around the age of 50. This hormonal shift comes with numerous symptoms, some of which are manageable with at-home care and others—like intense mood swings, hot flashes or trouble sleeping—may need medical attention. Menopause has officially happened when a year has passed since your last period. The roughly two to eight years before that, when periods become irregular and fertility decreases, is known as perimenopause. Some people experience perimenopause in their 30s and some as late as their early 50s, but most reach perimenopause in their late 40s. Menopause is a naturally occurring life change, not a disease, and not everyone requires treatment for it. Many people seek medical help to deal with their symptoms. There are many new trends in menopause care, from hormones to drugs to supplements and beyond, and navigating them may feel overwhelming. What’s safest for managing side effects? Should I buy over-the-counter treatments or seek more involved care from a health care provider—or both? Read on for answers to these and other important questions on how best to treat menopause symptoms. Is hormone therapy right for me? Menopause happens to everyone who menstruates, and it’s important to bring up any symptoms of menopause as they occur at your annual primary care checkup. A gynecologist with special training or interest in the transition from ages 40 to 55 is an ideal specialist to seek additional care and treatment from, especially if you’d like to explore medical treatments like hormone therapy. Hormone therapy in the form of prescribed estrogen and progestin (both reproductive hormones that exist in the body naturally) has been used since the 1980s to treat the symptoms of menopause. A decline in estrogen is the culprit for many menopause symptoms, so adding estrogen back into the body through hormone therapy helps to diminish symptoms. Not all people who go through menopause need hormone therapy, but it has numerous positive side effects, including the lessening of some symptoms and lowering the risk of osteoporosis, a loss of bone density that can be exacerbated by natural estrogen decreasing over time as we age. These therapies can be administered in a cream, a patch, or even through low-dose birth control pills. However, hormone therapies can carry an increased risk of some cancers, including breast cancer. Non-hormonal, complementary medicine and lifestyle options Non-hormonal options to treat menopause symptoms are growing in popularity and represent an alternative to hormone therapies. Some of these include: Be sure to consult your provider before adding any new drugs or supplements to your daily routine. There are also many popular and effective options for treating menopause symptoms that come from Eastern and herbal medicine traditions. These include acupuncture, which has been shown to help with hot flashes and night sweats, as well as herbal supplements that often accompany treatment from a trained acupuncturist. A main downside to acupuncture can be cost, as the treatment is rarely covered by insurance. Eating mindfully and exercising regularly both also have proven benefits to treat menopause symptoms and to keep our bodies healthy more broadly as we age. This includes getting enough vitamin D and calcium through diet in order to keep bones strong as hormone levels change and to limit caffeine and alcohol consumption. Challenges in menopause care Despite the progress made in menopause treatment over the past years, there are still a few main challenges that you may face in menopause care. These include: Stigmas surrounding speaking openly about symptoms, especially sexual side effects like vaginal dryness and changes in libido that can affect intimacy. It’s important for you to feel empowered to discuss all symptoms with your provider. The increased availability of at-home tests, purchased online, for menopause and perimenopause. While these tests may be helpful in showing a snapshot of your hormone levels on a given day, more information is needed to diagnose menopause and perimenopause correctly, and at-home results can often be misinterpreted. It’s best to conduct these sorts of tests under the care of your provider, who can place them in the appropriate context. It can be hard to find the time needed to diagnose and treat menopause symptoms in a clinical setting, especially because it often takes time and communication outside of an office setting to ensure diagnosis and treat symptoms properly. Seeking out a provider who specializes in menopause care helps a great deal to expedite this process and get you the care you need. Not everyone experiences menopause the same way: for some people, symptoms are mild enough that at-home remedies will meet their needs. But for those with more intense symptoms—or anyone hoping for clinical support during this challenging time—working closely with a gynecologist will bring you relief and greater insight.
Welcome to Retire with Equity: Where a New Retirement Journey Begins
Summary: A recent study reveals that 40% of Canadians over 50 feel financially unprepared for retirement. Retire with Equity aims to address this issue by educating retirees on the importance of leveraging home equity. The initiative emphasizes transparency, financial literacy, and personalized guidance to help seniors make informed decisions and achieve financial security in retirement. According to a recent National Institute of Aging study, almost 40% of Canadians over 50 feel they are not financially prepared for retirement. As a seasoned citizen myself, I know we can do better. That's why we've created Retire with Equity. It's time to help Canadians get the knowledge they need to make more informed financial decisions. My observations from my time in the industry, enriched by the research I've done over the past few years, clearly reveal a growing retirement crisis in Canada. I've worked in the banking and mortgage industry for over 25 years, specializing in equity lending, and spent the last 6 years as an executive at Canada’s largest Reverse Mortgage bank. Many people are struggling with mounting debt and no company pension. And they are living longer. Additionally, the long-term care situation in Canada has many seniors looking to age in place in their homes. Strategies like downsizing and moving in with family are often too simplistic and have little appeal to today's seniors. Some eventually, often begrudgingly, turn to home equity options such as reverse mortgages as a solution. However, Canadians are conservative by nature, and many think it is taboo to touch their equity (nest egg). Consequently, a reverse mortgage is a last resort. 76% of people over 65 are homeowners, many of which have built up a substantial amount of equity yet cannot afford to retire. (Source: Statistics Canada) Income is the only way to solve the retirement crisis. Many are choosing to work longer to delay spending savings. Some need to pay off debt to eliminate payments that will free up cash flow. Others do not have enough savings to retire. I saw the stress this caused watching my Mother “do without” in her retirement. With the benefit of experience, I now know there was a better way for her to finance her golden years. The Retirement Problem in Canada is Dire Many 55+ Seniors Don’t Have the Funds They Need: Many need an adequate budget and financial plan. And many don’t fully realize that employer and government pensions will fall short of their cashflow needs. Home Equity Unlocks Opportunities, But It's Misunderstood: Many retirees don’t fully understand the short—and long-term impacts of their home equity financing decisions. They rely on biased, incomplete, anecdotal information from friends and family. Seniors Need to Be Cautious: Homeowners are especially vulnerable targets for misinformation and fraud. However, this demographic does not have time to recover from a financial mistake. Making the wrong choices that affect how they finance retirement and protect themselves could leave seniors without enough money later when they need cash for costly expenses like health care. The Financial Industry Needs to Do More: There is a need for unbiased, transparent, and trusted sources of information on home equity options that are aligned with consumer interests. Gone are the days of cookie-cutter retirement plans and guaranteed pensions. Every Canadian needs to proactively craft their unique vision and path for retirement. Banking on My Experience The Retire With Equity mission is dedicated to helping retirees find the right combination of financial strategies to achieve their goals. The Equity Advantage One of the standout features of Retire with Equity's approach is our focus on home equity as a key component of retirement planning. For many Canadians, their home is their most significant asset, and unlocking its potential can be a game-changer. Whether through downsizing, refinancing, or reverse mortgages, Retire with Equity will offer guidance on integrating this valuable resource into a retirement strategy. The Human Touch At Retire with Equity, we promise to offer straightforward advice with a personal touch. It's not just about the numbers – it’s also about the dreams you have for retirement. We will bring patience, empathy, and respect to every conversation. And we won't forget our sense of humour, as retirement is supposed to be fun. We're committed to making things easy to access and understand, no matter where you are in life. Education is Everything Two of our core values are empowering education and epic transparency. Our online resources, webinars, and workshops will be tailored to demystify the world of finance for retirees and soon-to-be retirees, increasing their financial literacy. We will bring transparency to the vital information reserved for the small print, answering the questions retirees don't even know to ask. Whether you're a financial guru or just starting to think about your nest egg, we'll have something for you. A Senior-Friendly Approach Our approach will integrate technology with a user-friendly interface so that retirees can access their services without hassle. Gone are the worries of getting stuck in the weeds of complex interfaces or endless financial jargon. We bring "kitchen table" logic when explaining all financial details, no matter how complex the concept is. Stories that Inspire From coast to coast, Retire with Equity will share personal stories that help educate and motivate Canadians. We want to show you visible proof that it's always possible to rethink and revitalize retirement plans. Hearing from fellow Canadians who have successfully navigated the retirement waters offers hope for those still planning their way. Feelings of guilt and shame are common among retirees searching for retirement options. Learning about countless other retirees in similar situations often alleviates this guilt and shame. Join the Revolution Retire with Equity is more than just a company—it’s a movement. Canadians across the country will join in and transform their retirement years into the best chapter of their lives. Empowered by new tools and expertise at their fingertips, they will not just survive but truly thrive in retirement. As an "Equity Advocate," I pledge to help Canadians navigate the complexities of retirement in ways that educate, inspire, and entertain. I look forward to the conversation. Please subscribe to our regular updates and follow us on social media. Here's to the best years ahead! Don't Retire---Re-Wire! Sue
AU expert talks Hurricane Helene’s impact on the supply chain
Hurricane Helene tore a path of destruction beginning at Florida’s Big Bend region and stretching up through Georgia, South Carolina, North Carolina, Tennessee and Virginia. As those affected have slowly been able to grasp the scope, a different form of trouble in the aftermath is creating a ripple effect that will be felt around the region, country and even the world. Western North Carolina is at the heart of the problem leading to sourcing, transportation and disruption issues. While still trying to understand the full scope of the impact in the most remote areas, ongoing recovery efforts continue following the storm where the death toll has risen to over 250 as of Oct. 14. According to Rick Franza, PhD, professor in the James M. Hull College of Business and an expert on operations and supply chain management, said lessons learned from the COVID-19 pandemic and the collapse of the Francis Scott Key Bridge at the Port of Baltimore incident earlier this year can help with mitigation of risk and recovering during these problematic times. “The biggest thing you’re always dealing with in situations like this is uncertainty,” said Franza. “You can’t expect everything. You can’t anticipate everything, but we learned a lot from COVID and then the Baltimore bridge collapse and the supply chain disruptions those caused.” Franza said North Carolina is a case study in disruption to the supply chain at three different points: the source, manufacturing and transportation. “When we think about supply chain disruptions, people don’t typically think about it affecting the physical supply, but rather the transportation and logistics,” said Franza. “This one’s a little trickier because you have one industry affected by the supply of raw materials, another affected by the manufacturing of supplies and so many more will be affected by transportation problems.” Problems in manufacturing One industry that has been heavily impacted by the storm is the medical field, particularly the manufacturing of IV fluid bags. Baxter International, one of the largest producers of IV fluid bags in the country, has a manufacturing plant located in Marion, North Carolina. According to the American Hospital Association, the Marion plant produces 1.5 million IV bags per day, which equates to 60% of the country’s supply. “There are two big questions affecting the supply chain for those IV fluid bags,” said Franza. “If you lose a manufacturing facility, like the one in Marion, does another facility or a competitor have the ability to add capacity, even if it’s just a short term? The other piece of it is, even if they have the capacity, do they have the raw material inputs? So it’s a ripple effect.” In the wake of the storm, Baxter announced its other manufacturing facilities would increase their capacity. Thanks to its new Mount Carmel Mega Distribution Center located in Mississippi, the company feels confident it will be able to meet the needs of hospitals across the country. Baxter plans to increase allocation levels for direct customers from 40% to 60% and for distributors from 10% to 60%. They are also increasing allocations for designated children’s hospitals by 100%. Problems at the source Just outside the town of Spruce Pine, a town of less than 2,200 people located in the Blue Ridge Mountains, are two mines that produce an estimated 80% to 90% of the world’s most pure quartz. The quartz found in those mines is used in the manufacturing of semiconductors for microchips for everything from smartphones to cars to medical devices and more. The two companies that manage those two mines, Sibelco and The Quartz Corp, shut down operations on Sept. 26 ahead of the storm. As recovery efforts continue in the region, there remains more uncertainty as the full scope of the damage continues to be realized, and there is no certain timeline for when things will get started again. “The issue with natural resources like quartz is, unless you’ve come up with some method of producing an artificial version of it, you can’t really make it somewhere else,” said Franza. “Since there isn’t currently an alternative, it then becomes a question of is the mine accessible or how long until it is accessible and people can get back to regular operations?” Problems with transportation In Western North Carolina, entire roads along with buildings and other structures were wiped out as streams and rivers surged and mudslides occurred. On top of getting the mine back up and running, there is also the problem of getting the raw quartz where it needs to go. “Once you are able to access the ability of the mine to get back online, you then have the problem of whether the raw material can get where it needs to go to be processed,” said Franza. “A big problem in western North Carolina is entire roads are gone, and it’s not a simple repave. On top of that, Interstate 40 is estimated to be shut down until sometime next year, so transportation in that area is going to be extremely difficult for quite a while.” The good news is that quartz and the microchips that it is used in are not perishable items, and some chip manufacturers may have several weeks’ worth of quartz supply built up to be able to continue production. But an extended shutdown will likely mean even more chip shortages, similar to the global chip shortage that began in 2020 and lasted through 2023 due to the COVID-19 pandemic and the tightened restrictions in the countries that manufacture those chips. The loss of roads is not the only source of recent transportation problems, as immediately following the during the storm there was a three-day disruption in imports at 36 ports, including shutting 14 down stretching from Maine to Texas, as 45,000 dockworkers went on strike over pay. While that disruption could have caused serious issues, particularly for the upcoming holiday season, Franza said many companies have learned from previous disruptions, and most of the goods needed for Cyber Monday, Black Friday and preparing for the holiday season were already in the country. “I have heard that somewhere between 80% to 90% of the items for the holidays are already here, so the dock workers’ strike would not have been as much of an issue for the holidays, but there would definitely have been things you’d run out of.” Franza said the biggest problem during situations such as this is misinformation. “One of the biggest problems is most people are uninformed,” Ranza said. “Look at the toilet paper shortage at the beginning of COVID. If all of a sudden people rush to buy everything up and hoard it all, you can’t meet that demand so it causes even more problems. People need to be better informed because rumors start and then more problems are caused.” But Franza reiterated that companies have learned from past events, and that planning has made the supply chain stronger. “I think we’re better than we were four years ago because each of these crises builds our toolbox on how to plan for and deal with disruptions. It has built resiliency.”
DIY’ing Grief: How Modern Memorials Help Us Navigate the Death of Loved Ones
Americans really don't want to talk about it: Everyone dies, and everyone will experience the death of a loved one. Grief is a universal human experience – and a very challenging one – with its range of difficult emotions and processes. Baylor University researcher Candi Cann, Ph.D., has made it her life’s work to study death and dying. In fact, the associate professor of religion in the Baylor Interdisciplinary Core, is known as a “death scholar,” with media outlets ranging from NPR’s Science Friday to the Washington Post seeking her expertise about the impact of remembering (and forgetting) in shaping how lives are recalled, remembered and celebrated. Cann is the author of “Virtual Afterlives: Grieving the Dead in the Twenty-first Century,” and her research on modern grief has found that some Americans – in a move away from organized religion – have lost the grieving framework that prayer and Christian practices traditionally offered. She calls that framework the “syntax of grief” – the common language once rooted in religious practices – that has evolved over the generations, prompting people to seek more personal ways of expressing grief and memorialization customs. “This new language of mourning is being defined by the culture, rather than religious ritual,” Cann said. “And these new practices are emerging at the grassroots level in response to a popular need to express grief through more personal expressions in almost a do-it-yourself or DIY approach.” These DIY or modern remembrances – such as virtual memorials, tattoos and using cremains in creative ways – can help individuals navigate the grieving process. Virtual memorialization With contemporary grieving practices shifting from the physical to the online world, Cann said these virtual memorialization spaces, such as social media and memorial websites, are just as real and meaningful as physical spaces and can offer a shared space for more people to share in their grief. For example, Cann said funeral services have evolved to incorporate digital services such as a virtual memory page or guest book or live-streaming wakes. Social media profiles and websites are created as virtual locations for people to remember and mourn those who have died. “The internet can democratize grief. It allows people a way to have these conversations about the dead that they may not be able to do on an everyday basis,” Cann said. “You know, you’re at work and you’re grieving, but it’s not really an appropriate conversation. In this way, you can go online and leave a message and find a community of people who are also grieving with you.” Tattoos Tattoos have become a popular way for individuals, especially younger people, to carry their grief with them, Cann said. The inked images can function as a badge or emblem for the person, they tell stories, honor meaningful moments and allow people to carry their grief with them in both literal and virtual ways. "Tattoos allow people to occupy the space as a mourner, while also continuing to carry on with their everyday activities. Many people get tattoos to symbolize their first loss, like their grandparent or pet,” Cann said. “Though the body has disappeared, is remapped onto living flesh to become a symbol of mourning in a world where mourning is denied.” Use of cremains A growing trend is incorporating cremains (cremated remains) into various objects like tattoos, jewelry, records or even fireworks. This practice offers a portable and customizable way to keep a connection with the deceased, which is not an option with burials, Cann said. “Cremation has become much more widely accepted and much more widely practiced because it's cheaper, more economical, but also because of the options of what can be done with cremains in memorial,” Cann said. “Cremains are portable and divisible, so you can share them with other people. Plus, you can carry them in ways that disguise the fact that they are ashes, such as putting cremains in a locket.” The conversation These more personal expressions and do-it-yourself solutions to memorialize a death allow people to find places where they can feel and experience their grief more readily and move from the loss into a place of restoration, Cann said. While death is complete and universal, finding ways to grieve – from the traditional to the contemporary – helps process the loss, but it’s just as vital to have that difficult conversation about preparing for the death of loved ones. “I encourage everyone to have difficult conversations about death and discuss your wishes with your loved ones about what you want when you die,” Cann said. “Allowing death to be part of regular discussions can help your family and your friends deal with their sorrow when you die because the everyday practical matters of sorting through your estate or figuring out what you would have wanted are not compounding the grief. Talking about death is ultimately and way to show how much you love someone.” Looking to know more? We can help. If you're a journalist interested in speaking with Candi Cann, simply click on her icon now to arrange an interview today.
Ask the Expert: Understand the latest on COVID-19 and mpox
As the university physician at Michigan State, Michael Brown advises the president and other leaders on major health policy or programs that impact life on campus or education abroad programs. He is also chair of the Department of Emergency Medicine in the MSU College of Human Medicine. Here, Brown shares the latest guidance about two viruses that are making news — COVID-19 and mpox, which was formerly called monkeypox. Is COVID-19 changing? COVID-19 will be with us for years to come. It seems to come and go in waves and now, it’s surging again across the United States. We’re seeing more cases, but the number of severe cases is much lower than the peaks we saw during the height of the pandemic. This is good news. Just a small fraction of the people who get COVID-19 actually become sick enough to go to the emergency department. We have to keep that in perspective. How can people stay healthy? The virus does mutate — that’s what viruses do — and a couple recent variants have become predominant. Ideally, the next vaccine will target the latest prevalent variants. I expect the Food and Drug Administration to release a new vaccine very soon, and I definitely will be in line to get one when it’s available. In fact, I highly encourage everyone to get a vaccine this fall. The effectiveness peaks about four weeks after you receive it and lasts at least four to six months — maybe longer. The people who are most protected are those who have had a bout of COVID-19, built up their immunity and received a vaccine. This combination is the best protection from getting an illness that’s severe enough to send you to the hospital. What symptoms are associated with this strain of COVID-19? The symptoms are much like what we’ve seen from COVID-19 in the past. It is an upper respiratory illness, so you may have a sore throat, congestion and a cough, but there can be other symptoms like headache. Some people experience nausea, vomiting or diarrhea. Fever and muscle aches are also common. What if someone tests positive for COVID-19? False positives are very rare with COVID-19 tests so if you get a positive result, you should take care of yourself and protect those around you. The Centers for Disease Control and Prevention recommend that you stay home and wear a mask around others. You should also treat your symptoms, stay hydrated and take acetaminophen for fever and muscle aches. After 24 hours of feeling better and being fever-free (with no acetaminophen), you can go out in public. It’s advised that you wear a mask for an additional five days to protect people who are vulnerable. And what about mpox? Mpox is a viral disease largely found in the Democratic Republic of the Congo in Central Africa. The people there are accustomed to living with it. But it mutates, and we have seen a change in the disease patterns in the past few years. One of the new variants is more severe and is now spreading in the Congo region. It has become a critical situation there, but we have not seen the more severe variant here in the United States. Mpox is not as transmissible as COVID-19 because it requires close contact — usually intimate contact or other close physical proximity like sharing a towel. Symptoms include a rash that may start on the face or genital area along with fever and body aches. A vaccine is available, and an experimental drug can be prescribed as treatment. The World Health Organization has asked developed countries like the United States to assist with research to better understand the new variant. Looking to know more - we can help. Michael Brown is available to speak with media - simply connect with Dalin Clark now to arrange an interview today.
An innovative Baylor University study has shed light on the often-overlooked experiences of women doing “daughtering” in families, particularly during the COVID-19 pandemic, which created immense challenges in their relationships with parents and other family members. “Daughtering” refers to the ways adult daughters contribute to flourishing family relationships, according to Allison M. Alford, Ph.D., clinical associate professor in the Department of Information Systems and Business Analytics in Baylor’s Hankamer School of Business. Alford’s latest research, Daughterwork in Times of Social Upheaval, published in Qualitative Research Reports in Communication, explores how societal changes caused by the pandemic required women to reconfigure their relationships with their parents and emphasizes the critical role adult daughters play in maintaining family connections, particularly in times of crisis. "This study highlights how social upheavals like the COVID-19 pandemic can both challenge and reinforce the essential work that daughters do in their families," Alford said. “Past research has shown that women often bear the brunt of responsibility when crises occur at home, work or in the extended family. Particularly for professional women – those who are balancing changing workplace demands alongside immediate and extended family concerns as well as societal shifts – increased care needs or the perception of such for parents can increase stress and negatively impact well-being, yet women still persist in providing upstream support for a variety of reasons.” Using in-depth, semi-structured interviews of women who identified change to their daughtering, professional and family lives, Alford discovered four themes about how a crisis can provide opportunities for flexible daughtering, meaningful connection and reflection on one’s most important relationships. Daughtering is adaptive action The pandemic forced many daughters to rapidly adjust their caregiving practices with their parents. When normal forms of communication were not an option, many daughters turned to technology to bridge the gap. This included increased use of video calls, social media, and other digital communication tools to maintain contact and promote family connection. Alford’s research found that daughters also took on new, often physically demanding tasks to ensure their parents’ well-being – delivering groceries, managing household repairs and organizing virtual family gatherings. “These actions were not only about adapting to the context of social upheaval but also about intensifying their caring efforts to meet the evolving needs of their parents,” Alford said. Daughtering is adaptive timing The study revealed that daughters had to maintain a heightened state of vigilance, constantly prepared to address unexpected crises, Alford said. Unlike the more predictable daughtering routines of the past, the pandemic introduced a level of uncertainty that required daughters to be in a near-constant state of readiness. One study participant described her experience as being in "constant problem-solving mode," which added significant stress to her daily life. “This ‘adaptive timing’ meant that daughters often found themselves juggling sudden care demands with their own professional and personal obligations,” Alford said. “This theme underscores the mental and emotional toll on daughters who had to manage the unpredictable nature of daughtering during the pandemic.” Daughtering is a priority Despite the challenges, Alford said, many daughters reported that they continued to prioritize their daughtering responsibilities, driven by a deep sense of familial duty and personal values. “For these women, daughtering was not just another task but a core part of their identity, often taking precedence over their professional responsibilities,” Alford said. “This commitment was evident in the time and resources they dedicated to maintaining their relationships with their parents, even when it meant sacrificing their own well-being or career advancement.” One participant noted, “I value family, so I still made it a priority,” reflecting a sentiment shared by many women in the study. This theme, Alford noted, highlights the internal conflict that many daughters faced, balancing their dedication to family with the competing demands of their own lives. Daughtering involves reflecting Challenges prompt many daughters to reflect deeply on their roles and relationships, and the COVID-19 pandemic was no different, Alford said. “This period of social upheaval generated a moment of introspection, leading daughters to reassess their priorities, boundaries and the nature of their relationships with their parents,” she said. “For some, this reflection led to a greater appreciation for the importance of family, while for others, it was a time to set new boundaries and redefine their roles within the family structure.” One participant observed, “COVID was a catalyst for emotional support,” while another reflected on the need to “carve out time mentally” to fulfill her roles as both a daughter and a professional. This theme illustrates how the pandemic not only challenged daughters but also provided an opportunity for personal growth and redefinition of their familial roles, Alford said. Key strategies to recognizing daughters’ “invisible” labor The research underscores the critical need for greater recognition and support for the invisible labor performed by adult daughters, suggesting that both families and society at large have a role to play in alleviating the burden on these women. “It’s crucial that we not only acknowledge the burden placed on these women, “Alford said, “but also seek ways to support them, whether through family empathy, shared responsibilities or societal recognition.” Alford emphasizes the importance of three key strategies: Awareness and acknowledgment Families should recognize the labor involved in daughtering and ensure it is acknowledged and appreciated. This can help prevent the exploitation of this labor and ensure that daughters feel valued for their contributions. Outsourcing and support Where possible, families should consider outsourcing some care tasks or providing additional support to relieve the burden on daughters. This might include hiring help for household chores or seeking external emotional support through counseling. Expressing gratitude Expressing gratitude and acknowledging the efforts of daughters can significantly enhance their sense of well-being and fulfillment. This recognition is vital in helping them feel that their contributions are meaningful and valued. National Daughter’s Day National Daughter’s Day is Sept. 25, and while this holiday has been around since 1932 to honor the daughters in our lives, it can often quietly pass us by. Alford recommends parents using this day to officially acknowledge all the ways in which daughters support their families.
Shellee's Story: 'A Whole New Life Has Opened Up'
Four years after successful bariatric surgery at ChristianaCare, Shellee Chew is living the active lifestyle that she always wanted. Whether she’s hiking, walking along the coast or participating in a 5K walk, Chew is amazed at the things she can now. She and a group of peers who had bariatric surgery at ChristianaCare rely on each other for positive encouragement. The emotional support has helped Chew see herself in a new light: Previously, she lived life cautiously because of her weight, with self-imposed restrictions. Now, nothing is off limits. “I can travel anywhere I want and do anything I want for as long as I want,” Chew said. “I’m 52 years old, and I’m doing things that I didn’t do when I was 20 … It’s like a whole new life has opened up.” ChristianaCare’s Bariatric Surgery program has been designated as a Blue Distinction Center+ for its exceptional, affordable care, low complication rates and better overall patient results.
AU study shows participation in civil society groups lowers suicide rates
A new study by Lance Hunter, PhD, professor of social science in Augusta University’s Pamplin College of Arts, Humanities, and Social Sciences, reveals a direct link between voluntary involvement in civil social groups and a lower risk of suicide. In the study, published in Cross-Cultural Research, Hunter looked at data gathered from 2000 to 2019 from 156 countries with varying levels of development from Africa, Asia, Australia, Europe, North America and South America and found that participation in civil society groups, both political and non-political, may produce positive social and psychological benefits that are associated with lower suicide rates. September is National Suicide Prevention Month, during which mental health advocates, prevention organizations and other community groups promote suicide prevention awareness. “The greater the voluntary participation in civil society groups within the country, the lower the suicide rates are for that country,” said Hunter. “Voluntary civil society participation is a great way for people to connect with other individuals with similar interests and possibly find meaning and purpose to some degree. That in turn decreases feelings of social isolation, which can decrease the likelihood of suicidality or suicide.” Based on the research, he noted that social isolation is a major factor in suicide ideation and attempted suicide but it’s not the only factor. “It is important to note there are many psychological, biological, social and mental health factors that can contribute to suicide risk. Civil society participation and social isolation are just two factors among many that can affect suicidality,” said Hunter. Meredith Rausch, PhD, associate professor in the College of Education and Human Development’s Department of Research, Counseling and Curriculum, said research shows ideation and deaths by suicide in the United States tend to rise between February and April and again in August and September. “I have found the change in seasons often leads to people feeling overwhelmed when it comes to thinking about enduring another season,” said Rausch. “While the advent of spring or autumn may seem enjoyable or hopeful to some people, others find it to represent an entirely new season and the idea of experiencing that is exhausting.” Rausch also notes it’s important to note how these times of the year also coincide with the academic year, causing an increase in bullying, frustration with academics or other negative experiences for school-aged children. According to a 2023 study by the World Health Organization, more than 700,000 people worldwide die each year by suicide, and suicide is the fourth-leading cause of death among people 15 to 29 years old. Interested in learning more - let us help. Lance Hunter, PhD, is available to speak with media about this important topic - simply click on his icon to arrange an interview today.
