Ninety-year-old Los Angeles Jewish Health resident Norma Garber is passionate about her craft. Trained as a dressmaker during her youth in England, Norma has spent a lifetime honing her sewing abilities – skills she deploys with stunning results as one of the most prolific artisans at work in the vibrant Arts and Crafts Room on the Eisenberg Village campus. Norma’s creations take a wide variety of forms. “I’ve made clothing, table runners, placemats, bottle bags for wine or any kind of liquor, challah covers, matzo covers, and more,” she says. “I dedicate about five hours each day to the Arts and Crafts Room, and it is absolutely my happy place.” For Norma, the effort is its own reward. “I do it for love, plain and simple,” she says. “It also allows me to give back to LA Jewish Health because I sell the things I make, and the proceeds get reinvested, so we always have a steady stream of supplies to use.” Radka Falk & Norma Garber All visitors to the campus have access to this wonderful trove of incredible handicrafts, notes Radka Falk, the longtime creative force behind LA Jewish Health’s arts and crafts activities. “Everything we make is available for purchase, and it’s all one-of-a-kind,” she says. Radka emigrated from Bulgaria in 2000 and found her way to employment at Los Angeles Jewish Health six years later. As an expert craftsperson in her native country, the job in the Arts and Crafts Room fits her like a beautifully sewn glove. “I feel blessed to work here and to spend time with our amazing residents; I love them, they love me – and love is always inspirational,” she says. “Doing all this stuff I’m passionate about is such a pleasure. When my daughter came to work with me one day and saw the Arts and Crafts Room, she said, ‘It looks like they created this job just for you!’” Whether it’s sewing, knitting, or designing, “Radka can do anything – you have no idea how talented this woman is!” Norma says. “She’s the number one reason I come to the Arts and Crafts Room every day; she’s what makes it so special.” The feeling, says Radka, is mutual. “Norma gives her heart and soul to this place, and the things that she and the other residents produce are truly extraordinary,” she enthuses. Radka, Norma, and the rest of the Arts and Crafts Room crew often take their show on the road, setting up displays at Los Angeles Jewish Health support group luncheons and other events to advertise their offerings. “Our items sell beautifully,” Norma says. “The most popular items are probably the things we make for babies.” But interested shoppers need not wait for a special event to peruse the Arts and Crafts Room wares. “Especially as people start to think about buying holiday gifts, they should know they can come see us anytime,” Radka says. “I’m here Monday through Friday from 7:30 am to 4 pm, and I’m always available to show people around!” Norma Garber

In the world of senior care, there are multiple measures of success. Maintaining seniors’ health and improving their quality of life are the most obvious markers, and in these arenas, Los Angeles Jewish Health (LAJH) is a leading care provider on the national stage. A recently released national report is further testament to LAJH’s commitment to providing the highest levels of care. The Centers for Medicare and Medicaid Services (CMS), a federal agency within the US Department of Health and Human Services that administers the Medicare program, has published its latest round of data evaluating the quality of care provided by skilled nursing facilities. Among CMS’ findings: When it comes to avoiding hospital readmissions, Los Angeles Jewish Health’s Mark Taper Skilled Nursing Building received a number one ranking out of more than 15,000 skilled nursing facilities in the United States (according to the Kaiser Family Foundation, there are 15,183 such facilities nationwide), and the Joyce Eisenberg Keefer Medical Center is approximately the 80th percentile. These numbers are calculated as part of CMS’ Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program, which examines all-cause hospital readmissions on an annual basis and awards incentive payments to those facilities whose readmission rates remain low. In other words, facilities are recognized and rewarded for providing high level care that keeps readmission to hospitals lower. Those financial rewards can then be reinvested in the facilities to continue enhancing quality of care – and, ultimately, to further reduce readmissions. “We’re incredibly proud of these best-in-class results, which are made possible by the dedication and expertise of our Los Angeles Jewish Health staff,” says Timothy Carlson, chief nursing officer for Los Angeles Jewish Health. “Through the early detection and management of changes in condition, the provision of high-quality care, and strong communication and coordination with community-based physicians, we are able to help Southern California seniors thrive.” LAJH facilities were not the only ones to be recognized by SNF VPB for exceptional performance. “During the CMS evaluation, skilled nursing facilities garner points, between one and 100. All facilities that receive 100 points get the top distinction,” Carlson says, meaning Taper was one of numerous facilities to earn a number one ranking. Still, this achievement places LAJH in rarefied company alongside the nation’s other very best senior healthcare services. “These numbers make it clear that Los Angeles Jewish Health is a central destination for extraordinary senior care,” Carlson says. “We are committed to continuing that excellence in the months and years to come.” Taper Building staff during Staff Appreciation Week Taper Building staff during Staff Appreciation Week Taper Building staff during Staff Appreciation Week

Life is a joy for Marilyn Poliskin. The 88-year-old Los Angeles Jewish Health resident delights in diverse activities (jewelry making, painting, playing bingo, exercise), advocating for her peers (she serves as Fifth Floor Ambassador for the Joyce Eisenberg-Keefer building), and spending quality time with friends. But Marilyn didn’t always see things through such rose-colored glasses; just 18 months ago, she was fighting for her very survival. When asked about the dramatic turnaround, she credits the “incredible people and environment” she found at Los Angeles Jewish Health. Born and raised in Patterson, New Jersey, Marilyn moved west with her husband and three children in the early 1970s. After the kids graduated from Beverly Hills High School, she and her husband separated, and she put down roots on her own in Santa Monica. It was then that she began a fulfilling, multi-decade career as an accounting supervisor for the Make-A-Wish Foundation, a “dream job” that allowed her to be part of an organization that was making a tangible difference in sick children’s lives. Unexpectedly, one of Marilyn’s own (now adult) children, her daughter Amy, fell ill herself, with breast cancer. In order to be as present as possible for Amy – a single mother to a young son, Elias – Marilyn retired from Make-A-Wish after 23 years and focused on trying to help Amy heal. Tragically, the cancer ultimately took Amy’s life, and Marilyn became a full-time caregiver to eight-year-old Elias. “I lost my daughter, my mother, and my husband (we separated but never divorced) in the same year, and suddenly I was raising my grandson all alone,” she says. “It was obviously a difficult time, but I was determined to be there for Elias and to give him everything he needed.” It was after Elias had grown up and left the house that Marilyn developed a serious health issue. It took months to diagnose the problem (pneumonia, and a cascading series of complications that resulted from it), during which her son, Scott, who lives and runs a business in Indiana, took up temporary residence with her for eight months and tirelessly advocated for her as she underwent countless tests across multiple medical facilities. In the interim, Marilyn lost 86 pounds, and her blood pressure began to dip dangerously low. “My blood pressure kept going down, and I would pass out,” she says. “It got so bad I couldn’t even stand up, and eventually I was bedridden.” As time passed, Marilyn sunk into a devastating depression. “Honestly, it began to feel like I couldn’t go on,” she recalls. “What was the point if I wasn’t ever able to get out of bed and walk again?” But Scott refused to let her give up, and through his determination they secured an open spot at Los Angeles Jewish Health. When she arrived, a switch inside her flipped. “My son and the therapy department at LAJH saved my life, no question,” she says. “I didn’t think I was capable of recovering, but Scott got me here, and the therapists, certified nurse assistants, licensed vocational nurses, and everyone else encouraged me in the most remarkable way and encouraged me to push myself. I kept thinking of Elias, and how he had already suffered so much loss, and how much I wanted to continue to be a presence for him. So, I took a deep breath, and decided to try.” A year and a half later, the results are nothing short of astonishing. Marilyn is up and about every day, chatting with friends (“There isn’t any floor here where people don’t know me,” she laughs), decorating her room, and investing her energy in making life brighter for those around her. “My main wish now is to be healthy for other people,” she says. “I don’t like to see them depressed because I was there, and it makes me so happy when I can make someone else happy.” Marilyn also attributes her recovery to the love and assistance of family: Scott, her other son, Tuvia, and her grandchildren (Sara, Erez, Isaiah, Elias, and his wife, Lily, whom she considers a fifth grandchild), who motivated her to find the will to keep on going. “I’m so proud of all of my grandchildren, who have been successful at such a young age,” she says. “They inspire me every day.” She says having the privilege of waking up at Los Angeles Jewish Health is another big motivator. “Living here is the most positive turn of my entire life,” she enthuses. “When I look out my window, I can see the sunrise, the moon, and the stars, and it’s all so beautiful.”

For both patients and their families, navigating end-of-life care is sobering stuff. The logistics can be complicated, and the investment of physical and emotional energy can be draining. Yet, notes Sandra Kaihatu, executive director of Los Angeles Jewish Health’s Skirball Hospice, it can also be an opportunity to find comfort and nurturing support – the kind of warm and compassionate assistance for which Skirball Hospice has come to be known. “It’s important to discuss with families what care can look like at the end of life,” she says. “We can offer so much.” Sandra, who has worked in hospice for over two decades, arrived at Skirball Hospice this past January and says there were two things that immediately stood out for her. “Our staff is incredible, and no matter where they sit in the organization – whether they are nurses, social workers, chaplains, home health aides, or part of our administrative team – they’re passionate about getting good care out the door,” she says. “They are also committed to going above and beyond, even if it’s after hours; the critical concern is always making sure our families are as well supported as possible.” Under Sandra’s direction, that support means putting families first and prioritizing the broad range of their needs. “We can’t cure people, but we can change their end-of-life experience,” she says. “I believe we’re only as good as the last patient we touch. That’s what keeps me going.” In the past quarter, Skirball Hospice has served nearly 140 patients in a coverage area that spans from Santa Clarita to Westchester, and Santa Monica to Pasadena. In terms of patient capacity, the organization is poised for growth. “There are so many avenues for expansion, whether it’s bringing on more after-hours staff, additional per diem nurses, or more LVN’s (licensed vocational nurses) who want to do continuous care,” Sandra says. “We are dedicated to doing whatever we can to be of service to more families in Southern California.” At Skirball Hospice, Sandra feels fortunate to partner with a team she sees as heads and shoulders above the rest. “The culture here is focused on empowering each employee to do our best in order to be as productive as possible, and that’s wonderful,” she says. “It leads to excellent collaborations, across the organization, with amazingly bright colleagues who share a common value of putting in the work to make a difference.” Sandra says the ethos and environment at Skirball Hospice make her job a pleasure – but that the real joy comes from knowing she is having a real impact in people’s lives. “Death is something we all confront eventually,” she says. “What a privilege to be able to make it a smoother and more comfortable journey. That’s our job at Skirball Hospice, and we endeavor to do our best every single day.”

Tip: Drinking water on a regular schedule is especially important for older adults Water. Just plain pure water is the real fountain of youth for older adults. Unfortunately, around the world many seniors do not have easy access to an adequate supply. One of the most common reasons someone living in a nursing home is transferred to the hospital is because they became dehydrated. Older adults have less water in their bodies to start with than younger adults and many older adults are on medications that push water that accumulates in their legs or lungs out. The problem is the fluid going out also contains vital minerals like sodium and potassium. Additionally a natural part of aging is a reduction of what triggers our brains to be thirsty and stimulate us to drink. Seniors should be careful relying too much on only drinking when they are thirsty. Many drinks that we consume like soda, coffee, tea and especially alcohol are not as effective as plain water in preventing dehydration. The other problem that older adults have in consuming enough water is often their bladders cannot hold onto their urine as well as it did when it was younger. This leads them to not drink even when they are thirsty for fear and embarrassment of wetting themselves or having to race to the bathroom at an awkward time. Water is necessary for nearly every bodily function, from lubricating joints to regulating body temperature and pumping blood to the muscles. Researchers say that as people age, they need to drink more water to compensate for changes in their body temperature regulation. They say dehydration can cause a number of ailments, including muscle pain, fatigue, and confusion. Seniors especially older men are less likely to be wary and more likely to ignore signs of dehydration. They never experienced the severe symptoms associated with dehydration and, when they recall the times when they were dehydrated when they were younger, the problems were usually mildly and they were able to compensate without much effort. Unfortunately, that compensation mechanism does not work as well when we get older and we are much more at risk especially with exercise or very warm environments. Even being slightly dehydrated to 98 percent of normal can affect one’s metabolism negatively and reduce organ performance. Aging also decreases a person’s ability to sweat and less sweating reducing the body’s ability to cool in a hot environment. Older adults may have more trouble noticing that they are becoming overheated and thus more vulnerable to heat-related illness such as heat stroke. Although it is true that many older adults complain how hard it is to feel warm (because of loss of fat below the skin), hot weather is much more dangerous. My best advice is to schedule yourself to drink water regularly rather than waiting to feel thirsty. Noah S. MarcoLOS ANGELES JEWISH HEALTH CHIEF MEDICAL OFFICER (CMO)

The Guardians, a support group of Los Angeles Jewish Health has worked to honor and support older adults in our community for nearly nine decades. This June, to mark its 85th anniversary, the group hosted a Comedy Night event that raised critical funds for LAJH residents and further cemented The Guardians’ status as a dedicated protector of seniors across Los Angeles. Featuring headliner Sarah Silverman and three other comedians including Jeff Ross, Elon Gold, and Ken Garr, the event drew nearly 300 people to historic nightclub AVALON Hollywood. Comedian, actor, and writer Ben Gleib emceed the event, which kicked off with cocktails and hors d’oeuvres at 6 pm and lasted well into the evening. “Comedy Night has been one of our members’ most desired events for years, although we took a short break from it and are just now starting up again,” says Guardians President Anthony Behar. “Going forward, we’re going to alternate every year between Comedy Night and our always-successful real estate gala.” After subtracting the costs of the event, all proceeds from this year’s Comedy Night went directly to support the seniors at Los Angeles Jewish Health. The amount of money donated to LAJH was significantly higher thanks to the collaboration of the artists involved. “Everybody performed pro bono, and they were all amazing. Ben Gleib was particularly spectacular, keeping the crowd engaged and encouraging people to keep contributing,” Anthony says. Also critical to the night’s success was the involvement of event co-chairs Nathan Agam, Jason Berger, Dan Frankel, and Yossi Reinstein. “They did a fantastic job and really helped carry the event,” Anthony says. “I’m incredibly grateful for all their support.” Anthony says he is proud of what Comedy Night accomplished, both in terms of funds raised for, and awareness heightened about, Los Angeles Jewish Health. “I think it’s so important to have an impact and to support something that’s bigger than each of us individually,” he says. “I look at our elders, who laid the groundwork for everything good in our community when they were young, and I feel strongly that it’s my generation’s responsibility to do the same thing now.”