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Ecumen INSIDERINSIDERINSIDERINSIDERINSIDER August 2005 11111
AUGUST 2005
Look inside foran opportunityto win a set ofBobbleheads!!
Ecumen Named “Great Place to Work”by Twin Cities Business Journal
A LegAcy . . .
Twin City Linnea Homehas a long, distinguishedhistory. Its roots extendto the early 20th Centurywhen it provided a homefor Swedish immigrantwomen. And, of course, throughoutEcumen we know it as a home for olderadults in the Saint Anthony Parkneighborhood of Saint Paul. On behalf ofall of us throughout Ecumen, I thank thepeople at Twin City Linnea Home whohave contributed so proudly to its history.
Although we are departing the bricks andmortar of Twin City Linnea Home, the
legacy of Linnea Home willendure through our collectivehands. Ways that we willhonor it in the present includeworking with the AmericanSwedish Institute to preserveitems at Linnea Home ofhistorical significance, holding
a closure ceremony with members of theLinnea Home and St. Anthony Parkcommunities, and selling the LinneaHome building to a developer who willhonor its historical significance.
A LegAcy . . . it is much biggerand much more enduring than bricks andmortar can ever be. It is our gift to thenext generation. The very best way we
Honoring And BuiLdingA LegAcy
can honor Twin City Linnea Home andeach and every residence in the Ecumennetwork is to leave a legacy of leadingand creating “home.” The closure ofTwin City Linnea Home concludes onechapter. However, it will always be partof a much larger story that each andeveryone of us are helping to write. Alegacy is everlasting.
Thank you to all of the Ecumen teammembers who took time to answer aTwin Cities Business Journal survey abouttheir work experience at an Ecumenresidence. Through your feedback,Ecumen has been named one of the“Great Places to Work” in Minnesota byTwin Cities Business Journal. We are thefirst and only provider of housing and
services for elders to receive this award.The Business Journal will officiallyannounce the award later this month.The Business Journal has asked all of uswithin Ecumen to keep this news closeto our vest until they announce thenews publicly. More details about thesurvey will be introduced in anupcoming Ecumen Insider.
Kathryn RobertsCEO and President, Ecumen
By Kathryn Roberts
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Ecumen CEO and president KathrynRoberts and Ecumen vice presidentof operations Kathy Bakkenistrecently attended the InternationalAssociation of Homes and Services forthe Aging (IAHSA) internationalconference. Called Creative Solutionsfor an Aging Society: Sharing theWisdom, it was held in Trondheim,Norway, and brought senior housingand service leaders together fromthroughout the world.
“What was absolutely evident at theconference was that it is a globalimperative to help people realizetheir desire to age at home,” saidKathy. “What I heard and sawstrongly reinforced how importantour efforts are at Ecumen inenhancing home and choice anddeveloping ways that foster theindependence that we as humanbeings naturally seek.”
EcumenLeadersGet GlobalViewson AgingServices atNorwayConference
Following are several interesting looksat other countries:
Conferencepresentations canbe viewed at the
IAHSA web site atwww.iahsa.net
Kathy Bakkenist, Ecumenvice president of operations
Australia
In Australia, nearly 93 percent ofpeople over 70 live in their own homeswith varying degrees of support.Providers, consumers and the Australiangovernment view receiving care at homeas the “preferred option” and haveworked to develop community aged-carepackages (CACPs), which provide aflexible package of home care tailored tomeet the assessed needs of clients withcomplex care needs. The client is thedriver of the package, which includes anycombination of personal care,transportation, home help, socialsupport, gardening and laundry.
The community care program servesfive times as many people as doesresidential care. In 2004, there were850,000 community care clients inAustralian versus 154,000 residentialbeds in non-home settings.
The Netherlands
Like the U.S., The Netherlands faces arapidly growing elder population. By2020, the Netherlands will demand a 100percent increase in caregivers, yet therewill be relatively no change in the size ofthe working population.
One tool that the Netherlands isturning to is technology called TeleSens.It provides a visual two-waycommunication between a caregiverand a resident in their home.
By clicking on a television remotecontrol, a resident can connect with anurse on-screen. After a series ofquestions, the nurse decides whether todispatch help or simply provide counselover the television screen.
The technology isn’t new, but itsapplication is. A picture is transmittedfrom a web cam mounted on top ofthe resident’s TV to a computer at thenursing center. A video image of thenurse appears on the patient’s TV andthe discussion begins.
Finland
Oulu is one of Finland’s largest citiesand one of the fastest aging. Thecommunity of Oulu views thisdemographic change as an opportunity tomake their community more livable formultiple generations.
In 2004, there were 6,200 residentsover 75 and 14,300 over 65. Ninety-onepercent live at home with services. Onlyabout five percent of those over 75 livein long-term institutional care.
There is a great deal ofmultidisciplinary cooperation where theneeds of seniors are taken into accountwith respect to living environment,traffic, social participation and exercise.For example, a physical exercise programfor the elderly has been developed withthe city’s sports office and privateproviders.
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Ecumen recently held its annual meetingat Lakeview Commons. The meetingmarked the conclusion of JimPederson’s term as Ecumen’s boardchair. Thank you to Jim for his leadershipand dedicated service to Ecumen.Ecumen’s new board chair is JohnLundblad, who previously served as vicechair. Other Ecumen board officers areLoanne Thrane, vice chair; MaryJane Thompson, secretary; andDavid Karsnia, treasurer.
Doug Johnson, vice president, LutheranServices in America, gave a greatpresentation on leadership and profit andpurpose for social ministry organizations.
New member assemblants, who provideleadership representation from each ELCAsynod in Minnesota are OwenTurnlund, Minneapolis Area Synod;Nancy Donahue and Reverend LarryTantow, Southeastern Minnesota Synod;and Marlene Swanson, SouthwesternMinnesota Synod. New board of trusteesare Janis Amatuzio, MD, KeithHalleland, and Diane Nimmer.
Dr. Amatuzio is an internationallyrecognized expert in forensic medicineand author of the acclaimed book“Forever Ours,” which provides realstories of immortality and living as toldto Dr. Amatuzio throughout her career.She is founder and president of MidwestForensic Pathology, P.A. and serves ascoroner and provides forensic pathologyservices for several counties in Minnesotaand Wisconsin.
Keith Halleland is founding memberof the leading law firm Halleland LewisNilan & Simpkins in Minneapolis andchair of Halleland Health Consulting,which identifies complex policy andbusiness issues and translates theminto strategies for the future. Keith alsoserves as chair of the Citizens League,Minnesota’s leading non-partisan publicpolicy organization.
Diane Nimmer brings extensivehousing management and philanthropicexperience to the Ecumen board. She hasmanaged housing in the Twin Cities,Chicago and Seattle and worked closelywith the Minnesota Housing and FinanceAgency and the Department of Housingand Urban Development. Before joiningEcumen’s board, she most recently servedon the church council at Central Lutheranin Minneapolis.
EcumenMembersAssemblyandBoard ofTrusteesHold AnnualMeeting
John Lundblad (l) and (r)
Jim Pedersoncongratulate each other
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Colin Snow, a well-known Tai Chiinstructor in Minnesota, hasintroduced Tai Chi classes atWillow Wood in White BearLake and Meadow Woods inBloomington. Tai Chi, whichoriginated in China, is a movingform of yoga and meditation.There are a number of so-calledforms (sometimes also called ‘sets’)which consist of a sequence ofmovements. Many of thesemovements are derived from themartial arts.
According to the Mayo Clinic, TaiChi is good for people of all agesand fitness levels. Studies show thatTai Chi can improve balance andreduce the risk of falls. Because themovements are low-impact and putminimal stress on muscles andjoints, Tai Chi is appealing to manyolder adults.
Ecumen is adding over 400 unitsof housing this year. That’simportant to our dashboard andour future as it will lessen ourrevenue reliance ongovernment-controlledreimbursements at nursinghomes. This allows us to createmore revenue to expand ourmission and move into housingand service models that ourcustomers are beginning todemand.
The most recent transaction,which involves 263 units ofhousing, brings us into NorthDakota and expands ourpresence in the Twin Cities. Weare pleased to welcome teammembers at the assisted livingresidences of The Evergreensof Fargo, The Evergreens ofMoorhead, CentennialHouse in Apple Valley, andPrairie Lodge at EarleBrown Farm in BrooklynCenter to Ecumen.
WeLcomeFArgo,
moorHeAd,BrookLyn
centerAnd
AppLeVALLey!!
Willow Wood and Meadow WoodsIntroduce Tai Chi Programs
Colin Snow and Muriel “Betty” Brandt, MeadowWoods resident, practice Tai Chi
Tai Chi:√√√√√ Relieves stress
√√√√√ Improves the definitionand strength of muscles
√√√√√ Increases feelings ofwell-being
√√√√√ Increases energy, staminaand agility
√√√√√ Sharpens reflexes
√√√√√ Decreases blood pressure
√√√√√ Increases flexibility
√√√√√ Improves balance andcoordination
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Congratulations to JoyceAakre and Shelly Sohrewho planned a standing-room only openhouse at the grand opening celebration ofThe Pines. Remember that movie“Hoosiers” where there’s the long line ofcars driving to the state tournament?That’s what it was like at Hutchinson —people coming from all points to tour ThePines. Bouncing to the tunes of LesterSchuft and The Country Dutchmen, nearly1,000 people visited The Pines over athree-hour period. Congratulationsagain to Joyce and Shelly!!
HutcHinson communityceLeBrAtes tHe pines AndexpAnded LiVing options
Radio Interview
Joyce and her sister, Lois
Media Room
Lester Schuft andThe Country
DutchmenSun Room
Green Room
Pine Tree
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Technology is going to play a larger rolewithin Ecumen and helping older adultsretain independence. Ecumen andLakeview Commons have begun a three-month pilot project with TwinCities-based Enhanced Care Solutions totest technology called QuietCare.Lakeview Commons is Minnesota’s firstassisted living residence to use thetechnology.
Residents who areparticipating in theQuietCare programhave five non-invasive infraredsensors located intheir homes. Motionactivity is sent to acentral server via an800 number everytwo hours. Anormal baseline ofactivity is developedover a two-weekperiod for thecomputer to read.
For example, let’ssay “Mary” has abaseline pattern that shows she typicallyuses the bathroom three times per night,awakes between 9 a.m. and 10 a.m. andtakes medication in the afternoon. Ifthere is a major deviation from thatbaseline activity, such as Mary using thebathroom seven times instead of three
QuietCare Technology Pilot ProgramBegins at Ecumen
times, a caregiver will be immediatelynotified of the change in activity.QuietCare allows caregivers to look atpatterns of activity on a web site andspot indicators that might meanemerging health problems and thenintervene early.
At the conclusion of the pilot program,Ecumen will analyze the program’sresults and the potential of providingQuietCare as an additional health careservice at Ecumen residences.
Model of interaction using QuietCare technology
Sample of report using QuietCare technology
To learn more about theQuietCare system go
online to:quietcaresystems.com
Ecumen INSIDERINSIDERINSIDERINSIDERINSIDER August 2005 77777
In the News ...Newspaper
Recognizes KathrynRoberts as One of
Region’s Top Leaders
Ecumen’s CEO and president KathrynRoberts was recently recognized by
the Twin Cities Business Journal asone of 50 top female business leaders
in the Twin Cities. The newspaperasked each leader about their biggest
goal. Kathryn’s was “to create avariety of housing and services thatallow older adults to live life to the
fullest, on their terms, in places thatthey are proud to call home.” Kathryn
and the other leaders were honoredat a luncheon at the Minneapolis
Hilton where Carlson Companies CEOMarilyn Carlson-Nelson gave the
keynote address.
Kathy Siegling Selected for Vital AgingNetwork’s Advocacy Leadership Program
Kathy Siegling, director of sales and marketing at Ecumen’sLakeview Commons in Maplewood, will participate in the Vital Aging
Network’s Advocacy Leadership Program. One of about 30 peopleselected, the leadership program provides training and education for
leaders in advocating for vital aging and livable communities. Theprogram runs from September through May. The Vital Aging Network
is sponsored by the University of Minnesota College of ContinuingEducation.
Lakeshore Director of Nursingto be Featured in NationalLong-Term Care Magazine
Lakeshore director of nursing Brenda Marshallwill be featured soon in the national magazineMcKnight’s Long-Term Care News. The segment iscalled “Day in the Life” and looks at what a day inthe life of the Lakeshore nursing director entails.
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Ecumen Family and ResidentSatisfaction Surveys CompletedResearchers recently completed their interviews with residents and family members at communities acrossthe Ecumen network. Surveying residents and family members is the second phase of the Ecumen customersatisfaction research. It follows the focus groups that were done earlier this year. More than 2,000 peopleparticipated in the surveys. Ecumen vice president of operations Kathy Bakkenist will soon be providingmore information Ecumen-wide that provides highlights from the surveys and how the information will beused.
Strong leadership in the field drove the success of the survey effort. In recognition of this, we would like tothank the following people.
Ho
me
& C
ho
ice
Re
sear
ch
“Residents donot live in ourfacility; we workin their home.”Quote from Augustana News
Volunteer Coordinators for the surveyeffort who ensured that all assigned nursingfacility residents completed surveys withthe help of volunteersLinda Bear Bethany Home – AlexandriaPatrice Goette Colonial Manor Home – LakefieldLynn Peterson Emmanual Home – LitchfieldChristine Burnside Emmanual Home – Detroit LakesMaria Lopez First Christian ResidenceDawn Johnson Grand Village Nursing HomePatricia Ahl Mankato Lutheran HomeColleen Guilfoile Margaret S. Parmly ResidenceSherry Johnson Martin Luther ManorRandi Handegaard Sunnyside Care CenterNancy Pierce Sunrise Home
Housing Managers who attained a customer surveyresponse rate of 90% aboveClaudia Hoover Arlington Place – Red OakRose Lenzner Boardman MeadowsAnn Casper-Rosett Country Neighbors’ Home – LeCenterMary Ann Schlaak Country Neighbors’ Home – New RichlandMargee Polanka Lakeland ShoresAngela Blazek Lamplighter ManorSheila Bullock Manor HouseCora Huebsch Realife of WasecaBill Grant Winona Arms
Volunteer Coordinators for the survey effort who ensured that all assignedresidents completed surveys with the help of employees and volunteersBarbara Frosch BayshorePat Bakkelund Clarkfield Care CenterHeather Radke Colonial Manor of BalatonBeth Chapin Good ShepherdEllie Nelson Green AcresChristine Peasley Pelican Valley Health Center
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Point Pleasant Heights Resident Larry CadwellLeaves a Legacy of Contributing to Home and Choice
Thank you Larry Cadwell for your legacy ofcontributing to home and choice
Larry Cadwell was a role model for vital aging and avaluable contributor to our collective work inenhancing home and choice. Larry, a resident at PointPleasant Heights in Chisago City who was called toheaven on August 2nd, was recently honored forbecoming a centenarian by Today Show weatherperson Willard Scott. It had been Larry’s lifelong goalto reach 100, which he did earlier this summer. Fourdifferent parties were celebrated to accommodate hismany family and friends.
When Larry retired after working for the YMCA, hewas given a retirement gift of a 35mm camera and atwo-piece set of luggage. That began travels around
the world and later led to Larry’s travelogues —educational and entertaining slide show programswhere he would feature different parts of the world hehad been. Despite being legally blind, Larry hadpresented more than 300 of these programs at PointPleasant Heights and elsewhere.
Larry lived a life of service to others and was avaluable contributor to Ecumen’s “home and choice”work. Earlier this year during the focus group portionof our research, he provided tremendous insights as tohow to enhance home and choice. Thank you, Larry,for helping show us the way.
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Spotlight onInnovation:SeedlingRecipientGoodShepherdCommunityCongratulations to Good ShepherdCommunity on receiving an inauguralSeedling Award at this year’s EcumenLeadership Conference. Good Shepherd isvery much a community for learning aswell as living. Several years ago GoodShepherd began its successful “LongTerm Care Connections” program. Itis a three-year education program thatprepares nursing assistants for LPNlicensing. Good Shepherd also providesgeriatric rotations to Mayo Clinicresidents and has teaching partnershipswith St. Cloud’s area colleges.
Good Shepherd recently added morelearning opportunities to “Long TermCare Connections” by helping high schoolstudents become certified nursingassistants (CNAs). The training includesclassroom instruction and a clinicalrotation at Good Shepherd. This additionhas made “Long Term Care Connections”one of the most comprehensive LTCdevelopment programs in the country.
To learn more about this innovation or tosubmit your innovation, visit the EcumenInnovation Station on webnet.
Seedling Award achievers at Good Shepherd CommunityBruce Glanzer, administrator, and Nancy Kollman, director of nursing
Kathy Bakkenist presented an inauguralSeedling Award to Nancy and Bruce
Randy Conright is the highly skilled director of environmentalservices and information services at Martin Luther Manor. Overthe years Randy had seen a series of rusted vehicles that the MartinLuther Manor and Meadow Woods communities had been using fordeliveries and to support the community services they provide. Heand others felt that the dilapidated vehicles detracted from thecommunities’ image and conveying professionalism and leadership inolder adult services. Obtaining funds from the Martin Luther ManorAuxiliary and Meadow Woods, a 2001 Dodge Ram van was found inexcellent condition. Randy and others on the team have turned thatvan into an eye catching “rolling billboard” for Ecumen, MartinLuther Manor, Meadow Woods and community services.
Creating a Rolling Billboard in Bloomington
[See the van on page 11]
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Mabel Shore
Randy Conright says,“The vehicle representsthe quality of work andservice that environmentalservices provides in thesupport of maintainingplaces that our residentscall home.”
Creating a RollingBillboard in Bloomington
[See the full story on page 10]
Thank you!!
Read more about these innovations at the Innovation Station
http://webnet.ecumen.org/innovfin/myweb11Click on Browse Innovations
A special thank youto members of theEcumen family whohave recently shared
innovations . . .
Sue Doty, Sharon Arnoldand Shawn Pierce, The Brookson St. Paul, for Healthy Seniors’Afternoon Out Program
Wendy Traffie, Kathy Seigling,Sue Wilson and Melodye Stavig,Lakeview Commons, for theMentoring Program
Patti Carey, Ashley Olsen and theOffice Staff at Winona Shores andBethel Manors, for the OnlineGrocery Shopping Program
Wendy Traffie, Kathy Siegling,Glen Glancy, Tracy Meyers, SueWilson, Jen Rasmussen, andMelodye Stavig, LakeviewCommons, for the PerfectAttendance RecognitionProgram
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Tom Wilson, director of nursing at Bethany Home, enjoyed an Independence Day boatparade with his family on the chain of lakes in Alexandria. Tom (Uncle Sam in the photo)saw the parade, which is viewed by hundreds, as a great opportunity to raise the visibilityof Bethany Home. We’re happy to report that the judges gave the Wilson family boat tophonors.
Celebrating Americaand Bethany Home in Alexandria
The readers of the Maplewood Reviewnewspaper have selected Ecumen’sLakeview Commons as the “Best AssistedLiving Residence” in the Maplewoodcommunity. This is the second year in arow that Lakeview Commons has beenselected by Maplewood-area residentsfor this annual award. Maplewood-arearesidents had more than 25 otherresidences they could have selected forthe award and again voted for LakeviewCommons.
Recognized byMaplewood Reviewas Best AssistedLiving Residence
Congratulations to Lakeview Commons!
Lakeview Commons
Front (l to r): Becky Dalzell, LPN; Sari Edwards, HHA; Jill Jones LPN; Middle Row: Maggie Cunninham,receptionist; Melodye Stavig; Health Care Coordinator; Kathy Siegling, Director of Sales & Marketing;Wendy Traffie, Director of Resident Services; Lee Christenson, RN, Director of Nursing; Back Row:
Sue Jorgenson, Activity Assistant; Tristen Hurt, HHA; Glen Glancy, Director of Food & Beverage; Jeff Westerveldt, Senior Cook; Jen Rasmussen, Director of Therapeutic Recreation
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Eddie Johnson, our swimmingchamp resident at LakeviewCommons of Maplewood, whospoke at the Ecumen LeadershipConference in May and who turned87 on Sunday, August 14, has justreturned from competing in the U.S.Masters National SwimmingChampionships in Mission Viejo,California. Eddie received 1st Placein the 50 meter backstroke, 2ndPlace in the 50 meter freestyle and2nd Place in the 100 metercompetition.
Congratulations to Eddie!!
Eddie Johnsonturned 87 andhe’s a winneragain!
Sharon Arnold, RNat The Brooks on St. Paul
Congratulations to
The Brooks on St. Paul in Owatonna on their five-year anniversary!!
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To win your very own set of bobblehead dolls, fill out the following questions and send to Ecumen director ofcommunications Eric Schubert at [email protected]. The first person to submit the correct answerswill win a full set of bobblehead dolls. All other responses with correct answers that are submitted by August 31,2005 will be put into a September 1 drawing to win two other sets of bobbleheads.
1. What are the names of the six dials on the Ecumen dashboard?
2. What is Ecumen’s Promise Statement?
3. Ecumen leader Kathryn Roberts carried this celebrity’s shoes on a tour of the Minnesota Zoo?(Hint: She — the entertainer, not Kathryn — is known for a wardrobe malfunction.)
4. Fill in the blanks: More than 97 percent of Ecumen employees would recommend Ecumen to others asa place to __________ or a place to __________.
5. What is the name of Mankato Lutheran’s innovative catering service?
6. What is the name of the new independent living residence about to open at Detroit Lake’s Emmanuel Community?
7. Fill in the blank: Housing units will increase by ___ percent this year within the Ecumen network.
8. How many centenarians live at The Meadows of Worthington?
9. Which three innovations received “seedling awards” at this year’s Ecumen Leadership Conference?
10. Fill in the blank: Ecumen serves more than ______ customers per year?
Win a Set of 10Ecumen/Minnesota TwinsBobblehead Dolls!!
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Visit the Ecumen Cyber Store at www.ecumencyberstore.org
Ecu
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New, Improved Cyber StoreOpen for Shopping
W W W . E C U M E N C Y B E R S T O R E . O R GW W W . E C U M E N C Y B E R S T O R E . O R GW W W . E C U M E N C Y B E R S T O R E . O R GW W W . E C U M E N C Y B E R S T O R E . O R GW W W . E C U M E N C Y B E R S T O R E . O R G
Seeking an Ecumen shirt, or pens or golf balls with your residence’s logo?
With the revamped Ecumen Cyber Store, you have access to a wide varietyof apparel or merchandise with either Ecumen’s or your residence’s logo(there’s a small one-time set up fee for your logo — see below).
Advantages of the Store:
You can order just about anything and everything from your desk —no having to call 20 vendors
No having to page through five different catalogs
Items you can personalize with Ecumen or individual residence logos
Great items for awards, open house giveaways, gifts, golf tournaments,publicizing your residence around town, etc.
New Features Include:
Easier to Use! Just register and you’re ready to roll
You’ll receive a confirmation e-mail as soon as you place an order
More merchandise and apparel — from pens and golf balls to polosand jackets ... there’s also online access to a zillion more items in caseyou don’t see what you want
There’s an opportunity for each residence in the Ecumen network todownload their logo and order items with it displayed ... the Cyber Storewill give you a price quote as to what it costs to “digitize the logo” ...that one-time fee could range from under $50 to $150 based on stitchcount of the particular logo
UPS Tracking ... the time from placing the order to imprinting to gettingthe order in your hands takes 15 working days
A customer service person if you have questions
A size chart
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“Family and Caregiver Conversation”Susan Scanland, national speaker, author andboard certified gerontological nurse practitionerwill speak on memory loss and dealing with itsimpact on loved ones.When: Tuesday, October 11, 6 p.mWhere: Lakeview Commons of MaplewoodContact: Kathy Siegling, Lakeview Commons
Tel. 651-770-1111
Pastoral Care Appreciation Breakfastwith Dr. Richard BlieseDr. Richard Bliese, new president of Luther Seminaryin Saint Paul will speak at the Parmly Community’spastoral care appreciation breakfast.When: Thursday, October 27, 7:30 a.m.Where: Point Pleasant Heights, Chisago CityContact: Pastor Ron Gerl, Parmly Community
Tel. 651-257-0575
For your cALendArs
Ecumen InsiderPublished every six weeks, Ecumen Insiderprovides an inside look at the people andplaces that make up Ecumen.
We welcome your comments, stories, ideasand feedback. Please contact Eric Schubert,Ecumen’s director of communications, [email protected] or 651-766-4333.
Editor: Eric SchubertDesign and Production: Linda Oelker
Congratulations to
celebrating75 years!!
Colleen Anderson,Subacute Nurse Manager,
assists guests
John Korzendorfer, Senior Director of CampusOperations, speaks to guests during Lakeshore’scelebration program
Leading Lakeshore’s 75th Anniversary Celebrationare Michael Gerlach, Chair of the CommunityBoard for Lakeshore/Bayshore and Ecumen Trustee;Pastor Craig Carlson, Lakeshore’s Chaplain;John Korzendorfer; and Jill Ronstrom, TherapyDirector at Lakeshore