Support at the End of Life’s Journey

Connections to Care Mobile Hero
Home / News & Events / Newsletter

Support at the End of Life’s Journey

Jan 23, 2015

Each year, Skirball Hospice, a program of the Los Angeles Jewish Home, helps over 500 individuals and their families move through the final phase of life's journey. The following is based on one family's story. Sarah* came from a distinguished Jewish family, and, although she was raised with knowledge of Jewish rituals, she identified herself as more of a cultural Jew. What mattered to her was championing causes for people in need, making sure they were fed, housed and clothed. She studied anthropology and travelled all over the world, making friends with people from different cultures and religions. Her Judaism was more focused on the universal, rather than the particular. Having grown up during the Great Depression, Sarah had learned to be frugal and spent money on things that really mattered to her. She wasn't frivolous; she gave monetarily in ways that reflected her values and on causes she believed in. Her four children knew exactly how she felt about the importance of caring for others, both emotionally and financially.

At age 90, Sarah was dying from heart disease and was admitted to Skirball Hospice. Her devoted children cared for her around the clock with the help of the hospice team. Her oldest daughter was a great cook and prepared the foods her mother loved. She would sit with her for hours, holding her hand and kissing her cheek. The middle daughters both worked in the medical field and provided the physical care their mother needed. The youngest child, Sarah's son and a bit of an insomniac, stayed with her at night so she wouldn't be alone. Hospice made sure she had the right medications, oxygen when she needed it, and provided emotional support to the family. Their questions were answered and the hospice staff was always available when they needed reassurance. The partnership between the family and the team made a huge difference in the quality of Sarah's last few weeks, and made the prospect of losing her more bearable. Her family was very appreciative of the support they received.

When Sarah died, her children knew there wasn't going to be a funeral, memorial, or shiva service, in keeping with their mother's wishes and values. Still, for them, something was missing. There was no coming together to mourn and tell stories, no sense of closure, and no kaddish prayer. Sarah's children had reclaimed some of the Jewish rituals their mother had discarded, and wanted something more for themselves. How could they get that and still be true to what Sarah had wanted?

A few months later they received an invitation to attend the annual Skirball Hospice Memorial Service. It was truly an answer to a prayer. All four children attended this touching tribute. Candles were lit, a stone was placed to honor the deceased, and family members were given the opportunity to say a few words in memory of their loved one. Prayers were said, the names of the dead were recited, and the kaddish was read. For Sarah's children, they finally received the solace and comfort they had been looking for. Surrounded by others who had also lost someone dear, they felt embraced and held by the atmosphere of love and acceptance. The staff who had cared for their mom were there to reconnect. With both tears and laughter, Sarah, and all the other former hospice patients, were remembered as only ones who have been through this experience can truly understand.

Skirball Hospice will be holding its annual Memorial Service on Sunday, February 22, 2015 at the Skirball Cultural Center. Family members and service providers of people who were on hospice in the past year are invited to attend. For more information, please call Skirball Hospice at 818-774-3040.

*fictitious name

Sign up for the Los Angeles Jewish Health newsletter, Connections.

Recent Articles

Jun 3

Los Angeles Jewish Health Awarded $28 Million From California Department of Health Care Services

Los Angeles Jewish Health (LAJH) has long worked in close partnership with the state of California in helping to set the standard for comprehensive senior care. This spring, California Governor Gavin Newsom and the California Department of Health Care Services (DHCS) announced an extension of this work by awarding LAJH $28 million to support the expansion of inpatient behavioral health services.The grant is funded through Proposition 1, a bond initiative passed by voters in 2024 to establish the state’s Behavioral Health Continuum Infrastructure Program (BHCIP). The award to LAJH is a vital step in addressing California’s growing senior behavioral health crisis at a time of intensifying need: California’ senior population is projected to double by 2040, and with it, the number of older adults experiencing behavioral health challenges (particularly those who are low-income, medically complex, or socially isolated) is rising sharply.This funding will support the expansion of inpatient behavioral health services for seniors“This grant is a transformational investment in improving the mental health of our community’s seniors, empowering us to expand access to high-quality, compassionate inpatient care for seniors in acute psychiatric distress,” said LAJH President and CEO Dale Surowitz. “We are tremendously proud of our past successes meeting seniors’ most critical healthcare needs, and we look forward to extending that track record of achievement in ways that will strengthen the fabric of our entire community.”Governor Newsom underscored the importance of Proposition 1 in his remarks announcing the awards.“Californians demanded swift action to address our state’s behavioral health crisis when they voted for Prop 1 in March 2024…and we’re delivering our biggest win yet,” he said. “Whether it’s crisis stabilization, inpatient services, or long-term treatment, we’re ensuring that individuals can access the right care at the right time.”This funding is part of California’s broader strategy to modernize the behavioral health system—increasing transparency, broadening access, and building the infrastructure necessary to provide a full continuum of care for individuals living with mental illness and substance use disorders. Through Proposition 1 and BHCIP, the state aims to create more than 6,800 new residential treatment beds and 26,700 outpatient treatment slots, addressing urgent gaps in care across every region of California.“Our seniors require the very best mental health care possible,” Dale said, “and this new grant helps ensure we will continue to deliver the care and compassion they deserve.”The expansion will take place in the Mark Taper Building on the Grancell Village campus
Read More
Jun 3

Los Angeles Jewish Health Teams With USC on Groundbreaking New Study Featuring the Popular Mediterranean Diet

Extensive scientific research continues to demonstrate the medical benefits of healthy eating. A new collaboration between Los Angeles Jewish Health (LAJH) and the USC Leonard Davis School of Gerontology (USC) is deepening that body of evidence with a study looking at the effects of diet on older adults who reside in a senior living facility.USC Associate Professor Roberto Vicinanza, MD, PhD, a noted specialist in geriatric medicine, led the eight-week study, which was designed to gauge the impact of a modified Mediterranean diet on LAJH residents’ health. The Mediterranean diet emphasizes plant-based, whole foods, including those from all five food groups. Featured in the diet are select fruits and vegetables; fish, lentils, and beans for protein, while limiting red meat and poultry; nuts and olive oil, which provide healthy fats; and opting for whole versus refined grains.  “The Mediterranean diet and its health effects are well documented, but older adults are often overlooked,” Dr. Vicinanza says. “To design this dietary intervention, I was inspired by the traditional eating habits of a long-lived community in southern Italy known as Cilento—a longevity hotspot that I have explored extensively in the last three years. Based on this experience, in our study we adjusted the Mediterranean diet to meet the unique needs and limitations of older adults, many of whom experience challenges in the digestion of certain foods.”LAJH residents enrolled in the study ate their meals together to help foster a sense of community. In addition, they increased their physical exercise, incorporating activities like walking into their daily routines.LAJH Residents Participated in the Mediterranean Diet StudyAccording to Noah Marco, MD, LAJH’s chief medical officer and executive director of the Brandman Research Institute, researchers evaluated study participants based on three core components measured prior to the introduction of the diet: their ability to walk, their muscle strength, and their biological markers of health as indicated through blood tests. Results are still pending, but Dr. Marco notes that preliminary data are highly encouraging.“We wanted to know, going into the study, whether someone in their later stages of life could, by modifying their diet and adding a little exercise, change markers of longevity, frailty, and health, even in a short period of time,” Dr. Marco says. “Based on our findings, the answer is clearly ‘yes!’”He points to one example as anecdotal evidence of the study’s success.“We had a participant who has been diabetic most of her adult life; for 20 years, she was on three different medications. As a result of this study, she now has better control of her disease and is down to one medicine,” he says. “We saw lots of things like this: improvement in people’s cholesterol and blood sugar levels, significant weight loss, weight gain in one instance where the resident needed it. The benefits were clear.”Some of these benefits seem to have stemmed from the study’s social aspects, Dr. Vicinanza says.“Seniors sometimes feel isolated and lonely,” he says. “But we saw something amazing during the study, which was that participants were supporting and encouraging each other, which provided a sense of community and purpose—both things that have been associated with longevity.”LAJH resident Marcia Mass, 83, was one of the study’s enthusiastic participants. She says it has transformed her physical health.“I’ve lost weight, and I feel better—more energized and alert,” she says. “I play a word game on the computer, and before the diet, I was getting to level 15 or 20. Now, I’m at level 64! Everything seems easier.”LAJH resident Marcia Mass (center) receives a certificate of completion, with Noah Marco, MD (left), LAJH Chief Medical Officer, and USC Associate Professor Roberto Vicinanza, MD, PhDThe study was made possible through generous funding from the Anita and William Jeung Estate Research Grant and the Simon Nutrition and Alzheimer’s Research Fund.In addition to Dr. Marco and Dr. Vicinanza, other key investigators from the USC School of Gerontology included Pinchas Cohen, MD, dean of the school, for the aging biomarkers; Cary Kreutzer, EdD, RDN, who played a critical role in developing tools to improve diet adherence; Julie Pollard, a part-time lecturer, who helped establish protocols for physical activity; and Adam Hughes, Shirley Liu, and Chiara Pomari—students from USC’s Master of Science in Nutrition, Healthspan, and Longevity Program—who served as study coordinators.Once the study’s results have been finalized, Dr. Marco and Dr. Vicinanza hope to replicate it with a larger cohort of residents.“We’ll be applying for a grant from the National Institutes of Health, and we think this falls directly in line with its priorities: leveraging lifestyle changes to increase health dramatically among seniors while potentially reducing costs,” Dr. Marco says. “It’s win-win!” Sample food eaten during studyDuring the study, residents complete a form following mealsUSC and LAJH worked together to complete the studyResearchers made sure residents were well informed during the study
Read More
May 15

Los Angeles Jewish Health Awarded $28 Million from California Department of Health Care Services

Major Investment Will Dramatically Expand Inpatient Mental Health Services for Seniors in Need (LOS ANGELES, CA – May 15, 2025) — As one of California’s leading providers of coordinated senior health services, Los Angeles Jewish Health (LAJHealth) is proud to announce it has been awarded $28 million by the California Department of Health Care Services (DHCS) as part of Proposition 1’s Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready initiative. The funding, announced by Governor Gavin Newsom, is part of an historic $3.3 billion investment in behavioral health infrastructure, supporting 124 projects statewide.At LAJHealth, this funding will support the expansion of inpatient behavioral health services for seniors, a critical step in addressing California’s growing senior behavioral health crisis. This expansion comes at a time of intensifying need. California’s senior population is projected to double by 2040, and with it, the number of older adults experiencing behavioral health challenges—particularly those who are low-income, medically complex, or socially isolated—is rising sharply.“California is facing a senior behavioral health crisis,” said Dale Surowitz, President and CEO of Los Angeles Jewish Health. “This transformative investment allows us to act urgently and proactively by expanding access to high-quality, compassionate inpatient care for seniors in acute psychiatric distress. We are deeply grateful to Governor Newsom and DHCS for recognizing the urgency of this need and investing in a more sustainable, responsive future for our aging population.”Governor Newsom underscored the importance of Proposition 1 in his remarks announcing the awards:“Californians demanded swift action to address our state’s behavioral health crisis when they voted for Prop 1 in March 2024. Today, we’re delivering our biggest win yet. Whether it’s crisis stabilization, inpatient services, or long-term treatment, we’re ensuring that individuals can access the right care at the right time.”This funding is part of California’s broader strategy to modernize the behavioral health system—increasing transparency, expanding access, and building the infrastructure necessary to provide a full continuum of care for individuals living with mental illness and substance use disorders.Through Proposition 1 and BHCIP, the state aims to create more than 6,800 new residential treatment beds and 26,700 outpatient treatment slots, addressing urgent gaps in care across every region of California.
Read More