Praise for The Silverado Story…
“The Silverado Story” provides important new information on how to give life-affirming care to the memory-impaired and how caregivers can connect with them in ways that have meaning and satisfaction. I was initiated into Silverado’s philosophy for uplifting people with memory impairment and their caregivers when I was offered a ride with the organization while touring for my book “Passages in Caregiving.” I was deeply touched by the many stories of the memory-impaired and their caregivers who rely on Silverado for support and senior living alternatives. “The Silverado Story” is a significant and welcome addition to the body of knowledge about an issue that is affecting more and more families every day.
Gail Sheehy, author, “Passages in Caregiving: Turning Chaos into Confidence,”“Passages,” and 14 other books; AARP Ambassador of Caregiving 2009
In “The Silverado Story,” Loren Shook and Steve Winner make the compelling argument that providing meaningful care to those with Alzheimer’s and other memory-impairing diseases should rank alongside research into prevention and cure of the conditions as a top public priority. This is an important book and recommended reading for all who are concerned about the issue.
Frank M. LaFerla, Ph.D., Chancellor’s Professor, Neurology and Behavior, School of Biological Sciences; Director, Institute for Memory Impairments and Neurological Disorders (UCI MIND), University of California, Irvine.
Caring for aging loved ones is emerging as a defining issue for Boomers. Many will face a challenge that society has long chosen not to consider: How to provide meaningful care to parents, spouses or partners with Alzheimer’s disease and other memory impairments. In “The Silverado Story,” Loren Shook and Steve Winner clearly and eloquently describe the components that comprise great care for the memory impaired. They also make a compelling case for its importance, not just to those receiving care and to their families, but to humankind as a whole.
Mary Furlong, Ed.D., Dean’s Executive Professor of Entrepreneurship, Leavey School of Business, Santa Clara University, Author and Speaker.
This is a story of creating extraordinary results. Silverado Senior Living is about living to our fullest, knowing “and” is more powerful than “or” -- just as love is more powerful than fear. Any leader exploring how his or her organization can achieve more will find this easy-to-read story of innovation, courage and conviction to be inspiring and useful.
Vance Caesar, Ph.D.
This book describes the philosophy and heart of the Silverado approach. The organization has developed a model for the care of the cognitively impaired that is being copied worldwide. It balances the needs for safety and independence in a way that is difficult to understand unless you see it yourself. The concept of community at Silverado is well described in this book and so are the motivations and approaches utilized by its leadership in the entire organization. This book is very useful reading for families of people with Alzheimer’s and other dementias and for everyone caring for them.
Joe W. Ramsdell, M.D., Division Head, General Internal Medicine; Professor of Clinical Medicine; Professor of Pulmonary; Director, Clinical Trials Center, University of California, San Diego
Magicians rarely reveal the secrets of their ‘tricks’, fearing we will lose our enthusiasm for what they have done. Some people’s endeavors seem ‘magical’ to onlookers, who see them doing things that seemed impossible. In the past 10 years I’ve had many occasions to watch the ‘magic’ of Silverado’s residential communities, home care services, and hospice services. Each time I’m amazed at the results but I’ve always known they were from beliefs and actions that any of us can grasp and practice. In this volume, the secrets are revealed and it will hopefully bring others to demand and to create the same quality of thought and care for people with memory-impairing disease. The book offers guidance to both the mindset and the programs that will change their futures — and ours.
Cathy Greenblat, Ph.D., sociologist, photographer, author of “Alive With Alzheimer’s” and the forthcoming “Love, Loss And Laughter: Seeing Alzheimer’s Differently”
“Inspiring” is a word too lightly used today. Finding that internal spark and having it blossom into an inferno of creativity and passion - all lit by someone else’s fire - is a rare happening. Loren Shook and the Silverado team have truly inspired thousands to see that one’s humanity does not diminish with the onset of dementia. His vision and willingness to exchange fear for love has ignited a fire of compassion, care and commitment that extends far beyond the walls of Silverado. His story and the story of an amazing company, as well as the daily example they set for all of us, change lives every day – with love.
Jim McAleer, President & CEO, Alzheimer’s Association –Orange County, Calif. Chapter
The contribution and vision Loren Shook has gifted to Silverado and its culture of caring for seniors challenged with memory-impairing conditions is nothing short of extraordinary. Being a corporate executive and speaking a language outside of cash flow, pre-tax, EBIDA, and margins takes courage, foresight and risk. His trueness to self and truly understanding the dignity to serve this patient population, these families, and community of concern at large has changed the face of providing care in this specialty. Being a change agent and a rebel of thought requires a certain type of person with a unique vision. What a blessing to have a person like Loren to teach all of us the depth of meaning of such a small but powerful word that launched ships and founded nations: love!
Peter F. Bastone, President & CEO, Mission Hospital, Mission Viejo and Laguna Beach, Calif.
“The Silverado Story” is a moving, life-affirming, and thought-provoking reflection on how the world can provide outstanding care for people with Alzheimer’s disease and other forms of memory loss. This book will enlighten and inspire policy makers, regulators, providers, family members and others who have responsibility for the care of seniors with this devastating disease.
Richard P. Grimes, President & CEO, Assisted Living Federation of America
“Reaching and nurturing the human spirit…”
“Lives lived with passion and purpose…”
“Satisfying the need to be understood…”
Perhaps they are not the kind of statements you might expect to be associated with caring for the memory impaired, but they capture what “The Silverado Story” is all about. Beginning with the personal story of Loren Shook and continuing with countless tales of caregivers, the children of caregivers, volunteers – and, most importantly, the residents themselves – this book will inspire readers by reminding them what truly moves each of us as human beings and, in so doing, it will profoundly change their understanding of the memory impaired.
Robert G. Kramer, President, National Investment Center for the Seniors Housing & Care Industry
“The Silverado Story: A Memory Care-Culture Where Love is Greater Than Fear” should be mandatory reading for everyone in the assisted living and long-term care profession. Loren Shook and Steve Winner share their winning vision in a well-written, passionate and inspirational book with insights that resonate deeply on both the personal and professional levels.
David S. Schless, President, American Seniors Housing Association
“The Silverado Story” leaves no doubt that love and compassion comprise the greatest means of touching the human spirit. Loren Shook and Steve Winner give a powerful testimony to the healing value of compassion and love, sharing touching examples of how lives are changed when fear is replaced by love in our everyday living.
W.E. (Bill) Sheriff, CEO, Brookdale Senior Living
A passion for quality of life, dignity, and love above all else – that is Loren Shook and Silverado.
Granger Cobb, President & Co-CEO, Emeritus Senior Living
Is it possible to successfully operate a company based on the principle that “Love is greater than fear?” Loren Shook and Steve Winner are proving this motto can be the lodestar for an organization dedicated to making the world a better place for those with memory impairment.
Their story is a testimony to the truth that values and positive attitudes do make a difference in the success of a business – both for the owners and the clients.
Lives never lose meaning at Silverado. Residents can still contribute through the Silverado Service Club – volunteering time and talent to help others in the greater community. The continual presence of children and animals helps those slipping from reality remain empowered.
I’ve been writing about aging issues – including dementias – for almost two decades. Much of my reporting has focused on the unhappiness of people confined to care environments. What a pleasure to know there are those who genuinely care about these residents and that there are communities filled with sunlight and love.
Jane Glenn Haas, journalist, speaker and author, “Time of Your Life”
People with dementia have so much to offer and they are here to teach us what is important in life. Not what day it is or what we had for lunch, but what it means to reach a human soul. When we glimpse their soul, we have had a glimpse of our own. This book has captured the essence of the soul and of LOVE in all of us.
Jolene Brackey, speaker and author, “Creating Moments of Joy”
I read “The Silverado Story” with more than just casual interest. I have lived “The Silverado Story.” My beloved mother spent the last five years of her life at a Silverado community. I visited my mother nearly every day and saw the way in which Silverado took care of not just my mother, but all residents of her community. A different kind of care is provided -- care a person will not find anywhere else. The stimulation residents receive; the respect they are shown by the staff; the love that is evident makes each visit to Silverado a special one. I loved my mother and I would not wish this disease on anyone. However, Silverado provided her, and just as importantly, our family, an environment during her final years that was worthy of her. It could not have been better.
Patrick C. Haden
Having been deeply entrenched in the world of caregiving for family members for over 15 years, I’m deeply touched by “The Silverado Story” and by the work being done by Silverado Senior Living. Helping the world understand that the human spirit remains even when it can’t always be expressed by the memory impaired is a lofty goal. The “Silverado Story” has convinced me, and I believe this story will change the world’s view of people with memory impairment as well. If my memory fails me at some point, Silverado is where I want to be.
Karen L. Twichell, Author/Speaker,“A Caregiver’s Journey ~ Finding Your Way,” http://www.caregiversjourney.com
When my mother was diagnosed with Alzheimer’s disease in her late seventies, it was a familiar situation. My father had died from complications with Alzheimer’s a few years earlier. At this time, I was her primary caregiver, and one of the most painful aspects, among many, was her constant search for a purpose, a reason to go on. She kept saying, “I need a job.” Of course, this was an impossibility and yet every time I could come up with a task for her to accomplish, her entire demeanor changed. She became energized, bright, and engaged.
I felt that a program must be developed in communities dealing with dementia that would enable residents to feel motivated and purposeful. In “The Silverado Story,” Loren Shook and Steve Winner identify an ideology that encompasses this concern and so many others. I am hopeful that this innovative book will impact senior care organizations everywhere.
Victor Garber, film, television and stage actor
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THE SILVERADO STORY
A MEMORY-CARE CULTURE WHERE LOVE IS GREATER THAN FEAR
LOREN SHOOK AND STEPHEN WINNER
Copyright 2010 by Loren Shook and Stephen Winner
First Edition
Smashwords Edition
All rights reserved. No part of this book may be used or reproduced in any manner, whatsoever, without written permission from the publisher, except in the case of brief quotations embodied in articles or reviews.
AJC Press
6400 Oak Canyon, Suite #200
Irvine, California 92618 http://www.silveradostory.com
ISBN: 978-0-9845337-7-0
LCCN: 2010912425
Publisher’s Cataloging-in-Publication Data
Shook, Loren.
The Silverado story : a memory-care culture where love is greater than fear / Loren Shook and Stephen Winner. -- 1st ed. -- Irvine, CA : AJC Press, c2010.
P.; cm.
ISBN: 978-0-9845337-7-0
1. Alzheimer’s disease--Alternative treatment. 2. Alzheimer’s disease--Patients--Rehabilitation. 3. Memory disorders--Alternative treatment. 4. Memory disorders--Patients--Rehabilitation. 5. Silverado Senior Living--History. I. Winner, Stephen. II. Silverado Senior Living. III. Title.
RC523.2 .S46 2010 2010912425
361.1/96831--dc22 1010
Dust jacket and book design: Sean Glumace
Cover Photography: Lia Segerblom, Lia Photography
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This book is intended for your enjoyment and general education only. This is not an authoritative medical manual, though this publication is designed to provide accurate and important information regarding the subject matter. Everyone is a unique individual with their own specific medical history and needs, so if professional medical advice or other expert assistance is required regarding any of the matters covered in this book, the services of a professional should be sought.
Publisher’s Note: The scanning, uploading, and distribution of this book via the Internet or via any other means without the permission of the publisher is illegal and punishable by law. Please purchase only authorized electronic editions, and do not participate in or encourage electronic piracy of copyrighted materials. Your support of the author’s rights is appreciated.
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DEDICATIONS
From Loren
To my father and mother, Cleo and Kathleen Shook, who taught me the meaning of love, responsibility, a work ethic and values, and introduced me to the power of God, the spirit that lives within all of us.
To my aunt and uncle, Bernard and Marion Hambleton, who showed me how to combine innovation and ingenuity with the best physicians to create and operate a state of the art psychiatric hospital including specialized service for people with any type of memory-impairing disease.
To my children, Heather, Aaron, Christine, John-Colby and Arianna, each of whom is a part of my reason for being.
To my loving wife, Suzanne, who is always there for me – my greatest cheerleader, confidant and best friend.
From Steve
To Dr. Wolf Wolfensberger who showed me the intrinsic values in everyone.
To Kennon S. Shea who gave me the freedom and encouragement to be creative.
To Richard Mendlen who taught me how to lead others with love and strength.
To Jack Peters who has supported me and Silverado every day with his knowledge, experience, keen insight and sense of humor.
To Loren Shook, my friend, mentor and inspirational leader, who found me in a niche and opened up the world.
To my daughter, Elizabeth, who filled a void in my life so deep I didn’t know it was there.
To my wife, Deanelle, who stood with me through good times and bad and who fearlessly stood beside me as we rolled the dice to follow my dreams.
From Loren and Steve
To the memory of our co-founder, Jim Smith, whose courageous investment of time, money and expertise together with his extraordinary sense of humor were invaluable in creating Silverado as it is today.
We could not have built the company without the effort and support of Jim and his wife, Nancy.
Chapter 2 - The Need to be Understood
Chapter 3 - Connecting with the Human Spirit
Chapter 4 - The Power of Normal
Chapter 5 - A Different Point of View
Chapter 6 - Two Minds, One Vision
Chapter 7 - The Dream Takes Shape
Chapter 8 - Insist on Great Care
Chapter 9 - Compassionate Caregiving
Chapter 10 - The Family Experience
Chapter 11 - Lives that Matter
Foreword
If I had parents with Alzheimer’s disease, I would want them to live at Silverado.
If I had a spouse with memory impairment, I would want him to spend his days at Silverado.
If I had a teenager needing to perform community service, I would want her to do it at Silverado.
If I had a puppy in need of a home, I would want that home to be Silverado.
In more than three decades of living and working with cognitively-impaired adults, I have not felt so compelled to see a story told as in “The Silverado Story,” by its principals Loren Shook and Stephen Winner.
What Silverado knows is that the human spirit glows until we take our last breath … Memory impairment does not mean the spirit is not present. It still shines but speaks differently.
Whether it is through their collaboration as an active research site with leading medical schools, their commitment to taking care of those caring for a loved one at home, or their philosophy of touching the human spirit in each of their residents, the Silverado staff has been lovingly taught that love is greater than fear and that mantra guides the daily care of folks living with memory impairments from progressive neurological diseases such as Alzheimer’s.
When a senior living campus has the ongoing involvement of children -- from newborns to teens -- and the inclusion of many pets documented by a policy for the ratio of animals to residents, when daily routines are developed by the residents themselves, and when elders living with memory-impairment are active in the outside community, it has to be a Silverado campus. No one else does it this way, guided by love.
Silverado is a noisy place. People aren’t here to rest or be silent, to slip quietly from the society that all too often doesn’t want to hear their sounds. They come here to live.
And live life to the fullest regardless of diagnosis. “The Silverado Story” clearly underscores the disregard of diagnosis and the applause of humanness. The book is full of warm and witty stories of Loren and Steve as young men when Silverado was but a dream and the reader is equally engaged in the scores of eloquent tales from family members, residents and staff members who have come through the doors for more than a decade. Each moment of everyday life is enriched through spontaneous interactions and scheduled activities.
No one seems to be concerned with how well a resident once functioned; they are only concerned with the strengths he has today and the memories that are being recorded in the here and now.
“The Silverado Story” is not just for healthcare professionals but should be on bookshelves of any home where the occupants plan to grow old! It is a tome of splendid realities and heart-warming truths. We all can benefit from this very special story.
Joanne Koenig Coste Author, “Learning to Speak Alzheimer’s”
Preface
Central to the Silverado philosophy is the concept of love. Movingly elaborated in a deeply personal way, Loren Shook’s epiphany after having established himself as a successful businessman has guided the practices at his Silverado Senior Living residences.
But also central to the success of Silverado Senior Living are two other concepts, acceptance and purpose. Acceptance of what the memory-impaired are not capable of allows one to accept and value what they CAN do. It also encourages treatment options other than psychoactive medications, which all too often dull the mind and spirit, producing listless, even vegetative states. Reliance on drugs also overlooks the likelihood that, in many instances, rebellion against being treated as less than human is the cause of their occasional aggression rather than behavior that needs to be “brought under control” by drugs.