KOSHER TO GO
PASSOVER MENU 2009
a service of Jewish Home & Aging Services
Special Report
WORLD OF HOSPICE
Lanny LeBlanc • CATERING DIRECTOR
Nikita Santches • EXECUTIVE CHEF
VAAD Supervised
Never Alone from page A14
6710 W. Maple Road
West Bloomfield, Ml 48322
Orders must be received by Tuesday, April 7, 2009 pre-paid with a
check, cash or credit card.
ORDERS MAY BE PICKED UP on Wednesday, APRIL 8, 2009
BETWEEN 8:00 A.M. AND 3:00 P.M.
- Delivery services are available -
STARTERS
$10.95 each
SEDER PLATE INGREDIENTS
GEFILTE FISH LOAF (serves 12-14)
$50.00 each
BEEF CHOPPED LIVER
$8.99 pound
VEGETARIAN "CHOPPED LIVER"
$7.95 pound
$9.95 quart
TRADITIONAL CHAROSET
(apples, walnuts, cinnamon, and sweet Passover wine)
SOUP
CHICKEN SOUP
BUTTERNUT SQUASH SOUP
ROASTED RED PEPPER SOUP
MATZOH BALLS
$8.95 per 1/2 gallon (5-7 Servings)
$8.95 per 1/2 gallon (5-7 Servings)
$8.95 per 1/2 gallon (5-7 Servings)
$ .95 each
SALADS
ISRAELI SALAD
ROASTED BEET SALAD
$15.50/QUART (4 eight oz Servings)
$15.50/QUART (4 eight oz Servings)
ENTREES MEAT
STUFFED CABBAGE ROLLS
WITH HOMEMADE SAUCE **
BEEF BRISKET COOKED WITH APRICOTS
AND PRUNES '
BAKED APRICOT CHICKEN **
WHOLE ROASTED TURKEY
BRAISED SHORT RIBS '
VEGETABLES & SUCH
ROASTED ROOT VEGETABLES
POTATO KUGEL
SWEET MATZOH KUGEL
MASHED SWEET POTATOES
MATZOH STUFFING
SAUTEED SPINACH WITH
ROASTED GARLIC
$4.50 per person
$12.95 per person
$9.25 per person
$80.00 (serves 15)
$13.15 per person
$11.50 (12 Servings)
$11.95 (12 Servings)
$15.95 (12 Servings)
$11.50 (12 Servings)
$13.25 (12 Servings)
$9.95 (12 Servings)
PAREVE PASSOVER DESSERTS
WINE NUT SPONGE CAKE
$28.50 serves 10-12
FLOURLESS CHOCOLATE CAKE
$28.50 serves 10-12
CHOCOLATE CHIP PASSOVER COOKIES
$18.00/DOZEN
PASSOVER FRUIT CRISP
$25.00 serves 10-12
FRESH FRUIT TRAY
SMALL serves 10 TO 15 $45.00
LARGE serves 20 TO 25 $60.00
**
A16
denotes a minimum order of 6
KOSHER TO GO CATERING
WISHES ALL OUR FRIENDS
A VERY HAPPY PASSOVER!
April 2 2009
041
"I know that my husband lived longer
because hospice was there."
— Cheryl Weiss
must remember the physical pain and
the emotional pain."
Seeing AH Aspect s
Treating both is no easy job, confer-
ence experts said.
"We don't think of pain compre-
hensively," said Dr. John Finn, medical
director of Palliative Care Services at
Providence-St. John Health System.
"Pain management is much more than
narcotics. Doctors are completely clue-
less. Even in hospice we under-treat
pain."
For example, "cancer patients can
live longer with spinal-injected medi-
cations',' Finn said. "Why aren't institu-
tions jumping at this?"
"Interventional pain manage-
ment is underused," said Dr.
Russell Portenoy, chairman of the
Department of Pain Medicine and
Palliative Care at Beth Israel Medical
Center in New York.
"The system is broken:' he said,
because of lack of follow-through.
"We're not applying the skills we
have adequately," agreed Dr. Perry
Fine, professor of anesthesiology at
the University of Utah's School of
Medicine and a founding member of
the American Academy of Hospice and
Palliative Medicine.
Pain is managed poorly in 20-40
percent of the population, Fine said.
But "population studies mean noth-
ing when you walk into a room and
that person is in pain — then it's 100
percent."
It's important to know that "many
pain symptoms are caused by the
mind — they look physical," said
Elana Goell-Varkovitsky, PhD, a psy-
chologist who practices in Franklin.
"There's a great need to answer the big
questions, `Did my life matter?' The
inability to come to terms with this
causes pain."
It can be "more honorable to be in
pain than to think you have failed,"
Goell-Varkovitsky said. "It's important
to guide them to what is beautiful and
meaningful in their lives ... Love is
greater than death."
The Local Picture
"Southeast Michigan had the first
hospital-based palliative care in the
state, if not the nation," said Margaret
L. Campbell, Ph.D., who is a pallia-
tive care nurse practitioner at Detroit
Receiving Hospital and assistant pro-
fessor of research at WSU College of
Nursing.
"Our patients [in southeast
Michigan] have choices. There's some
seamlessness from hospital to hos-
pices in the community."
She noted a shortage of palliative
medicine physicians and advance
practice nurses.
"What we already know about
cancer pain needs to be applied to
other illnesses;' Campbell said. "Study
breathlessness, study fatigue, study
people who can't tell you what their
symptoms are
Audience questions covered such
subjects as:
• Pain management in nursing
homes: "We're doing a pitiable job in
assessing and managing pain in nurs-
ing homes," Fine said. "It's a systems
and funding issue."
• Addiction to pain-killing drugs:
When health professionals don't know
what constitutes addiction, Portenoy
said, it leads to under-treatment. By
law, the only reason to stop giving an
addictive medicine is if there is "crimi-
nal intent;' for instance, if the patient
intends to resell it.
• Complementary Alternative
Therapies (CAM): The mind-body
therapies that are proven to work have
been integrated into the mainstream
treatment of pain, Portenoy said.
"But, at least in New York, the
airwaves are full of 'complementary
approaches' that are unproven. I really
worry if we don't take a stand against
those."
"I think this was a really com-
prehensive seminar:' said Barbara
Bradley, a Bloomfield Hills social
worker who deals with end-of-life
issues. "Emotional pain is as deadly as
physical pain. They have covered the
subject in depth." .__