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Powerful Portraits By Terri Pauser Wolf, RN, BSN It only took a few seconds for Darcie DeNeal’s life to traumatically change on September 1, 1998. That night, her 17-year-old son, Jeremy, flipped his car on a highway after missing an exit ramp. In an instant, the “sweet and sensitive wild child” she had watched grow into a young adult was gone, leaving her memories of a voice, a personality, and a person who lived life on the edge. DeNeal, a St. Louis nurse who is a single parent with an older daughter, says the first year after Jeremy’s death was a blur. But DeNeal found comfort in 17 years worth of photos. Each picture of Jeremy unlocked a memory and gave her solace as she grieved. Slowly, the “blur” sharpened into an image of her son’s life that she would be able to carry with her forever. DeNeal’s experience has uncovered a passion and a purpose — she now takes photographs for other parents experiencing grief. Picture purpose A few years after Jeremy’s death, DeNeal talked with a friend who was visiting his grandmother in a hospice. Despite the woman’s delirium and the appearance-altering effects of her stroke, DeNeal offered to come and take photographs. Her friend greatly appreciated the beautiful images that she captured. From this visit, DeNeal recognized that her photographs might help people deal with the loss of a loved one. Having been a pediatric nurse in the recovery room at Cardinal Glennon Children’s Hospital in St. Louis for 10 years before her current job as a full-time nurse at a surgery center, DeNeal knew there were times when parents may have a child live for only a few moments or that there were home-bound children whose parents might enjoy a portrait. DeNeal had personally experienced how photos were sustenance in the grieving process, and she wanted to be sure other parents had the opportunity to remember their child even if he or she took only a single breath. DeNeal had a natural interest in photography and enjoyed taking photos of her children. When she was working on her BSN in the mid-1990s, she took an elective photography class that enhanced her photography skills and techniques. “Getting photographs is the last thing on their minds,” says DeNeal of parents in a perinatal crisis delivering a stillborn, expecting a child with life-threatening congenital abnormalities, or watching a premature infant struggle to live. DeNeal says she initially met a lot of resistance because people couldn’t conceptualize that she could get good angles to take quality photos. With her technical skill, artistic eye, and heart of mother who has experienced the death of a child, DeNeal quickly showed the doubters that beautiful images were possible from some of the most distressing cases. She also captured camaraderie with the parents who knew that she understood what it means to have had a child die. Images to remember Cori and Joe Kline, parents of 3-year-old Annika, learned about DeNeal through a social worker at St. John’s Mercy Medical Center. Eighteen weeks into Cori’s pregnancy with twin girls, the couple learned the children had a condition that would not be compatible with life. During the next 15 weeks that Cori Kline carried the twins, she experienced much uncertainty not knowing how the twins would look with their prematurity and their condition. A visit with DeNeal and seeing her work put them at ease. Cori Kline says she felt relaxed knowing DeNeal was a nurse. She knew DeNeal would be comfortable around any equipment and knew when to be there and when to leave. She also had a comfort level knowing that if the twins needed to be moved or positioned for a photo, DeNeal would be careful and respectful. In the 33rd week of her pregnancy Cori Kline gave birth to Natasha and Naomi. She was relieved that the twins survived at the time of birth so her family was able to spend time with them. It was a precious four and a half hours for this family and a time when they allowed DeNeal to capture their daughters’ short lives. “Thank goodness we have those pictures,” says Cori Kline, who notes they have the pictures up all over the house. “There are beautiful close-ups of their feet in the family room.” According to Cori Kline, an additional benefit is that the pictures become conversation starters. She says it has been helpful for friends who don’t know how to talk about grief and loss. “For us, having the pictures tells people that the girls are part of our life and will be forever,” she says. When a life is so short, there aren’t many remembrances. DeNeal’s photographs have helped fill this void for the Kline family. Although Annika was present shortly after the twins were born, her mother says she won’t remember her sisters. The pictures provide her a point of reference so she can say she was there with her sisters. Cori Kline’s initial fear was having the photos and being afraid to look at them. Her fears quickly vanished when she saw DeNeal’s work. Besides having them displayed prominently in her home, Kline carries them in her purse. “They’re more than a fetus,” she says. “People can remember them as people. The pictures make them real. I think what DeNeal does is incredibly important and helpful. I tell everybody about her.” An important part of the bereavement process Maggie Loyet, RN, a certified bereavement support staff member at St. John’s Mercy Medical Center in St. Louis and a source of referrals to The Jeremy Project, agrees with Cori Kline about DeNeal’s work. “She can find the beauty in the baby and show the parents,” she says. “People are overwhelmed with the sadness, and she shows them the beauty.” Loyet, who works for the Mercy Heartprints Program providing comprehensive perinatal bereavement support programs, reiterates that DeNeal brings a special quality to her work because a lot of the situations are very emotional. She especially appreciates that DeNeal creates her images in black and white, which hides any discoloration the baby may have. “Black-and-white is very forgiving,” says Loyet, who adds there is a soft, sensitive quality to DeNeal’s pictures. Loyet also says that because DeNeal is a nurse, she understands how to be with families, is not intrusive, and is gentle and loving with the parents. Although Loyet says some families find the idea foreign at first, she’s never had a parent turn her down. She remembers one family that had DeNeal take photographs that were then displayed at the baby’s funeral. The two photos showing each parent holding the baby made quite an impact. The enlargements were provided to the family without charge. Families may also receive the photos on compact disc so they can reproduce the images as they desire. Donations are key Providing her services without any fees has been DeNeal’s mission since her first referral. She paid for everything herself the first year, but has since received nonprofit status for The Jeremy Project, which relies entirely on tax-deductible donations to cover expenses. In addition, some of the programs that provide referrals pay the organization a small fee to offset costs. DeNeal’s work goes beyond perinatal needs. She also works with an organization that supports children with cancer and she also photographs children with special needs who may not be able to find a photography studio that can highlight their unique beauty. Last year, DeNeal did 70 photo sessions, which usually take 30 to 60 minutes, in addition to working full-time as a nurse. She has appointments every Saturday and at least one night during the week. DeNeal recently traveled 100 miles from her home to photograph triplets where one was in kidney failure. She says she gets a fair amount of urgent calls of babies doing poorly. Her photo sessions can be stressful because these families are in crisis and often watching her every move. She must also be cognizant of the child’s medical status and needs. What keeps her going through the stress and extra work? DeNeal says it’s the power of being in the presence of the families at this difficult time. “You get to a really sacred place with these families.” DeNeal takes referrals from anyone and encourages nurses to refer patients to The Jeremy Project. As the staff members closest to the patient situation, DeNeal recommends that nurses can appreciate how important photographs can be for these grieving families. DeNeal reminds the parents that they are in total control and she will stop taking photographs the minute they request it. “This is my passion,” DeNeal says. “It does wonders for me. It honors my own son.” She says one of the most important things to a parent is that the child is not forgotten. Through The Jeremy Project, DeNeal combines her art of nursing and photography, giving parents images of a life lived — even if only for a short time. Darcie DeNeal can be contacted at (314) 640-3598 or through The Jeremy Project website <www.thejeremyproject.org>. Terri Pauser Wolf, RN, BSN is a freelance writer and pediatric oncology/hematology nurse in Sacramento, Calif. |