For a fascinating close-up of the impact of policy decisions on individuals and teams, I step onto the nursing home unit. For a fascinating zoom-out of the impact of policy decisions on the healthcare system in general, I follow the Twitter feed of David Grabowski, Ph.D., professor of health policy research at Harvard Medical School. … Read more
The coronavirus was officially declared a pandemic one year ago this month. The news is filled with articles reflecting on the dramatic changes in our lives from last year to this — lost jobs, remote school, canceled events, illness. For those in long-term care, this week last year began the pandemic visitor restrictions, and for … Read more
If all goes well, over the next few weeks there will be an increasing number of family members visiting their loved ones in the nursing home, many for the first time in a year. Along with the joy and relief of these reunions, we can expect to observe a great deal of sadness over time … Read more
As a geropsychologist and a New Yorker, I’ve been relieved to see the after-the-fact uncovering of the true number of COVID-19 deaths in nursing homes in New York last year. The New York data revelation is not really a revelation to anyone who worked in long-term care in New York City last spring. Or for … Read more
Across the country, long-term care facilities are vaccinating their staff and residents, with approximately 3.1 million dosesdelivered as of last week and rates of COVID-19 infection in nursing home residents declining for the past four weeks. This excellent news leads to questions about how the vaccination rollout will impact the daily lives of staff and … Read more
Early this month, the COVID-19 vaccine arrived at the facility where I work. In the days before its arrival, the “campus” was buzzing with conversation about who was getting the shot, who wasn’t and why. Throughout U.S. nursing homes, an average of 29% of long-term care workers have been hesitant to accept the first round … Read more
Louise, a petite, 79-year-old woman, was the roommate of another resident I was seeing for psychotherapy at the nursing home. Louise sat by the B bed watching TV and working her needlepoint, anchoring the tapestry frame against her chest with one arm while she slowly pushed the needle through with her good hand. “Hello! Please … Read more
By now many of us have viewed the viral video of residents gleefully shooting soft foam balls at laughing staff members dressed as reindeer dodging through a pine-tree “forest.” It’s the kind of merriment suitable for the 2020 holidays — one that uses humor and playful defiance to release pent-up frustrations. Under normal circumstances, spending … Read more
The COVID-19 pandemic has been taxing for virtually everyone in long-term care, from the C-suite to direct care providers. I’ve written about my own experience with Post-Traumatic Stress Disorder (PTSD) after working in a pandemic epicenter earlier in the year. While crises often have short- and long-term negative effects, psychologists have found that there also … Read more
The treatment team sat around the table calculating the approximate arrival date of the surveyors based on rumors, past years’ experience, and sightings from colleagues at other facilities in the city. “If they approach you,” the director of nursing advised, “try not to say too much.” The young social worker remarked, “If I see them … Read more