In the old days, Young Readers, before the goal of eldercare was merely profit, nursing homes used to have things called “missions.” Missions focused on the well-being of the elders they cared for — not only their physical well-being but also their emotional and spiritual health. Back then, facilities often catered to a specific clientele, … Read more
For my first 20-plus years as a long-term care psychologist, I arrived on the job wearing not just clothes, but outfits. I chose garb that contributed to the sense of “expertness, attractiveness, and trustworthiness” that psychologists were supposed to engender in their patients. Sometimes I wore pantsuits or dresses, more often skirts or slacks with … Read more
In my last two columns, I’ve focused on a “big picture” view of eldercare. This week, I’m highlighting a way in which individuals can mend their mental health after an extremely difficult year, particularly for those of us in the field of long-term care. Chances are that it’s been a tense, stressful, sad time both … Read more
Quality care is often considered from a medical perspective, with the focus on providing the best possible medical services. This is, of course, an essential element of the services provided in long-term care. But at a time when there’s a greater push for community care over nursing and rehabilitation centers, it’s worth rethinking what quality … Read more
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
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
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