The added value of social workers and psychosocial services

The top recommendation in the April 9 McKnight’s article “Researchers share 6 tips to improve nursing home care for blacks and Latinos” was to include a social worker on staff in the facility. “Great,” a reader commented, but “ask CMS … if they will pay for it.” Perhaps, though better yet, social workers will pay … Read more

Trend #5: Re-Envisioning Long-Term Care

The American Psychological Association published an article in the APA Monitor on “Trends to Watch in 2019.” I was pleased to see that geropsychology was Trend #5. Read what my colleagues and I have to say in Tori DeAngelis’ piece on Re-Envisioning Long-Term Care.

Correcting long-term care’s image problem

Here’s my latest article on McKnight’s Long-Term Care News: Correcting long-term care’s image problem Long-term care has an image problem. For a variety of reasons, we aren’t associated with good times. There are things we can do to turn this around, though, starting with the perceptions of our residents. Most people who come to live … Read more

Free Gift! Holiday Savings! New LTC resources from some of the best

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The Savvy Resident’s Guide can help set reasonable expectations for your new residents and families, leading them to view their stays in a more favorable light. To see how, download a FREE Kindle version between December 7-9th and take advantage of Holidays Savings of 20% off bulk orders of 25 or more copies through Friday, December … Read more

Super-utilizers: LTC has them too

Here’s my latest article on McKnight’s Long-Term Care News: Super-utilizers: LTC has them too I was flying home after visiting some family elders last week (a story itself perhaps for another time) when I happened upon a Kaiser Health News article about “super-utilizers” of emergency room services. Research on Medi-Cal, California’s state health insurance for … Read more

Help for hoarders, and those who care for them

Here’s my latest article on McKnight’s Long-Term Care News: Help for hoarders, and those who care for them It can be challenging for long-term care providers when residents amass large quantities of possessions. Facilities generally worry about hoarding when the amount of belongings prohibits the resident or staff members from safely moving about their room … Read more

Seeing Virginia (an anecdote): Part Two

Seeing Virginia: Part One Like many of my residents over the years, Virginia had been a nursing assistant prior to her retirement. In our early sessions, I encouraged her to discuss how it felt to be “on the other side of the stethoscope,” as I put it, but she was too focused on the plot … Read more

Seeing Virginia (an anecdote): Part One

The first time I met 87-year old Virginia, it was immediately apparent why the nurses had made the referral. She spoke too quickly, words pouring out one after the other without pause. She had vague theories that a staff member was trying to steal the house she’d vacated a few months ago and attempting to … Read more

Behavioral health care — not drugs — for dementia

Here’s my latest article on McKnight’s Long-Term Care News: Behavioral health care — not drugs — for dementia Antipsychotic medications have proved ineffective at reducing the symptoms associated with dementia. They also have serious side effects in older adults, including restlessness, dizziness, higher likelihood of falls and other problems that can contribute to an increased … Read more

Dr. El’s Shrinky LTC Fantasy

Here’s my latest article on McKnight’s Long-Term Care News: Dr. El’s Shrinky LTC Fantasy I hung up the phone with the managed care case reviewer. The patient in question was in her late 50s, with multiple sclerosis and other physical problems that had unexpectedly interfered with her ability to return home or even to sit … Read more