9 reasons why it’s better to congregate than disperse short-term rehab residents

Here’s my latest article on McKnight’s Long-Term Care News: 9 reasons why it’s better to congregate than disperse short-term rehab residents In most of my long-term care career, I’ve witnessed short-term rehabilitation (STR) residents housed together, but occasionally facilities have scattered them throughout the building. I don’t know the reasoning behind dispersing residents, but from … Read more

Dr. El’s Theory of Angry Activities

Here’s my latest article on McKnight’s Long-Term Care News: Dr. El’s Theory of Angry Activities “Scream as loud as you can,” I encouraged my companions before we plunged down the waterslide in our rubber raft at the water park on Independence Day. “There aren’t enough opportunities for yelling in everyday life. Let’s make the most … Read more

Suicide prevention in the workplace: What employers need to know

Here’s my latest article on McKnight’s Long-Term Care News: Suicide prevention in the workplace: What employers need to know With the high-profile deaths this month of designer Kate Spade and chef Anthony Bourdain, the crisis of suicide has been thrust into the spotlight. Suicide deaths in the United States have increased 25% between 1999 and … Read more

Why it’s impossible to maintain prior levels of care quality, and what to do about it

Here’s my latest article on McKnight’s Long-Term Care News: Why it’s impossible to maintain prior levels of care quality, and what to do about it In Editorial Director John O’Connor’s April 16th column, he reported on a study from the Kaiser Family Foundation indicating that increasing numbers of new residents have dementia, are more physically … Read more

10 ways to incorporate mood-boosting exercise into LTC

Here’s my latest article on McKnight’s Long-Term Care News: 10 ways to incorporate mood-boosting exercise into LTC Cold weather. An uncertain world. Rogue shrinks making the rest of us caring, diligent professionals look bad. I don’t know about you, but I need a mood lifter. I came across an article that suggests that exercise of … Read more

Suicide prevention in older adults

Here’s my latest article on McKnight’s Long-Term Care News: Suicide prevention in older adults In preparing for a webinar on suicide prevention, I came across startling statistics about suicide rates among older adults. Despite the concern we often hear about teen suicide, the rate for elders is even higher. While older adults make up 12% … Read more

A psychotherapy story: Mabel and Liza

Mabel was in her late 80s, had lost a leg to diabetes and didn’t hear well. She’d been suicidal upon her admission to the nursing home, but the team had worked hard to stabilize her mood. Months later, she wasn’t exactly happy, but she and Liza, her young private aide, attended activities together and she no … Read more

Bicycle Riding for Residents (video)

Adaptive tandem bicycles allow residents the pleasure of riding a bike and feeling the breeze through their hair. As John Brunow of All Ability Cycles puts it in the video below, an adaptive bicycle event triggers reminiscence, stimulates appetites, and reduces depression. Sounds like a win, win, win to me!

Reflections on the value of psychology services

When psychologists provide direct care services to long-term care residents, a note is required for every session, documenting symptoms, therapeutic interventions and other information proving that each and every session is medically necessary. The goals and progress of treatment are reviewed every three months. Audits and case reviews by insurers are not uncommon. Other disciplines in the … Read more

Dr. El’s subversive guide to culture change

Here’s my latest article on McKnight’s Long-Term Care News: Dr. El’s subversive guide to culture change We often think of culture change as a formal process initiated by company leaders that involves setting organizational goals and moving employees in big and small ways toward those goals. But culture change also can be a grassroots effort … Read more