In the long-term care setting, we are often called upon to make difficult decisions on behalf of our elders with dementia. Some choices, such as refusing medical care, necessitate a capacity evaluation by a licensed and trained professional. Other decisions are made every day by staff and family members who desire to allow the resident … Read more
Here’s my latest article on McKnight’s Long-Term Care News: Would you want to live in the LTC home where you work? I used to live in a fabulous old fourth-floor walk-up apartment in Manhattan. When I moved out of Manhattan to a borough of New York City for an elevator building with a laundry room … Read more
Here’s my latest article on McKnight’s Long-Term Care News: Same-sex couples: Are you and your staff prepared? Probably not Last week, McKnight’s staff writer Tim Mullaney wrote about the new Medicare guidance that guarantees that same-sex married couples can live in the same nursing home. Perhaps, like many of our current opposite-sex married couples, they’ll share the same room … Read more
Here’s my latest article at McKnight’s Long-Term Care News: Suicide risk in LTC: Effective protocols may not be what you think According to researchers, 11% to 43% of LTC residents have thoughts of suicide1-3, with higher rates in larger facilities and in those with more staff turnover4. Other stressors include medical illness, the presence of … Read more
Here’s my latest article at McKnight’s Long-Term Care News: Young adults in long-term care: a new resource for caregivers According to a 2010 NPR report, young adults have been one of the fastest growing long-term care populations over the past 10 years, with 14% of nursing home residents under the age of 65. Some live in … Read more
Here’s my latest column at McKnight’s Long-Term Care News: The Boston Marathon explosions: Turn off the dayroom TV I was hoping not to have occasion to write another column about tragedy so soon, but the terrible events at the Boston Marathon have prompted another look at how we deal within our facilities with distressing news. … Read more
Here’s my latest column at McKnight’s Long-Term Care News: Your best competitive advantage? A solid social work department I have great respect for those who attend to the often complicated physical needs of our long-term care residents, but if your facility doesn’t have a solid social service department, it isn’t as good as it could … Read more
Here’s my latest article in Long-Term Living Magazine online: Small changes have big impact on LTC residents’ sense of control, autonomy When the psychologist arrived at Mrs. Winters’ room, she found her distraught and disheveled. “Last time you saw me I was stuck by that dresser in the corner and couldn’t get out. This time … Read more
Here’s my latest column at McKnight’s Long-Term Care News: Secrets to making your environment ’emotionally healing’ Back when I worked in psych, one of our most effective tools to improve mental health was maintaining a healing emotional environment, or therapeutic milieu. That’s why I was shocked when I first entered long-term care. I couldn’t believe … Read more
I’m very pleased to announce the debut of my new column at McKnight’s Long-Term Care News. The World According to Dr. El is a twice monthly column that will address mental health issues in LTC. Please visit and “Like” the page on McKnight’s to show your support for addressing the mental health concerns of all … Read more