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
“I need you to see Eddie,” the social worker told me. “He keeps throwing himself out of bed and you know how the administration is about falls.” Falls were bad. They get reported to the State. “You hear that moaning down the hall?” she asked. “That’s him. He’s driving all the other residents crazy.” She … Read more
Severely mentally ill residents: Staff training, teamwork needed As I discussed in Severely mentally ill residents: A ‘perfect storm’ creates a SNF wave, long-term care has a growing population of severely mentally ill (SMI) residents, with the number of residents diagnosed with schizophrenia or bipolar disorder approaching 20% in some states as of 2017.1 In … Read more
Anne Marie Barnett, in her June 10, 2008 guest column, wrote about the disruptive effects of younger residents on long-term care facilities. As a psychologist who has worked with many younger residents over the years, I’d like to offer my perspective and some suggestions about how to create an environment in which younger residents can … Read more