If toileting were a billable service … The other day over lunch a colleague said to me, “Imagine how things would change if toileting were a billable service.” I laughed, briefly considered that fanciful notion and continued eating my meal. As I gave the idea further reflection, however, it might not be as laughable as … Read more
It’s the week of Independence Day and freedom is on my mind. Residents frequently speak to me of their dissatisfaction with the limitations on their liberty, from being told to sit in a communal room when they want to be alone, to needing a family member to sign them out on pass. “Me and the … Read more
Thank you to author Deborah Quilter and NextAvenue for an even-handed article about nursing homes and for mentioning my work. NextAvenue is “public media’s first and only national journalism service for America’s booming older population. [Their] daily content delivers vital ideas, context and perspectives on issues that matter most as we age.” What Some Nursing … Read more
Last week, New Zealand passed the country’s first “well-being budget,” with billions in funding directed towards mental health, suicide prevention, addiction treatment and combatting poverty. This development had me considering what a “well-being budget” would look like in long-term care facilities. Reducing financial hardship Combating poverty in nursing homes would have to address adequately funding … Read more
Long-term care facilities are admitting more residents with longstanding psychiatric illnesses. Such individuals enter the nursing home for physical rehabilitation but are difficult to discharge back to the community due to their mental health needs, weak or nonexistent support networks and unstable prior housing situations. This column focuses on why the severely mentally ill (SMI) … Read more
In my last column, “How to quit like a shrink,” I outlined ways to exit a nursing home that solidify the connections made there and offer the opportunity for healing. Assuming you’re not independently wealthy, what follows after leaving one position is beginning another. The start of a new job, while exciting and hopeful, also … Read more
The Five-Star Quality Rating System reports the results of health inspections, staffing and quality measures. I suggest we replace the current staffing measure with one tracking staff retention. Here’s my logic: The existing staffing score is the ratio of nursing staff to residents, taking care needs into account. In allowing for self-reporting of the data, … Read more
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
Despite the fact that my search for column inspiration took place at 3 a.m., I chose the topic of sleep deprivation because residents regularly tell me about their own sleep disturbances. They also discuss their pain. Though their aches often keep them up at night, a January 2019 article in the New York Times, “Why … Read more