Welcome to
My Better Nursing Home & LTC!

The time spent in long-term care can be one of growth, emotional healing, and creativity for residents, staff, and family members.  If you’re wondering how to get there from here, please look through this site and read my blog, where you’ll find answers that will allow you to create positive change instantly, whether you’re a CEO, a CNA, or seeing a loved one in long-term care.

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"My goal is to make long-term care a place I'd want to live when it's my turn, using my training as a psychologist."

Recent Blog Posts

NHSeniorWoman

Wisdom from elders

Dr. El - August 16, 2016 - Communication, Inspiration, McKnight's Long-Term Care News, Personal Reflections, Something Good About Nursing Homes

Here’s my latest article on McKnight’s Long-Term Care News: Wisdom from elders I’ve learned a lot from listening to residents over the years, but it’s rare that I request specific advice. This month, I decided to change that. In private conversations, I told residents that I was writing an article on advice from elders about […]

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NHClothes

‘Healthwear’ and other culture changes

Dr. El - August 2, 2016 - Customer service, For Fun, Inspiration, McKnight's Long-Term Care News, Resident care, Technology, Tips for gifts, visits

Here’s my latest article on McKnight’s Long-Term Care News: ‘Healthwear’ and other culture changes My mother has a knack for taking something awkward and, as she puts it, “turning it into a feature.” For example, the previous owners of our family home placed the living room couch in front of a protruding radiator so that […]

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My Better Nursing Home

Reflections on the value of psychology services

Dr. El - July 28, 2016 - Anecdotes, Depression/Mental illness/Substance Abuse, Personal Reflections, Role of psychologists

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 […]

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NHClothes

NYTimes: Fashion’s Newest Frontier: The Disabled and the Displaced

Dr. El - July 21, 2016 - Resident care, Technology, Tips for gifts, visits

In Fashion’s Newest Frontier: The Disabled and the Displaced, author Vanessa Friedman writes about clothing for people with disabilities, referred to as “healthwear.” Among the items now available are Magnaready‘s clothes with magnetic closures rather than difficult-to-manage buttons, and shirts by Care + Wear designed for people with medical ports so that they can stay […]

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Carer Helping Senior Man With Walking Frame

Racism and LTC

Dr. El - July 19, 2016 - Business Strategies, Communication, Customer service, Engaging with families, McKnight's Long-Term Care News, Motivating staff

Here’s my latest article on McKnight’s Long-Term Care News: Racism and LTC A friend of mine called me this week, upset about the racial tension making headlines in the news. We discussed what we could do as individuals to improve the situation. “I called a friend of mine of a different race,” she said. “I […]

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NYTimes: Too Old for Sex? Not at This Nursing Home

Dr. El - July 14, 2016 - Books/media of note, Business Strategies, Customer service, Resident education/Support groups, Something Good About Nursing Homes

Food for thought in this New York Times article: Too Old for Sex? Not at This Nursing Home By WINNIE HU JULY 12, 2016 When Audrey Davison met someone special at her nursing home, she wanted to love her man. Her nurses and aides at the Hebrew Home at Riverdale did not try to stop […]

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Money

Super-utilizers: LTC has them too

Dr. El - July 7, 2016 - Business Strategies, Common Nursing Home Problems and How Psychologists Can Solve Them, Communication, McKnight's Long-Term Care News, Resident care

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 […]

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My Better Nursing Home

From abysmal to mediocre: Encouraging hand hygiene

Dr. El - June 22, 2016 - McKnight's Long-Term Care News, Motivating staff, Resident care

Here’s my latest article on McKnight’s Long-Term Care News: From abysmal to mediocre: Encouraging hand hygiene As a consultant in long-term care, I learned how to properly wash my hands by reading the hand hygiene poster hung above the sink at one of my first nursing homes. I’ve gotten more diligent over the years (read: […]

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Last Comforts Cover

Dr. El’s work mentioned on “Last Comforts” blog

Dr. El - June 9, 2016 - Books/media of note, End of life, Resident care

I’m pleased to report a nice mention of my work on the blog of journalist Ellen Rand, author of Last Comforts: Notes from the Forefront of Late Life Care. Last Comforts, the book and the blog, focus on improving ways of managing late-life care.  Below is an excerpt of her blog post. The rest can […]

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My Better Nursing Home

Full code: Discussing advance directives

Dr. El - June 8, 2016 - Communication, Customer service, End of life, McKnight's Long-Term Care News, Resident care

Here’s my latest article on McKnight’s Long-Term Care News: Full code: Discussing advance directives Assistance in creating a “good death” is a fundamental task of any organization working with elders and may be addressed by a number of team members singly or in combination. Since these discussions are often easier said than done, I thought […]

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