Category: Resident care

Why (culture) change is so hard and what to do about it

Posted by Dr. El - July 6, 2017 - Business Strategies, Customer service, McKnight's Long-Term Care News, Motivating staff, Resident care
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Here’s my latest article on McKnight’s Long-Term Care News: Why (culture) change is so hard and what to do about it The team huddled around the nursing station talking in panicked whispers after the management meeting ended. “How do they expect us to do that?” a young nurse wondered. “Yeah,” an aide replied, “we’re stretched […]

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The “last day” protocol

Posted by Dr. El - June 8, 2017 - Communication, End of life, McKnight's Long-Term Care News, Personal Reflections, Resident care, Stress/Crisis management, Transitions in care

Here’s my latest article on McKnight’s Long-Term Care News: The “last day” protocol I waited outside the room until the rehab therapists finished talking to Jim, who’d been admitted to the nursing home the night before. I read over the basic info on his face sheet before my consult. Jim was an 87-year old widower […]

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Suicide prevention in older adults

Posted by Dr. El - November 10, 2016 - Communication, Depression/Mental illness/Substance Abuse, McKnight's Long-Term Care News, Resident care, Role of psychologists, Stress/Crisis management

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% […]

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‘Healthwear’ and other culture changes

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

Posted by 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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Super-utilizers: LTC has them too

Posted by 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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From abysmal to mediocre: Encouraging hand hygiene

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

Posted by 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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Full code: Discussing advance directives

Posted by 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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Depression – AND its treatments – are fall risks

Posted by Dr. El - May 25, 2016 - McKnight's Long-Term Care News, Psychology Research Translated, Resident care, Resident education/Support groups

Here’s my latest article on McKnight’s Long-Term Care News: Depression – AND its treatments – are fall risks Feeling “down” takes on a wicked double-meaning for some seniors. Even conscientious providers could be unaware of it, let alone know what to do about it. As McKnight’s Staff Writer Emily Mongan points out in “Depression treatments […]

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