Grim but unwavering: Notes from the COVID-19 epicenter

I live in New York City, the COVID-19 epicenter of the U.S. There are long lines for the few open supermarkets, the parks are closed and the nursing homes in New York are now mandated to accept COVID residents from local hospitals. I’m in touch with psychologist colleagues from around the area. Some facilities have...


Managing staff anxiety in the time of COVID-19

Much has changed in our lives and our facilities since my column two weeks ago on addressing residents’ coronavirus fears. Back then, residents, like the rest of us, were still receiving visitors and attending communal activities. In addition to its effect on residents, COVID-19 has put enormous stress on those who work in long-term care....


Addressing residents’ coronavirus fears

As the number of coronavirus cases increases around the world, providers may be worried about the emotional impact of the outbreak on residents and how to handle it. One would expect residents to be concerned, given that they’re at higher risk due to their ages, underlying health problems and residence in a communal setting. Rather...


LTC leaders gain remarkable insights from the Sleepover Project

In my first year as a nursing home psychologist, I entered a resident’s room for a session and she invited me to have a seat in her wheelchair, the only surface that was clean and free of belongings. The thought of sitting in a wheelchair freaked me out. Instead, I carried a heavy chair from...


And the Oscar goes to…

And the Oscar goes to… The Oscars kind of bug me. In the gloom of winter, it can be hard not to notice that the extravaganza is filled with self-congratulatory workers wearing clothes that cost more than the yearly salary of several nursing aides. Rather than stew, however, about the puzzling priorities of the world,...


A resolution to serve physical and mental health

A resolution to serve physical and mental health Ah, January — a moment to consider plans and directions for the upcoming months. Like many people, one of my personal goals is to recommit to mindful eating and wise food choices. While some residents like to rethink their diets as a New Year’s resolution, there are...


Getting ‘hygge’ with it, at the holidays and year-round

Getting ‘hygge’ with it, at the holidays and year-round I know, I know, that’s not how the word is pronounced. But as soon as I read about the Danish concept of coziness, I got that darn Will Smith song (“Gettin Jiggy With It”) in my head and I can’t get it out. Hygge (actually pronounced...


The Minister for Loneliness in LTC

The Minister for Loneliness in LTC According to researcher Julianne Holt-Lunstad of Brigham Young University, loneliness has a greater impact on health than smoking 15 cigarettes daily, or obesity, which is associated with 300,000 to 600,000 deaths a year in the United States alone. In England, the “loneliness epidemic” has reached such proportions that they’ve...


The last-minute guide to trauma-informed care

The last-minute guide to trauma-informed care With trauma-related F-tags beginning in less than two weeks, many providers have spent months training their staff and feel quite prepared to manage this sensitive aspect of resident mental health care. For those who might not be completely ready for the Nov. 28 start date, I offer below some...


’Tis the season to help families address end-of-life care

’Tis the season to help families address end-of-life care The holiday season will soon be upon us and with it will come out-of-town family members visiting their loved ones in long-term care settings. Early November is a good time to increase the focus and training on customer service so that the facility is performing at...


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