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...
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...
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...
What worries me about trauma-informed care
What worries me about trauma-informed care I was relieved last month when I saw that my fellow Psychologists in LTC member, Lisa Lind, Ph.D., had written an article for McKnight’s about Preparing for trauma-informed care in LTC. As McKnight’s resident behavioral health expert, I was feeling like I should write something on the subject, but...
Severely mentally ill residents: Staff training, teamwork needed
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...
Enhancing resident independence
Enhancing resident independence 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....
Preventing violence in long-term care
Here’s my latest article on McKnight’s Long-Term Care News: Preventing violence in long-term care As I developed a training program on violence prevention, I reflected on a scenario I’ve witnessed many times in my career. A resident who had been physically aggressive toward aides and nurses got sent to the hospital only after he hit...
Healthcare changes that burn me out — and burn me up
Here’s my latest article on McKnight’s Long-Term Care News: Healthcare changes that burn me out — and burn me up I was recently required to take an online training module on burnout for physicians and allied professionals. It was the first time in 20-plus years that I’d received a formal message about self-care from any long-term...
Trend #5: Re-Envisioning Long-Term Care
The American Psychological Association published an article in the APA Monitor on “Trends to Watch in 2019.” I was pleased to see that geropsychology was Trend #5. Read what my colleagues and I have to say in Tori DeAngelis’ piece on Re-Envisioning Long-Term Care.