One question that has come up repeatedly over the years when I have been working with leaders that are new to the idea of culture change is, “Where do I start?”
Do the right thing when people are watching!
By
Julie Thorson
Apr 28, 2016
Every once in a while a leadership principle that you have held on to tightly for years gets turned on its ear.
How to make GPOs work for you
By
John P. Sganga
Aug 15, 2012
There was a time when long-term care facilities could pay top dollar for products and services and still enjoy comfortable profits, but those days are long gone. In 2012, as costs increasingly outpace...
Depressed, angry and … thankful
By
Jacqueline Vance, RNC, CDONA/LTC
Nov 24, 2020
Every Thanksgiving it has been my habit to meditate on what I am thankful for. I thought I would struggle this year.
The value of therapy in the New World Order of PDPM
By
Jean Wendland Porter
Apr 10, 2019
Rationing care may benefit the facility’s bottom line in the short term, but will not generate positive outcomes and good will in the community. As I advise and sometimes lecture, we need to do the right...
Depression in dementia: How do you know?
By
Jean Wendland Porter
Dec 22, 2017
Most of us have used or at least aware of the PHQ-9 (Patient Health Questionnaire) scale for depression. Through a series of questions that are directly related to the DSM-IV criteria, a patient or caregiver...
The Maturity Continuum in QAPI
By
Tara Roberts
Sep 11, 2015
How could I improve upon what I feel is a very strong and effective method of teaching and achieving successful skin and wound care programs?
A new approach to Alzheimer’s care
By
Charlotte Dell, L.M.S.W.
Mar 18, 2015
When I watched “50 First Dates,” I had an idea: If watching a video could help a character with memory loss, perhaps it could be applied to Alzheimer’s care. That was the beginning of...
Eastern vs. Western standards of practice
By
Shelly Mesure, MS, OTR/L
Jun 26, 2012
The theory of improving function in China is overshadowed by the focus on comfort, reducing pain, and providing as much rest as possible. From a cultural standpoint, the family dynamics are very different...
Why it’s impossible to maintain prior levels of care quality, and what to do about it
By
Eleanor Feldman Barbera, Ph.D.
Apr 24, 2018
Residents and their family members are likely to expect that when they enter long-term care, staff members will provide compassionate medical treatment. Instead, what they frequently find are stressed...