But medicating for agitation without attempting to understand the cause of the agitation will result in physical, psychosocial, and emotional issues. It may result in falls.
Breaking down the therapy changes
By
Jean Wendland Porter
Nov 08, 2021
Proposed rules almost always become final rules. On November 2, 2021, the Centers for Medicare & Medicaid Services (after threatening for four years) finalized the 15% payment reduction for outpatient...
Managing RCS-1
By
Jean Wendland Porter
Sep 18, 2017
The new Resident Classification System, which may be implemented Oct 1, 2018, is changing the game. I say “may be implemented” because there’s reason to believe that it may be delayed...
Life or death
By
Jean Wendland Porter
Jun 13, 2018
As healthcare workers, especially as healthcare workers in long-term care, we don’t have jobs that most people can identify with.
Never ruin an apology with an excuse
By
Jean Wendland Porter
Jun 28, 2022
Never ruin an apology with an excuse – Ben Franklin Medical malpractice is not something we like to think about. For my entire career, even though I worked for corporations and individual entities,...
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...
Expect the unexpected
By
Jean Wendland Porter
Apr 26, 2021
It’s a beautiful spring day in April in Northeast Ohio, and there are four inches of snow on the ground. It’s covering the daffodils and the apple blossoms. This is not unusual nor unexpected,...
How to manage [People, Tragedies, Work, Reimbursement, Life]
By
Jean Wendland Porter
Aug 21, 2019
What’s stressing you out today?
Light duty or new job?
By
Jean Wendland Porter
Oct 11, 2019
Remember “light duty,” when your certified nursing assistant or nurse gets hurt during a patient transfer and they disappear into an eternally deep black hole? What is the definition of light duty?...