The Daily Editors' Blog
While nobody in the field is shouting it from the mountain tops, the long-term care sector has been enjoying more than its share of easy layups lately. That could be coming to an end in the not too distant future.
As Mom used to say, where you stand usually depends on where you sit. That adage seems especially relevant for handling the wishes of residents diagnosed with terminal conditions.
According to a psychologist at the University of Bonn, recognizing people's emotions positively affects income, namely because these people in a business environment are able to care and deal with the emotions of their colleagues.
At first blush, the phrasing seemed like the punch line to a questionable long-term care-related gag. But upon further reflection, it began to sound more and more like an earnest compliment. The government's Nursing Home Compare website is better than others but still ripe for improvement? So true.
The Real Nurse Jackie
Is it me or sometimes do the wide interpretations within the State Operations Manual (the dreaded "RED book") make you want to question your entire existence? I mean, we've been working so diligently toward Culture Change and the true meaning of person-centered care. Nationally, I thought we were making headway. But nooooooo.
As a Charlton Heston movie once illustrated in an indirect way, it's important to know about the lives of who is living in our home. It's about relationships, not about heads in the beds.
Over 6,000 healthcare providers are voluntarily testing bundled payments for episodes of care, adding to the momentum around episode-based, accountable care models in Medicare. One of the key goals of the Bundled Payments for Care Improvement demonstration is to reduce the variation in the cost of an episode of care.
I can remember a conversation that I overheard between my mother and aunt when my grandmother was in her last few years of life. In essence, they were talking about open areas that my grandmother had on her backside. I knew that what was happening to my grandmother was not a good thing for her. It certainly wasn't something I wanted for my mother.
Things I Think
For success in long-term care, you want your employees to stay well, and especially not dead. If it isn't already, that should probably be a primary component of your business plan. A dead staff member is notoriously unreliable, often not even having the courtesy to call in, finish tasks as assigned or complete a proper exit interview. So you need your people alive. It's just good business.
Food. It's important. I once foolishly tried to go several weeks without any. I almost died and was finally forced to start eating again. Evidence suggests I overcorrected, so it's definitely a fine line.
You might be thinking this is going to be about the intriguing restaurant chain The Melting Pot. While I do love fondue (especially the cheese and chocolate varieties), I want to look at something crucial to our profession, and not just our palates.
Many of our therapy patients are medically complex and we, unfortunately, are not able to predict the future, as it sometimes seems that regulators want us to do.