"A week before, I am focused on tying up loose ends, and I delegate things I know are coming so when I get back, they'll be finished. It clears my mind before I leave, so nothing is pressing."
I've been thinking a lot about tires today. Mostly because I can. And because my brain hurts from pondering possible PPS changes, Ultra-High therapy billing, and whether peptide-hydrogel biomaterial helps heal chronic wounds.
"Pictures of my grandchildren, just because I can look at them when the rest of the world is in chaos. They're my port in the storm."
It's just not fair. You're the one who sat at that traffic light forever, and then when it finally changed, some idiot in the lane beside roared through first, without even slowing down.
"Take everything in stride. Work through the difficult times and enjoy the good ones. You stress about too much stuff you can't fix."
It's like a dash of smelling salts under the nose. Talking to actual long-term care residents always affects me like that: an abrupt awakening from the fog and unconsciousness of stress, distraction and a barrage of daily trivialities.
"I have the Yellow Stickies app. If I'm signed up for a McKnight's webinar, I put it there so I can stay organized. It's all in columns so I can see what I need. I can see when I need to recheck, or have a sales meeting."
Oh great. He's going to talk about sarcasm. Perfect.
"Most people have no understanding of how long-term care nurses are as good as acute-care nurses. They are better assessors and have skills because physicians aren't at our beck and call. We have to have a better ability to triage."
Once again, our planet completed its 584-trillion-mile encirclement of the sun and safely brought us back to October/November and two things that matter most — LTC conventions and baseball.
"Conflict resolution would be a big one. I have 300 employees and they don't always get along. It really depends on the situation, but it's usually employee to employee."
Here's one thing baseball has taught me about long-term care—all financial problems would disappear if we priced our services like ballpark beer. But there's another lesson to be learned.
"It is the unexpected parts of my day that are sometimes my favorite. I love walking through our centers and hearing residents answer the question of what life at Wesley Woods is like."
Corn loves classical music. It's all ears for the stuff.
As an occasionally obsessive hiker navigating the meandering trail of my existence, I'm constantly rediscovering it's a metaphor for everything — from life in general to long-term care.
"My first job going into this particular field was an administrator-in-training, where I would come in and work in a nursing home."
It was just meaningless workplace chatter, signifying nothing.
"In the next decade it does not appear that a cure for Alzheimer's disease will be found."
"Dining services. It's a big component that residents focus on. It would be fun to cook in the kitchen and talk to the seniors in the dining room and see their reactions."
From now on when I ponder the future of long-term care, I'll think about Uncle Jimmy.
"It's using technology to allow residents to live independently. The future of aging allows us to look for more opportunities for seniors to age in place, and to maintain independence and dignity."
Hard as it seems to believe after 17 years of vocationally wedded bliss, there was a time when long-term care and I weren't together. It's sobering to consider.
"I think the thing I would like folks to know is there's always a battle to get rid of the stereotypes. The people I work with are very intent on putting their heart and care into what they do. People need to come and see that."
So, how should I react to what that back-stabbing little blankety-blank (fake name redacted for HIPAA compliance) said or did to me?
"I tell every new associate, whether they're changing linens, washing dishes, providing nursing care or working in one of our leadership positions: You are an advocate and a professional. Represent yourself, our community and senior living with pride."
Like many respectable professions, long-term care has plenty of highly competitive, aggressive people. Brave scientists who sedate, tag and study them in the wild have labeled them Type A personalities.
"I no longer get old. I work with people 80, 90, 100 years old that are young at heart. It teaches you that you can have a vibrant and young perspective no matter what your age."
It's suddenly 2016, and I'm uneasy. Perhaps you know that vague apprehension. Like maybe you left your newly stocked phosphorescent med cart unlocked in the parking lot overnight, or ran off to work with the hot iron resting face down on a pile of tinder-dry copies of McKnight's.
"Exactly what I'm wearing now [a tie, dress shirt, black pants]. I wear this every day except Friday, which is casual."
Have you ever had some well-meaning someone give you a gift that turns out to be more like a job?
"Probably go out with my patients for a simple thing like eating outside or going to a restaurant they like. We try to give them all these choices. They might want a special breakfast, but we have 275 patients, and if we give everyone their own breakfast, nobody would get it on time. I'd probably take one or two at a time if they wanted to go out. That's what I'd want."
They were seniors, so I suppose they were used to being invisible. They were also veterans — a double-whammy. Add in the fact that most were from long-term care settings, and you have the perfect storm. These 13 relics of World War II, Korea and Vietnam were almost asking to be ignored.
"One of my most favorite projects to work on when I'm not at work creating extraordinary experiences for our elders is gardening. I have perennials around my entire home and garage as well as two corner gardens that I spend numerous hours from spring until snow flies tending to."
For long-term care providers who usually only check the sky to see if it's falling, the recent harvest supermoon lunar eclipse brought the chance for a fresh perspective.
McKnight's readers sound off on what"hidden talent they value most.
It's long-term care convention season again. You can feel it in the air. Strange, troublesome urges start to take over.
Answers compiled during the Long-Term and Post-Acute Care (LTPAC) Health IT Summit in Baltimore.
Here's my naïve and rather radical gardening philosophy — it should be an act of joy, not stress or fear. But another striving human I know, along with a few people I've met in long-term care, seems to have a hard time embracing that viewpoint.
Adversity, that irrepressible rascal. We're far too familiar with it in long-term care.
In both life and long-term care, we tend to distrust the simple solutions.
I love technology. I'm using some right now. It's technology, after all, that translates brain waves and finger twitches and makes it possible for me to tell you how much I love technology. Though my advancing age makes our relationship adversarial at times, I'm definitely a fan.
We don't have crickets in long-term care, but we should. They're very soothing insects. Experts on Crickipedia maintain that they actually emit four different sounds — a calling song, an aggressive song, a courting song and a copulatory song. Most human communication fits into those categories as well.
Whenever I pass one of those cinderblock mini-storage places with double-loaded rows of strictly functional corridors, I think the same thing: "That looks like some nursing homes I've been in."
Is it just a coincidence that on the day after the most heartbreaking defeat ever in Seattle sports, following the worst coaching decision in recorded football history, not just the Super Bowl, I choose to write about alcohol? Probably not.
With all the issues you face in long-term care, it doesn't surprise me you've never given a moment's thought to one of the great travesties of modern civilization — that there's way too much crème brulee in this world, and not nearly enough panna cotta.
The single most important precipitant for placement of Parkinson's disease patients in a long-term care facility is psychiatric dysfunction, particularly psychosis.
In an attempt to learn if I'm allergic to gluten, nuts or dairy, I might have also simultaneously stumbled onto a strategy for solving all problems in life and long-term care management.
I have theories about things. It's a perfectly risk-free pastime, since I never have to prove any of them. It's just my opinion, after all, based on a rumination, which grew out of a random thought, which began as a mere zygote of a formless hunch.
You Mystery Shoppers have spoken: Assisted living communities do a bad job making a good first impression. If true, it's definitely a problem, and I'd thank you for sharing if I knew your real names.
If you're looking for an inspirational nugget to share at stand-up tomorrow morning, I might just have something for you.