Kind words from residents

To get us in the spirit of gratitude for Thanksgiving, I've included a sample of grateful comments made by residents to their psychologists. The nice things they say can really make things better.

The secret to LTC success? A focus on well-being

Despite the diversity of the events I attended during my brief visit to the LeadingAge convention in Boston last week, a theme clearly emerged. The thread that ran through the varied offerings was well-being

How to find out why your staff is leaving

Some of the reasons employees leave are beyond our control. But many are not. Here's how to start figuring out how to stop the flow and reduce turnover.

'The Adventures of The Geropsychologist'!

There have been thousands of movies and TV shows about the exciting work of cops, lawyers, and hospitals, but long-term care? Fuhgeddaboutit! Until now.

Behavioral health care — not drugs — for dementia

For the treatments to help dementia patients, turn to behavioral health solutions, not antipsychotic drugs. Just like others around the world.

7 powerful ways to deliver family-centered care

When a resident enters long-term care, we tend to focus solely on the needs of the resident, even though they're almost always part of a family system that is being affected by their placement. If we consider that we're admitting families rather than just the residents themselves, we'd recognize the need to provide family-centered care in addition to resident-centered care.

The high cost of rudeness

Given the stresses of caregiving and the complexities of human relationships, incivility happens. But considering the potential impact of rudeness on care, we need to do more to understand and prevent rudeness when we can. Here's how to start.

Spirituality in long-term care

In the beginning of my long-term care career, I quickly recognized that in order to be of service in this environment, I needed to come to a spiritual understanding of how such nice people could be dealing with such difficult illnesses. This was important because psychology graduate school, much like med school classes, definitely had not focused on clients' spiritual needs.

Dr. El's Shrinky LTC Fantasy

I hung up the phone with the managed care case reviewer. The patient in question was in her late 50s, with multiple sclerosis and other physical problems that had left her bed-bound. What else would need to happen to get her more than a month of treatment? An amputation? The death of her only child?

Diabetes care: Take two betta fish and call me in a week

These days, with organizations being penalized for rehospitalizations and closely monitored on clinical outcomes, it would probably be very worthwhile to provide a group of elders with some pet fish, food and a tank — along with their own self-care training before discharge or after diagnosis.