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The Need for Preventative Health Care Practices in Long-Term Care
April 22, 2009 8:57 AM by Brian Garavaglia
Although nursing care facilities have made considerable advancements in the quality of life offered, there still is substantial room for improvement. One of the areas that need to be focused on is creating a culture that nurtures greater activity and Read More...
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What Can Long-Term Care Learn From Enron?
March 30, 2009 1:01 PM by Brian Garavaglia
Today, most people are familiar with the story of Enron. A company that was once looked at as one of the exemplary companies in the United States became a buzzword for corruption and mismanagement. Although the problems that came to eventually destroy Read More...
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The Nursing Home Rating System Revisited
January 19, 2009 10:55 AM by Brian Garavaglia
In my June 30, 2008 blog post " Can Apples and Oranges be Compared ?" I wrote about the anticipated implementation of the nursing home rating system that the federal government was going to introduce. Since that time the Centers for Medicare and Medicaid Read More...
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Changing Brains
December 31, 2008 10:46 AM by Brian Garavaglia
Are you paying enough attention to your residents' cognitive wellness? Read my latest column on the ADVANCE Web site . Read More...
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We Still Have A long Way To Go
November 19, 2008 1:24 PM by Brian Garavaglia
With all the changes that nursing homes have undergone during the last 20 years, we still have a considerable way to go. Even with nursing home reform that started slightly over 20 years ago, especially the movement to make the nursing home environment Read More...
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Depression and Pseudo-Dementia in the Long-Term Care Population
August 12, 2008 1:30 PM by Brian Garavaglia
What interests me is how often stereotypes dedicate care. In society, individuals still assume older adults should be depressed and that it is part of normal aging. Furthermore, in long-term care this stereotype is even further consolidated. It is often Read More...
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The Importance of Creating Workplace Spirituality in Long-Term Care Environments
July 28, 2008 12:16 PM by Brian Garavaglia
When someone hears the word spirituality, along with a statement of attempting to introduce it into the workplace, what immediately comes to mind is someone attempting to interject their religious beliefs into the workplace environment. Although this Read More...
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Trust Starts at the Company Level
May 27, 2008 10:31 AM by Brian Garavaglia
Team building is an important facet for an organizational environment. In a previous article I mentioned the importance of trust for team development. It was also mentioned that the facility administrator has to lead this effort toward establishing a Read More...
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Dealing with Problem Work Behaviors in Long-Term Care
May 13, 2008 12:17 PM by Brian Garavaglia
In the previous article, Problem Personalities can Lead to Workplace Turmoil, a few major personalities and their resultant issues were examined. This paper looks at personality problems, their behaviors, and how to address these issues in long-term care Read More...
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Team Building in the Long-Term Care Environment
April 14, 2008 1:03 PM by Brian Garavaglia
The importance of the team in long-term care cannot be overstated. No single individual has all the answers. For efficient management to exist, the importance of a functional team is needed. However, all too often, team building is viewed as something Read More...
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Do Politicians Understand That Long-Term Care is Part of the Health Care System?
March 13, 2008 3:17 PM by Brian Garavaglia
During this year, a year in which our country will elect a new President, health care has become an important part of the agenda. Liz Rosto in her post entitled Decision 08 , writes about the issue of heath care and the apparent lack of emphasis given Read More...
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Be a PEST: The Social, Political, Economic and Technological Forces that Influence Nursing Home Administration
February 19, 2008 2:20 PM by Brian Garavaglia
Nursing home administration entails being aware of the macro social, economic and political forces that shape the daily life of nursing home administration. This is not an easy task since these forces are constantly changing and influencing the nursing Read More...
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Hot Button Topic: Is the Type of Nursing Home Ownership Important?
January 22, 2008 10:27 AM by Brian Garavaglia
A recent September 2007 New York Times article entitled, At Many Homes, More Profit and Less Nursing , discussed the issue of profit and ownership, especially by private equity firms. This article especially was quite critical of many companies that reduce Read More...
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Root-Cause Analysis: Correlational vs. Causative Findings
January 17, 2008 8:48 AM by Brian Garavaglia
It has been mentioned in the first three parts of this series that root-cause analysis is an important process to use in order to discover and find solutions to vexing issues that arise in long-term care. However, at the end of the third series, it was Read More...
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Role Ambiguity as a Part of Nursing Home Life
November 21, 2007 11:14 AM by Brian Garavaglia
An interesting part of working in long-term care, if for that matter any form of health care, is that it is never static and the roles that worked for you one day may not be the ones that will work for you the next day. Most of us seek stability and we Read More...
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