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What Needs to be Done to Improve Nursing Home Care
January 28, 2015 9:30 AM by Brian Garavaglia
Over two decades ago the report from the Institute of Medicine (IoM) led the way for monumental changes to take place within the nursing home industry. The report of the IoM basically stated that nursing homes needed significant reform and that it was Read More...
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Finding the Problem: Avoiding the Misguided Search
October 30, 2014 11:11 AM by Brian Garavaglia
One of the buzzwords in long-term care is looking for the "root-cause" for various problems that arise. Many of these "root-cause" searches are often based on resident care. Others are often facility-based, especially related to financial information, Read More...
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Can Jellyfish Hold the Secret to the Fountain of Youth?
October 22, 2014 2:06 PM by Brian Garavaglia
The fountain of youth and eternal life has been something that has been sought and spoken about for a number of years. We still often hear the term, "anti-aging" used in reference to various types of supplements that are frequently advertised, as if using Read More...
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One Half of Commonly Prescribed Medications Increase Falls Among the Elderly
September 3, 2014 11:26 AM by Brian Garavaglia
The European Journal of Public Health has found some important news: Many medications prescribed to the elderly may potentially lead to more harm due to falls, which subsequently can lead to certain life-threatening injuries. It was found that one-half Read More...
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Older Adults are Feeling Younger
April 30, 2014 10:00 AM by Brian Garavaglia
In a recent survey, when centenarians were asked how old they felt, they stated they felt approximately 17 years younger, on average 83 years of age. Also, when those who were 65 years of age were surveyed on how old they felt, they said they felt on Read More...
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Study Finds Nursing Care Varies Tremendously by State
April 15, 2014 10:59 AM by Brian Garavaglia
It has been known for some time that nursing home care is not the same in every nursing care facility. In a recent study published by a nonprofit advocacy group, Families for Better Care , the group's review looked at nursing homes and care found in these Read More...
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Frontal-Temporal Dementia
November 24, 2010 8:32 AM by Brian Garavaglia
In the November/December edition of Scientific American-Mind , one of the feature articles discusses an often misdiagnosed illness called Frontal-Temporal Dementia (FTD). Formerly called Pick's Disease, a disease that has been known about for a number Read More...
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Integrating a Person-Environment Perspective
January 28, 2010 11:32 AM by Brian Garavaglia
Nursing facilities have come a long way from the custodial environments that were dominant in many care settings some years ago. With recent regulations averring the need for nursing facilities to be more homelike environments, many nursing facilities Read More...
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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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About this Blog


    Brian Garavaglia, PhD
    Occupation: Long-term care administrator
    Setting: Sterling Heights, Mich.
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