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The Social and Psychological Process of Dying
November 17, 2009 3:24 PM by Brian Garavaglia
Those who work in long-term care are all too familiar with death. Death is very much a part of life, but those who work in the long-term care environment become quite acquainted with the death and dying process as part of an endemic feature of this type Read More...
Mind and Body
November 2, 2009 4:30 PM by Brian Garavaglia
The nursing home, being predominately a medical environment, relies overwhelming on pharmacology for addressing issues of pain management. However, as I have mentioned in previous articles, pain is more than just a biological issue. The subjective nature Read More...
Additional Staff Training Must Accompany the Increasing Complexity of Care
June 22, 2009 9:48 AM by Brian Garavaglia
Click here to read Brian's column " Gerotalk " on the ADVANCE for Long-Term Care Management Web site. According to AHCA, many long-term care organizations are increasing the levels of services they provide: More than 36 companies are adding rehabilitation Read More...
The Effects of Pseudopositive Attitudes
June 2, 2009 12:52 PM by Brian Garavaglia
Click here to read Brian's column " Gerotalk " on the ADVANCE for Long-Term Care Management Web site. All too often care provided to many older adults is offered in a manner that may be viewed as positive. In many long-term care facilities those that Read More...
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...
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...
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...
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...
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...
Matching Residents to Facility Resources
August 29, 2008 10:41 AM by Brian Garavaglia
It is no surprise to anyone who works in health care that census is always a critical issue for long-term care facilities. This especially is an important focus for many skilled nursing care facilities. As more assisted living facilities are now taking Read More...
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...
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...
Can Apples & Oranges Be Compared?
June 30, 2008 10:20 AM by Brian Garavaglia
The Bush administration advocated the need to rate nursing homes on a similar ranking system to that found in the hotel and restaurant industry. At first blush this seems an intuitively simple and consumer friendly system. Why not have consumers that Read More...
Recognize Alzheimer’s as a Social Disease
June 19, 2008 10:52 AM by Brian Garavaglia
Alzheimer's Disease is a progressive and debilitating disease that often leads to a person's inability to understand and be aware of their conscious existence. As a disease it is incurable and due to its inevitable progression, leads to one of the most Read More...
The Psychology of Personal Orientation
June 3, 2008 10:28 AM by Brian Garavaglia
Health care administrators have to understand the psychology of the people that they interface with daily. A cooperative management environment is essential for the continuity of sound health care. However, to do so, administrators must understand something Read More...


About this Blog

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