Help me.

Help me.

This showed up in my Microsoft Teams August 2024. I was surprised, concerned, and puzzled. Was it a scam? Was the sender really the sender? If it was, were they OK? ...more

Trauma

April 23, 20251 min read

Word scrubbing: Unintended consequences

Word scrubbing: Unintended consequences

About a month ago, a list of words began to circulate. Words, that if found in a grant application, resulted in revocation or rejection. One of those words is “trauma.” ...more

Trauma

April 16, 20252 min read

Threat

Threat

I get more calls from stressed leaders these days than I’ve gotten in a long time. They all want to book coaching time. This organizational SOS comes at a time of great uncertainty for everyone. ...more

Trauma

April 09, 20251 min read

I’m still here! Talking about Care Facilities and that F-699 thing

I’m still here! Talking about Care Facilities and that F-699 thing

Another challenge that relates to last week’s blog is polypharmacy, when someone is on lots of different medications prescribed by several different providers who may not talk with each other. ...more

Trauma

April 02, 20252 min read

The numbers that boil behind F-699

The numbers that boil behind F-699

Enticing title, no? Here’s the skinny. According to data from Statista, approximately 39.89 million prescriptions for sertraline were written in the United States in 2022.  Let’s call that 40 million ... ...more

Trauma

March 26, 20252 min read

Why is TIC Hard to Implement in facilities? F-699

Why is TIC Hard to Implement in facilities? F-699

Last month about this time I delivered a luncheon speech to about 500 members of the NC Health Care Facilities Association, talking about F-699 and the challenges. ...more

Trauma

March 19, 20252 min read

The Ides of March: March 15

The Ides of March: March 15

Somewhere in the middle of March, about the 15th, is “the ides of March.” I’ve always heard it as way to explain away the crappy things that happen around that time. ...more

Trauma

March 12, 20251 min read

The Untyer of Knots

The Untyer of Knots

Back in January, I reopened my coaching practice. I’d gotten a number of calls, and while I’ve been doing one-off work with folks, I’d let it go... ...more

Trauma

March 05, 20251 min read

Health Care Facilities--and the current environment

Health Care Facilities--and the current environment

Y’all remember that little series I did on F-699 citations? How surveyors are finding more psychosocial issues? Recent changes in how things are being applied? The need for all staff development as a ... ...more

Trauma

February 26, 20251 min read

How to Become Trauma-Informed in a Meaningful Way?

How to Become Trauma-Informed in a Meaningful Way?

This is the last of my blogs about those F-tags, F-656, -699, -726 and -742. They are pretty good drivers of change. Behind that, we hope, is the driver of genuine goodwill towards the people served a... ...more

Trauma

February 12, 20252 min read

They called her “the Alzheimer’s in 422”

They called her “the Alzheimer’s in 422”

I heard this story on NPR a long time ago, and it has haunted me ever since. I’m sure I’ve changed a few points, and I hope I've preserved the poignancy. ...more

Trauma

February 06, 20253 min read

Let’s talk Triggers (and F-699 Citations)

Let’s talk Triggers (and F-699 Citations)

This is the third in a series of several blogs about places where people live and receive some level of services, specifically, Assisted Living Facilities, Long Term Care Facilities, and Skilled Nursi... ...more

Trauma

January 29, 20251 min read

Assessing for trauma in care facilities? You need to assess for that?

Assessing for trauma in care facilities? You need to assess for that?

This is the second in a series of several blogs about places where people live and receive some level of services, specifically, Assisted Living Facilities, Long Term Care Facilities, Skilled Nursing ... ...more

Trauma

January 22, 20253 min read

F-699 Do what? Tags, Trauma Informed Care, and HealthCare Facilities

F-699 Do what? Tags, Trauma Informed Care, and HealthCare Facilities

This is the first in a series of several blogs about places where people receive some level of services, specifically, Assisted Living Facilities, Long Term Care Facilities, and Skilled Nursing Facili... ...more

Trauma

January 15, 20252 min read

Plop Plop Fizz Fizz? Slop Slop Whizz Whizz?

Plop Plop Fizz Fizz? Slop Slop Whizz Whizz?

Oh, what a relief it is (with apologies to Alka Seltzer). Or not. One big holiday in the US (last week) down. Who knows how many are left to go for everyone who may celebrate others along the way. ...more

Trauma

December 04, 20241 min read

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