Loneliness: Epidemic and Enemy of F-699 (and everything else!)
While being alone is something almost all of us seek at some time in our lives, there’s a difference between “alone” and “lonely.” I think there might be a difference between “lonely” and “lonesome,” ... ...more
Trauma
April 30, 2025•2 min read
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, 2025•2 min read
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, 2025•2 min read
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, 2025•2 min read
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, 2025•2 min read
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, 2025•1 min read
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, 2025•1 min read
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, 2025•1 min read
It’s Cold Out There..
Well, we’re now in mid-February a time of year that can be cold, gray, and dirty with slushy snow. And the winter this year has been wild--who ever thought they’d see ice hockey on the streets of New ... ...more
Resilience
February 19, 2025•1 min read
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, 2025•2 min read
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, 2025•3 min read
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, 2025•1 min read
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