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Journal Highlights From the March Issue of JAMDA

Caring for the Ages
March 1, 2022
Pragmatic trials can determine an intervention’s effectiveness in real-world settings and routine clinical practice, but they come with their own set of challenges, an editorial in JAMDA explains. These include recruiting long-term care...

Lowering the Temperature of a Heated Discussion

Caring for the Ages
March 1, 2022
Yvette Erasmus, PsyD, discusses how to ensure conversations are productive and result in positive outcomes when problems or concerns arise.

Easier Said Than Done: Building Bridges When the Conversation Gets Heated

Caring for the Ages
March 1, 2022
We’ve all been there: a conflict-ridden situation suddenly finds us in a confrontation where we feel angry and defensive. When frustrations run high, the words we use with ourselves and others can really hurt. Our lack of self-awareness and...

Understanding Trauma-Informed Care in the PALTC Setting

Caring for the Ages
March 1, 2022
“There are wounds that never show on the body that are deeper and more hurtful than anything that bleeds.” -Laurell K. Hamilton

The Long and Winding Road: Life Care Center – Kirkland’s Journey for Justice

Caring for the Ages
March 1, 2022
Readers may recall that in March 2020, Life Care Center – Kirkland (LCCK), a skilled nursing facility located in Kirkland, WA, became the epicenter of the COVID-19 outbreak in the United States. By way of brief background, LLCK’s infection control...

Trauma-Informed Care Takes Center Stage in Ongoing Pandemic

Caring for the Ages
March 1, 2022
When the federal nursing home regulations first called for facilities to provide trauma-informed approaches as part of person-centered care as of November 2019, this complex issue received tremendous attention. Then the pandemic hit, and trauma-...

Smart Case Review: Solving Clinical and Systems Problems Rather Than Reacting to Them

Caring for the Ages
March 1, 2022
“We’ve always done it that way.” For a long time, this was how team members would respond to ideas for change or innovation. They then would cite the many barriers that couldn’t be overcome, such as being overworked or short staffed. With the...

Trauma-Informed Care and Regulatory Expectations

Caring for the Ages
March 1, 2022
Dear Dr. Steve: Increasingly, our facility gets more admissions with significant behavior issues and stress-related disorders. I hear staff talk about regulations regarding “trauma-informed” care. What is this all about, and what should I (as a...

Assisted Living Facilities: Benefits, Challenges, and the Importance of Culture

Caring for the Ages
March 1, 2022
In Pakistan, where I grew up, caring for aging parents or grandparents was seldom an issue. Family members either lived close by or had a big family house that accommodated at least two or three generations while allowing privacy. Interdependency...

Turning the Lens of Trauma-Informed Care Toward Staff with Stress First Aid

Caring for the Ages
March 1, 2022
It seems a sad irony — or perhaps fortuitous — that requirements for the provision of trauma-informed care (TIC) were initiated just as the nation and the world were caught in the throes of the COVID-19 pandemic. Considering the SAMHSA definition of...