Publications

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Perspective and Intergenerational Connection in a Nursing Home

Caring for the Ages
November 1, 2025
Sonder. [son-der] noun. The feeling one has when realizing that every other person around you has a life as full and real as one’s own. It’s a simple concept that fascinates me and compels me to seek out slices of other people’s lives. That exact...

What I Learned From a Long Career in Assisted Living

Caring for the Ages
November 1, 2025
In 1990 when I finished my fellowship training in geriatric medicine at UCLA, I returned to New York City where I’d grown up and knew pretty much what to expect. Between basic science research before medical school, residency in internal medicine,...

Toes in the Sand: A 102nd Birthday Wish Fulfilled

Caring for the Ages
November 1, 2025
Ruth, who will turn 102 this month, has been a staple at our retirement community since the moment she walked in. The other residents describe her as incredible, elegant, and inspiring. She brings wit, humor, beauty, and all of the wisdom she earned...

Rediscovering Purpose and Passion: My Journey Through Loss, Isolation, and the Healing Power of Connection in Long-Term Care

Caring for the Ages
November 1, 2025
As a psychiatric mental health nurse practitioner, I often see residents in long-term care settings at their worst times. I went into psychiatry and particularly long-term care because as a former registered nurse case manager for a waiver program I...

Gaps and Opportunities to Improve Post-Acute Care Decision-Making for Older Veterans: Insights From VA National Leaders

JAMDA
October 31, 2025
To understand how national leaders within the US Veterans Administration (VA)—a large, integrated single-payer/provider system—conceptualize post-acute care decision-making.

An Explicit Live Discharge Protocol for Hospice-Initiated Live Discharges

JAMDA
October 31, 2025
Hospice-initiated discharges, or those not requested by patients or caregivers, are distinct from voluntary disenrollment from hospice because they often occur without adequate preparation. Hospice patients who have stabilized and been deemed no...

Recommendations for Integrating Certified Nursing Assistants Into Interdisciplinary Care Teams and Planning

JAMDA
October 31, 2025
Certified nursing assistants (CNAs) are foundational to delivering hands-on care in nursing homes; however, persistent shortages and high turnover threaten care quality and workforce stability.1–3 Elevating the CNA role, particularly through...

Virtual Group Clinics Improve Self-Reported Long COVID Symptoms Among Veterans: Results From a Holistic Care Approach

JAMDA
October 29, 2025
Long COVID (LC), has created unprecedented challenges for health care systems. This condition, characterized by multiorgan symptoms lasting beyond 12 weeks after initial infection, affects approximately 10% to 26% of COVID-19 survivors,1 resulting...

A Simultaneous Mixed-Methods Examination of Factors Influencing Intent-to-Leave Among Nursing Home Care Providers in 25 Long-Term Care Facilities

JAMDA
October 29, 2025
We examined nursing home care providers' (NHCPs’) self-reported intent-to-leave (ITL) within 1 year and identified associated demographic, well-being, and workplace factors.

Medicaid Mechanisms and State Licensure: Pathways to Payment in Assisted Living

JAMDA
October 28, 2025
To document and highlight the variation in the types of assisted living (AL) licensed settings eligible for Medicaid home and community-based services (HCBS) payment.