Bruce W. McCollum

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A Home Safety Assessment Doesn’t Have to Wait for a Home Visit…

Getting an occupational therapist into an AFC home for every ADL assessment, fall-risk scan, or adaptive equipment check isn’t always fast — or necessary. Telehealth can...

Perception Matters as Much as Intent in Personal Care…

Personal care work — bathing, dressing, toileting assistance — puts staff in close physical proximity to residents every day. Even well-intentioned, entirely appropriate care can be...

Working Alone in Someone’s Home Takes a Different Kind of Training…

Private duty home care staff don’t have a supervisor down the hall or a team nearby if something goes wrong — they’re managing medications, transfers, aggression,...

The Same Core Skills, Three Very Different Settings…

Nurse Assistive Personnel move between hospitals, nursing homes, and private homes throughout their careers — and while the core principles of good care stay constant, how...

One Home, Five Very Different Sets of Needs Under One Roof

Most residential care homes don’t serve just one population — a single house can include residents managing mental illness, developmental disabilities, dementia, physical disabilities, and the...

Starting a Care Business Shouldn’t Mean Starting From Zero

Every state licenses adult day care and adult foster care differently — different agencies, different physical plant rules, different Medicaid billing structures, different paths to VA...

Real Independence Looks Like a Real Job — Coaching Gets Residents There

For residents recovering from TBI or SCI, meaningful work isn’t just a goal on paper — it’s a real path toward independence and dignity. Getting there...

The Therapist Writes the Plan. Your Program Aid Brings It to Life Every Day…

A licensed clinician can design an excellent cognitive rehabilitation plan, but its success depends almost entirely on how consistently and skillfully it’s carried out day to...

Even Your Strongest Staff Need a Reset Once a Year…

Routines drift. Shortcuts creep in. Standards evolve while staff are heads-down in the daily grind of shift work. Experienced direct care workers don’t need to repeat...