Bruce W. McCollum

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Recommending a Nursing Home Doesn’t Mean You’ve Failed…

Discharge planners and AFC administrators often feel pressure to keep a resident in the least restrictive setting possible — but sometimes a nursing home genuinely is...

Catching It Early Is the Difference Between a Nuisance and an Outbreak…

Bed bugs spread fast in shared living environments, and by the time an infestation is obvious, it’s usually already expensive and disruptive to fix. Direct Care...

Independence May Look Different For Them — But It Can Still Be the Goal…

Caring for a resident with quadriplegia touches nearly every part of daily support — respiratory health, skin integrity, bowel and bladder management, nutrition — while never...

A Great Week Can Be Just as Telling as a Hard One…

Bipolar disorder doesn’t only show up as a depressive episode staff can easily recognize — a sudden burst of energy, reduced sleep, or a string of...

Bathing, Toileting, and Grooming Are Health Care — Not Just Chores…

Personal care tasks get treated as routine, but done poorly, they open the door to pressure injuries, dehydration, falls, and a resident’s quiet loss of dignity....

The Bias That Shapes Care Decisions Is Rarely the Bias Anyone Meant To Have…

Implicit bias doesn’t announce itself — it shapes hiring decisions, shift assignments, and even how quickly a resident’s concern gets taken seriously, all without anyone intending...

The Injury That Ends a Caregiving Career Often Starts With Bad Posture…

Direct care work is physical — transfers, repositioning, bending, lifting — and staff who don’t understand ergonomics are the ones most likely to end up with...

A Rare Diagnosis Shouldn’t Mean Staff Are Learning As They Go…

Chronic Inflammatory Demyelinating Polyneuropathy isn’t a condition most caregivers encounter often, which means when a resident is diagnosed, staff are frequently starting from zero — right...

Fifteen Chapters, One Subscription, Every New Hire Covered…

Building a training library for an adult day program from scratch means piecing together infection control, medication administration, Alzheimer’s communication, HIPAA, fire safety, and a dozen...