Bruce W. McCollum

Dark Mode

Blog

Not Every Challenging Moment Is a Crisis — Staff Need to Know the Difference…

Treating every difficult behavior like an emergency wears staff out and can escalate situations that didn’t need to escalate at all — while missing the signs...

Stability Isn’t Just Clinical — It’s Built Into the Daily Routine…

Residents managing anxiety, depression, PTSD, or schizophrenia don’t just need medication management — they need the structure, sensory regulation, and coping tools that help them function...

Sometimes Independence Just Needs the Right Tool for the Job…

A resident struggling with a task isn’t always a case for more hands-on assistance — often it’s a case for the right adaptive tool or a...

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...