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Which resident choice, based on the new Medicare guidance’s focus on individual preferences, will be most difficult to deliver?

Reader comments:

“I believe that wake-up time would also affect the dining hours, especially breakfast. Then it would be difficult to time the noon meal. If a resident eats at 10 a.m., when should the ‘lunch’ meal be served? Sometimes I eat as late as 9 p.m. for the evening meal. Do we have staff stay that late to accommodate this?”

“Consider mode of bathing. Many patients accustomed to baths are being routinely given showers due to staff preference rather than patient preference.”

“It may be challenging to get employees to embrace the changes, but providers need to remind themselves that they’re here for the residents’ convenience-not their own.”



Anthony Cirillo’s Video Blog

(Editor’s note: View all of Cirillo’s weekly video blogs at

I have witnessed hundreds of times in nursing homes how a seemingly incoherent person can come alive during a performance. Anecdotal and observational evidence of the healing power of music abound. But now science is catching up.

A CNN article states, “Music seems to find re-routed paths and that is why it is such a useful tool in terms of helping people with different kinds of brain damage because it can help to find new pathways in terms of brain functioning.” And this study isn’t the only one to affirm music’s healing properties.

Long-Term Living 2009 August;58(8):6

Topics: Articles