『The Care Conversations Podcast』のカバーアート

The Care Conversations Podcast

The Care Conversations Podcast

著者： Physician Care Homes
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Hosted by Dr. Jeff LaFond and Ashleigh Davis, Administrator at Magnolia House by Physician Care Homes, The Care Conversations Podcast offers practical guidance, expert conversations, and compassionate support for families navigating aging, dementia, memory care, assisted living, and caregiving.

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  • Connect, Don’t Correct: Handling Repetitive Questions and Behaviors in Dementia

    Connect, Don’t Correct: Handling Repetitive Questions and Behaviors in Dementia
    2026/09/20
    About this episode“I want to go home.”“Someone stole my purse.”“I don’t want to take a shower.”For families caring for someone living with dementia, the same questions, concerns, or behaviors may surface again and again. The instinct to explain, correct, or reason with someone is understandable—but it can often increase frustration for everyone involved.In this episode of The Care Conversations Podcast, Dr. Jeff LaFond and Ashleigh Davis, Administrator at Magnolia House by Physician Care Homes, discuss a different approach:Connect before you correct.They explore how caregivers can respond to repetitive questions, anxiety, resistance to care, and changes in behavior with greater empathy while also looking for the physical or medical issues that may be hiding underneath the behavior.In this conversation“I want to go home” may mean something deeperWhen someone with dementia says they need to go home, simply responding, “But you are home,” may not help.Ashleigh explains why “home” may represent safety, familiarity, or comfort rather than a literal address—and why validating that feeling can be more effective than trying to prove the person wrong.Behavior is communicationA sudden increase in agitation or repetitive behavior may be a clue that something else is happening.Jeff and Ashleigh discuss possible contributors such as:* Pain* Infection* Constipation* Medication effects* Hunger or thirst* Fatigue* An uncomfortable environment* Even something as simple as an object irritating someone’s foot inside a shoeThe lesson: when behavior changes, caregivers may need to become detectives.Timing mattersThe episode also explores why time of day can make a major difference.Fatigue and “sundowning” may worsen confusion or resistance later in the day. A task like showering may go much better when it matches the person’s lifelong routine rather than the caregiver’s schedule.Validate first, then redirectIf someone believes an item has been stolen, dismissing the concern may increase anxiety.Instead, caregivers can acknowledge the concern, offer to help look for the item, and use the interaction to build trust.As Ashleigh explains, the person may not remember exactly what you said—but they may remember how you made them feel.Key takeaways* Connect, don’t correct.You do not have to bring someone with dementia back into your version of reality in every moment.* Behavior often communicates an unmet need.Look for pain, illness, fatigue, discomfort, changes in routine, or environmental triggers.* Know what is normal for your loved one.A sudden increase in confusion, agitation, or repetitive behavior may warrant a call to their medical professional.* Work with lifelong habits instead of against them.Familiar routines can reduce resistance and anxiety.* Validation builds trust.That trust may make other parts of caregiving—such as medication, bathing, and daily care—easier.* Caregivers need grace too.Frustration is normal. The goal is not perfection, but learning how to respond more intentionally.Watch the videoPrefer watching rather than listening?Watch the full episode on the Physician Care Homes YouTube channel:About the hostsDr. Jeff LaFond is a gastroenterologist, healthcare leader, and co-founder of Physician Care Homes.Ashleigh Davis is the Administrator at Magnolia House by Physician Care Homes and has more than 13 years of experience in senior living, including recreation therapy and assisted-living administration.Stay connectedFollow Physician Care Homes on Facebook, YouTube, and LinkedIn.Subscribe to The Care Conversations Podcast and our newsletter for practical guidance on dementia, caregiving, memory care, assisted living, and aging:physiciancarehomes.comA note for familiesThis podcast is intended for general educational purposes and does not replace individualized medical advice. If you notice an acute or significant change in behavior, confusion, pain, or function, contact the person’s healthcare professional.Help another caregiverIf this episode helped you think differently about a difficult caregiving moment, please share it with someone who may need to hear it.Thanks for reading ! Subscribe to The Care Conversations Podcast for free to receive new posts like this one! This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit physiciancarehomes.substack.com
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    16 分
  • Planning Before the Crisis: The Conversations Every Family Should Have

    Planning Before the Crisis: The Conversations Every Family Should Have
    2026/09/13

    About this episode

    In this episode of The Care Conversations Podcast, Dr. Jeff LaFond and Ashleigh Davis, Administrator at Magnolia House by Physician Care Homes, discuss why some of the hardest conversations about aging are often best started while everyone is still doing well.

    We discuss:

    * Why families should talk about future care preferences before a medical crisis

    * How documenting healthcare wishes can reduce uncertainty, guilt, and family conflict

    * Tools such as Five Wishes that can help start conversations about future care

    * The role of healthcare powers of attorney, advance directives, financial planning, and elder-law attorneys

    * Why organizing and sharing important documents is just as important as creating them

    Our goal is to provide practical guidance, expert conversations, and compassionate support for families navigating aging, dementia, memory care, assisted living, and caregiving.

    In this conversation

    Have the conversation before you need the answerA stroke, advancing dementia, hospitalization, or other unexpected event can suddenly leave families making major decisions under tremendous pressure. Discussing wishes beforehand gives loved ones a roadmap rather than asking them to guess.

    Put wishes into words—and preferably into writingWe walk through the Five Wishes framework, including choosing someone to make healthcare decisions, discussing treatments you would or would not want, comfort and end-of-life preferences, and what matters personally to you.

    Planning goes beyond medical decisionsAdvance directives, healthcare and financial powers of attorney, elder-law planning, and knowing where important documents are stored can all become critical when someone can no longer manage these issues independently.

    Key takeaways

    * The best time to plan is often when nothing is wrong.Decisions are easier to discuss thoughtfully before a family is dealing with an emergency.

    * Clear wishes can be a gift to the people you love.Knowing what someone wanted can reduce guilt, disagreement, and the burden of making life-changing decisions on their behalf.

    * Creating documents is not enough—people need to know they exist.Make sure the appropriate family members or decision-makers know what documents you have, where they are located, and how to access them.

    Watch the video

    Prefer watching rather than listening?

    Watch the full episode on the Physician Care Homes YouTube channel:

    Resources mentioned

    * Five Wishes

    * Advance directives and healthcare power-of-attorney documents

    * Elder-law attorneys

    * Financial planning for future care needs

    * The Death Deck and Dementia Deck as conversation starters

    About the hosts

    Dr. Jeff LaFond is a practicing gastroenterologist, healthcare leader, and co-founder of Physician Care Homes.

    Ashleigh Davis is the Administrator at Magnolia House by Physician Care Homes and brings more than 13 years of experience in senior living and helping families navigate care decisions.

    Stay connected

    Follow Physician Care Homes on Facebook, YouTube, and LinkedIn.

    Learn more and sign up for our newsletter at:

    physiciancarehomes.com

    A note for families

    This podcast is intended for general educational purposes and does not replace individualized medical, legal, financial, or other professional advice. Families should consult the appropriate professionals regarding their specific circumstances.

    Thanks for reading! Subscribe for free to receive new posts and podcast episodes.



    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit physiciancarehomes.substack.com
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    19 分
  • Falls in Older Adults: Prevention, Safety & When It’s Time for More Support

    Falls in Older Adults: Prevention, Safety & When It’s Time for More Support
    2026/09/06
    About this episode“Mom fell again.”For many families, that sentence becomes a turning point.Sometimes the fall causes only a bruise. Other times it leads to a broken hip, hospitalization, surgery, rehabilitation, loss of independence, or a cascade of additional medical problems.And once someone falls, fear of falling again can create another problem: they move less.Less movement leads to weakness and deconditioning.That can make the next fall even more likely.In Episode 6 of The Care Conversations Podcast, Dr. Jeff LaFond and Ashleigh Davis discuss why falls become more common with age, what families can do to reduce the risk, and when repeated falls may be telling you something bigger about your loved one’s safety and support needs.In this episode, we discuss:* Why aging increases the risk of falls* Changes in strength, balance, vision, hearing and mobility* Common home hazards such as rugs, clutter and poor footwear* Why a hip fracture can become such a significant medical event* The cycle of falling, fear, inactivity and deconditioning* When physical and occupational therapy can help* Canes, walkers, rollators and other assistive devices* How an occupational therapist can evaluate the home before an injury occurs* Bathroom safety, grab bars and lighting* Why medications — and even the time of day they are taken — can increase fall risk* When increasing falls may mean living alone is becoming unsafe* Life Alert and other emergency-response tools* How assisted living can provide another layer of monitoring and support* How fall-detection technology can improve response after a fall* Why unwitnessed falls often lead to difficult emergency-room decisions* The dangers of being left on the floor for an extended period* Why better information can lead to better fall-prevention interventions* How to keep older adults active without “putting them in a bubble”Why do older adults fall more often?Falls usually are not caused by one single problem.As we age, several things may begin changing at the same time.Strength declines.Muscle mass decreases.Balance may become less reliable.Vision and hearing change.Reaction time may slow.And conditions that were once minor inconveniences — an area rug, cluttered walkway or poorly fitting shoes — can become meaningful hazards.That is why families sometimes struggle to understand why someone who seemed relatively independent suddenly begins falling.The world their loved one is navigating physically may feel very different from the world a younger person experiences.One fall can start a cycleAfter a fall, many older adults understandably become afraid of falling again.That fear may lead them to move less.But movement is one of the things that helps preserve strength, balance and mobility.The cycle can become:Fall → fear of falling → less activity → weakness and deconditioning → greater fall riskBreaking that cycle matters.Physical therapy can work on strength, gait and balance.Occupational therapy can help determine whether daily activities or the home environment can be modified to make them safer.And sometimes the answer is as simple as making sure someone has the right assistive device — and is actually using it correctly.Look at the home through a different lensFamilies do not necessarily need to wait until someone is injured to assess the home.Physical and occupational therapists — as well as other aging-in-place professionals — can help identify risks.Walk through the home and think about your loved one’s actual routine.Are there loose rugs?Is there clutter?Do they have to navigate stairs unnecessarily?Are frequently used items located where they can easily reach them?Does the shower have grab bars?Is the bathroom safe?What happens when they get out of bed during the night?Small changes can matter.Don’t overlook lightingGetting from the bed to the bathroom at 2:00 AM is very different from walking through the house in the middle of the afternoon.Nightlights or motion-activated lighting can create a safer path without requiring someone to search for a light switch in the dark.It is a relatively simple intervention that may reduce risk.Review the medicationsThe home itself is only part of the picture.Medications can contribute to falls as well.Older adults commonly take multiple medications, and those prescriptions may change frequently.Families should understand:* What medications their loved one is taking* Why they are taking them* Whether the medications may contribute to dizziness, sedation or instability* Whether they are being taken correctly* Whether the timing makes senseOne example we discuss in the episode is a diuretic — a medication that increases urination.If it is inadvertently scheduled in the evening rather than earlier in the day, an older adult may spend the night repeatedly getting out of bed to use the bathroom.Now combine:* darkness* sleepiness* impaired balance* urgency* and repeated nighttime walkingand fall ...
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    18 分
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