All Things Facilities

Опубликовано: 11 Сентябрь 2026
на канале: Mettle Health
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BJ Miller, Mettle Health founder, palliative care and hospice physician and Rebecca Adelman, lawyer, co-host a discussion on all things facilities. Many of us will not be able to be taken care of in the place we call home, so it's important to understand what to expect when it comes to living in a skilled nursing, residential care, or any other type of assisted living.

0:00 Introductions
4:02 Calling out that moving to a facility is emotional, on top of logistical -it is a vulnerable moment
7:36 The conversation about moving to a facility tends to have a negative connotation, we want to start this conversation on a more positive note: living together in community, is an opportunity.
12:38 There might be a moment where a crisis happens, and following that, choices need to be made about well-being, quality of life and safety
14:55 Transition Graphic - where might people end up after a hospital stay or acute care stay
20:29 Senior Living considerations
24:45 Assisted Living, for older adults who need some assistance with their activities of daily living. Shared dining, shared socializing. All about getting a little more assistance and community. Under most instances it’s private pay, unless you have private long term care insurance
31:17 Skilled Nursing, requires more medical support. Memory care might be a part of this community. The next transition to something more medical in nature. The need for wound care, or an underlying illness.
43:48 RCFE: residential care facility for the elderly (it might be a little different in each state)
46:00 How does the topic of grief come up for elderly residents?
50:07 Any goodbye rituals for leaving a home when moving to a facility?
53:02 Resources for moving to a SNF and needing to consider finances? Medicare.gov
54:14 Question from attendee: addressing situation of mom going into respite care while on hospice and having a bad experience. Are there other options?
01:01:49 Question from Attendee: are there options to get respite care IN the home? vs. trying to move someone into a new environment?