The residents come to us in their seventies, eighties, nineties, and we have the opportunity to develop a relationship with them for a couple of years, and it’s easier. It’s easier for us to walk in and be able to make the harder decisions and recommend the tough calls to the families. We can take an outside, global perspective to situations, because when you’re a family member and you’re in the thick of it, your emotions are playing a very big part most of the time … but it’s a lot easier sometimes for our clinicians and even our administrative staff to look at a situation and say,Stop the suffering. Stop the suffering. Call hospice. Let them provide comfort and dignityand let the residents be at peace.

If you have a resident who’s at the end stages of dementia, you could continue life prolonging. You could do that … Sometimes families are inside of that because they’re emotionally attached and they don’t want to let go. I can’t imagine doing that [making the decision] with my own parents. I can’t imagine what they’re going through. Sometimes we have to step in and say those things, and it’s easier for us.