Author: Varsity Team

Dementia care is too often framed around what’s lost—memory, independence, identity—when in reality, the opportunity lies in recognizing what remains and how people continue to adapt. Shifting that perspective doesn’t just change care outcomes, it changes how teams communicate, how organizations train staff, and how families stay connected through moments that might otherwise feel overwhelming.

That was the focus of a recent conversation on Varsity’s weekly Roundtable, where we welcomed Teepa Snow, founder of Positive Approach to Care®. Known for her practical, human-centered approach, Teepa shared how reframing dementia from decline to ability can unlock better interactions, stronger relationships and more effective support systems across senior living. Below are a few Fresh Perspectives from her discussion.

PEOPLE DON’T STOP, THEY SHIFT

Dementia doesn’t mean someone is doing less, it means they’re doing things differently. When one pathway breaks down, the brain adapts and finds another way forward.

BEHAVIOR IS COMMUNICATION, NOT DISRUPTION

What looks like repetition, frustration or withdrawal is often a person trying to communicate, stay engaged or solve a problem without the tools they once had.

DEMENTIA ISN’T JUST MEMORY

When we treat dementia as forgetfulness alone, we miss the broader signs like language loss, confusion or physical changes and delay the support that could make a difference.

HOW YOU SHOW UP CHANGES EVERYTHING

The difference between resistance and cooperation often comes down to approach. Directing and correcting creates tension, while partnering builds trust and keeps interactions human.

SUPPORT STARTS WITH CURIOSITY

The strongest care doesn’t assume it understands the situation. It asks what’s working, what’s not and meets people where they are to tailor support that actually helps.

SKILL IS THE MISSING INFRASTRUCTURE

Dementia care isn’t something people just “figure out.” Without training, coaching and real-time reinforcement, even good intentions can lead to frustration and breakdowns in care.

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here. 

When it comes to decision-making (especially when it comes to senior living options) most people believe they’re guided by logic. Carefully weighing options and choosing what makes the most sense. Neuroscience tells a more nuanced story, one where emotion plays a powerful and often immediate role.

WHY EMOTION LEADS THE WAY

The brain processes emotional information faster than rational thought. Reactions often begin with a feeling, followed by reasoning that supports it. In senior living, this dynamic is especially important. Decisions are deeply personal, shaped by identity, independence and family relationships.

WHAT PEOPLE ARE REALLY ASKING

For prospective residents and their loved ones, the journey involves more than evaluating features or comparing amenities. Questions like Will I feel at home? Will I be safe? Will I belong? sit at the center of the decision. These emotional considerations carry significant weight throughout the process.

Facts still matter. Clear information builds confidence and supports decision-making. Emotion creates connection and trust, two elements that influence whether someone takes the next step.

BRINGING EMOTION TO LIFE

For senior living brands, this means approaching marketing with intention. Focus on the lived experience within the community. Show what daily life feels like through real stories, authentic voices and meaningful moments. Highlight connection, purpose and a sense of belonging.

Visual storytelling plays an important role. Images and video communicate emotion quickly and intuitively. A shared laugh, a warm welcome, a quiet moment of comfort. These cues resonate in ways that data alone cannot.

CONSISTENCY BUILDS TRUST

Consistency strengthens emotional engagement over time. Every interaction, from digital touchpoints to in-person conversations, should reflect a tone that feels welcoming, respectful and human.

Empathy remains essential throughout. Each inquiry represents a significant life transition. When marketing acknowledges that reality and responds with care, it builds relationships grounded in understanding.

FRESH PERSPECTIVE

Emotion shapes how people evaluate, connect and decide. Senior living brands that lead with empathy and bring real experiences to life will build trust, strengthen relationships and guide more confident decisions.

Well-being is often treated as a personal responsibility, but the data tells a different story. The environments we live in, the people we surround ourselves with and the systems we design play a far greater role in shaping long-term health outcomes than willpower alone. That shift in thinking is at the core of the Blue Zones approach, which focuses on creating communities where healthier choices happen naturally and consistently over time.

Dan Buettner Jr. of Blue Zones joined Varsity’s weekly Roundtable to explore what the world’s longest-living communities can teach us about building healthier, more resilient environments. Below are a few Fresh Perspectives from his discussion.

ENVIRONMENT BEATS WILL POWER EVERY TIME

Stop asking people to make better choices and start designing environments where better choices happen automatically. Behavior change isn’t about discipline, it’s about design.

LONGEVITY ISN’T SOMETHING YOU CHASE, IT’S SOMETHING YOU LIVE IN

The longest-lived people in the world aren’t pursuing health. They’re living in communities where purpose, movement and connection are built into daily life.

SMALL CHANGES, BIG SHIFT

There’s no silver bullet. Real impact comes from a “silver buckshot” of small, consistent nudges that compound into lasting lifestyle change.

COMMUNITY IS THE ORIGINAL HEALTH INTERVENTION

Where you live and who you surround yourself with matter more than any diet or fitness plan. Social connection isn’t a bonus, it’s foundational.

WELL-BEING IS A BUSINESS STRATEGY, NOT A BENEFIT

Higher well-being drives lower costs, higher productivity and even stronger financial performance. This isn’t soft, it’s measurable and material.

THE FUTURE OF HEALTH ISN’T HEALTHCARE

A multi-trillion-dollar “well-being economy” is emerging, shifting focus from treating illness to proactively helping people live better.

SIMPLICITY IS THE UNLOCK

Healthy living isn’t expensive or complicated. The fundamentals—simple food, daily movement and meaningful connection—have been hiding in plain sight all along. 

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here. 

The Broadway stage doesn’t just reflect life, it reshapes how we see ourselves, each other, and the possibilities that come with every new chapter. In a recent episode of Varsity’s podcast, Roundtable Talk, Derek sat down with Jerry Mitchell, two-time Tony Award-winning director and choreographer, whose Broadway credits include Hairspray, Kinky Boots, Legally Blonde, and most recently Boop and The Devil Wears Prada on London’s West End.

In their conversation, Derek and Jerry explored how live theater uniquely connects audiences across generations, and what it means to stay creatively relevant over a 45-year career. The following are some fresh perspectives from their conversation. Check out the full episode here.

HOW DO YOU SEE STORYTELLING IN THEATER SHAPING THE WAY PEOPLE UNDERSTAND THEIR OWN LIVES?

Well, theater has the great ability to bring people together in a dark space without anything to distract them. So everyone’s there to hear the same story at the same time. And when they leave the theater, they walk away with that story. It’s a very, very special and unique experience that can only happen with that particular group of people you happen to show up with. It’s a very powerful tool to communicate with people.

HAVE YOU NOTICED DIFFERENCES IN HOW YOUNGER AND OLDER AUDIENCES CONNECT TO YOUR WORK?

I find that audiences do connect in different ways. Young kids responded to a high school story in a way that was truly magical because they are living it. They were so much wiser to what was going on. And then the parents respond to the adult version—how do you care for a child who is different than you and you don’t have the tools? Watching parents and grandparents cry at that emotional journey is really wonderful.

WHAT KEEPS YOU MOTIVATED TO KEEP REINVENTING YOURSELF?

I’m inspired by people I’ve looked up to my entire life who are still working. Even those who are gone, their work still exists and I go back and watch it. But I’m also inspired by the younger generation and the way they see the world. Watching young performers have their Broadway debut is magical. I remember my own debut at 20. It was something I had worked toward, and when it happened, it was such a milestone.

HOW DOES CREATIVITY FUEL LONGEVITY, BOTH PERSONALLY AND PROFESSIONALLY?

I mean, it is what keeps you young, isn’t it? Being able to work. As a dancer and choreographer, my life is based on physical work. I’m in the studio or the gym. As I get older, I have great associates who do what I used to do, but I’m still very active. Dancers are athletes. The maintenance is part of your daily process. I’ve been doing it for 45 years on Broadway, and that physical engagement keeps you going.

WHAT HAVE YOU LEARNED ABOUT THE BODY’S ABILITY TO ADAPT OVER TIME?

The body is an incredible instrument that can do incredible things. What I’ve learned as I’ve aged is that diet and exercise work much better together than separate. The food you eat and how you fuel your body is as important as how you use it. That fuel will help you with longevity without question.

Three hundred conversations in, and the spirit of connection is stronger than ever! Varsity’s 300th weekly Roundtable featured yet another thoughtful exchange, this time with nationally recognized downsizing expert and former Hoarders host Matt Paxton. 

“Downsizing should be an opportunity to share your generational stories and move to a better life. It should not be this overwhelming daunting task,” said Paxton during his conversation with the group. 

As a guest on Varsity’s weekly Roundtable, Paxton talked about the emotional side of downsizing. Why it’s never really about the “stuff,” but about the memories and meaning behind it. He shared practical ways to help people move forward, from starting small to focusing on what truly matters, all while honoring the past. Below are a few Fresh Perspectives from his discussion.

IT’S NEVER ABOUT THE STUFF, IT’S ABOUT THE STORY

What people hold onto isn’t clutter, it’s identity, memory and meaning. Until you address the emotional connection, you can’t unlock the move.

PEOPLE ARE STUCK BETWEEN PAST AND FUTURE

Many prospects aren’t resisting the move, they’re paralyzed by memories of the past and fear of making the wrong decision, keeping them from living in the present.

START SMALL TO BUILD MOMENTUM

Downsizing doesn’t begin with big decisions. It starts with small, non-emotional wins that create progress and confidence to keep going.

DON’T RECREATE THE OLD LIFE, CREATE A NEW ONE

The goal isn’t to replicate a former home inside a community. It’s to embrace a new chapter, new space and new experiences.

MOST “VALUABLE” ITEMS AREN’T ACTUALLY VALUABLE

Families often overestimate resale value. Outside of things like gold, most furniture and household items have limited financial return.

SERVICE AND TRUST DRIVE EVERYTHING

Whether working with residents or prospects, success comes from leading with empathy, building trust and helping people move forward, not just moving their stuff.

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here.

The desire to age in place is changing how older adults engage with senior living—and challenging communities to rethink when and how they connect with future residents. As a result, models like continuing care at home (CCaH) are gaining attention as a way to extend care beyond the campus while building earlier relationships.

On Varsity’s weekly Roundtable, Dr. Amanda Young, CEO of M.A. Longey Consulting, shared insights from her experience launching and operating these programs, including how they’re evolving and where they fit within the broader continuum. Below are a few Fresh Perspectives from her discussion.

EARLIER ENTRY POINT, STRONGER FUTURE PIPELINE

CCaH doesn’t cannibalize independent living demand, it captures prospects earlier. By engaging individuals years before they’re ready to move, communities can build relationships, strengthen waitlists, and ultimately convert more residents over time.

EDUCATION IS THE GROWTH BOTTLENECK

Interest in the model is growing, but adoption lags due to confusion. Consumers don’t know what it is, leaders don’t fully trust it, and the lack of a physical product makes it harder to explain, turning education into the biggest growth constraint.

THIS IS A NEW BUSINESS, NOT A SIDE HUSTLE

Programs that struggle are often under-resourced. Success requires dedicated staff, marketing investment, and leadership alignment because this isn’t an add-on, it’s an entirely new line of business with its own operational and financial model.

THE MODEL EXPANDS YOUR REACH—WITHOUT BUILDING

With demand for senior living far exceeding supply, continuing care at home offers a scalable way to serve more older adults without major capital investment. It extends your mission beyond your campus and into the broader community.

FLEXIBILITY IS THE FUTURE OF THE MODEL

The traditional life care structure isn’t reaching the middle market, but innovation is underway. Hybrid models, care coordination-only options, and waitlist-based programs are reshaping the offering to be more accessible and financially realistic.

RETHINKING THE CONTINUUM AS A CONNECTED JOURNEY

The most effective organizations don’t treat at-home and community living as separate choices. They position them as connected steps, allowing individuals to enter earlier, stay longer, and move seamlessly when the time is right. 

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here. 

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The following is Part 2 of a two-part series (see part one here) exploring how pharmacogenetic (PGx) testing can help senior living communities navigate medication conversations and support more personalized care. The series is written by Dr. Troy Veale, CEO of PHD Laboratory, a healthcare innovator with more than 25 years of experience in behavioral health and over a decade in laboratory science focused on advancing precision medicine and improving patient outcomes.

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In Part 1, we explored why medication conversations matter in senior living environments. In Part 2, we turn to the clinical side of pharmacogenetic (PGx) testing, what it is, what it is not, and why it holds particular relevance for aging populations.

WHAT PGx TESTING ACTUALLY EVALUATES

Pharmacogenetic testing analyzes specific genes that influence how medications are metabolized. Using a non-invasive cheek swab, laboratories evaluate genetic markers related to drug-processing enzymes, particularly those that impact common prescriptions used in aging adults.

Results may indicate whether an individual is likely to:

• Metabolize a medication too quickly (reducing effectiveness)
• Metabolize it too slowly (increasing side effect risk)
• Process it as expected
• Benefit from alternative medication classes

The goal is not to dictate therapy but to provide additional data to support provider judgment.

WHY AGING POPULATIONS BENEFIT FROM PERSONALIZATION

Older adults are more susceptible to adverse drug reactions for several reasons:

• Decreased liver and kidney function
• Changes in body composition
• Multiple coexisting health conditions
• Polypharmacy (use of multiple medications)

Research consistently shows that adverse drug events are a leading cause of emergency department visits among older adults. Even when medications are appropriately prescribed, genetic variation can influence response.

PGx testing brings that variability into clearer focus.

ADDRESSING COMMON MYTHS

Myth 1: PGx testing is only for complex cases.
In reality, many commonly prescribed medications,  including those for cardiovascular health, depression, pain, and neurology — have pharmacogenetic considerations.

Myth 2: Stable patients don’t need this information.
Even stable residents may benefit from minimizing long-term risk or identifying lower-risk alternatives.

Myth 3: It replaces physician expertise.
PGx testing enhances decision-making. Providers interpret results within the context of medical history and clinical presentation.

Myth 4: It is invasive or risky.
The test requires only a simple cheek swab.

BENEFITS ACROSS STAKEHOLDERS

For providers:

• Additional prescribing insight
• Support for medication adjustments
• Alignment with evidence-informed care

For senior living teams:

• Stronger educational positioning
• Confidence in discussing holistic care
• Alignment with preventative models

For families:

• Greater transparency
• Reduced uncertainty
• Peace of mind

Medication conversations become proactive rather than reactive.

PRIVACY, COVERAGE AND NEXT STEPS

Your DNA is used only to analyze how your body processes medications. PHD Laboratory does not sell, share, or store your DNA for any other purpose. We are CLIA and COLA certified and fully compliant with HIPAA privacy laws, ensuring your genetic information is protected and confidential at all times.

PGx testing is covered by Medicare Part B for eligible patients and may also be paid for using FSA/HSA funds, CareCredit, or private pay options.

For questions, educational information, or to order a PGx test, please visit the PHD Laboratory website or email info@phdlaboratory.com.

Aging has long been framed as a story of decline. Slowing down, scaling back, preparing for what’s next. But that narrative is starting to shift, driven by research, changing expectations and a growing recognition that later life can be defined by strength, purpose and continued growth.

That shift was at the center of a recent conversation on Varsity’s weekly Roundtable, where we were joined by Colin Milner, CEO of the International Council on Active Aging, to discuss The Wellness Revolution: From Decline to Potential. Below are a few Fresh Perspectives from his discussion.

DECLINE WAS A STORY, NOT A DESTINY

For decades, aging was framed around managing decline, largely because of the gap between lifespan and healthspan. But emerging science is rewriting that narrative, showing that decline isn’t inevitable, it’s modifiable.

MINDSET IS A HEALTH INTERVENTION

How people think about aging directly impacts outcomes. A positive outlook, paired with healthy behaviors, can improve both longevity and quality of life, making mindset a critical (and often overlooked) part of wellness strategy.

WELLNESS HAS A DEFINITION PROBLEM

Many communities claim to be “wellness-based,” but without a clear understanding of what wellness actually means, execution falls short. True wellness is active, intentional and rooted in whole-person outcomes, not just programming.

THE MODEL SHIFT IS FROM CARE TO POTENTIAL

Senior living is moving from a place that manages decline to one that unlocks potential. The communities leading the way are designing experiences around purpose, identity and continued growth, not just support.

THE FUTURE RESIDENT IS ALREADY DIFFERENT

Incoming generations are more health-focused, informed and expectation-driven. Communities waiting until residents “need” care risk missing the opportunity to engage them earlier through a wellness-first approach.

WELLNESS ISN’T A PROGRAM, IT’S A COMMITMENT

The communities doing this best aren’t looking for quick wins. They’re investing time, resources and energy into building cultures where wellness is fully integrated, measurable and continuously evolving.

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here. 

 

Dementia is often defined by what people lose, but a more helpful question is what abilities remain. In a recent episode of Varsity’s Roundtable Talk, Derek sat down with Teepa Snow, occupational therapist, educator and founder of Positive Approach to Care, one of the most influential voices in dementia care.

Their conversation explored why fear still shapes public perceptions of dementia, how communication must adapt as brain changes occur and why Snow prefers the term “care partner” over caregiver. She also discusses caregiver burnout and the importance of building stronger community support around people living with dementia. The following are some fresh perspectives from their conversation. Check out the full episode here. 

WHAT DOES IT MEAN TO TAKE A POSITIVE APPROACH TO DEMENTIA CARE?

Well, in my experience, I can’t use what you can’t do. It’s not possible. What I can do is engage with you and see what you have. And that’s where we can come into a relationship and I can work with you. I need to tune in to the reality of who you are now, not just who you were and what you’re capable of, because that’s what we have to work with and come together with.

WHY IS FEAR STILL THE DOMINANT EMOTION PEOPLE ASSOCIATE WITH DEMENTIA?

I think human beings, as a rule, like the predictable. They like once they master something, they don’t have to think about it so much. And I think what dementia does is rob us of our knowingness. It forces us back into a space of paying attention, being observant. The reality is dementia is ever changing. You don’t get to relax into routine. You have to stay alert, and maybe people don’t want to be on the job so much.

WHAT MISCONCEPTIONS ABOUT DEMENTIA DO THE MOST HARM?

The idea that everybody experiences the same kind of losses and changes in the same order. Alzheimer’s tends to take the front seat, but if I’m living with Lewy body or vascular dementia, my symptoms may be very different. It pays to get a pattern established of what I’m living with and how it’s going. And people also think it only happens to older adults and that it’s all about memory. Memory is just this much. There’s a whole lot more going on.

HOW EARLY SHOULD PEOPLE START LEARNING ABOUT BRAIN HEALTH AND CHANGE?

I would like us to learn more about brain health and wellness when we’re younger. Kids know their body parts, but they don’t know the brain parts, and those are super important. If I know how my brain’s supposed to work, then I can notice when it’s doing something unusual. We tend to wait until there’s so much evidence something isn’t going well, and by then we’re past screening and dealing with significant change.

WHY DO YOU PREFER THE TERM “CARE PARTNER” OVER “CAREGIVER”

I believe there is no care about me without me. It’s time to quit treating someone living with dementia like they’re a football and we’re passing them around. It’s their life, their care. I’ve got to figure out how to work with that human being. I can’t just give care because if I give it, you have to receive it. If you don’t want it, you don’t want it. So I have to partner with you.

WHAT ARE EARLY SIGNS OF CARE PARTNER BURNOUT?

If I were to ask you to tell me three things you’ve done today for yourself and you can’t, that’s a sign. If you can’t tell me something you feel good about in your relationship or something that brings you pleasure, it’s time to have a conversation. We don’t train people for this work. We drop them into it and they keep going until they drop. We need to build community around this, not expect one person to carry it all.

Want to hear more from Teepa? Check out the full episode of Roundtable Talk for more fresh perspectives. Watch new episodes of Roundtable Talk on the Varsity website and on Apple Podcasts, Spotify, and iHeartRadio.

In senior living sales, there’s constant pressure to move quickly. Leads need attention, tours need follow-up, pipelines need momentum. But the communities that win aren’t just fast, they’re intentional about building trust at the right moment.

According to data shared by Maggie Seybold, VP of Customer Insights at WelcomeHome, in one of Varsity’s weekly Sales & Marketing Roundtable gatherings, one simple action can dramatically accelerate both trust and timing: a brief executive director follow-up call after a tour. In fact, a personalized three- to four-minute call from the ED can shorten the sales cycle by 60%.

“Fifty percent of families never hear from an executive director post-tour,” said Seybold during her Roundtable presentation. “This is a competitive opportunity just waiting to be seized.”

WelcomeHome’s benchmark data shows that timing plays a critical role in senior living sales follow-up. Communities that reach out within one business day of a tour increase move-in likelihood by 42%. Waiting two days still delivers a 27% lift. After that, engagement drops sharply. In a market where average inquiry-to-move-in conversion hovers around 9%, small improvements in post-tour follow-up can have outsized impact.

So why does an executive director call matter so much?

Because it signals leadership engagement. When a prospect hears from the person overseeing day-to-day operations, it builds credibility and confidence. It reinforces that the community is organized, attentive and personally invested. It also differentiates you from competitors who rely solely on automated follow-up or sales-only outreach.

Even better, the lift isn’t theoretical. Half of the prospects who answer an ED’s call move in within 11 days. That kind of acceleration not only boosts occupancy but also reduces marketing spend and shortens the sales cycle.

FRESH PERSPECTIVE

In today’s senior living sales environment, where lead volume is tighter and connection rates matter more than ever, executive director follow-up is one of the most underutilized growth levers available. And for communities willing to act quickly, it’s a competitive advantage hiding in plain sight.

Find this data and more in WelcomeHome’s Senior Care Insights data platform. Explore their quarterly benchmarks and new 2025 Year in Review here.