Tag: senior care

Consider this: 45% of LGBTQ+ older adults report a lack of companionship, and nearly half feel socially isolated. Those realities underscore why inclusive, affirming environments in senior living aren’t optional, they’re essential. As communities continue working toward more person-centered experiences, conversations around belonging, trust and cultural competency matter more than ever.

As part of Varsity’s Pride Month celebration, we caught up with Karen Cushing, Director of SAGECare Business Development and a past guest on Varsity’s weekly Roundtable. Karen has spent years helping senior living organizations better support LGBTQ+ older adults through education, advocacy and practical guidance. In this Q&A, she shares insights on inclusion, connection, Pride programming and the small actions that can make a meaningful difference.

DESCRIBE YOUR ROLE AT SAGECARE AND THE WORK SAGECARE IS DOING TO SUPPORT LGBTQ+ OLDER ADULTS. 

As Director of SAGECare Business Development, I build partnerships to expand LGBTQ+ cultural competency training across aging services, healthcare, and community providers. My work focuses on meeting organizations where they are and helping them take practical steps toward becoming more inclusive and affirming.

SAGECare supports providers with training and credentialing that improve care for LGBTQ+ older adults, ensuring they can age with dignity, respect, and a sense of belonging. This work addresses longstanding gaps, helping reduce fear and barriers rooted in past discrimination by creating environments where people feel safe being their authentic selves.

WHY DO SO MANY LGBTQ+ OLDER ADULTS STILL HESITATE TO TRUST HEALTHCARE AND SENIOR LIVING PROVIDERS? 

Many LGBTQ+ older adults approach care with caution shaped by past discrimination, including bias, denial of services, or having to hide who they were to stay safe. These experiences, rooted in a time when being openly LGBTQ+ could risk jobs, housing, or safety, still impact trust today.

Even now, gaps in cultural competency and small signals; like non-inclusive forms or assumptions, can reinforce hesitation. That hesitation is not misplaced; it’s informed by lived experience. SAGECare’s work helps rebuild trust by supporting providers in creating environments where LGBTQ+ older adults feel seen, respected, and safe being themselves.

WHY IS LONELINESS AND ISOLATION SUCH A SIGNIFICANT ISSUE WITHIN THE LGBTQ+ OLDER ADULT COMMUNITY? 

Loneliness and isolation are significant challenges for many LGBTQ+ older adults, often because traditional support systems haven’t been available or safe. While many have built strong “chosen families,” those networks can shrink over time due to loss, illness, or distance.

Stigma and fear of discrimination can also lead people to withdraw from services or even hide their identity again, making it harder to find connection. Combined with a lack of inclusive aging spaces, this can deepen isolation.

At SAGECare, we see inclusion as key to addressing this, when environments feel safe and affirming, people are more likely to connect, engage, and build a true sense of community and belonging.

WHAT ARE SOME OF THE SMALLEST CHANGES SENIOR LIVING COMMUNITIES CAN MAKE THAT HAVE THE BIGGEST IMPACT ON LGBTQ+ RESIDENTS FEELING SAFE AND WELCOME? 

Small changes can have a big impact because they signal that people are seen and belong. Inclusive language on forms, visible affirmations like Pride symbols, and clear nondiscrimination statements all help create a sense of safety.

Staff training is just as important, using chosen names and pronouns, avoiding assumptions, and showing respect in everyday interactions can build trust. Creating inclusive programming and opportunities for connection further fosters belonging.

It doesn’t have to be complex to be meaningful. Consistency, authenticity, and respect go a long way in helping LGBTQ+ residents feel safe, seen, and at home.

HOW CAN PRIDE MONTH PROGRAMMING MOVE BEYOND CELEBRATION AND CREATE MORE MEANINGFUL CONNECTION INSIDE SENIOR LIVING COMMUNITIES? 

Pride Month programming can go beyond celebration to build real connections in senior living communities. While visibility and joy matter, the greatest impact comes from creating space for storytelling, shared experiences, and meaningful conversation that foster empathy.

Pride can also serve as an entry point for education through staff training, resident discussions, and intergenerational programs that deepen understanding and support more inclusive interactions.

The key is continuity using Pride as a catalyst for year-round inclusion through ongoing programming, policies, and daily practices. When done with intention, Pride becomes more than a moment; it helps ensure LGBTQ+ residents feel seen, valued, and connected every day.

The future of aging services may depend less on adding more programs and more on rebuilding something many communities have quietly lost: human connection. 

Across healthcare, caregiving and senior living, loneliness and isolation are increasingly driving both physical and emotional health challenges, forcing organizations to rethink how care, housing and support systems are designed for a rapidly aging population. That was the focus of a recent conversation on Varsity’s weekly Roundtable featuring Angela Bovill of Ascentria Care Alliance, who shared insights drawn from decades of experience across the broader human services landscape. Below are a few Fresh Perspectives from her discussion.

ISOLATION MAY BE THE BIGGEST HEALTH CRISIS WE’RE OVERLOOKING

Across nearly every population Ascentria serves, loneliness and disconnection are driving both mental and physical health challenges. Aging services can’t just focus on care delivery anymore — they also have to rebuild human connection and community.

PEOPLE DON’T LIVE THEIR LIVES IN CATEGORIES

Aging, disability, caregiving, immigration status and economic hardship often overlap in the same person or family. Systems built around isolated labels and funding silos don’t reflect how people actually live or what holistic care truly requires.

AI SHOULD REDUCE ADMINISTRATIVE BURDEN, NOT REPLACE HUMAN CARE

Technology can absolutely help streamline paperwork, compliance and back-office work, but replacing companionship, empathy and trust with AI risks deepening the very isolation already harming people.

MULTIGENERATIONAL AND SHARED LIVING MODELS ARE LIKELY TO GROW

Traditional aging-in-place models may become increasingly difficult as workforce shortages intensify. ADUs, co-living arrangements and multigenerational housing could become more practical, affordable and socially connected alternatives.

SENIOR LIVING COMMUNITIES NEED TO MOVE BEYOND “CARETAKING”

Older adults still want purpose, contribution and engagement with broader communities. Future models will need to create opportunities for residents to mentor, volunteer, work and remain integrated into everyday life rather than simply being cared for.

SOCIAL ENTERPRISES CAN CREATE BOTH IMPACT AND FINANCIAL STABILITY

By turning mission-driven expertise into sustainable businesses, organizations can generate revenue, create jobs and reduce dependence on shifting government funding or donor priorities.

THE FUTURE OF AGING SERVICES WILL REQUIRE BIGGER, MORE CREATIVE THINKING

Current systems were largely built for a different era of family structure, economics and longevity. Solving today’s aging challenges will require reimagining housing, caregiving, workforce development and community connection at the same time.

QUOTES

“I eat, breathe, and sleep senior living. And so having a chance to have a conversation about where the industry is at, where we’re going, what’s working and what’s not is one of my favorite things to do.” (Steve)

“We’ve had the best occupancy that we have ever had in my lifetime.” (Steve)

“It’s all about the operator and how they run their business because it can be super successful or really, really tough.” (Steve)

“The word I would put to it is the word tentative — that we’ve kind of got something that works pretty well, the returns are pretty good, and there’s a lot of hesitancy to change anything because it’s sort of working.” (Steve)

“We don’t have a staffing crisis, we’ve got a culture crisis. As long as there are people who are willing to work at McDonald’s and Taco Bell and Starbucks, we don’t have a staffing crisis.” (Steve)

“When we create a great work environment, a place where people feel valued, where they love coming to work every day, where they’re feeling like they’re making a huge difference, they’ll tell their friends about it.” (Steve)

“I think to not post pricing is a huge, huge mistake.” (Steve)

“We need big, bold stories that should be told.” (Steve)

“We should be our worst critics. We should be saying, what is it that we’re doing wrong? How do we get this right? How do we do it better?” (Steve)

NOTES

Steve Moran is the founder and publisher of Senior Living Foresight, one of the most widely read media platforms in the senior housing industry. A longtime commentator and thought leader, Moran is known for his candid perspectives on occupancy, workforce culture, innovation, leadership and the future of aging services. At 71, he also brings the perspective of someone personally navigating aging and senior care decisions for his own family.

Senior Living Foresight is a media and thought leadership platform focused on the senior living industry. Through articles, interviews, podcasts and commentary, the organization explores challenges and opportunities facing operators, caregivers and residents. Recently acquired by Procare HR, the platform continues expanding its editorial reach while maintaining Moran’s independent voice and focus on improving the industry.

Moran discussed how the senior living industry is experiencing record occupancy levels, yet many operators still seem apprehensive, almost expecting another crisis around the corner after the lingering effects of COVID. He emphasized that success in senior living often comes down to operational leadership and culture, pointing out that some communities are thriving while others continue to struggle.

He expressed concern about increasing ownership by large investment groups focused primarily on short-term returns, arguing that this can limit innovation and resident-centered experiences. Moran believes many communities still operate as a “last resort” rather than a desirable lifestyle choice.

Drawing from his own experiences, Moran shared that today’s boomers may not be as different as many assume. While older adults want autonomy and meaningful experiences, they still share many of the same emotional and practical needs previous generations faced as they aged.

Moran argued that senior living communities often fail to give residents enough control over their own lives, using examples like residents battling management over choosing television programming in common areas. He believes future communities must empower residents rather than dictate daily experiences.

On staffing, Moran challenged the common narrative of a workforce shortage, saying the industry actually faces a culture problem more than a staffing crisis. He explained that organizations with strong leadership, meaningful work environments and supportive cultures consistently attract applicants and retain employees.

He stressed the importance of storytelling in both recruitment and marketing. According to Moran, operators need to tell compelling stories about how senior living changes lives for residents, families and staff members rather than relying solely on amenities and clinical messaging.

Moran also highlighted the emotional complexity families face when choosing senior living communities, drawing from his own experiences helping his stepfather transition through multiple communities. He believes operators need greater transparency around pricing, care expectations and the realities families may encounter after move-in.

Looking ahead, Moran sees technology, AI and robotics playing increasingly important roles in senior living, though he believes the industry still struggles with fragmented systems and implementation challenges. He also predicts that future successful operators will prioritize employees, listen more carefully to residents and families and create experiences that inspire genuine brand evangelism rather than simple customer satisfaction.

Senior living’s biggest opportunity may not be occupancy or operations. It may be human connection. The communities people truly want to be part of are the ones built around trust, culture, communication and meaningful relationships for both residents and families.

That was a major theme during a recent conversation on Varsity’s weekly Roundtable featuring Steve Moran, publisher of Senior Living Foresight and one of the industry’s most recognized voices on senior living culture, workforce challenges and innovation. During a candid Q&A, Steve shared what the industry is overlooking, where operators are getting it right (and wrong) and what senior living must do to better align with the expectations of a new generation of older adults. Below are a few Fresh Perspectives from the discussion.

CULTURE, NOT STAFFING, IS THE REAL CHALLENGE

The communities winning on workforce aren’t magically finding more people, they’re building cultures where employees actually want to stay, grow and feel valued.

FAMILY EXPERIENCE IS THE NEXT BIG OPPORTUNITY

Senior living often focuses heavily on residents while overlooking the emotional and logistical burden carried by families. Communities that intentionally support caregivers will build deeper trust and loyalty.

CONNECTION IS THE MOST UNDERSERVED NEED IN SENIOR LIVING

The biggest differentiator may not be amenities or programming, but helping residents and families form real friendships and meaningful human relationships.

TRANSPARENCY BUILDS TRUST, EVEN WHEN THINGS GO WRONG

Families don’t expect perfection. They expect honesty. Communities that communicate openly about challenges, mistakes and solutions create stronger long-term trust.

SENIOR LIVING MUST BECOME MORE ASPIRATIONAL

Most people still move into senior living as a last resort. The future belongs to communities that people choose earlier for lifestyle, purpose, connection and belonging.

LONGEVITY ISN’T ENOUGH WITHOUT QUALITY OF LIFE

The industry has become better at extending life, but it still struggles with how to support emotional well-being, cognition and purpose as people age.

THE WINNERS WILL PRIORITIZE PEOPLE OVER MARGINS

The most successful organizations over the next decade will be the ones known for exceptional care, communication, trust and human connection, not just operational efficiency.

KEY QUESTIONS

What is the biggest challenge facing senior living today?

While staffing shortages often dominate the conversation, Steve Moran argues the bigger issue is culture. Communities that create supportive, engaging workplace environments are often the ones attracting and retaining strong team members.

Why is family engagement becoming more important in senior living?

Families play a major role in the senior living experience, emotionally, financially and logistically. Communities that communicate well and intentionally support caregivers can build stronger trust, loyalty and long-term relationships.

How can senior living communities create stronger human connection?

The most impactful communities help residents and families build authentic relationships and friendships, not just participate in activities or events. Social connection may become one of the industry’s biggest differentiators moving forward.

What will define the most successful senior living communities in the future?

According to Steve Moran, the organizations that thrive long term will prioritize exceptional care, transparency, communication and human connection over simply focusing on operational efficiency and margins.

QUOTES

“One day I was young and I went to bed. I woke up. I was old. That’s how it happens. Suddenly, without warning, you’re there.” (J.J.)

“It was really a search for bold. I didn’t start it even as a book. I certainly didn’t start it with a whole pile of bold ideas. I had absolutely nothing.” (J.J.)

“Everybody’s got a story. Everybody’s got stuff. You can’t base a relationship on sharing your victim story, or at least not very long or successfully.” (J.J.)

“I think a thumbnail definition of bold is facing reality and stepping up and doing what you need to do.” (J.J.)

“Getting older is a very big deal. Anyone who says it happened in a different way or that getting old is no big deal is a liar, liar, pants on fire.” (J.J.)

“Humor is a powerful tool for talking about anything sensitive or difficult.” (J.J.)

“As long as you’re fighting the word old, you’re never going to move forward.” (J.J.)

“Every time someone dies, it’s like a small library burning down.” (J.J.)

“Fear of the future and longing for the past can keep you stuck in place.” (J.J.)

“The good news is your world can get bigger much faster than it took for it to shrink.” (J.J.)

“Nobody was going to rescue me. I had to make this happen.” (J.J.)

“Be careful who you invest time in. How many viable years do I really have left? I don’t have a lot of time to make big mistakes with.” (J.J.)

NOTES

J.J. Hubal is a bestselling author, cartoonist and former special education teacher whose work explores aging through humor, honesty and visual storytelling. Her book Goodbye Old, Hello Bold encourages readers to rethink aging, embrace change and approach later life with more curiosity, courage and self-awareness.

J.J. Hubal is the author of Goodbye Old, Hello Bold, a visually driven book that blends cartoons, essays and reflections on aging. Through humor and deeply personal observations, the book addresses topics like loneliness, grief, reinvention, friendship and resilience while encouraging readers to embrace the realities of growing older.

Hubal spent decades working as a special education teacher before fully embracing writing and cartooning later in life. She has published cartoons and essays for years, with many of her cartoons focused on aging, memory, relationships and the realities of later life. She currently lives in Savannah, Georgia, where she continues writing, drawing and speaking about aging, creativity and personal growth.

J.J. said aging often creates anxiety because people become overwhelmed by loss, change and unrealistic expectations about what later life is supposed to look like.

She described “bold” as facing reality honestly and stepping up to do what needs to be done, even when the actions are small or unnoticed by others.

J.J. explained that humor helps people approach difficult conversations about aging because cartoons and comedy create emotional distance while still communicating truth.

She shared that many of the cultural narratives around aging are shifting, including the growing acceptance of using the word “old” openly and honestly.

J.J. talked about how loneliness became a turning point in her own life and inspired her to actively seek new friendships, experiences and communities.

She discussed the importance of staying open to reinvention later in life and said even small steps, like attending an art class or joining a group, can dramatically expand someone’s world.

J.J. emphasized that many fears around aging stem from clinging too tightly to the past instead of creating space for new experiences, relationships and possibilities.

She encouraged people to think proactively about aging by preparing emotionally, socially and practically for future changes rather than waiting until challenges become crises.

————-

The following is a guest blog entry from Larry Carlson. Larry is an advisor, board member, and author of Avandell: Reimagining the Dementia Experience. A longtime CEO in senior living, he now writes and speaks about helping older adults finish strong — living with purpose, vitality, and impact in their third age.

————-

It’s early. Just after sunrise.

The household is quiet, except for the soft hum of the coffee machine in the corner and the faint sound of a television no one is really watching.

She’s kneeling beside him. He’s confused again. Agitated. Asking for his wife—who passed years ago. His voice rising, his hands restless, searching for something he can’t name.

She doesn’t correct him.
She doesn’t rush him.
She places her hand gently over his and leans in just enough for him to see her eyes.

“Tell me about her.”

He pauses.

The tension in his shoulders softens. And for a moment, the room changes. He’s no longer lost. He’s remembering. And she stays right there with him—unhurried, present, steady. Not because it’s in her job description. But because it’s in her.

She didn’t learn that in orientation. She brought it with her.

The question is… did we hire for it?
Do we recognize it?
Do we protect it?
Do we build around it?

Because mission doesn’t live on the wall. It lives—or dies—in moments like that. In my experience, there are four places where that happens.

HIRING

If you don’t hire for mission, you won’t lead with mission. Too often, we hire for experience and hope for alignment. But the deeper question is whether the person sitting across from you already carries the heart your mission requires.

TRY THIS: Add one question to your interview process tied directly to your values: “Tell me about a time you chose people over efficiency.”

You’re not just listening for the answer. You’re listening for the instinct.

RECOGNITION

What you celebrate becomes your culture. If that moment in the household goes unnoticed, it slowly becomes optional. If it’s named and honored, it becomes the standard others move toward.

TRY THIS: In your next team meeting, recognize one team member specifically for how they lived out a core value, not just what they accomplished. Make the invisible visible.

ACCOUNTABILITY

Values that aren’t reinforced aren’t values—they’re preferences. The hard part of leadership isn’t writing values. It’s protecting them when they’re inconvenient.

TRY THIS: When addressing a performance issue, name the value being missed—not just the behavior. It changes the conversation from correction to alignment. From “what you did wrong” to “who we are.”

DECISION MAKING

Your hardest decisions reveal your real values. Strategy, budgets, census pressure—these are the moments when values are most at risk of becoming negotiable.

TRY THIS: Before making a key decision, ask: “Which of our values does this support—and which might it compromise?”

You may still make the same decision. But you’ll make it consciously.

Mission is not sustained by intention. It’s sustained by repetition—what you hire for, what you recognize, what you reinforce, and how you decide.

And over time, something begins to happen.

Those quiet, early-morning moments—the ones no one sees, no one measures, no one reports on—they become the culture. Not because you declared it. But because you built it.

————-

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.

————-

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.

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.

————-

The following is Part 1 of a two-part series 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.

————-
In senior living, some of the most important conversations don’t happen on a tour, they happen around medications.

Families ask questions quietly:

• Why is Mom more tired lately?
• Is this medication causing confusion?
• Why does this prescription work for one resident but not another?

Medication management is often treated as a clinical back-office issue. But in reality, it directly affects resident satisfaction, outcomes, staff confidence, and family trust.

For senior living sales teams, executive directors, nurses, and caregivers, medication conversations present both a challenge and an opportunity. The challenge is complexity. The opportunity is education.

One emerging tool helping shift these discussions is pharmacogenetic (PGx) testing, not as a sales pitch, and not as a replacement for physician oversight, but as a framework for clearer conversations.

Why Medication Conversations Feel Overwhelming

Older adults frequently manage multiple chronic conditions, cardiovascular disease, diabetes, depression, chronic pain, neurological disorders. It is not uncommon for residents to take five, ten, or even more medications daily.

With aging comes physiological changes that affect how the body absorbs, metabolizes, and eliminates drugs. These changes can increase the risk of:

• Adverse drug reactions
• Falls and dizziness
• Increased confusion
• Medication non-adherence due to side effects
• Avoidable hospitalizations

Families often assume these risks are simply “part of aging.” Teams sometimes assume side effects are unavoidable. Providers do their best with the information available.

But what if medication conversations didn’t have to start from a place of guesswork?

A Shift Toward Personalization

PGx testing evaluates how a person’s genetics may influence the way certain medications are processed in the body. It doesn’t diagnose disease. It doesn’t predict future illness. It provides insight into how medications may interact with an individual’s metabolic profile.

For senior living professionals, the most powerful part of PGx testing isn’t the lab result, it’s the conversation it opens.

It creates space to ask:

• Is this medication optimal for this individual?
• Could side effects be reduced?
• Are there alternatives that may align better?
• How can we support safer prescribing conversations?

These are not clinical determinations made by sales staff or caregivers. They are informed discussions that support provider evaluation and collaborative care planning. 

Trust Is Built Through Transparency

Senior living is built on trust. Families are not just choosing a community; they are choosing partners in care.

When medication conversations are proactive rather than reactive, families feel:

• Heard
• Educated
• Involved
• Reassured

Communities that introduce the idea of personalized medication discussions demonstrate alignment with preventative and value-based care models.

Sales teams are uniquely positioned here. They can frame PGx testing as a supportive educational resource, one that enhances provider decision-making and resident well-being.

Rather than saying, “We offer genetic testing,” the conversation becomes:

“We believe in helping families feel confident in every aspect of care — including medications.”

Removing Barriers, Not Adding Complexity

One concern often raised is whether introducing PGx testing adds another layer of complexity to an already overwhelming process. The opposite can be true.

By helping providers evaluate medication suitability earlier rather than later, PGx testing may reduce future medication adjustments, side effects, or avoidable emergency visits. It simplifies long-term decision-making by introducing clearer data into the process.

For caregivers and daughters like Michele, who recently navigated placing her own mother into senior living, clarity around medications is deeply personal. Families want assurance that their loved one is not simply “trying medications”, but receiving informed, thoughtful care.

PGx testing supports that reassurance.

A New Category of Conversation

Senior living has evolved to include partnerships in move management, downsizing, care coordination, and wellness programming. Medication personalization is a natural extension of holistic senior care.

This isn’t about replacing physicians. It isn’t about overstepping clinical boundaries. It’s about strengthening education, transparency, and collaboration.

In Part 2, we will explore the clinical foundation behind PGx testing, how it works, common myths, and why it continues gaining traction in aging populations.

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.