Working as a clinical psychologist in a nursing home setting requires enormous flexibility. There’s hardly ever a specific room available for conducting a therapy session with a resident.
As a result, sessions most often are conducted in resident’s rooms. The majority of residents share a room. It’s certainly not easy to discuss highly personal information in such types of settings. In addition, there is a wide variety of healthcare personnel that frequently interrupt therapy sessions, simply by entering the room to administer medications.
Today, I was comfortably settling into a session with a resident. The cleaning lady came in, insisting that she needed to perform her duties at that time.
I graciously accommodated her, but the entire session subsequently changed. My resident no longer felt comfortable enough to keep discussing intensely private information. We attempted to pick up where we left off, which eventually happened.