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TRT - Testosterone Replacement Therapy in Livingston, NJ

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What is Testosterone?

What is Testosterone?

Testosterone is a crucial hormone for men and plays an important role throughout the male lifespan. Most of a male's testosterone is produced through the testicles. Also called the male sex hormone, testosterone starts playing its part during puberty.

When a male goes through puberty, testosterone helps males develop:

  • Facial Hair
  • Body Hair
  • Deeper Voice
  • Muscle Strength
  • Increased Libido
  • Muscle Density

As boys turn to men and men grow older, testosterone levels deplete naturally. Sometimes, events like injuries and chronic health conditions like diabetes can lower testosterone levels. Unfortunately, when a man loses too much T, it results in hypogonadism. When this happens, the testosterone must be replaced, or the male will suffer from symptoms like muscle loss, low libido, and even depression.

How does TRT work men

How Does TRT Work?

TRT is exactly what it sounds like: a treatment option for men that replaces testosterone so that your body regulates hormones properly and restores balance to your life. Also called androgen replacement therapy, TRT alleviates the symptoms that men experience with low T.

Originally lab-synthesized in 1935, testosterone has grown in popularity since it was produced. Today, TRT and other testosterone treatments are among the most popular prescriptions in the U.S.

Without getting too deep into the science, TRT works by giving your body the essential testosterone it needs to function correctly. As the primary androgen for both males and females, testosterone impacts many of the body's natural processes – especially those needed for overall health. For example, men with low T are more prone to serious problems like cardiovascular disease and even type-2 diabetes.

When your body quits making enough testosterone, it causes your health to suffer until a solution is presented. That's where TRT and anti-aging medicine for men can help. TRT helps balance your hormones and replenish your depleted testosterone. With time, your body will begin to heal, and many symptoms like low libido and irritability begin to diminish.

What Causes Low T

What Causes Low T?

For men, aging is the biggest contributor to lower testosterone levels, though there are other causes like obesity, drug abuse, testicular injuries, and certain prescribed medications. Sometimes, long-term health conditions like AIDS, cirrhosis of the liver, and kidney disease can lower testosterone levels.

When a man's testosterone levels drop significantly, it alters his body's ratio of estrogen and testosterone. Lower testosterone levels cause more abdominal fat, which in turn results in increased aromatase, which converts even more testosterone into estrogen.

If you're concerned that you might have low T, you're not alone. Millions of men in the U.S. feel the same way. The best way to find out if your testosterone is low is to get your levels tested.

For sustainable testosterone replacement therapy benefits, you must consult with hormone doctors and experts like those you can find at Global Life Rejuvenation. That way, you can find the root cause of your hormone problems, and our team can craft a personalized HRT plan tailored to your needs.

Lowered Libido

Low Sex Drive

One of the most common reasons that men choose TRT is because they have lost that "spark" with their partner. It's not easy for a man to hear that they're not performing like they used to. Intimacy is a powerful part of any relationship. When a once-healthy sex life dwindles, it can cause serious relationship issues.

The good news is that low libido doesn't have to be a permanent problem. TRT and anti-aging medicines help revert hormone levels back into their normal range. When this happens, many men have a more enjoyable life full of intimacy and sex drive.

Inability to Achieve and Maintain Erections

Inability to Achieve and Maintain an Erection

Weak erections – it's an uncomfortable subject for many men in the U.S. to talk about. It's even worse to experience first-hand. You're in the midst of an intimate moment, and you can't do your part. Despite being perfectly normal, many men put blame and shame upon themselves when they can't achieve an erection. And while the inability to perform sexually can be caused by poor diet, obesity, and chronic health conditions, low testosterone is often a contributing factor.

Fortunately, weak erections are a treatable condition. The best way to regain your confidence and ability in bed is to speak with your doctor. Once any underlying conditions are discovered, options like TRT may be the best course of treatment.

Hair Loss

Loss of Strength and Muscle Mass

Loss of Strength and Muscle Mass

Do you find it harder and harder to work out and lift weights in the gym? Are you having problems lifting heavy items that you once had no problem lifting?

Recent studies show that when men are inactive, they lose .5% of muscle strength every year, from ages 25 to 60. After 60, muscle loss doubles every decade. While some muscle loss is common as men age, a significant portion can be tied to low testosterone levels. When a man's T levels drop, so does his muscle mass.

Testosterone is a much-needed component used in gaining and retaining muscle mass. That's why many doctors prescribe TRT Livingston, NJ, for men having problems with strength. One recent study found that men who increased their testosterone levels using TRT gained as much as 2.5 pounds of muscle mass.

Whether your gym performance is lacking, or you can't lift heavy items like you used to, don't blame it all on age. You could be suffering from hypogonadism.

Hair Loss

Hair Loss

If you're like millions of other men in their late 20s and 30s, dealing with hair loss is a reality you don't want to face. Closely related to testosterone decline and hormone imbalances, hair loss is distressing for many men. This common symptom is often related to a derivative of testosterone called DHT. Excess amounts of DHT cause hair follicles to halt their production, causing follicles to die.

Because hair located at the front and crown is more sensitive to DHT, it grows slower than other follicles and eventually stops growing permanently. Thankfully, TRT and anti-aging treatments for men in Livingston, NJ, is now available to address hair loss for good.

While it's true that you can't change your genes, you can change the effects of low testosterone on your body. Whether you're suffering from thinning hair or hair loss across your entire head, TRT and other hormone therapies can stop hair loss and even reverse the process.

Gynecomastia

Gynecomastia

Also called "man boobs," gynecomastia is essentially the enlargement of male breast tissue. This increase in fatty tissue is often caused by hormonal imbalances and an increase in estrogen. For men, estrogen levels are elevated during andropause. Also called male menopause, andropause usually happens because of a lack of testosterone.

If you're a man between the ages of 40 and 55, and you're embarrassed by having large breasts, don't lose hope. TRT is a safe, effective way to eliminate the underlying cause of gynecomastia without invasive surgery. With a custom HRT and fitness program, you can bring your testosterone and estrogen levels back to normal before you know it.

Decreased Energy

Decreased Energy

Decreased energy was once considered a normal part of aging. Today, many doctors know better. Advances in technology and our understanding of testosterone show that low T and lack of energy often go hand-in-hand.

If you're struggling to enjoy activities like playing with your kids or hiking in a park due to lack of energy, it could be a sign of low T. Of course, getting tired is perfectly normal for any man. But if you're suffering from continual fatigue, a lack of enjoyment, or a decrease in energy, it might be time to speak with a doctor.

Whether you're having a tough time getting through your day or can't finish activities you used to love, TRT could help.

Lack of Sleep

Lack of Sleep

A study from 2011 showed that men who lose a week's worth of sleep can experience lowered testosterone levels – as much as 15%, according to experts. Additional research into the topic found almost 15% of workers only get five hours of sleep (or less) per night. These findings suggest that sleep loss negatively impacts T levels and wellbeing.

The bottom line is that men who have trouble sleeping often suffer from lower testosterone levels as a result. If you find yourself exhausted at the end of the day but toss and turn all night long, you might have low T.

TRT and anti-aging medicines can restore your T levels back to normal, which can help you sleep better with proper diet and exercise.

Depression

Depression

You're feeling down about everything, and there's no solid explanation for why you're in such a crummy mood. Your daily life is great and full of success, but you can't help but feel unexcited and unmotivated. If you're experiencing symptoms like these, you may be depressed – and it may stem from low testosterone.

A research study from Munich found that men with depression also commonly had low testosterone levels. This same study also found that depressed men had cortisol levels that were 67% higher than other men. Because higher cortisol levels lead to lower levels of testosterone, the chances of severe depression increase.

Depression is a very real disorder and should always be diagnosed and treated by your doctor. One treatment option gaining in popularity is TRT for depression. Studies show that when TRT is used to restore hormone levels, men enjoy a lighter, more improved mood. That's great news for men who are depressed and have not had success with other treatments like anti-depression medicines, which alter the brain's chemistry.

Inability to Concentrate

Inability to Concentrate

Ask anyone over the age of 50 how their memory is, and they'll tell you it wasn't what it used to be. Memory loss and lack of concentration occur naturally as we age – these aren't always signs of dementia or Alzheimer's.

However, what many men consider a symptom of age may be caused by low testosterone. A 2006 study found that males with low T levels performed poorly on cognitive skill tests. These results suggest that low testosterone may play a part in reducing cognitive ability. If you're having trouble staying on task or remembering what your schedule is for the day, it might not be due to your age. It might be because your testosterone levels are too low. If you're having trouble concentrating or remembering daily tasks, it could be time to talk to your doctor.

Why? The aforementioned study found that participating men experienced improved cognitive skills when using TRT.

Weight Gain

Weight Gain

Even though today's society is more inclusive of large people, few adults enjoy gaining weight as they age. Despite their best efforts, many men just can't shed the extra pounds around their midsections, increasing their risk of heart disease and cancer.

Often, male weight gain is caused by hormone imbalances that slow the metabolism and cause weight to pile on. This phase of life is called andropause and happens when there is a lack of testosterone in the body. Couple that with high cortisol levels, and you've got a recipe for flabby guts and double chins.

Fortunately, TRT treatments and physician-led weight loss programs can correct hormone imbalances and lead to healthy weight loss for men.

What is Sermorelin

What is Sermorelin?

Sermorelin is a synthetic hormone peptide, like GHRH, which triggers the release of growth hormones. When used under the care of a qualified physician, Sermorelin can help you lose weight, increase your energy levels, and help you feel much younger.

Benefits of Sermorelin

Benefits of Sermorelin

Human growth hormone (HGH) therapy has been used for years to treat hormone deficiencies. Unlike HGH, which directly replaces declining human growth hormone levels, Sermorelin addresses the underlying cause of decreased HGH, stimulating the pituitary gland naturally. This approach keeps the mechanisms of growth hormone production active.

Benefits of Sermorelin include:

  • Better Immune Function
  • Improved Physical Performance
  • More Growth Hormone Production
  • Less Body Fat
  • Build More Lean Muscle
  • Better Sleep
What is Ipamorelin

What is Ipamorelin?

Ipamorelin helps to release growth hormones in a person's body by mimicking a peptide called ghrelin. Ghrelin is one of three hormones which work together to regulate the growth hormone levels released by the pituitary gland. Because Ipamorelin stimulates the body to produce growth hormone, your body won't stop its natural growth hormone production, which occurs with synthetic HGH.

Ipamorelin causes growth hormone secretion that resembles natural release patterns rather than being constantly elevated from HGH. Because ipamorelin stimulates the natural production of growth hormone, our patients can use this treatment long-term with fewer health risks.

Benefits of Ipamorelin

Benefits of Ipamorelin

One of the biggest benefits of Ipamorelin is that it is suitable for both men and women. It provides significant short and long-term benefits in age management therapies, boosting patients' overall health, wellbeing, and outlook on life. When growth hormone is produced by the pituitary gland using Ipamorelin, clients report amazing benefits.

Some of those benefits include:

  • Powerful Anti-Aging Properties
  • More Muscle Mass
  • Less Unsightly Body Fat
  • Deep, Restful Sleep
  • Increased Athletic Performance
  • More Energy
  • Less Recovery Time for Training Sessions and Injuries
  • Enhanced Overall Wellness and Health
  • No Significant Increase in Cortisol

Your New, Youthful Lease on Life Starts Here

Whether you are considering our TRT services, HRT for women, or our growth hormone peptide services, we are here to help. The first step to turning back the hand of time starts by contacting Global Life Rejuvenation.

Our friendly, knowledgeable TRT and HRT experts can help answer your questions and walk you through our procedures. From there, we'll figure out which treatments are right for you. Before you know it, you'll be well on your way to looking and feeling better than you have in years!

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Latest News in Livingston, NJ

Dr. Daniel Fishbein to be Appointed as Interim Superintendent of Livingston Public Schools

Dr. Daniel Fishbei, Ed.D., to serve as interim superintendent of Livingston Public SchoolsPhoto Credit: Livingston Public Schools By TAPinto Livingston Staff LIVINGSTON, NJ — Livingston Public Schools (LPS) has announced that Daniel Fishbein, Ed.D., has been selected to serve as interim superintendent for the district for the 2024-2025 school year, with his employment to begin on July 1.The Livingston Board of Education (LBOE) is expected to approve this appointment during Tuesday&...

Dr. Daniel Fishbei, Ed.D., to serve as interim superintendent of Livingston Public SchoolsPhoto Credit: Livingston Public Schools

By TAPinto Livingston Staff

LIVINGSTON, NJ — Livingston Public Schools (LPS) has announced that Daniel Fishbein, Ed.D., has been selected to serve as interim superintendent for the district for the 2024-2025 school year, with his employment to begin on July 1.

The Livingston Board of Education (LBOE) is expected to approve this appointment during Tuesday’s public meeting, which will be held in a hybrid format at 7 p.m.

Before the public meeting, an in-person “Meet & Greet” with Dr. Fishbein will be held at 6:30 p.m. at the Central Office, 11 Foxcroft Drive. Members of the public are invited to attend.

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"Dr. Fishbein's reputation as an educational leader is second to none,” said outgoing LPS Superintendent of Schools Dr. Matthew J. Block. “I am confident he will quickly discover what an amazing professional team we have here in Livingston, and together with the LPS team, will take the district to the next level. I look forward to working closely with Dr. Fishbein during the upcoming transition period."

According to LPS, the district will benefit from Dr. Fishbein’s leadership in high-performing districts, along with the knowledge, experience and insights he brings.

Dr. Fishbein holds a Bachelor of Arts degree in Geology from the University of Maine, Orono; a Master of Education - Secondary Science Education from St. Michael’s College; and a Master of Education - Educational Administration from Teachers College, Columbia University. He earned his Doctor of Education - Educational Administration degree from Columbia University in 1992.

In 2020, Dr. Fishbein retired as Superintendent of Ridgewood Public Schools, a position he held for more than a decade. There, he served as the chief school administrator for 5,800 K -12 students and 800 professional and non-professional staff members.

As superintendent, he was responsible for the leadership and management of the educational program, financial and technology operations, and all parts of the physical plant, as well as for leading, inspiring, guiding, and directing each administrative, instructional, and support services staff member. In addition, he oversaw a $115-milion budget.

Highlights of his tenure in Ridgewood include a successful $48-million bond referendum on the facilities that was approved in December 2009 and completed in 2012.

Prior to joining Ridgewood Public Schools, Dr. Fishbein served as Superintendent of Schools in Glen Ridge for seven years.

Since his retirement, he has served in various interim positions in Glen Rock, Hillsborough Township and Pascack Valley.

Dr. Fishbein has served as an adjunct professor at Ramapo College in Mahwah since 2018. Over the years, he has served in various leadership roles with Bergen County Superintendents’ Association, Essex County Superintendents’ Association, Northern NJ Superintendents’ Study Council, and the Garden State Coalition of Schools.

He has also served as a trainer and mentor for new superintendents and administrators who aspire to be superintendents. He is a founding member of the National Superintendents Roundtable and the New Jersey Superintendent Study Council. He has traveled to Japan, China and South Korea as an education ambassador and guest of their governmental education agencies.

LBOE President Pamela Chirls announced at the April 18 meeting that the board would be hiring an interim superintendent to allow sufficient time for the district to seek stakeholder input and conduct a thorough search for a permanent Superintendent of Schools.

“I am honored to be appointed as the interim superintendent for Livingston Public Schools,” said Dr. Fishbein. “I look forward to working with the board, the administration, the staff, and the community for the smooth transition to a permanent superintendent.”

On April 1, 2024, Dr. Block announced that he would be retiring from public education in New Jersey effective July 1, 2024, before assuming his new role of Superintendent of Schools in Ardsley, NY. His resignation, for purposes of retirement, was approved at the last board meeting on April 16.

Livingston Schools Will Get New Superintendent: Daniel Fishbein

A temporary replacement has been chosen for soon-to-depart Livingston school superintendent Matthew Block.LIVINGSTON, NJ — A temporary replacement has been chosen for Livingston school superintendent Matthew Block.On Monday, administrators in the Livingston Public School District announced that Daniel Fishbein will serve as interim superintendent for the district for the 2024-2025 school year. The board of education is expected to approve his appointment at their meeting on Tuesday.Prior to the meeting, a “...

A temporary replacement has been chosen for soon-to-depart Livingston school superintendent Matthew Block.

LIVINGSTON, NJ — A temporary replacement has been chosen for Livingston school superintendent Matthew Block.

On Monday, administrators in the Livingston Public School District announced that Daniel Fishbein will serve as interim superintendent for the district for the 2024-2025 school year. The board of education is expected to approve his appointment at their meeting on Tuesday.

Prior to the meeting, a “meet and greet” event with Fishbein open to the public will take place at 6:30 p.m. at the district’s central office, 11 Foxcroft Drive.

Fishbein will begin his tenure at the head of the district on July 1.

Block previously announced that he would be retiring from public education in New Jersey effective July 1. He will be taking over a new post as the superintendent of schools in Ardsley, New York.

Find out what's happening in Livingstonwith free, real-time updates from Patch.

Board of education president Pam Chirls previously said that the board will be hiring an interim superintendent to allow sufficient time for the district to “seek stakeholder input and conduct a thorough search” for a permanent superintendent.

Departing superintendent Block said that his interim successor’s reputation as an educational leader is “second to none.”

“I am confident he will quickly discover what an amazing professional team we have here in Livingston, and together with the LPS team, will take the district to the next level,” Block said.

“I look forward to working closely with Dr. Fishbein during the upcoming transition period,” he added.

Fishbein agreed with this sentiment.

“I am honored to be appointed as the interim superintendent for Livingston Public Schools,” he said. “I look forward to working with the board, the administration, the staff and the community for the smooth transition to a permanent superintendent.”

The Livingston Public School District provided the following background information about Fishbein:

“Dr. Fishbein holds a Bachelor of Arts degree in Geology from the University of Maine, Orono; a Master of Education - Secondary Science Education from St. Michael’s College; and a Master of Education - Educational Administration from Teachers College, Columbia University. He earned his Doctor of Education - Educational Administration degree from Columbia University in 1992.

“In 2020, Dr. Fishbein retired as Superintendent of Ridgewood Public Schools, a position he held for over a decade. There he served as the chief school administrator for 5,800 K -12 students and 800 professional and non-professional staff members. As superintendent, he was responsible for the leadership and management of the educational program, financial and technology operations, and all parts of the physical plant, as well as for leading, inspiring, guiding, and directing each administrative, instructional, and support services staff member. In addition, he oversaw a $115,000,000 budget. Highlights of his tenure in Ridgewood include a successful $48,000,000 bond referendum on the facilities that was approved in December 2009 and completed in 2012.

“Prior to joining Ridgewood Public Schools, Dr. Fishbein served as Superintendent of Schools in Glen Ridge for seven years.

“Since his retirement, he has served in various interim positions in Glen Rock, Hillsborough Township, and Pascack Valley.

“Dr. Fishbein has served as an adjunct professor at Ramapo College in Mahwah, NJ since 2018. Over the years, he has served in various leadership roles with Bergen County Superintendents’ Association, Essex County Superintendents’ Association, Northern NJ Superintendents’ Study Council, and the Garden State Coalition of Schools. He has also served as a trainer and mentor for new superintendents and administrators who aspire to be superintendents. He is a founding member of the National Superintendents Roundtable and the New Jersey Superintendent Study Council. He has traveled to Japan, China, and South Korea as an education ambassador and guest of their governmental education agencies.”

Send local news tips and correction requests to [email protected]. Learn more about advertising on Patch here. Find out how to post announcements or events to your local Patch site. Don’t forget to visit the Patch Livingston Facebook page.

Livingston Shopping Center Attracts 2 New Businesses

LIVINGSTON, NJ — A national debate academy and a trading card/collectible store are coming to a shopping center in Livingston.Bergen Debate Club and Monmouth Cards have signed new leases at The Livingston Town Center, according to Azarian Realty Co. the leasing and property management agent for the property.The two businesses will join a tenant roster that includes Wells Fargo, 16 Handles, HotWorx, Shiseido and LA Bikini.According to Azarian Realty, there are three vacancies remaining at the 29-space, two-story sho...

LIVINGSTON, NJ — A national debate academy and a trading card/collectible store are coming to a shopping center in Livingston.

Bergen Debate Club and Monmouth Cards have signed new leases at The Livingston Town Center, according to Azarian Realty Co. the leasing and property management agent for the property.

The two businesses will join a tenant roster that includes Wells Fargo, 16 Handles, HotWorx, Shiseido and LA Bikini.

According to Azarian Realty, there are three vacancies remaining at the 29-space, two-story shopping center, which range from 612 square feet to 3,244 square feet. Some suggested uses? “Office, retail and restaurant space,” the firm says.

Azarian Realty offered the following background about the newest arrivals at The Livingston Town Center:

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Bergen Debate Club is one of the largest and most successful debate academies in the United States. Their focus is on helping children and teens develop their public speaking, critical thinking, and persuasive argumentation skills. Their coaching team is made up of highly experienced instructors who have collectively accomplished multiple titles and accreditations including 53 TOC Bids, NSDA, NCFL, NDCA Nationals Qualifications, and a handful of APDA Championships both as competitors themselves as well as debate coaches. They operate out of Bergen County, New Jersey, and also offer online classes for students aged 10 and up. Their newest location in The Livingston Town Center marks their third opening, while their other locations can be found in Glen Rock, NJ and Fort Lee, NJ.

Monmouth Cards is a trading card and collectible store and online platform. They are passionate about collecting and trading nostalgic and rare collectible trading cards, and they offer a space for other collectors to access and indulge their shared passion. Their offerings range from sports cards to entertainment cards, as they enjoy having a wide selection for fanatics. The thing that separates them from another trading store is their team of experienced collectors who can pinpoint authentic, high-quality cards, which include rare and limited-edition cards. Their incoming occupancy at The Livingston Town Center will mark their fourth brick-and-mortar opening, with their other locations found in East Brunswick, NJ, Wall Township, NJ, and Oakhurst, NJ.

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NJ Expert Cheers New Federal Staffing Minimums For Nursing Homes

"It may surprise many to learn that 'nursing' homes often fail to have a registered nurse on premises at many hours of the day or night."Patch Staff|Updated Mon, Apr 29, 2024 at 12:48 pm ETNEWARK, NJ — A new set of federal staffing rules for nursing homes is a “long overdue” move that will protect residents – and workers – from chronic understaffing at facilities across the nation, according to an expert from Rutgers University in New Jersey.The White House ...

"It may surprise many to learn that 'nursing' homes often fail to have a registered nurse on premises at many hours of the day or night."

Patch Staff

|Updated Mon, Apr 29, 2024 at 12:48 pm ET

NEWARK, NJ — A new set of federal staffing rules for nursing homes is a “long overdue” move that will protect residents – and workers – from chronic understaffing at facilities across the nation, according to an expert from Rutgers University in New Jersey.

The White House announced the new rules last week, which will apply to nursing homes that receive federal funding through Medicare and Medicaid.

“Medicare and Medicaid pay billions of dollars per year to ensure that 1.2 million Americans that receive care in nursing homes are cared for, yet too many nursing homes chronically understaff their facilities, leading to sub-standard or unsafe care,” a statement from the Biden administration said, explaining the need behind the new regulations.

“When facilities are understaffed, residents may go without basic necessities like baths, trips to the bathroom, and meals – and it is less safe when residents have a medical emergency,” officials added.

Here's what to know about the new rules, the White House said:

Find out what's happening in Livingstonwith free, real-time updates from Patch.

“The Nursing Home Minimum Staffing Rule finalized today will require all nursing homes that receive federal funding through Medicare and Medicaid to have 3.48 hours per resident per day of total staffing, including a defined number from both registered nurses (0.55 hours per resident per day) and nurse aides (2.45 per resident per day). This means a facility with 100 residents would need at least two or three RNs and at least ten or eleven nurse aides as well as two additional nurse staff (which could be registered nurses, licensed professional nurses, or nurse aides) per shift to meet the minimum staffing standards. Many facilities would need to staff at a higher level based on their residents’ needs. It will also require facilities to have a registered nurse onsite 24 hours a day, seven days a week, to provide skilled nursing care, which will further improve nursing home safety.”

“This rule will not only benefit residents and their families, it will also ensure that workers aren’t stretched too thin by having inadequate staff on site, which is currently a common reason for worker burnout and turnover,” officials added.

Some nursing home providers say the mandate will be difficult to meet when facilities are already grappling with workforce shortages – potentially leading to downsizing or even closures. Nearly all nursing homes in America will have to hire more nurses and aides to meet the new requirements.

A representative of the Health Care Association of New Jersey said the majority of the Garden State’s nursing homes do not currently meet the standards of the new federal staffing rule, and that compliance is “nearly impossible,” NJ Advance Media reported.

But supporters, including Stephen Crystal, the director of the Rutgers Center for Health Services Research, have applauded the new rules.

“The new staffing requirements are a long-overdue reform that can greatly improve quality of life and outcomes for nursing home residents,” said Crystal, a distinguished research professor at the Rutgers School of Social Work.

“In the current under-staffed and under-regulated system, in which funds are too often siphoned off from direct care to profits through related companies, and where care is too often of low quality and indeed unsafe, the new staffing requirements are an essential reform,” Crystal continued.

“It may surprise many to learn that the facilities that we call ‘nursing’ homes often fail to have a registered nurse on premises at many hours of the day or night,” Crystal said. “In the context of the heavy care needs of today’s nursing home patient mix, these newly required levels are indeed essential minimums for patient safety and well-being.”

New Jersey passed a state law regulating staffing levels at nursing homes in 2020. The law requires:

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Special Education In Livingston Schools Put Under The Microscope

Do you have concerns about special education in Livingston's public schools? You're not alone, a newly released report says.Patch StaffLIVINGSTON, NJ — Do you have concerns about special education in Livingston’s public schools? You’re not alone, a newly released report says.In the spring of 2023, the district commissioned an audit involving Livingston’s schools. The goal? To get feedback from an outside third-party about “inclusivity and equity.”That report was ...

Do you have concerns about special education in Livingston's public schools? You're not alone, a newly released report says.

Patch Staff

LIVINGSTON, NJ — Do you have concerns about special education in Livingston’s public schools? You’re not alone, a newly released report says.

In the spring of 2023, the district commissioned an audit involving Livingston’s schools. The goal? To get feedback from an outside third-party about “inclusivity and equity.”

That report was released in early December and discussed at a board of education meeting. See the results of the general audit here.

After the meeting, some Livingston residents asked for more information about special education – and alleged “retaliation” when parents complain. In response, a2z Equity Coaching prepared a follow-up addendum to the report that addressed their concerns, noting that the feedback they received from parents and other community members has not been “verified as fact.” View the full report online here.

Some of the concerns that participants expressed included:

Find out what's happening in Livingstonwith free, real-time updates from Patch.

The two most-frequent issues reported across grade levels were:

ALL OR NOTHING – “The school's inability to program for neurodiverse students. A common theme is that the school takes an "all or nothing approach" - either you can be included in everything or nothing. Parent perception is there is little or no flexibility.”

EQUAL COURSE ACCESS – “The inability of students with special needs to have access to courses at the secondary level that are not required or do not meet graduation requirements (example, ICS offered in Spanish; if your child wants French, they cannot get ICS). These types of issues were mentioned repeatedly.”

The report noted that there was a “persistent theme of fear of retaliation and a perception of favoritism” among parents and staff who interviewed for the survey on special needs.

Some of their concerns included:

Favoritism – “Shows up when a student misbehaves, but has a parent who is friendly with a principal, district administrator, or board member. The perception is that the ‘friend’ makes a call, or has coffee, and the consequence for that student is reduced. Both family and staff cited incidents such as this.”

Retaliation – “Many staff recounted incidents in which they took a stance on an issue counter to what leadership wanted – sometimes advocating for a student, sometimes for themselves or against a policy or practice – and then received negative evaluations during their next observation cycle, even though they had a history of high evaluations to that point. Others spoke about being reassigned to less desirable positions or schedules, or about reaching out to ask for support (health concerns, overwhelming workload) and rather than receiving that support, instead receiving negative evaluations or write-ups.”

Threats – “Examples were provided about students being ‘threatened’ with not graduating if they continued to post in the Black at Livingston social media space.”

WHAT COMES NEXT?

Shelley Zion of a2z Equity Coaching gave a presentation about special education at Tuesday’s board of education meeting (watch footage below, video is cued to the discussion).

“While the audit is done, and the final report shared, your work is just beginning,” Zion’s addendum report from Feb. 6 states.

“Now the district – via administrative teams, district departments, individual school teams, equity councils, parent groups and board committees – will have to engage with the findings, ask more questions and come up with strategies to respond to the recommendations,” the report continues.

“The single biggest challenge for the district is to create the organizational structures and supports that allow the students, faculty and staff, and community members to engage with and implement the recommendations in their interpersonal interactions, classroom, building and team settings,” the report adds.

See other suggestions here.

“The purpose of the equity audit is not punitive, nor should it be weaponized,” the report added. “It is meant to help all stakeholders in the district engage in a process of continuous improvement. If we are to build a humanizing system, we have to all work together to repair, restore, and build trust and communication.”

The report also painted an overall positive picture of Livingston’s public school system:

“Livingston Public Schools is a good school system. Overall, students fare well on academic and co-curricular standards, behave as expected, and succeed in completing their schooling and progressing to college and career. The district does not have any significant areas of disproportionality, and most faculty and staff see it as a good place to live and work, contributing to high levels of staff retention in most instructional and support services areas. Changing demographics have created some tensions, and the district has responded by increasing its attention on matters of diversity, equity and inclusion. There are challenges and occasional incidents that are addressed, but outcomes are good.”

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