Culture Change In Elder Care

Change in the culture of long-term care and the care of our elders is urgently needed! This insightful book lights the way. This book will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of “positive cultures,” emphasizing philosophy, underpinning, and implementation. You'll gain a greater understanding of theoretical frameworks for organizational change, of the changes that can occur in all members of the long-term care community, and of culture change in the context of broad organizational experience and cultural competence. From the editors: “This text provides a timely and comprehensive approach to understanding culture change from the perspective of management and business as well as policy and regulatory guidelines and the framework for aging services. It will provide the reader with an understanding of the current state of the art in conceptualizing long-term care environments that are resident-centered and resident-directed, that respect the individuality of the staff, and that are high-performance entities. The theory and practice of culture change are presented with an eye toward a future where aging people and their families will be both consumers and providers of long-term care.” The first section of Culture Change in Long-Term Care explores the cultural values existing in today's long-term care environment that make us desirous of culture change. The second section examines existing models and networks of culture change in long-term care, including the Eden Alternative, Wellspring, and Pioneer Network Section three brings you to the frontline with case studies from urban, suburban, and rural facilities, facilities with and without unionized staff, facilities from various geographic regions of the United States, and facilities whose experience ranges from years to a decade. Processes, challenges, and qualitative/quantitative findings are included. Section four provides international perspectives, with practical advice from Australia, Sweden, and British Columbia. The final section of Culture Change in Long-Term Care explores the underlying question: “Is change realistic?” This section explores the role of state government, public policy, and the regulatory environment in accomplishing culture change. With Culture Change in Long-Term Care you'll get a theoretical perspective on culture and culture change, as well as quality-of-life models and case studies that will help you learn if—and how—such a process is achievable in your institution. Make it a part of your professional collection today!

Print+CourseSmart

This book, selected for inclusion in Doody's Core Titles in the Health Sciences, 2005 edition (DCT), will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of positive cultures, emphasizing philosophy, underpinning, and implementation. You'll gain a greater understanding of theoretical frameworks for organizational change, of the changes that can occur in all members of the long-term care community, and of culture change in the context of broad organizational experience and cultural competence.

"As one who is involved in the culture change movement and is trying to review the huge volume of available resources, I find it refreshing to have a book that draws it all together....I highly recommend this book to administrators who are overwhelmed at the thought of implementing change in their environment. The author has done an excellent job of making it seem quite possible to make culture change a reality."--Doody's Medical Reviews "The publication of Implementing Culture Change in Long-Term Care marks the beginning of a new era in the aging services profession. This book is the Rosetta Stone of the culture change movement. Dr. Jurkowskiís skillful blend of theory, research, and practice addresses the movementís most urgent needs and makes the work of culture change advocates accessible to a broader and more influential audience....This book is the future in paper and ink." From the Foreword by Bill Thomas, MD Founder of the Eden Alternative and the Green House Project This text offers a strategic approach for promoting an active culture of change in long-term care facilities for older adults and people with disabilities. It discusses the philosophical framework for the delivery of care in these settings and addresses the changing landscape of our long-term care population. With the aim of transforming these facilities from institutional settings to person-centered, homelike environments, the book offers administrators and practitioners numerous strategies and benchmarks for culture change, and addresses tools and resources to support the culture change process. The text describes how these benchmarks have been met and provides ways to address not just knowledge, but also attitudes and behavior, important components of a culture change strategy. The book compares and contrasts current long-term care paradigmsóthe medical model, the rehabilitation paradigm, the independence and dignity model, and strength-based approachesóin order to see how they facilitate or impede culture change. It provides best practice examples of benchmarks to be attained along with strategies to promote this process. These benchmarks and strategies are based upon the Artifacts for Culture Change Assessment Tool developed by the Centers for Medicare and Medicaid. The text describes ways to build a blueprint and strategic processes for integrating these benchmarks into a long-term care setting, addressing the entire process from assessment through evaluation. It also provides tools enabling readers to learn from their own process via a feedback loop, and includes strategies to facilitate partnerships with family, staff, and community. Key Features: Elucidates benchmarks that can be implemented in long-term care settings, using the Centers for Medicare/Medicaid's "Long Term Care Artifacts" assessment tool as an intervention Focuses on care practices, the environment, the inclusion and integration of family and community, leadership benchmarks, and workplace practices Includes robust examples of best practices within each of the main artifact arenas Incorporates tools and strategies for assessing the philosophical paradigm of a long- term facility that can help or hinder the culture change process Provides discussion and reflection questions and websites for additional resources

Change in the culture of long-term care and the care of our elders is urgently needed! This insightful book lights the way. This book will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of “positive cultures,” emphasizing

Discover the essential benefits of approaching elder care in a more person-centered way and be a part of transforming the culture of long-term care. Culture Change in Elder Care is a one-of-a-kind exploration of the ongoing efforts to revolutionize elder care in America, with contributions from many of the innovators who have championed the "culture change" movement. Supporting the ideals of person-centered care from economic, practical, and moral perspectives, it also speaks to the changing demands of long-term care consumers and how care communities will remain competitive by creating settings where residents and staff can live and grow, and not just grow old. Gain insight into the essential arguments, values, and business case for why traditional care models have and must change to better serve the needs of today's older adults. Highlighting the key principles of person-centered care, including listening to the voice of elders and providing meaningful choices, this book also: debunks perceived legal and regulatory impediments to culture change promotes the changes needed at local, state, and federal levels to bring focus to higher quality of life and improved care practices illuminates the many benefits to be gained from embracing culture change offers advice on the future for community owners, administrators, and managers The most up-to-date resource on the transformative changes occurring in elder care services, Culture Change in Elder Care proves that new approaches have become more than theory and are a practical reality, with stronger justifications than ever before. Remain a leading provider in your community--turn towards the future of elder care and emphasize dignity, choice, and comfort in the day-to-day lives of older adults.

"This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.

With 10,000 baby boomers turning 65 each day, the need for senior living is growing at a steep rate, and the aging services field has been hard at work preparing for these new customers. Current practices aim to bring the kind of comfort and amenities enjoyed at hotels and resorts to the settings we create for older adults to live in. But what if these efforts are misdirected? Interweaving research on aging, ideas from influential thinkers in the aging services field, and the author's own experiences managing and operating senior living communities, Disrupting the Status Quo of Senior Living: A Mindshift challenges readers to question long-accepted practices, examine their own biases, and work toward creating vibrant cultures of possibility and growth for elders. Shining a light on her own professional field, Jill Vitale-Aussem exposes the errors of current thinking and demonstrates how a shift in perspective can effect real cultural transformation. Her book delves into society's inherent biases about growing older--where ageism, paternalism, and ableism abound--and provokes readers to examine how a youth-obsessed culture unconsciously impacts even the most well-meaning senior living policies, practices, and organizations. Deconstructing the popular hospitality model, for example, Vitale-Aussem explains how it can actually undermine feelings of purpose and independence. In its place, she proposes better ways to create opportunities for older people to exercise choice, autonomy, and self-efficacy. Filled with empowering stories of elders who find purpose and belonging within their senior residences, Disrupting the Status Quo of Senior Living builds on AARP's disrupt aging work and demonstrates that to truly transform senior living, we must dig deeper and create communities that promote the potential and value of the people who live and work in these settings.