The First Step In Your Journey To Home

Culture change and person-centered care are no longer new ideas. Leaders in long-term care have been working to change the reality of nursing homes for decades now.  Hundreds of organizations across the country use these words and claim to be changing their culture and providing person-centered care. Unfortunately, the reality of what culture change looks like and the ability to truly leave the institutional behind varies from home to home. Continue reading

Alarm Fatigue

The prevalence of personal alarms in nursing homes can undermine care and even induce falls, warn authors Carmen Bowman, MHS and Theresa Laufmann, RN in the Action Pact workbook, Alarms: The New Deficient Practice? Eliminating Alarms and Preventing Falls by Engaging with Life.

“Staff admit they develop a tolerance for alarms sounding and tend to ignore them or not run so fast anymore,” the authors state. Personalized care often is sacrificed to overreliance on the devices, they add.

Their warning is corroborated by a recent National Public Radio (NPR) report on how “alarm fatigue” has become a top patient-safety concern in hospitals. Continue reading

Creating Home and Poetry

Through our PersonFirst® trainings, Action Pact has long promoted community circles as a tool for meaningful engagement with residents living with dementia. An open-ended question is posed to the group and each resident, sometimes with encouragement from staff, answers the question or comments on the topic. In this way, staff and residents get to know each other better and build community with the side benefit of gaining a better understanding about how best to serve the residents in their daily lives.

The residents of The Village Court, the memory support neighborhood of Asbury Place Maryville in Maryville, TN, recently took their “fun circle” (as they call it) in a creative direction. Continue reading

“Coming Home” Is Made Possible In The Household Model

coming home

I travel for work, a lot, and so I am very familiar with the feeling of “coming home,” of looking forward to being with my family again and settling into the comfort and security my home offers. As part of … Continue reading

Noise in Nursing Homes

We know a nursing home can be a noisy place and many organizations have been working to reduce the noise, especially of overhead pagers, for example, in an effort to create a calmer environment. But according to a recent study by Dr. Laura Joosse, Assistant Professor in the College of Nursing at the University of Wisconsin – Milwaukee, elevated sound levels can also add to the agitation of those living with dementia. Continue reading