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
“It doesn’t have to be complicated.” –Tracy Anderson, Architect, Action Pact Design
If your home is like mine, life revolves around the kitchen and dining area. It’s where we go for a late-night snack or daytime meal; relax with friends and family while sharing news of the day; reflect in solitude over a cup of coffee or day dream while washing dishes.
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
Driving home the other day I heard an interview that caught my attention. It was a reporter/writer that had spent a lot of time studying South Africa over the years. He focused on a visit where he was invited in … Continue reading
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
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
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
Bridgewater Retirement Community (BRC) in Bridgewater, VA recently laid the foundation for the new household of its Huffman Healthcare Center. On August 27, 2013, 52 years to the day after the first meeting to start fundraising for what was then called Bridgewater Home for the Aging, folks gathered near the new foundation to remember those who began the vision of providing services for elders, celebrate the present support from the community and prepare for the future households. Continue reading
While still in neighborhoods, the Dining Action Team at Passavant Retirement Community has been getting residents and families involved in making improvements in dining. By creating action teams with members from throughout the organization, a community begins crossing traditional barriers of functions, authority, and decision-making. Each action team works together to create new resident-directed practices and establish an environment of high involvement. Continue reading