Question

Is there a relationship between person-centered care, culture change and the environment in long-term care communities? What are some of the physical manifestations of culture change in a long-term care community, and how do those physical and staffing aspects change in a Green House community? Do you believe that these movements promote a more homelike environment, and quality of care for residents - why or why not?

Answer 1

Person-centered care is a way of thinking and doing things that see the people using health and social services as equal partners in planning, developing and monitoring care to make sure it meets their needs.

The “culture change” movement aims to transition that improve the quality of care and quality of life of patients. The philosophy of the culture change movement embraces the person-centered concept, while also supporting the improvement of work conditions for staff.

When the patient is access for the care we have to consider the environment, transition/culture change, based on person-centered. Surely we can say that when we are applying the culture change it is patient-centered or otherwise we can say that it is based on individual client-centered especially when the client is in a long-term care facility.

The implementation and adoption of culture change in the long term care facilities will require providers and policymakers to develop various strategies that promote adoption of culture change practices. Nursing home resources are associated with the facilities’ ability to implement culture change practices.

*The long term care industry is beginning to pick up on the preferences of seniors and their families, in part due to the deinstitutionalization and culture change movements. These movements are forcing the industry to rethink the traditional nursing home and to develop ways to provide long term care in a home-like setting that values the lives of elders.

Green Houses are purposefully designed to provide elders with a home while they receive skilled nursing care.

Most Green Houses are licensed as skilled nursing facilities or Assisted Living Facilities (ALFs) and some are registered as adult group homes (The Green House Project Webinar, 2013). Each elder has their own private bedroom and bathroom. There is a hearth area with a fireplace and a dining room with a table where staff and residents share meals.

Residents are encouraged to decorate the Green Houses as they like. The kitchen is open and residents can eat what they want when they want to and some even help with cooking. There are unlocked doors that lead to a safe outdoor space. The staff are respectful of residents and behave like they are visitors in the elders’ home (The Green House Project, 2013). In sum, the Green House looks and feels like a real home.

Staffing in Green Houses is more efficient. Staff are spending more time on direct care (ex: help with ADL activities, eating, communication with residents and families, paperwork, etc.). This finding is positive because it indicates that elders in Green Houses receive more day-to-day care, who are still able to provide indirect care (ex: laundry and preparing meals) on top of traditional tasks

Transitions from traditional nursing homes to a Green House found that the nurses felt more empowered, stronger ties to elders, and less guilt and stress about their jobs in the Green House.

The Green House Project, focus on person-centered care, could have one of the most positive impacts on long term care that we have ever seen. The Green House model not only provides quality care for elders, but it reorganizes long term care into a setting that recognizes that it is human beings who are taking care of human beings.

*Surely these movements will promote a more homelike environment and quality of care for residents.

*From the policies and function as well as staffing of the Green House Community we can say that the movements may promote a homelike environment and quality of care for residents.

The Green House model not only provides quality care for elders, but it reorganizes long term care into a setting that recognizes that it is human beings who are taking care of human beings. It is in this type of setting where elders thrive and where staff gain empowerment over their work.

Then also one of the fact is that "it is a home-like environment not own home"