alexa Beyond the medical model: the culture change revolution in long-term care.
Neurology

Neurology

Journal of Alzheimers Disease & Parkinsonism

Author(s): WhiteChu EF, Graves WJ, Godfrey SM, Bonner A, Sloane P

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Abstract Culture change in long-term care facilities involves a shift in philosophy and practice from an overemphasis on safety, uniformity, and medical issues toward resident-directed, consumer-driven health promotion and quality of life. Fundamental to this shift is a focus on the importance of the relationships between residents and direct care staff. This review presents and discusses the key elements of culture change, including workforce redesign, resident-centered care, leadership, and the implementation process and evaluation. A case report describes how medical staff can participate in this grassroots movement and help foster the social, cultural, programmatic, and physical changes that can alter the culture of long-term care one home at a time. This article was published in J Am Med Dir Assoc and referenced in Journal of Alzheimers Disease & Parkinsonism

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