Culture Change Elder Abuse Awareness and Prevention

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Culture ChangeElder Abuse Awareness and
Prevention

• Mark WanderseeDirector of Council
  ServicesElderCare Rights Alliance

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Objectives

• Discover information that will identify the basic
  concept and issues related to the
  Person-Directed Care Model based on Culture
  Change theory.
• Participate in learning exercises to formulate
  your own vision for the culture change journey.

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Quality of Life and Care Exercise
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Ponder the Following

• Are individuals able to maintain their personal
  routines?
• When people are required to follow the facilitys
  routine instead of their own, what is the
  impact?
• What could be done so people can continue to live
  according to their own personal rhythms?

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OBRA 1987(Federal Law)

• Omnibus Budget Reconciliation Act of 1987
• Nursing Home Reform Law

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Nursing Home Reform Law

• The main purpose of the Nursing Home Reform Law
  was to create a refocus on the importance of
  Residents Rights and what it does for the
  residents.
• A facility must care for its residents in such a
  manner and in such an environment as will promote
  maintenance or enhancement of the quality of life
  of each resident.

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Quality of LifeNursing Home Reform Law

• Dignity
• Choice
• Self-determination

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Quality of CareNursing Home Reform Law

• Achieve the highest level of physical, mental,
  and psychosocial well-being of each resident in
  accordance with a written CARE PLAN.

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Care Plan Nursing Home Reform Law

• Initially prepared, with participation to the
  extent practicable of the resident, the
  residents family, or legal representative.
• A resident should not decline as a direct result
  of the nursing facilitys care.

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Culture is

• the pre-dominating attitudes, beliefs, values,
  and assumptions that characterize your
  organization.
• the result of long held formal and informal
  systems, rules, and deeply rooted traditions.

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Climate is

• the feel of your organization based on values,
  skills, attributes, actions, and priorities of
  your current leadership team.

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Culture Change is

• person-directed care.
• the evolution of work practices at all levels in
  a nursing home.
• a new way for staff to work together to support
  resident dignity and self determination.

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Pioneer Network

• Culture change in long term care is an ongoing
  transformation in the physical, organizational
  and psycho-social-spiritual environments that is
  based on person-centered values. Culture change
  restores control to elders and those who work
  closest with them.

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Individualized Care Is

• A climate where Culture Change and regulations
  promote, support and achieve the highest Quality
  of Life and Quality of Care for residents.

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Holistic Approach to Transformational Change
HATCh
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Defining Home
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Journeying
Safety Predictability
Power/Autonomy
Lived Space
Privacy
Identity
Connectedness
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Non-Personhood
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Disconnectedness
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Meaningless Space
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Without boundaries
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Powerless/Dependence
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Insecurity/Uncertainty
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Placelessness
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Home versus Homelessness

• Homelessness
• Non-personhood
• Disconnectedness
• Meaningless space
• Powerless/dependence
• Without boundaries
• Insecurity/uncertainty
• Placelessness

• Home
• Identity
• Connectedness
• Lived space
• Power/autonomy
• Privacy
• Safety/predictability
• Journeying

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Thank you!