Are you concerned about your options for your aging or disabled loved ones — or yourself?
Colorado Culture Change Coalition is part of a national movement to create more compassionate form of long-term care.
| TRADITIONAL MODEL | CULTURE CHANGE MODEL |
| Task oriented; staff focus on the work that needs to be done, and do so as quickly as possible. | Relationship oriented; staff focus on building caring relationships while getting tasks done. |
| Residents are told which day and how often they will bathe/shower. | Residents can get a bath/shower as often as they would like with their preferences respected. |
| Death of residents are not acknowledged with staff and people living there. | Memorials/remembrances are held for individual residents upon death. |
| Overhead paging systems are used consistently. | Overhead paging system has been turned off or is only used in case of emergency. |
| Hands-on caregivers are not invited to participate in resident care conferences. | Hands-on caregivers attend all resident care conferences. |
| Staff scheduling is done by management. | Staff create and manage their own schedule. |
| Residents wake up each day to meet staff’s schedule. | Residents wake up according to their own schedule and desires for that day. |
| Residents’ rooms are sterile and arranged the same. | Resident/family encouraged to decorate and arrange rooms as they would like. |
| Visiting hours and locations are strictly enforced. | Family and friends are encouraged to celebrate birthdays, holidays and other events with resident on-site, space provided and decorating, catering, etc. encouraged or provided when possible. |
| Residents all eat at the same time, with one to two choices in foods. | A variety of menu choices and meal times are offered. |
| There is a strong departmental/top down focus. | There is a team approach and flattened hierarchy. |
| Staff arrives for a shift, are assigned a hall to work, and begin rounds, which consists of checking those who are in bed to see who needs to go to the bathroom. | Staff arrives at a home, are greeted by and greet those who live there, beginning with a conversation about what they have done today and what they will be doing together for the rest of the day. |
| Staff work in different parts of the facility and with different residents every shift. | Staff are assigned to care for specific residents every time they work so they can get to know one another. |
| Staff plan activities based on staff availability, staff interests and strengths. | Residents plan activities through community meetings based on resident interests. |
| Staff make all the decisions about the residents’ daily lives. | Residents make most decisions about their daily lives. |
Are you considering a Nursing Home or Assisted Living care for a loved one? Here are some key questions to ask.
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