The Eden Alternative and Cultural Change_ Transforming the Aging by malj


									The Eden Alternative and
         Cultural Change:
  Transforming the Aging
Experience for Our Elders

            By: Randi Garvin, CSW
 Nursing Home Reform Act
 Eden Alternative
 Pioneer Network
 Planetree Continuing Care: Creating Relationship-
  Centered Caring Environments
 Silverado Philosophy
 Social Work Core Values
 Implementation
Nursing Home Reform Act of 1987
 Signed into law by President Ronald Reagan
 A.K.A. “OBRA ‘87”
 Mandated that LTC facilities provide services to
  residents so they can “attain and maintain her highest
  practicable physical, mental, and psychosocial well-
  being” (Hollis Turnham & Esquire).
 Came about because of growing concern for poor
  quality of care provided in many nursing homes.
Resident Rights granted via
Nursing Home Reform Act
                   The right to be fully
                    respect, and
                    informed freedom
                                 security of
                   The right to participate
                    in their own care
                    Rights during transfers
                   The right to make
                    and discharges
                    independent choices
                   The right to privacy and
                   confidentiality
                    The right to visits
Eden Alternative
 Mission: To improve the well-being of Elders and
  those who care for them by transforming the
  communities in which they live and work.
 Vision: To eliminate loneliness, helplessness, and
Ten Values and Principles
 1. The three plagues of loneliness,
  helplessness, and boredom account for
  the bulk of suffering among our elders.

 2. An Elder-centered community commits
  to creating a human habitat where life
  revolves around close and continuing
  contact with plants, animals, and children.
  It is these relationships that provide the
  young and old alike with a pathway to a life
  worth living.
Ten Values and Principles
 3. Loving companionship is the antidote to loneliness.
  Elders deserve easy access to human and animal

 4. An Elder-centered community creates opportunity
  to give as well as receive care. This is the antidote to
Ten Values and Principles
 5. An Elder-centered community imbues daily life
  with variety and spontaneity by creating an
  environment in which unexpected and unpredictable
  interactions and happenings can take place. This is
  the antidote to boredom.

 6. Meaningless activity corrodes the human spirit.
  The opportunity to do things that we find meaningful
  is essential to human health.
Ten Values and Principles
 7. Medical treatment should be the servant of genuine
  human caring, never its master.

 8. An Elder-centered community honors its Elders by
  de-emphasizing top-down bureaucratic authority,
  seeking instead to place the maximum possible
  decision-making authority into the hands of the
  Elders or into the hands of those closest to them.
Ten Values and Principles
 9. Creating Elder-centered community is a never-
  ending process. Human growth must never be
  separated from human life.

 10. Wise leadership is the lifeblood of any struggle
  against the three plagues. For it, there can be no
Pioneer Network Values and
 Know each person
 Each person can and does make a difference
 Relationship is the fundamental building block of a
  transformed culture
 Respond to spirit, as well as mind and body
 Risk taking is a normal part of life
Pioneer Network Values and Principles

 Put person before task
 All elders are entitled to self-determination wherever
  they live
 Community is the antidote to institutionalization
 Do unto others as you would have them do unto you
  —yes the Golden Rule
Pioneer Network Values and Principles

 Promote the growth and development of all
 Shape and use the potential of the environment in all
  its aspects: physical, organizational,
 Practice self-examination, searching for new creativity
  and opportunities for doing better
 Recognize that culture change and transformation are
  not destinations but a journey, always a work in
Planetree Continuing Care: Creating
Relationship-Centered Caring Environments

 Human Interactions
 Enhancement of Life’s Journey
 Independence, Dignity, and Choice
 Family, Friends, and Social Support Networks
 Spirituality
Planetree Continued
 Paths to Well-Being
 Empowerment through Information and Education
 Nutritional and Nurturing Aspects of Food
 Activities and Entertainment
 Environment Conducive to Quality Living
Silverado Philosophy
  Love is Greater than
          Fear Silverado honors the value of the human
               spirit by empowering residents, clients
               and patients to maximize their
               independence and focus on what’s most
               important: Life.

               We believe that no matter age, physical
               condition or mental acuity, the human
               spirit thrives on personal growth and
               fulfillment. This belief provides the
               foundation for Silverado’s exceptional
               care and allows us to enrich the lives of
               those we serve.
Core Values
 1. To recognize the value and build the human spirit
  in all we do

 2. To prove that being afflicted with Alzheimer’s
  disease or any other chronic disease does not have to
  be the end of living
Core Values Continued
 3. To retain and build family unity through
  understanding and positive action

 4. To provide those that we care for with the level and
  quality of care that we want for our parents or
Core Values Continued
 5. To continuously innovate and improve the level of
  our services, striving in every case to create the
  industry standard in dementia care

 6. To maintain the philosophy that economic rewards
  follow from quality service
Core Values Continued
 7. To operate in a fiscally and socially responsible
  manner exceeding expectations for all
  constituencies/stakeholders, today and 20 years from

 8. To increase the quality of care for all people with
  dementia throughout the world
Common Misconceptions
 It’s too expensive
 The regulations won’t allow it
 Can I say…lawsuit
 Logistics
 It won’t last forever
Social Work Core Values
                 Importance of human
                Service
                Social Justice
                Integrity
                Dignity and worth of the
                person
 Service: It is our responsibility to address the social
  problem of poor quality of care in nursing homes and
  make the nursing home experience better for our
 Social Justice: It is our responsibility to advocate for
  our elders and provide them with the opportunity to
  direct their own care.
 Dignity and Worth of the Person: It is our
  responsibility to encourage our elders use of self-
  determination and mediating between our elder’s
  interests and the Nursing Homes’ interests.
Implementation Continued
 Importance of Human Relationships: It is our
  responsibility to promote healthy relationships
  among and with our elders to enhance their well-
  being. Relationships are an important vehicle for
 Integrity: It is our responsibility to act in an honest
  way and to encourage our organizations to honestly
  provide the best care we can.
 Competence: It is our responsibility to increase our
  knowledge and skill in our practice and we should
  add to the knowledge base of culture change in care
  facilities for our elders.
    “It’s all about the journey. There is no
   destination…The pursuit for well-being
 in community will go on as long as there
        are human communities. It’s not a
         ‘customer service.’ It’s not around
           hospitality, but dignity, love, and
affection. When elders can live a life rich
in those virtues, we repair the world and
     we build a better life for people of all
                         ages.” –Bill Thomas
 Books:
    Baker, B. (2007). Old Age in a New Age: The Promise of
     Transformative Nursing Homes. Nashville: Vanderbilt
     University Press.
    Shook, L. & Winner, S. (2010). The Silverado Story: A Memory
     -Care Culture Where Love is Greater than Fear. Irvine,
     California: AJC Press.
 Article:
    Hollis Turnham, & Esquire. (n.d.). Federal Nursing Home
     Reform Act from the Omnibus Budget Reconciliation Act of
     1987 or Simply OBRA '87 SUMMARY. Retrieved from
    NASW Delegate Assembly. (2008). Code of Ethics of the
     National Association of Social Workers. NASW Press.
Resources Continued
 Websites:

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