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Letter to the Editor| Volume 11, ISSUE 1, P78, January 2010

A Revolution in Long-Term Care?

      We read with interest the article by White-Chu et al
      • White-Chu E.F.
      • Graves W.J.
      • Godfrey S.M.
      • et al.
      Beyond the medical model: The culture change revolution in long-term care.
      on the cultural revolution in long-term care (LTC). We express some doubts on their optimistic approach to the revolution in LTC; in particular, we would be more prudent in the emphatic use of this word, reminiscent of errors performed to change human condition. The respect for the dignity of elderly persons does not belong to a peculiar vision of caring, but should naturally belong to any act directed to frail persons.
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      References

        • White-Chu E.F.
        • Graves W.J.
        • Godfrey S.M.
        • et al.
        Beyond the medical model: The culture change revolution in long-term care.
        J Am Med Dir Assoc. 2009; 10: 370-378
        • Kane R.L.
        The future history of geriatrics: Geriatrics at the crossroads.
        J Gerontol A Biol Sci Med Sci. 2002; 57: M803-M805

      Linked Article

      • Beyond the Medical Model: The Culture Change Revolution in Long-Term Care
        Journal of the American Medical Directors AssociationVol. 10Issue 6
        • Preview
          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.
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      • Response to Rozzini and Trabucchi
        Journal of the American Medical Directors AssociationVol. 11Issue 1