We read with interest the article by White-Chu et al
1
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.To read this article in full you will need to make a payment
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References
- Beyond the medical model: The culture change revolution in long-term care.J Am Med Dir Assoc. 2009; 10: 370-378
- The future history of geriatrics: Geriatrics at the crossroads.J Gerontol A Biol Sci Med Sci. 2002; 57: M803-M805
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© 2010 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
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- Beyond the Medical Model: The Culture Change Revolution in Long-Term CareJournal of the American Medical Directors AssociationVol. 10Issue 6
- PreviewCulture 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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