1 Module 2 Culture Change and Person-Centered Care Geriatric Aide Curriculum NC Division of Health Service Regulation

2 Culture Change and Person-Centered Care Objectives 1. Discuss culture change in nursing homes and other older adult care settings. 2. Describe nursing home and home. 3. Recognize the six domains of person- directed care. 4. Review an example of a person-directed care model for a facility.

3 Culture Change and Person-Centered Care Objectives 5. Explain how to use person-centered thinking in daily care activities. 6. Recognize principles of person-centered care and thinking. 7. Compare language typically used in traditional long term care settings and language used in person-centered care.

4 What does “nursing home” mean?

5 What does “home” mean?

6 Nursing home and other older adult care giving settings typically have a traditional, hospital-like culture

7 A home fosters a sense of community and belonging

8 Morning Routine

9 Think of nursing home and other care giving settings as the resident’s home

10 Culture Change and Person-Centered Care

11 Person-centered care is all about attending to the needs and dignity of each resident. Person centered care is about the individual and the community in which the individual lives.

12 Personhood Knowing the Person Autonomy/Choice Comfort Relating to Others Supportive Environment Six Domains of Person-Directed Care

13 Domain 1: Personhood Each person has value, and deserves respect and honor regardless of disease or disability.

14 Domain 2: Knowing the Person Each person is unique with a personal life story, cultural experiences, personality, and pattern of daily living— or daily habits, values, needs, preferences.

15 Domain 3: Autonomy/choice Care supports what a person wants to do.

16 Domain 4: Comfort Physical and emotional care needs are taken care of by using the highest standards of practice

17 Domain 5: Relating to Others Each person lives and functions within a web of relationships.

18 Domain 6: Supportive Environment The ability to provide person- directed care depends upon the nature of the system in which care is provided.

19 Example of Person-Directed Care Model For A Facility

20 Developing a Person-Centered System Person- Centeredness Person- Centered Thinking Person- Centered Planning Person- Centered Organization

21 Principles Of Person-Centered Care And Thinking 1. Get to know each person. 2. Appreciate each person’s lifelong pattern by responding to the person’s preferences and needs. Example: Person desires to sleep in later, bathe in the evening and have a flexible schedule consistent with the person’s life before the nursing home.

22 Principles Of Person-Centered Care And Thinking 3. Recognize that each person can and does make a difference. 4. Respond to each person’s spirit, as well as mind and body.

23 Principles Of Person-Centered Care And Thinking 5. Promote a healthy spirit by fostering fun and good humor. Example: Staff is excited and plans to participate in an upcoming talent show.

24 Principles Of Person-Centered Care And Thinking 6. Encourage persons, staff and families to participate in activities that promote physical, mental, spiritual and social growth and development. Example: Activities staff receives input from a male person on more interesting activities for men.

25 Principles Of Person-Centered Care And Thinking 7. View the nursing home as a community rather than an institution. 8. Set up living spaces for the personal needs and desires of each person. Example: Welcome a new person and discuss how to personalize the room.

26 Principles Of Person-Centered Care And Thinking 9. Respect others as you would want to be respected. 10. Make it possible for each person to have a satisfying life.

27 Principles Of Person-Centered Care And Thinking 11. Speak up for the personal needs and desires of each person. Example: Person wants to have an end table moved. 12. All people are entitled to make their own decisions about their lives wherever they live.

28 Principles Of Person-Centered Care And Thinking 13. Look for chances to experience personal growth, development and a sense of accomplishment. Example: Employees talk about inservices and career advancement opportunities in the break room.

29 Change your language to change your thinking.

30 Using Person-Centered Values to Give Person-Centered Care

31 Name one thing you learned from this unit that you will apply at work.

32