Culture is a word we hear a lot and goes hand in hand with the concept of culture change in this article id like to touch on how to facilitate culture change and why it is beneficial to your long term care setting lets face it aged residential care in new zealand is changing rapidly and this impacts the experience of residents staff and . Culture change in long term care the american long term care ltc system based on a medical model re gards residents as sick patients unable to care for themselves routines are orga nized for the efficient operation of the facility rather than the needs of resi dents1 the focus of care is to treat the residents weaknesses not to develop. Culture change in long term care settings is the movement toward person centered care where the residents values wishes and practices are all considered in the delivery of care there is a high value placed on individual choice purposeful living self determination and respect. The culture change movement emerged to improve the culture and practices in institutions that provide support to elders who need it one major premise of culture change is that all elders are entitled to self determination wherever they live pioneer network 2010 this premise is deceptively radical for it implicitly requires a shift in the definition of the role of the resident and a shift in the balance of power between the resident role and the roles of others
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