The new buzz in nursing homes and community-based residential
settings is all about striving to create a "person-centered"
setting. What exactly does that mean? Literature refers to the
process as moving away from institutational or traditional care to
individualized person-directed practices that embrace choice and
autonomy. It's a great concept, but where do we start?
Person-centered care means more than sprucing up the environment
to be more home like, enhancing the dining experience, or providing
the option to sleep in -- it's about how people are treated. The
core changes need to come from the values, beliefs, and actions of
those in leadership as well every person that interacts with a
resident.
To truly practice the concept of person-centered care, each
member of the team must buy into and demonstrate dignity and
respect in everyday interactions with residents. The basic approach
of how each of us is treated has an effect on our self esteem and
outlook on life. A kind word or a harsh tone can set a
negative tone for our day, just as positive caring words and
interactions have an enormous positive impact. Language is an
important aspect. We should choose our words carefully and be
mindful not to label individuals. These practices, demonstrated
consistently, will help promote an outcome that will provide choice
and self-determination for individuals.
It does not take a lot of money or resources to demonstrate a
person-centered approach, but it does take a commitment and belief
in the manner that each person is treated. Adhering to the
following guidelines is a good place to start.
- Provide privacy
- Know the person's needs
- Talk directly to the person, referring by name and use eye
contact
- Incorporate preferences and choices into daily routines
- Inform the person of change in daily Routines
- Work at the individual's pace
- Demonstrate dignity and respect in every interaction
Mary Nelson
Vice President, CMSS
Chicago Senior Living
Nursing Homes in Chicago