Category Archive for "Health effects of Person-Directed Care"

End of Life Lessons from Dad:  Lesson #2

End of Life Lessons from Dad: Lesson #2

Lesson #2 from my Dad’s end-of-life journey is to watch out for Kahlid the Kind. Eden Alternative Principle Seven says, “Medical treatment should be the servant of genuine human caring, never its master.” Dr. Bill Thomas has written a story

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End-of-Life Lessons from Dad:   Lesson #1

End-of-Life Lessons from Dad: Lesson #1

My father passed away recently. It was unexpected; a stroke. Our family found ourselves in a 3-week journey with Dad that was infuriating, exasperating, surprising, and heartwarming all at the same time. I suspect it was much the same as

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Elders, Children, and Music: A Strong Connection

Elders, Children, and Music: A Strong Connection

A heart-warming story from Mercy Retirement & Care Center, Oakland, CA Emily Sanderson, a Certified Eden Associate and music therapist, at Mercy Retirement & Care Center had an idea. She knew many of the Elders had taught children or cared

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Colorado Grant Project Says Optimizing Medication Usage Packs a Punch

The conversation about rethinking medication use is getting more interesting. While important strides are being made to reduce antipsychotic use, the issue is actually only one piece in a puzzle that has even larger impact.

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Mississippi Fights the Good Fight

Mississippi Fights the Good Fight

A year ago, I posted a blog about the efforts of the State of Kentucky to help decrease antipsychotic use.  Like the State of Tennessee before them, Kentucky change agents had chosen education as a key feature of their reduction

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A Different Perspective on Dining

We all know the scene. You are very a busy person, running here, there and everywhere. It is not unusual for you to grab a quick meal over the kitchen sink, while driving in the car, sitting in front of

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Person-Directed Mouth Care – A QAPI Strategy

Person-Directed Mouth Care – A QAPI Strategy

As conversations about QAPI heat up, it becomes exceedingly clear that person-directed practices are a powerful complement to performance improvement.  Person-directed care actually strengthens efforts to improve clinical practice, aligning further with QAPI guidelines.  Take mouth care, for example.  When

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Minimizing Preventable Illnesses: A Person-Directed Case Study

Proactive approaches to preventing illness can transform quality of care and quality of life.  There are even more gains when organizations create fully integrated performance improvement strategies that keep in mind the overall well-being of all involved.  Why is this

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Help elders avoid aspiration pneumonia: Grab a toothbrush

Help elders avoid aspiration pneumonia: Grab a toothbrush

Aspiration pneumonia is a cyclical beast. When elders get aspiration pneumonia it weakens their whole body, impacts their general medical status, and ultimately increases their risk for additional aspiration and aspiration pneumonia. Pneumonia increases risk for hospitalization, decreased quality of

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“Who Am I? Why Am I Here?”

The above questions were posed by James Stockdale, a retired admiral and highly decorated Vietnam War veteran, to open his introductory remarks in the 1992 Vice-Presidential debates. They were meant as a segue to a brief bio, for a TV

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It Begins with the Conversation …

Advance care planning involves communicating about anticipated medical choices throughout the adult lifespan (including Elderhood), focused on the individual’s goals and values. Have you had this conversation yet? If not, you are not alone. Studies show that less than 50%

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Effective Decision-Making in Moments of Crisis Requires Support

When is it right for an Elder to go to the Hospital? In a person-directed care organization, deciding if an Elder should go to the hospital is driven by the individual’s life goals and preferences first, and treatment second. Eden

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Arkansas Culture Change Blog Reminds Us That Perspective is Everything

The culture change movement is doing incredible things in elder care and telling our stories, thanks to the power of blogs and social media, and believe it or not, The Eden Alternative is not the only one out there writing

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When Person-Directed Care Really Works

A new study spreads good news about the use of antipsychotic medication. It’s going away. Tennessee ranked fifth nationally in dementia drug reduction following a two year study period. This success is due to a strong movement towards person-directed care

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Communicating During Transitions; Strangers or Friends?

Communicating with Elders during transitions in care is crucial. Strangers cannot communicate well with strangers, or about strangers. If the use of healthcare resources, especially hospital care, is to be optimized to the individual, then relationships have to be built

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Be Courageous Enough to Be Influential

In case you haven’t seen it, one of our educators, Frosini Rubertino, was plugged by McKnights Long-Term Care News for doing her part in the culture change movement with her book Carmelina. “It comes from the heart, through professional and personal experiences in the long term

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One of These Is Not Like The Other

Dementia is not psychosis. But sometimes people get them confused and treat them the same. Just like how sometimes the Barista gets confused and treats my black cup of coffee the same as a mocha-chino frappesomething. I know not everyone is a

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NY Times Article Features Heightened Empathy in People Who Live with Dementia

A recent New York Times article quoting award-winning author Dr. Al Power reminds us that people living with dementia have much to teach us about being fully present with one another. “Empathy Without Boundaries” highlights how individuals living with dementia

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Reducing Antipsychotics is Hard Work, but Worth the Effort

An article published in today’s issue of McKnight’s cites the slow progress in nursing homes achieving reductions in the use of antipsychotics as sought by CMS. In stark contrast to this report, I had the privilege to hear about a

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Gardens Support Care

Spring is on the way!  Now is the time to start dusting off the garden tools.  Jack Carman of Design for Generations reminds us that gardening can play a powerful part in care plan development.  An Eden Alternative value-added partner,

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Care is More than Customer Service

For many years companies have pursued great customer service as a competitive strategy. Think the Disney model. Organizations in the health care arena, especially long term care providers, have more recently taken up the same charge. Think “If Disney Ran

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Dementia Beyond Drugs: Changing Perspectives and Changing Lives in Tennessee

The Eden Alternative is continuing its collaboration with the Tennessee Advancing Excellence Coalition, the Tennessee Department of Health Office of Health Care Facilities, and CMS by offering another three-day dementia training event in Knoxville, Tennessee, this week from 1/15-1/17. This

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2217 Hospitals Penalized Since October 2012

These hospitals are being penalized based on their 30-day readmission rates and so far the fines have added up to about $280 million. This is just the tip of the iceberg. It is time for Eldercare organizations across the care

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Bridging the Gap in Dementia Care

Following are excerpts from an article with the same title as this post written by Kathleen Lourde that appears in the September issue of Provider Magazine, both the print and on-line versions. G. Allen Power, MD, author of “Dementia Beyond

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The Argument for Well-Being Through Culture Change

At the Eden Alternative we’ve known about the plague of loneliness for a long time. We teach about loneliness, helplessness, and boredom, the three plagues of the human spirit, and the negative effects they can have on Elders and their

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New UCSF Study Declares Loneliness Lethal for Elders

Last week, the Archives of Internal Medicine published the results of a study involving 1,600 Elders, confirming what the Eden Alternative Philosophy has upheld for many years. Medical experts found that Elders suffering from loneliness were at significant risk for

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