0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Changing the Culture of Nursing Homes:  The Physician's Role

MaryAnne Johnson, MD
Arch Intern Med. 2010;170(5):407-409. doi:10.1001/archinternmed.2009.550.
Text Size: A A A
Published online

Extract

Nationally, 1.5 million persons live in nursing homes,1 many under conditions that we would not want for ourselves or for those we love. William Thomas, MD (developer of the Eden Alternative), articulated 3 common conditions that afflict nursing home residents: boredom, loneliness, and helplessness. Fortunately, there is a growing movement to change the culture of nursing homes so that they are more resident centered.

Changing the culture of nursing homes requires a concerted effort to provide stimulating activities and opportunities for spontaneity and meaningful social interactions for residents, while facilitating their sense of worth by caring for pets, gardens, and each other. Cultural change also involves creating a comfortable, homelike setting that is more like a community than a hospital. This includes making the nursing home less institutional and more homelike, with the addition of color, natural light, plants, pets, and home furnishings. However, the biggest change that is needed is to reengineer the resident care planning process to be resident centered and resident directed, which means that the wishes of residents, rather than the dictates of staff, determine activities, choice of meals, and schedules.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();