Before the plan was put into place data was collected so that the changes could be measurably recorded (Rosher, 2006).
In addition, before the plan began Phase I, the nursing home staff was retrained and agreement and enthusiasm for the plan was attained.
The culture change program was as success. Several residents were recorded as developing new energy and drive for life when allowed to pursue previous interests. One resident, who had dementia approached a newly obtained bird and talked to it for 15 minutes. She had raised birds during her adult life before entering the center and she was still able to advise others on how to care for and feed pet birds. Another resident who was blind and hearing impaired came alive with excitement when she was provided bunnies to pet and care for each day (Rosher, 2006).
Another study gauged at recording nurse response to patients with dementia illustrated the all too common response of forcing the residents to comply with schedules and interests that were convenient for the staff members, and ignoring any possible interests of the residents.
This study included 54 nursing home nurses from several different nursing homes and concluded that nurse responses to the patients was often lacking compassion or understanding (Kovach, et al., 2006).
In Common Problems in Hospitalized Older Adults, several issues were noted to prevail among the elderly population confined in homes. They included sleep issues, changes in mental status and sensory deficits that were not as prevalent before entering the hospital setting.
With almost three decades of experience in the nursing home field I think that my design of a nursing home that stimulates the elderly residents is based in solid information and evidence obtained over the years.
To change the pattern that research continues to see with regard to the elderly mental decline once they enter residential care facilities I would design homes that had a much different standard of practice.
My homes would mandate that residents entering the homes sit down with staff and family members and have an open honest discussion about the resident's interests...
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