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About Culture Change

How Does Culture Change Impact
Aging Services and Long-Term Care?

As we all know, the nursing homes of today were originally modeled after acute hospital settings.  As a result, nursing homes and most of the continuum of long-term care are currently focused on “the patient with problems,” or “the resident known by their condition.”  The environments look, feel, sound, and smell like a hospital.  The routines are inflexible and institutional. 

The management and staff make all the decisions about the daily life of the resident, including when to get up, when and what to eat, what to do, and when to do it.  The staff has heavy workloads and very little say in how their work is done.  There is not a focus on the uniqueness of the individual. 

Wherever you and your organization fit in the continuum of care, culture change asks us to throw out our old attitudes and behaviors about aging and long-term care and adopt new ones.  Culture Change is a “tipping point.”    It is a “paradigm shift.”  It is “thinking outside of the box.”  It is a “breakpoint change.” 

It is a change so big that everything that has been seen as normal and acceptable all these years will no longer be “okay.”  Together, the culture change movement and demographics are changing the norm and the status quo.


The Culture Change Journey Requires…

  • Laying aside old attitudes and beliefs

  • Commitment from everyone involved with or concerned about aging services

  • Raising awareness through education

  • Joining together to create communities where elders want to live and employees choose to work