Staff provide "treatments”..................

Nurture the human spirit in addition to meeting medical needs

Residents follow facility routine..........

Organization follows the elders' routine

Staff float.........................................

Permanent assignments

Staff makes decisions for residents......

Elders make their own decisions

Facility belongs to staff......................

This is the elders' home

Structured activities.........................

Spontaneous activities 24 hours a day

Departmental focus..........................

Team focus

Staff know residents by diagnosis.......

Staff know elders as individuals

Adapted from: Florida Pioneer Network, Culture Change in Long-Term Care, with permission