A Revolution in Long-Term Care?

Abstract

We read with interest the article by White-Chu et al 1 White-Chu E.F. Graves W.J. Godfrey S.M. et al. Beyond the medical model: The culture change revolution in long-term care. J Am Med Dir Assoc. 2009; 10: 370-378 Abstract Full Text Full Text PDF PubMed Scopus (108) Google Scholar on the cultural revolution in long-term care (LTC). We express some doubts on their optimistic approach to the revolution in LTC; in particular, we would be more prudent in the emphatic use of this word, reminiscent of errors performed to change human condition. The respect for the dignity of elderly persons does not belong to a peculiar vision of caring, but should naturally belong to any act directed to frail persons. Beyond the Medical Model: The Culture Change Revolution in Long-Term CareJournal of the American Medical Directors AssociationVol. 10Issue 6PreviewCulture change in long-term care facilities involves a shift in philosophy and practice from an overemphasis on safety, uniformity, and medical issues toward resident-directed, consumer-driven health promotion and quality of life. Fundamental to this shift is a focus on the importance of the relationships between residents and direct care staff. This review presents and discusses the key elements of culture change, including workforce redesign, resident-centered care, leadership, and the implementation process and evaluation. Full-Text PDF Response to Rozzini and TrabucchiJournal of the American Medical Directors AssociationVol. 11Issue 1PreviewTo the Editor: Full-Text PDF