Culture Change

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=160 BGCOLOR="#006699" TEXT="#080000" background="16d00a03.jpg"> <div> <I><B>V</B></I><FONT SIZE="6" COLOR="#000080" FACE="Verdana" ><I><B>oices</B></I></FONT><FONT SIZE="6" COLOR="#000080" FACE="TimesRoman" ><I><B> </B></I></FONT><FONT SIZE="5" COLOR="#000080" FACE="Verdana" ><I><B>for Quality Care (LTC), Inc.</B></I></FONT></div> <bR> <div> <B>P.O. Box 2251, Leonardtown, MD 20650</B></div> <div> <B>1-888-600-2375</B></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="178cae83.jpg"> <div> <B> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="177" BORDERCOLORLIGHT="#000099" BORDERCOLORDARK="#000099" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 608 WIDTH="165"><div> <B>Website Navigation Panel</B></div> <div> Click on the text below to go to other pages in our website<FONT SIZE="2" COLOR="#000000" FACE="Arial" ><B>.</B></FONT></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="Voices for Quality Care"><U><B>Home</B></U></A></div> <div> <A HREF="id45.htm" TARGET="_top" TITLE="About Voices"><U><B>About Voices</B></U></A></div> <div> <A HREF="id59.htm" TARGET="_top" TITLE="Culture Change"><U><B>Culture Change</B></U></A></div> <div> <A HREF="id72.htm" TARGET="_top" TITLE="Beth Bakers Book"><U><B>Beth Baker's Book</B></U></A></div> <div> <A HREF="id49.htm" TARGET="_top" TITLE="Nursing Home Staffing in Maryland"><U><B>Nursing Home Staffing in Maryland</B></U></A></div> <div> <A HREF="id48.htm" TARGET="_top" TITLE="Nursing Home Deficiency Lists"><U><B>Nursing Home Deficiency Lists</B></U></A></div> <div> <A HREF="id56.htm" TARGET="_top" TITLE="Laws and Regulations"><U><B>Laws and Regulations</B></U></A></div> <div> <A HREF="id47.htm" TARGET="_top" TITLE="Related Websites"><U><B>Related Websites</B></U></A></div> <div> <A HREF="id43.htm" TARGET="_top" TITLE="Contact Us"><U><B>Contact Us</B></U></A></div> <div> <A HREF="id46.htm" TARGET="_top" TITLE="Membership Application"><U><B>Membership Application</B></U></A></div> <div> <A HREF="id53.htm" TARGET="_top" TITLE="Directions to Our Meetings"><U><B>Directions to Our Meetings</B></U></A></div> <div> <A HREF="id52.htm" TARGET="_top" TITLE="Voices ByLaws"><U><B>Voices ByLaws</B></U></A></div> <div> <A HREF="id54.htm" TARGET="_top" TITLE="Terms of Service"><U><B>Terms of Service</B></U></A></div> <div> <A HREF="id55.htm" TARGET="_top" TITLE="Privacy Policy"><U><B>Privacy Policy</B></U></A></div> <div> <A HREF="id176.htm" TARGET="_top" TITLE="Maryland Ombudsman Program"><U><B>MD Ombudman Program</B></U></A></div> <div> <A HREF="id76.htm" TARGET="_top" TITLE="Donation"><U><B>Donate to Voices</B></U></A></div> </tD> </tR> </TABLE></B></div> <bR> </td> <td valign="top" height=320 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B>What is Culture Change?</B></div> <bR> <bR> <div> <B>Culture Change is taking the hospital and the institutionalization out</B> of long-term care facilities and returning them to their rightful place as residences.  It is making them a place to live rather than simply a place to receive physical care.  </div> <bR> <div> <B>Culture Change is about continuing the self-determination</B> that comes with adult status.  It is about the joy, the social interactions, and the daily inspirations and interests in events and in life that we all enjoy.  It is about bringing all the aspects of life into communal long term care communities.  It challenges the notion that when you have many people to care for, it can only be done in a regimented manner.  In a Culture Change facility, residents really and finally have the freedom to choose that the federal government gave them back in the OBRA Act of 1987.  </div> <bR> <div> <B>Residents choose when to get up and when to go to bed.</B>  They choose when to eat and when and how often to bathe.  They choose activities and interests to pursue.  Most importantly, they become actively involved in the activities of daily home life once again.  Sitting at the table with a cup of tea talking with friends as apples are peeled for pies or biscuits are shaped for dinner is commonplace in a facility that has undergone a Culture Change.  Here, a resident rises at 10 AM if he chooses and, upon reaching the kitchen and dining area, has a freshly cooked egg and a piece of toast right from the toaster in short order.  In short, the model here is not the hospital but the normal daily living circumstances so familiar to all of us.</div> <bR> <div> <B>Yes, it can be done.</B>  Yes, it is being done.  And, no, it is not prohibitively expensive.  Culture Change can happen in facilities with high percentages of residents on Medicaid as well as in facilities with high percentages of private pay residents. All it takes is a will and a willingness to change and the courage to do it.</div> <bR> <bR> <bR> <div> <B>This Maryland Home is now going through the Culture Change process.</B> Click on the Ruxton sign for photographs and other informative pages.</div> <bR> <bR> <div> <A HREF="id75.htm" TARGET="_top" TITLE="Ruxton of Denton"><U><B><IMG SRC="1c849940.jpg" border=0 width="329" height="148" ALIGN="LEFT" HSPACE="0" VSPACE="0"></B></U></A><B>Mr. John Henry, the administrator of Ruxton Health of Denton, reports the following:  "</B>Culture change is a wonderful and transformative challenge: to create a hospitable home environment, to encourage and expect participation and input from residents, families and staff, to provide supportive and high-quality care, all the while permitting residents, families and staff to develop meaningful relationships." "...something of which we are very proud. For the last month, we have had a 0% nosocomial decubitus ulcer (nursing home acquired pressure sores) rate. We attribute this largely to our culture change which has our GNA's very involved and excited, and our residents saying, 'come check me!'."</div> <bR> <bR> <div> <B>The following links provide more information on Culture Change:</B></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <A HREF="http://www.k-state.edu/peak/" TARGET="_blank" TITLE="http://www.k-state.edu/peak/"><U><B>PEAK (Promote Excellent Alternatives in Kansas Nursing Homes)</B></U></A></div> <bR> <div> <A HREF="http://www.pioneerexchange.org/" TARGET="_blank" TITLE="http://www.pioneerexchange.org/"><U><B>THE PIONEER EXCHANGE</B></U></A></div> <div> <A HREF="http://www.pioneerexchange.org/" TARGET="_blank" TITLE="http://www.pioneerexchange.org/"><U><B>Common Ground</B></U></A></div> <div> <A HREF="http://www.pioneerexchange.org/" TARGET="_blank" TITLE="http://www.pioneerexchange.org/"><U><B>for a New Culture</B></U></A></div> <div> <A HREF="http://www.pioneerexchange.org/" TARGET="_blank" TITLE="http://www.pioneerexchange.org/"><U><B>of Aging</B></U></A></div> <bR> <bR> <div> <A HREF="http://www.pioneernetwork.net/" TARGET="_blank" TITLE="http://www.pioneernetwork.net/"><U><IMG SRC="16ab03d0.png" border=0 width="176" height="61" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <bR> <div> <A HREF="http://culturechangenow.com/" TARGET="_blank" TITLE="http://culturechangenow.com/"><U><IMG SRC="167babf0.png" border=0 width="186" height="191" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://thegreenhouseproject.com/" TARGET="_blank" TITLE="http://thegreenhouseproject.com/"><U><IMG SRC="168dc7c0.png" border=0 width="220" height="124" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <bR> <div> <A HREF="http://edenalt.com/welcome.htm" TARGET="_blank" TITLE="http://edenalt.com/welcome.htm"><U><IMG SRC="169c8ca0.png" border=0 width="200" height="202" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <bR> <bR> <div> <A HREF="id72.htm" TARGET="_top" TITLE="Beth Bakers Book"><U><IMG SRC="1d629b50.png" border=0 width="297" height="437" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <bR> <bR> </td> </tr></table></body>