This text offers a strategic approach for promoting an active culture of change in long-term care facilities for older adults and people with disabilities. It discusses the philosophical framework for the delivery of care in these settings and addresses the changing landscape of our long-term care population.

Table of Contents

• About the Author
• Foreword - Bill Thomas, MD
• Preface
• Acknowledgments
• PART I—ESTABLISHING A CONTEXT FOR SHAPING LONG-TERM CARE SETTINGS
• 1. The Changing Landscape of Our Long-Term Care Population: The Demographic Shift
• 2. Introduction to Long-Term Care Settings and Culture Change
• 3. Philosophical Paradigms Impacting Long-Term Care Settings
• 4. Artifacts of Culture Change: An Overview of Purpose and Measurement Practices
• PART II—STRATEGIES AND BENCHMARKS FOR CULTURE CHANGE
• 5. Care Practices
• 6. Environment Benchmarks/Artifacts
• 7. Family and Community Practices
• 8. Leadership Benchmarks/Artifacts
• 9. Workplace Practice Benchmarks/Artifacts
• 10. Outcome Practices
• PART III—TOOLS AND RESOURCES TO FACILITATE THE CHANGE PROCESS
• 11. The Assessment Process: Identifying a Road Map for Success
• 12. From Assessment to Action: Building on the Planning Process
• 13. Partners for Change: Residents and Family
• 14. Building Coalitions of Effective Change Agent Teams
• 15. Legal and Regulatory Bodies and the Culture Change Process
• 16. A Vision for the Future
• Appendix A. Resources for Community-Based Agencies and Nonprofit Groups
• Appendix B. Websites for Culture Change Resources
• Appendix C. Glossary of Culture Change Vocabulary
• Bibliography