title: Initiating person-centered care practices in long-term care facilities.
abstract: Person-centered care is a key concept guiding efforts to improve long-term care. Elements of person-centered care include personhood, knowing the person, maximizing choice and autonomy, comfort, nurturing relationships, and a supportive physical and organizational environment. The Oregon Health & Science University Hartford Center of Geriatric Nursing Excellence and the state agency that oversees health care for older adults worked in partnership with 9 long-term care facilities. Each developed and implemented person-centered care practices, including those focused on bathing, dining, or gardening. This article describes the processes used to develop and support these practices. Three exemplary facilities made significant practice changes, 4 made important but more moderate changes, and 2 made minimal progress. These facilities differed in terms of existing culture, management practices, staff involvement, and attention to sustainability.
authors.affiliation: Oregon Seniors and People With Physical Disabilities, Salem, USA.
authors.forename: Lynda G
authors.initials: LG
authors.lastname: Crandall
authors.forename: Diana L
authors.initials: DL
authors.lastname: White
authors.forename: Sherrie
authors.initials: S
authors.lastname: Schuldheis
authors.forename: Karen Amann
authors.initials: KA
authors.lastname: Talerico
mesh_terms: D004496:Education, Continuing; D008134:Long-Term Care / Q000458:organization & administration; D009735:Nursing Homes / Q000458:organization & administration*; D015279:Organizational Culture; D018802:Patient-Centered Care