"That model is sooooo last millennium!" Residential long term care as a system, not a place.
The current quandary with the design of existing long term care (LTC) settings results from focus on structures ("institutions") instead of on a system of supports and services that transcends physical and traditional boundaries across settings, including nursing homes, assisted living residences and the home. Supported by analysis of the commonalities, socio-historical and political contexts, core values and fallacies of social and medical models in existing and emerging LTC options, a holistic model is proposed based on new core values which facilitate community and family integration, and which asserts dignity and personhood as universal attributes in an array of settings.
Ziemba
Rosemary
R
University of Michigan School of Nursing, Center on Frail and Vulnerable Elders.
Perry
Tam E
TE
Takahashi
Beverly
B
Algase
Donna
D