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Creating the Ideal Person-Centered Program and Environment for Residential Dementia Care: 10 Steps and 10 Challenges Toward a New Culture

KEANE, WILLIAM L. MS, MBA, LNHA; SHOESMITH, JOHN AIA, MARCH

FEATURE TOPIC: ENVIRONMENTAL INNOVATIONS IN CARE

There has been an explosion of activity in long-term care around creating a more person-centered or person-directed approach in philosophy and care practice. Directed initially at the institutional nursing home setting, this pioneer movement for culture change has spread to other settings of elder care and focused on major issues of program, staffing, regulation, and research. To many, dementia-capable care is the cutting edge of this culture of aging that affirms choice, dignity, independence, and meaning. High-quality, person-centered dementia care is achieved through the successful integration of program, staff, family, community, and the phyical environment. This article affirms this integrated approach and outlines 10 steps and 10 challenges in getting there.

William L. Keane, MS, MBA, LNHA, is director of Illinois Operations for Harbor Senior Concepts, LLC, Chicago, Illinois.

John Shoesmith, AIA, MArch, is principal of Shoesmith Architects, Seattle, Washington.

Address correspondence to: John Shoesmith, AIA, MArch, Shoesmith Architects, 1817 25th Avenue East, Seattle, Washington, WA 98112. E-mail: johnshoesmith@msn.com.

©2005Lippincott Williams & Wilkins, Inc.