Culture Change In LTC?

[RN 4 Life]

I personally think it is wonderful plan, but understand the fear and concerns direct care staff face while implementing these changes? Is anyone implementing this in there facility?If so what are some of the changes you have made? & How is it working so far? Any tips?:rotfl:

[RN 4 Life]

..... They don't realize that the MDS can legally replace at least a half-dozen other assessments (MDS 3.0 appears to replace even more than that). The excessive paperwork is due to ignorance in regards to what is actually required by the state/feds, and a groundless fear of lawsuits. ....

The MDS 3.0 is going to a poweful tool. Its ability to help us assess and collect data regarding how our patient is doing is going to change to face of care in the nursing home. I do believe that people are afraid of having deficent practices in theree nursing homes so they push excessive documentation to prove we are doing all we can. In my opinion, the MDS 3.0 puts us one step closer to a facility where meeting the needs of the patient [despite what they may be]are at the top of the list. Which is truly what culture change is all about.

Additionally, I think it is important for us as nurses in LTC to advocate for the things we need to make culture change successful. Policy reform is also apart of our responsibility. Do you communicate with your legislature your concerns? There are many strong opinions within this thread that deserve to be heard by the local health care advocates. They are our voice..so we need to consistently communicate with them.

[Merced]

I don't like the term, "skilled nursing facilities" because, at least here in California, that is not really an accurate description in the majority.

I am aware that other states have some alternative nursing homes, where the environment is homey more than clinically correct.

I know there are plenty of arguments on the other side, but I happen to be a person who when I get older, want to belong to a caring & emotionally pleasing community. I personally care about this much more than about attempts to prolong my life or protect me from harm.

Of course there would still be real "skilled nursing facilities" ideally ones that lived up to the name, for the acutely ill who needed clinically skilled nursing care. If I had just had surgery, perhaps I would opt for a short stay in one myself, so I am not against highly skilled medical care for the elderly. I am for living out the end of my life in a community setting rather than a place where they worry I will sue if I get up by myself & fall, or if I want to eat ice cream when I'm a diabetic, etc.

So, I am interested in people who have real, rather than my own "theoretical" knowledge of such places. I can go online & read about them but I want to talk to someone with some experience. Does anyone here fit that bill?