Culture Change in a Secured Dementia Unit - page 2

How have you implemented this? We have recently gone from waking everyone up when shift starts at 0600, to letting them wake naturally. For the most part, we have about 6 to 8 (out of 22) that... Read More

  1. by   LTCRN4LIFE
    This all sounded so so familiar to me.....I instituted the Homestead Model that Genesis puts out....I loved it however....the weight loss will be your issue......push smoothies and choc milk. Dementia residents love the sweet taste and will get their calories here.
  2. by   ClearBlueOctoberSky
    Sorry I haven't been able to update. It's been really busy at work.

    I hate to say this, but we ended having to go back to the "old" way. As my DON likes to tell me, it's baby steps. Sometimes, you just have to take a step back. It would be nice to have a good model to follow, however it seems, that we just kind of fly by the seat of our pants as we go along right now.

    I still think if it had been given time, and support from everyone, it would have worked. Unfortunately, it also takes a want and desire to change for the better, and because that was lacking, from varied people, the change made wasn't for the better.

    Oh well, baby steps. It may be a mute point at this time, as I am getting ready to move into a new position as the Restorative Nurse. Again, a brand new program, building it from the bottom up. I don't know what I am doing, however I am looking forward to the challenge. I just hope a failure of trying to move my secured unit to culture change doesn't forbode me in the position of Restorative Nurse.

    I will miss my special residents, though.
  3. by   LTCRN4LIFE
    I have worked this model and it was one of my best experiences ever! Be careful of weight loss, PU's,contractures and social isolation though. While I think it is the way to go....unless you invest tons of time teaching staff and getting them to buy into the program it won't work! My experience was these aides turned out to be some of the best I have ever worked with. They "learned" the residents so well they anticipated and met needs with very little encouragement from me which allowed me to continue to implement, teach and evaluate.
    I loved it!