Segregated Nursing homes: Your opinion Please! - page 2

I got this in an email from google alerts for nursing. I know what my opinion is, I would like yours. Thanks! Posted on Wed, Mar. 10, 2004... Read More

  1. by   fergus51
    I guess voluntary is the key. I do think it would be nice for people to get the type of food they like and to be able to communicate with their neighbours. LTC is very different that a hospital since it's someone's home.
  2. by   Hellllllo Nurse
    When I worked in LTC, we had several Native American Indian residents that did not speak english. Each was lonely and isolated, until they were grouped together. It worked out well for them, and I think it is a good idea.
  3. by   Dixen81
    I believe that the main purpose of this is to allow the residents to feel more "at home." I think it's wonderful.
  4. by   ltcare
    Segragating residents doesn't sound like an accurate description of the program described in the article at all. I agree with jyoung1950 that in the end days of peoples lives and illnesses it is comforting to be around those who understand your language, your customs and can show the kind of respect you expect which may be very different from the western view. For example it is impolite to look a Korean who is senior to you directly in the eyes when speaking. A western person might consider that as being unfriendly.
  5. by   jemommyRN
    I like this idea. If it makes the residents feel more comfortable then, why not?
  6. by   ltcare
    Afer reading the article I am convinced the term "segregation' is incorrectly applied to this concept.

    I agree with the writer who mentions that this type of program is likely geared for a diverse community, maybe a larger city that has greater numbers of aging immigrant populations.

    It makes sense to concentrate linguistic and cultural resources in a unit to assist seniors who do not speak English.

    I remember more than once seeing unnecessarily sad and confused patients who could not communicate the most basic needs after a stroke or suffering from dementia. (Once I was confronted with a man who spoke only French and no one on the floor could speak French! It says something about the changed demographics of hospital staff as well.)

    For those of us who have English as a second language may remember how innapropriate and embarrassing it was for us to go to the doctor and be the translater for our non-English speaking parents.
  7. by   bukko
    In San Francisco, there is an entire hospital for Chinese patients. (Its official name, appropriately enough, is "Chinese Hospital." I have always wondered why no marketing genius has gotten to it and renamed the place something typically euphemistic like "Sino-American Health Restoration Center")
    There's a large Chinese population here, with old refugees who don't speak a word of English and recently arrived restaurant workers who only know a little. My hospital has an interpreter who speaks the Cantonese dialect and a little Mandarin. But we're SOL when she's off or we get a patient who speaks one of the many Chinese sub-languages.
    The Chinese Hospital is small and doesn't do things like open-heart, so we get transfers from them. (Their charts are in English.) Have you ever tried to do pre-op CABG teaching on someone who can't understand a word?
    I'm glad that hospital is there. I wish we had something for the Russians,. too. I don't see any problem with ethnic facilities, unless some authority is ordering "You're Korean -- you go the 5th floor or you get out."
  8. by   leslie :-D
    it sounds like a most considerate act. i had a patient who only spoke lithuanian and was tremendously isolated. i called her md, who happened to have a large group of lithuanian pts., and even asked him if he could try and get transferred one of his pts. from one snf to the one i worked at (obviously with the family's consent). being in a nursing home can be traumatic enough for many of our patients. i would think that sharing a camaraderie with one's own would be more comforting. the way that people use semantics/linguistics can seemingly cause much more trouble than necessary.
  9. by   roxannekkb
    I have to agree with the other posters. I think it is a great idea. If these people have not assimilated into American culture at this point in their lives, now is certainly not the time to force it on them. I can't imagine how lonely it would be for someone to be at an LTC, who has never really adapted to American culture, and now they are suddenly engulfed in it--surrounded by people who don't speak their language, don't understand or know anything about their culture, being given food that is alien to them, and so on. This system sounds like a wonderful idea.
  10. by   BadBird
    I can see the sense in it and if you know it is that way and you choose to go then I don't see the problem. Now my problem is I want so sticky rice too, LOL !!!
  11. by   gwenith
    Perhaps a better term would be "congregated" nursing homes/hospitals???
  12. by   Stitchie
    I love this idea of concentrating populations based on culture/ethnicity. There's another Alzheimer's facility here in IL that bases its floors on early 1900's themes -- music, food, furniture. The nurses are as culturally varied as any but the residents love it == it's familiar, their LT memory is more intact. This is what the patient recalls, so why not?

    Culture is language and food, and I think this is wonderfully compassionate and appropriate for patient care. And as many others have pointed out, elderly patients aren't going to assimilate now, not after Alzheimer's/strokes/dementias have set in. It would be cruel to expect them too.

    But of course, the dreaded suits will always find a way to politically correctify it or just basically screw it up anyway, at the expense of patient care. But it's like that always.
  13. by   Energizer Bunny
    Quote from jemommy
    I like this idea. If it makes the residents feel more comfortable then, why not?
    I like it too. I think that there are going to be ramifications, though.