This document outlines an approach to elder-directed care focused on well-being. It discusses defining elderhood beyond ageism, and identifying the domains of well-being: identity, growth, autonomy, security, connectedness, meaning and joy. Care facilities are encouraged to incorporate these domains into care planning by understanding residents' needs and goals. Methods like Eden's Well-Being surveys can measure baseline well-being. The document also discusses leadership challenges and virtuous cycles that empower well-being, engagement and results. Living more slowly and creating social capital are presented as keys to a deeper, more connected life for elders.

1. From Philosophy to Practice:
Creating Deep & Sustainable
Elder-Directed Care

2. Awareness
What are old people for?
Introduce yourself, share a fun fact
about yourself and discuss “What
are old people for?”

3. Awareness
What are people living with
dementia for?
What are people living with
frailty for?

4. Elderhood
 Ageism
 Redefining Elderhood
 Quest for well-being for all

5. Well-Being: the Ultimate Outcome
 What do you need to experience well-being in your
life?
 Write down everything you need.
 Match what you need to the domains.

6. Being Human
 Domains of Well-Being™
 Identity
 Growth
 Autonomy
 Security
 Connectedness
 Meaning
 Joy

7. Putting Well-Being into Practice
 Baseline measurements – Eden’s Well-Being surveys
 Incorporating the domains into care planning
 Identifying which domains may not be met when a
resident has an expression of an unmet need
 Identifying ways the Elder would like to grow, setting
goals.
 Identifying what brings meaning into the Elder’s life.
Create opportunities for meaning.

8. GROWTH
 G = Get Real
 R = Reach Out
 O = Open Up and Dream
 W = Work Up a Plan
 T = Take Action
 H = Hold Steady and Reach Further

9. Leadership Team Model
Facilitator
Note Taker
Timer
Process Coach

10. GROWTH
 G = Get Real
 R = Reach Out
 O = Open Up and Dream
 W = Work Up a Plan
 T = Take Action
 H = Hold Steady and
Reach Further
Pick a topic:
• Interviewing new employees
• Evaluating staff care partners
• Activity assessments
• A tour for a new Elder
• Breakfast experience
• Fire drills
• Move in day for an Elder

11. Leadership Challenges
 In your table teams take 5 minutes to come up with
one leadership challenge you want to have the group
discuss
 Write that challenge on the index card on your table
 Pass the cards to the front

12. Leader’s Role
 Formal Leaders in an organization create the context
in which all behavior occurs.
 They design the organizational architecture
 They create the organizational climate
 They have the power to lift people up to be the best
they can be
 They have the power to tear people down

13. Keystone behavior/belief
 A behavior/belief that once changed has the power to
start a chain reaction, changing other
behaviors/beliefs as it moves through an organization
 What are the keystone behaviors in care communities,
that if we could change, would begin to change other
behavior/belief?

14. 4 Keystone Behavior/Belief
 Code of Conduct
 Daily Community Meetings
 Conflict Management
 Weekly leadership team growth

15. A Virtuous Cycle
Empowerment
Well-Being
Engagement
Results

16. Domains of Well-Being
 Where do the domains currently fit in the process and
what changes are needed to strengthen them? Think
about how to tell and show people the domain(s).
 Identity
 Growth
 Autonomy
 Security
 Connectedness
 Meaning
 Joy

17. A Slower, Deeper, More
Connected Life
“Living life more slowly is an art that can help us break
free of the time machine’s insatiable demands. Slow living
is essential to the creation of social capital. This
distinctive form of wealth cannot be measured in dollars
and cents. It exists entirely within the intangible currency
of healthy, vibrant families, communities, and nations.”
- Dr. William Thomas

18. Comments?
Thank you for attending this session!