Nursing homes have traditionally been seen as impersonal institutions that restrict personal freedom and choice. However, a movement called "culture change" or "resident-centered care" has been spreading over the last decade to transform nursing homes into more home-like environments. This movement aims to improve the ethical status of nursing homes by changing their cultural image and prioritizing residents' freedoms and preferences.

1. Post Discussion: Culture Change = Ethics Reform?
The ethical status of nursing homes is deeply affected by their cultural image. For a culture
with deep anti-institutional biases and often romanticized versions of “family” and the
freedoms of “home,” nursing homes are especially suspect (Collopy & Boyles, 1991). They
are “total institutions” where personal freedom, privacy, and range of choice have little
chance (Collopy & Boyles, 1991). However, the picture is changing. While many nursing
homes still do function like impersonal and regimented institutions, over the last decade, a
grassroots movement in long-term care known as “culture change,” or “resident-centered
care,” has begun to spread throughout the country (Haran, 2006). Moody originally wrote
Chapters 7 & 8 in the late 1980s when this movement was just beginning and thus he
doesn’t discuss “culture change” in your textbook. Does “culture change” embrace Moody’s
Negotiated Consent model? Why or why not? Support your statements with evidence from
the Required Studies and your research. Cite and reference your sources in APA
style. References Collopy, B. & Boyles, P. (1991). New directions in nursing home ethics,
Hastings Center Report Haran, C. (2006). Transforming Long-Term Care: Giving Residents a
Place to Call “Home”, The Commonwealth Fund.