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Person-Centered Care

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Presentation made by Sonya Barsness on June 21, 2011 at the online webinar titled Aging in Place: A Hallmark of Person-Centered Care

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Person-Centered Care

  1. 1. Person-Centered Care& Aging in Place<br />Sonya Barsness, MSG<br />Gerontologist<br />Sonya Barsness Consulting LLC<br />
  2. 2. Placeholder<br />1<br />2<br />3<br />4<br />5<br />What is <br />Person-Centered Care?<br />Person-Centered Care and Creating Meaning<br />What’s Happening in Person-Centered Care?<br />Person-Centered Care and Culture Change<br />Why <br />Culture Change?<br />
  3. 3. “Person-Centered Care is an approach to care that respects and values the uniqueness of the individual, and seeks to maintain, even restore, the personhood of individuals. We do this by creating an environment that promotes personal worth and uniqueness, social confidence, respect, truthfulness, independence, engagement and hope.”<br />-Luther Manor Adult Day Center, Wauwatosa, WI<br />
  4. 4. Defining Person-Centered Care<br />Fosters optimal aging for that individual<br />Rooted in the work of Tom Kitwood, a British gerontologist, on personhood.<br />Empowering<br />PERSON-CENTERED CARE<br />Core values are:<br /><ul><li>Choice
  5. 5. Dignity,
  6. 6. Respect,
  7. 7. Self-determination, and
  8. 8. Purposeful living</li></ul>Care centered and driven by person receiving care, rather then individual or organization providing care<br />
  9. 9. Person-Centered Values<br />The Values of the Pioneer Network<br />
  10. 10. Placeholder<br />1<br />2<br />3<br />4<br />5<br />Person-Centered Care and Creating Meaning<br />What is <br />Person-Centered Care?<br />What’s Happening in Person-Centered Care?<br />Person-Centered Care and Culture Change<br />Why <br />Culture Change?<br />
  11. 11. What is Culture Change?<br />Refers to the common name given to the national movement for the transformation of older adult services.<br />Based on person-centered values and practices<br />Where the voices of elders and those working with them are considered and respected.<br />This deep system transformation may require changes in organization practices, physical environments, relationships at all levels and workforce models.<br />
  12. 12. “The shift from the old culture to the new is not a matter of adding on a few items that were missing, but of seeing almost every feature in a different way.”<br />— Tom Kitwood, Dementia Reconsidered<br />
  13. 13. Schoeneman, K. The language of culture change. Retrieved from www.pioneernetwork.net.<br />
  14. 14. Creating home, regardless of where you live<br />
  15. 15. Placeholder<br />1<br />2<br />3<br />4<br />5<br />Person-Centered Care and Creating Meaning<br />What’s Happening in Person-Centered Care?<br />What is <br />Person-Centered Care?<br />Person-Centered Care and Culture Change<br />Why <br />Culture Change?<br />
  16. 16. The Culture of Aging<br />Vision of the Pioneer Network:<br />A Culture of Aging that is Life-Affirming, Satisfying, Humane, and Meaningful<br />www.pioneernetwork.net<br />
  17. 17. “In the twentieth century, the industrialized world gained some 30 additional years of life, greater than had been attained during the preceding 5,000 years of human history and transforming what was once the experience of the few to the destiny of many.”<br />— Robert N. Butler, MD <br />
  18. 18.
  19. 19. “Only the newest model is desirable. The old are condemned to obsolescence; left to rot like wrinkled babies in glorified playpens — forced to succumb to a trivial, purposeless waste of their years and their time.”<br />— Maggie Kuhn, Founder, Gray Panthers<br />
  20. 20. Placeholder<br />1<br />2<br />3<br />4<br />5<br />Person-Centered Care and Creating Meaning<br />What’s Happening in Person-Centered Care?<br />What is <br />Person-Centered Care?<br />Person-Centered Care and Culture Change<br />Why <br />Culture Change?<br />
  21. 21. Culture Change and Aging<br />How do we create meaning in the experience of aging, regardless of where people live?<br />
  22. 22. Creating meaning in the experience of aging<br />“Old people do not perceive meaning in aging itself, so much as they perceive meaning in being themselves in old age”.<br />— Sharon R. Kaufman - “The Ageless Self”<br />
  23. 23. What is meaningful to each of us?<br />
  24. 24. What 3 things would you notcompromise on if you had to go live somewhere else?<br />20<br />
  25. 25. Maybe they are things that you could not live without. <br /> Maybe they are little things that make your everyday life good? <br />Things that make you comfortable? secure? happy?<br />21<br />
  26. 26. Here are some real answers from people across the country. <br />22<br />
  27. 27. Used with permission Karen Stobbe, Pioneer Network, 2011<br />
  28. 28. Used with permission Karen Stobbe, Pioneer Network, 2011<br />
  29. 29. Used with permission Karen Stobbe, Pioneer Network, 2011<br />
  30. 30. We all have things that are important to us as individuals and that we hope we can do, regardless of where we live, <br /> …..and even in long-term care. <br />This is what person-centered care is all about- people living the lives they want to live in the best way they can.<br />
  31. 31. Placeholder<br />1<br />2<br />3<br />4<br />5<br />Person-Centered Care and Creating Meaning<br />What is <br />Person-Centered Care?<br />What’s Happening in Person-Centered Care?<br />Why <br />Culture Change?<br />Person-Centered Care and Culture Change<br />
  32. 32. Person-Centered Care & Long-Term Care<br />Changes are happening in long-term care!<br />Movement from institutional medical model to person-centered model<br />30% nursing homes adopting person-centered care values (Commonwealth Fund, 2008)<br />Examples of changes: practice, environment, philosophy<br />
  33. 33. From “Creating Home: A Guide to Better Care Options for an Aging America”, Pioneer Network, 2011<br />
  34. 34. Person-centered values regardless of where you live<br />
  35. 35. Taking it a step further:Person-centered living<br />“Person-centered care (PCC) or living (PCL) is a way of life centered on personal preferences and values that stress dignity, choice, self-determination and individuality.<br />PCL means living as one chooses to. <br />If support is needed, supports are centered on personal preferences and values that stress dignity, choice, self-determination, respect, privacy, and individuality. <br />PCL means being kind, respectful, and sensitive to those being served and honoring their right to make their own choices, regardless of the setting.”<br />- From CCAL- Advancing Person-Centered Living, www.ccal.org<br />

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