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Resident-centered initiative and long-term-care services

Kessler, Lisa (2015) Resident-centered initiative and long-term-care services. Master Essay, University of Pittsburgh.

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Abstract

Objective: As the aging population in the United States is expected to double to over 85 million citizens by 2050, the demand for long-term-care services will dramatically increase, as 70% of elders will require some kind of support service in their lives. here is an increasing trend of long-term-care entities, such as the Jewish Association on Aging located in Pittsburgh, PA, adopting more “person-centered” care. These culture changes are a shift away from traditional institutional care and involve incorporating the wishes and values of the resident into his plan of care. Purpose: The purpose of this essay is to evaluate the Jewish Association on Aging’s person-centered dining room initiative to determine its impact on both the organization and the lives of its residents. Public Health Relevance: With the increase in elders demanding long-term-care support, it is necessary to provide services to empower them continue this next chapter of their lives in a healthy, meaningful and positive manner These resident-centered initiatives represent a shift in the way care is delivered throughout all levels of care and hve real cost implications that can limit the high public health expenditures the nation faces Methods: Meal and dining cost data were compared between a traditional dining room, where food is brought up on trays from the kitchen, and the new person-centered dining room in the skilled nursing facility in which choices are made and meals are cooked in real-time in a home-like dining environment. These quantitative data were augmented with observational data and anecdotal evidence to compare perceptions and attitudes of residents and staff about the differences in dining experiences in the two different dining rooms. Conclusion: Tray service was found to produce significantly more pounds of waste and higher waste costs compared to the new resident-centered dining initiatives. Residents in the new dining unit spent more time eating and spent more time socializing with other residents and the staff. In the short-term, the new dining initiative improves the quality of dining experiences. It is reasonable to assume that in the long-run, this initiative will have a positive impact on physical health of residents.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Kessler, Lisalrk25@pitt.eduLRK25
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBarron, Geraldgbarron@pitt.eduGBARRONUNSPECIFIED
Committee MemberHawk, Marymary.hawk@pitt.eduMEH96UNSPECIFIED
Committee MemberWinn-Horvitz, Deborahdwhorvitz@jaa.orgUNSPECIFIEDUNSPECIFIED
Date: 15 April 2015
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 30 Oct 2015 20:58
Last Modified: 01 Jul 2019 14:56
URI: http://d-scholarship.pitt.edu/id/eprint/25037

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