| |
Traditional
Nursing Home
|
Avalon by Otterbein
|
SIZE
|
120+
beds, divided into 20-40 bed units.
|
10
Elders
|
PHILOSOPHY
|
Focus
on medical services for frail patients.
|
Focus
is on home and living to fullest. It is a home for people
who just happen to require medical services.
|
ORGANIZATION
|
Steep
bureaucracy where nurses control all unit activity.
|
Direct
Care Staff are empowered with nurses visiting the home to
provide skilled services.
|
DECISION
MAKING
|
Made
by the organization.
|
Placed
as close to the elders as possible. House councils plan menus,
activities and routines.
|
ACCESS
|
Space
belongs to the institution. Elders often given limited access
to spaces.
|
Space
belongs to the elders, access to all areas of the house.
|
OUTDOOR
SPACE
|
Often
challenging to access, especially without assistance.
|
Easy
access, fenced, shaded and in full view of the hearth and
kitchen, allowing staff observation.
|
LIVING
AREAS
|
Most
commonly double bedrooms and shared baths. Lounges and dining
rooms often at end of long corridors. |
Private
rooms with private baths. A central hearth is adjacent to
the open kitchen and dining area with short distances to
walk.
|
KITCHEN
|
Off
limits to elders and visitors.
|
Elders
and visitors have access and may participate in cooking.
|
NURSES
STATION
|
In
center of most units.
|
None.
Medication and supply cabinets in each room for nurse visits.
|
DINING
|
Large
dining rooms with many elders.
|
One
dining table for home-style meals.
|
STAFFING
|
Departmental.
Tasks are divided among several people. Average 75% turnover
rate.
|
Elder
Assistants (CAN) take care of all tasks needed, such as direct
care, laundry, housekeeping and cooking. Average 10% turnover
rate.
|
VISITORS
|
Limited
ability to participate.
|
May
take part in meals, meal preparation, and activities. Elders
often host family celebrations.
|
