Tag Archives: culture

Explore how changing nursing home culture affects care

Liz Seegert

About Liz Seegert

Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in NextAvenue.com, Journal of Active Aging, Cancer Today, Kaiser Health News, the Connecticut Health I-Team and other outlets. She is a senior fellow at the Center for Health Policy and Media Engagement at George Washington University and co-produces the HealthCetera podcast.

Nursing home rankingsAny journalist who covers nursing homes should check out this month’s special supplement in The Gerontologist, the Gerontological Society of America’s journal. It focuses on the two-decade long effort to change nursing home culture and many of the articles and studies raise important questions about whether enough progress has been shown.

For example, this study finds that nursing homes that are considered culture change adopters show a nearly 15 percent decrease in health-related survey deficiency citations relative to comparable nonadopting homes. This study looks at what is meant by nursing home culture change – the nature and scope of interventions, measurement, adherence and outcomes.  Harvard health policy expert David Grabowski and colleagues take a closer look at some of the key innovators in nursing home care and what it might mean for health policy – particularly in light of the Affordable Care Act’s directive to provide more home and community-based care. Other articles look at the THRIVE study, mouth care, workplace practices, Medicaid reimbursement, and more policy implications.

Any of these studies — or several taken together — can serve as a jumping off point for local coverage. Continue reading

Culture an important factor in ‘successful’ aging

Liz Seegert

About Liz Seegert

Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in NextAvenue.com, Journal of Active Aging, Cancer Today, Kaiser Health News, the Connecticut Health I-Team and other outlets. She is a senior fellow at the Center for Health Policy and Media Engagement at George Washington University and co-produces the HealthCetera podcast.

The Senior Stutters Line Dancers of Valdosta performed a show at Lake Park United Methodist Church on March 1, 2011.

Image by Judy Baxter via flickr.

What is “successful” aging? According to experts at this week’s Gerontological Society of America Annual Scientific Conference, it depends on the lens through which it’s viewed.  “Most of our current definitions are applicable to non-Latino white individuals,” said Linda Phillips, Ph.D., R.N., F.A.A.N., from the School of Nursing at the University of California, Los Angeles. “But these definitions may be inappropriate for elders in other ethnic and racial groups.”

For African-Americans, successful aging is directly connected to the life course process, said Kia Skrine Jeffers. “Health is either built or diminished based on social, economic and environmental experiences, that occur throughout life.” Stressors which occur during sensitive periods have significant impact on disease risk, and the cumulative effect, known as weathering, may also affect health-seeking behaviors. “Many racial and ethnic health disparities can be attributed to weathering, to the accumulated experiences of economic and social adversities.” Continue reading