He Broke the Law to Build a Better Nursing Home

Is growing older a good thing? Or is the idea of aging something to be feared leading to isolation, loneliness and a lack of autonomy?

In 1991, Dr. Bill Thomas became the medical director of a nursing home in upstate New York. He found the place, as the Washington Post put it, “depressing, and a repository for old people whose minds and bodies seemed dull and dispirited.”  Read article here.

So, what did Thomas do? He decided to transform the nursing home. Based on a hunch, he persuaded his staff to stock the facility with two dogs, four cats, several hens and rabbits, and 100 parakeets, along with hundreds of plants, a vegetable and flower garden, and a day-care site for staffers’ kids.

All those animals in a nursing home broke state law, but for Thomas and his staff, it was a revelation. Caring for the plants and animals restored residents’ spirits and autonomy; many started dressing themselves, leaving their rooms and eating again. The number of prescriptions fell to half of that of a control nursing home, particularly for drugs that treat agitation. Medication costs plummeted, and so did the death rate. “He named the approach the Eden Alternative.”

What do you think? Do our beliefs about aging affect our expectations about quality of life? Are our expectations about aging one of the reasons it is so difficult to implement innovative models within long term care homes? Please share your comments.

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6th Graders in a Long-Term Care Home?

18SherbrookeVillageSaskatoon6thgradersCBC

What is unusual about this picture?

Sherbrooke Community Centre Nursing Home in Saskatoon is the home to 263 high-needs residents. It’s also the site of an intergenerational school. Every year, after winning a city-wide lottery, a batch of sixth graders ditch the traditional classroom and spend a year attending school at Sherbrooke.  Listen to this story from CBC’s Sunday Morning radio show here.

At Sherbrooke, there are no classrooms, no desks, and no blackboards. Students get together with their teachers in the chapel in the morning and again at noon, but the rest of the time they are free to go where they want, and sit with anyone they feel like talking to.  The school is a life-changing experience for the elders as much as it is for the kids.

“If we didn’t see the kids, we would just be a bunch of old people in this building, and that is stark and it’s ugly. Without the kids, I just feel that a part of me dies,” one resident says.

In western Canada, Sherbrooke Community Centre Nursing Home is the first care home to register as an Eden Alternative ® home.

Another innovative model for us to consider….

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An Innovative Model from Saskatchewan

“You never change things by fighting the existing reality.  To change something, build a new model that makes the existing model obsolete”  R. Buckminster Fuller.

Long-term care resident Jodi Grant says teaching the students enrolled in Saskatoon's iGen program has given her 'a reason to get up in the morning.'

Sherbrooke Village program turns long term care home into a grade 6 classroom. They use an Eden Alternative model of care which focuses on moving away from the institutional hierarchical (medical) model of care into a constructive culture of “home”. https://www.edenalt.org/about-the-eden-alternative/mission-vision-values/

Click here for a W5/CTV interview with the Executive Director of the Sherbrooke Village to see this approach for yourselves: https://www.ctvnews.ca/w5/saskatoon-care-home-offers-unique-approach-for-residents-with-dementia-1.1686936

As we mentioned in our introductory blog, our long term care system in Ontario is broken.  Our goal is not to endorse any particular model of care but rather to present information on innovative long term care models that already exist in our own country or elsewhere in the world and to provide some tools to create the political will for transformation of our system.

And we’d like to know what you think.  If you like the Sherbrooke Village Model or the Hogeway Village model from our first blog post,  please send us a comment to let us know what you like about them.

And YOU can help to transform the system by sending a letter to the Minister of Health and Long-Term Care and copying your local MPP/MP.  For a draft letter that you can personalize, click here:  17draftMPPletter

Don’t know who your MPP/MP is?  Click here…

Please note: The authors of this blog are not endorsing any particular model of care. We are offering this blog as information and as an impetus for change and action. If you agree with what is written and want to take action, then you are encouraged to write to your local newspapers, write letters to your politicians, and speak out at public forums which address elder care. (MPP website). Together we can make a difference!