{"id":1752,"date":"2012-07-17T15:36:13","date_gmt":"2012-07-17T12:36:13","guid":{"rendered":"http:\/\/brookdale.jdc.org.il\/?p=1752"},"modified":"2017-12-27T15:55:59","modified_gmt":"2017-12-27T13:55:59","slug":"person-centered-care-elderly","status":"publish","type":"post","link":"https:\/\/brookdale.jdc.org.il\/en\/person-centered-care-elderly\/","title":{"rendered":"Person-Centered Care for the Elderly"},"content":{"rendered":"<p dir=\"ltr\">With the challenges of caring for an aging population at the top of today\u2019s social agenda everywhere (see the\u00a0<a href=\"http:\/\/brookdale.jdc.org.il\/?CategoryID=187&amp;ArticleID=227\" target=\"_blank\" rel=\"noopener\">article from Myers-JDC-Brookdale\u2019s Research in Action, Issue #1<\/a>), MJB has developed a shared learning process with\u00a0<a href=\"http:\/\/www.jewishcare.org\/home\" target=\"_new\">Jewish Care<\/a>, the United Kingdom\u2019s largest Jewish social service organization.<\/p>\n<div dir=\"ltr\">\n<div>\n<div>In February, senior staff from MJB, JDC-ESHEL, and our partners at the ministries of Health, Social Affairs, and Senior Citizens, and Israel\u2019s Social Security Administration, participated in a study trip to England to visit Jewish Care. This was the second professional exchange with Jewish Care, following a 2010 visit to Israel which resulted in Jewish Care implementing a number of programs they had learned about in Israel, including supportive community programs.<\/div>\n<\/div>\n<\/div>\n<p dir=\"ltr\">The February exchange focused on two critical issues that are becoming more and more acute: care of elderly people living with dementia and care at the end of life. In the intensive discussions with Jewish Care and other partner organizations, and in site visits and discussions with field staff and clients, the group gained a new international perspective on how to better address some of the most challenging issues facing care for the elderly today.<\/p>\n<h3 dir=\"ltr\">A Person-Centered Approach<\/h3>\n<p dir=\"ltr\">The Israeli visit to England came at a seminal time, as Jewish Care is in the midst of a process of significant and exciting reorientation of its basic approach to care.<\/p>\n<p dir=\"ltr\">The focus today in Jewish Care is on how to design and implement all of\u00a0its services, from institutional care to community care, in a way that places the person and their unique needs at the center.<\/p>\n<p dir=\"ltr\">\u201cInstead of talking about services, we talk about people,\u201d explained Simon Morris, the organization\u2019s director.\u00a0 \u201cOur approach is to emphasize what they can do, not what they can\u2019t do.\u201d\u00a0 The \u201cperson-centered\u201d approach focuses on delivering services in a way that addresses the unique history of the person being cared for, and that provides them with meaningful choices and control within the services offered.\u00a0 It is about promoting dignity, well-being, and meaningful lives.<\/p>\n<div dir=\"ltr\">The concept of person-centered care is not new.\u00a0 What is unique is Jewish Care\u2019s total commitment to implementing this approach, by engaging their entire staff and many volunteers to help them to develop and create ways\u00a0of making Jewish Care a champion of person-centered care.<br \/>\nExamples of the person-centered approach include:<\/div>\n<div dir=\"ltr\">\n<ul dir=\"ltr\">\n<li>\n<div>A state-of-the-art technique called\u00a0<a href=\"http:\/\/www.brad.ac.uk\/health\/dementia\/dcm\/\" target=\"_new\">Dementia Care Mapping<\/a>, used to observe clients in detail for an entire day to learn about their day and how to try to improve it.<\/div>\n<\/li>\n<li>\n<div>The\u00a0<a href=\"http:\/\/www.edenalt.org\/\" target=\"_new\">Eden Alternative<\/a>, in which residential environments are made as lively as possible, using colors, plants, and animals.<\/div>\n<\/li>\n<li>\n<div>Memory display boxes outside each person\u2019s room in an assistive living setting, with pictures and ornaments that\u00a0are meaningful to them.<\/div>\n<\/li>\n<li>\n<div>\u201cOpen\u201d kitchens to give residents an added level of independence by preparing drinks or snacks as they wish, rather than having to rely on the institution\u2019s dining schedules.<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<div dir=\"ltr\"><img decoding=\"async\" title=\"Art therapy for people living with demetia\" src=\"http:\/\/brookdale.jdc.org.il\/_uploads\/imagesgallery\/_cut\/F0_0400_0000_obn_1143.jpg\" align=\"left\" hspace=\"5\" vspace=\"5\" \/><\/div>\n<p dir=\"ltr\">Shirli Resnizky, a researcher in MJB&#8217;s\u00a0<a href=\"http:\/\/brookdale.jdc.org.il\/?CategoryID=176\" target=\"_new\">Center for Research on Aging<\/a>, found these examples to be one of the most impressive parts of the visit. \u201cThe way in which they implement respect for the independence of the elderly, and take into consideration their wishes,\u00a0especially\u00a0in\u00a0the care for elderly with dementia, is something that we can bring\u00a0back\u00a0to Israel and apply.\u201d<\/p>\n<p dir=\"ltr\">Another innovative program the group saw was\u00a0<a href=\"http:\/\/www.dementiauk.org\/what-we-do\/learning-partnerships-and-training\/learning-partnerships\/music-for-life\/\" target=\"_new\">Music for Life<\/a>, in which professional musicians use improvisation to draw out the potential for self-expression and communication among people with dementia. Different from traditional music therapy, the musicians and the residents create a unique piece of music together, which in turn helps to draw out those who are emotionally cut off and disempowered because of the advanced stage of their condition.<\/p>\n<p dir=\"ltr\">End-of-life care was another area where study trip participants saw the person-centered approach in action.\u00a0 Because families and staff are often resistant to discussing end-of-life planning, Jewish Care uses a system in its nursing care homes whereby families and staff discuss preferences and wishes for end-of-life treatment at the time of admission, and draw up a customized end-of-life care plan for each resident. In these discussions, the concern for quality of life dominates, with a primary interest in ensuring that clinical decisions are made with the best interest of the person in mind.<\/p>\n<p dir=\"ltr\">Jewish Care uses an extensive training system for everyone involved in its care system\u2014staff, volunteers, and relatives\u2014to reinforce the person-centered perspective.\u00a0 They invest much time in training staff and caregivers to understand the needs and backgrounds of the people they are caring for, such as explaining to a caregiver from the Philippines why an elderly Holocaust survivor might be resistant to being taken to a shower\u2014and how the caregiver should respond.\u00a0The training emphasizes that care is more than just providing for a person\u2019s needs\u2014it\u2019s about building a relationship with the person.<\/p>\n<h3 dir=\"ltr\">Opportunities to Reflect<\/h3>\n<p dir=\"ltr\">\u201cMore than anything, it was inspiring to see how they are translating these principles into action. They are trying to implement a set of principles that people often talk about but rarely implement with the creativity, hard work, and focus necessary to succeed,\u201d reflected Jenny Brodsky, Director of MJB\u2019s Center for Research on Aging, after returning to Israel.<\/p>\n<p dir=\"ltr\">For Jennifer Shuldiner, a researcher in the Center for Research on Aging, the exchange \u201cstimulated significant discussions among the Israeli group itself and sharpened our understanding of our own system.\u201d<\/p>\n<p dir=\"ltr\">Today, the professional exchange with Jewish Care is continuing.\u00a0 One challenge to implementing person-centered care is the lack of a system to measure and monitor success.\u00a0 MJB and Jewish Care have agreed to cooperate on developing a set of outcome measurements to assess Jewish Care\u2019s progress, which will be of wider interest in Israel and elsewhere.\u00a0 In addition, efforts are underway to document and share similar efforts on outcome measurement in Israel.<\/p>\n<p dir=\"ltr\">The professional exchange with Jewish Care has been brought about through the efforts of Martin Paisner, Chairman of the MJB Board.<\/p>\n","protected":false},"excerpt":{"rendered":"With the challenges of caring for an aging population at the top of today\u2019s social agenda everywhere (see the\u00a0article from Myers-JDC-Brookdale\u2019s Research in Action, Issue #1), MJB has developed a shared learning process with\u00a0Jewish Care, the United Kingdom\u2019s largest Jewish social service organization. In February, senior staff from MJB, JDC-ESHEL, and our partners at the [&hellip;]","protected":false},"author":13,"featured_media":1761,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[77],"tags":[],"class_list":["post-1752","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aging-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Person-Centered Care for the Elderly &#187; Brookdale<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/brookdale.jdc.org.il\/en\/person-centered-care-elderly\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Person-Centered Care for the Elderly &#187; Brookdale\" \/>\n<meta property=\"og:description\" content=\"With the challenges of caring for an aging population at the top of today\u2019s social agenda everywhere (see the\u00a0article from Myers-JDC-Brookdale\u2019s Research in Action, Issue #1), MJB has developed a shared learning process with\u00a0Jewish Care, the United Kingdom\u2019s largest Jewish social service organization. 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