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Part I Introduction to Nutrition Care in Older Adults

The true wants and needs of the resident were not determined prior to making changes and therefore the changes were unsuccessful.

SUMMARY

According to the literature, culture change should be homelike, resident-driven, person-first care that is focused on improvements in quality of life. Studies have also shown how integral food is to residents’ overall satisfaction with the facility. Further research is needed and requested by professionals in the field to determine residents’ home practices and assess their preferences for dining style in skilled nursing facilities. This data could then be generalized to the larger popu- lation, and facilities could merge culture change and residents’ choices regarding the dining experience. Culture change must be defined by the customer (ie, the resident of the skilled nursing facility) for it to be successful.

Part of culture change will be changing practices as the resident population changes. Processes put into place today may not work a year from now because of the changes that occur, such as who is living at the facility at that time, their cognitive ability, and their overall general health and functional status. Additionally, the concept of a “homelike” environment continually needs to be revisited, especially because many nursing facilities are evolving into short-stay rehab centers, and these older adults may have quite different expectations, including for facilities that more closely resemble a rehabilitation hotel.

REFERENCES 1. Doty M, Koren MJ, Sturla, E. Culture change in nurs- ing homes: how far have we come? Findings from the Commonwealth Fund 2007 National Survey of Nursing Homes. http://www.commonwealthfund.org/usr_doc/ Doty_culturechangenursinghomes_1131.pdf?sectio%20 n=4039. Accessed December 19, 2015

2. Omnibus Budget Reconciliation Act (OBRA) of 1987. Public Law 10-203. Subtitle C: Nursing Home Reform. www.govtrack.us/congress/bills/100/hr3545/text Accessed December 19, 2015.

3. Simmons S, Cleeton, P, Porchak T. Resident complaints about the nursing home food service: relationship to cognitive status. J Gerontol B Psychol Sci Soc Sci. 2009;64(3):324-327. doi: 10.1093/geronb/gbp007.

4. Watters C, Sorenson J, Fiala A, Wisner W. Exploring patient satisfaction with foodservice through focus groups and meal rounds. J Am Diet Assoc. 2003;103(10):1347-1349.

5. Schultz JA, Crogan NL, Evans BC. Organizational issues related to satisfaction with food and food service in the nursing home from the resident’s perspective. J Nutr Elder. 2005;24(4):39-55.

6. Kane RL, Kane RA. What older people want from long-term care, and how they can get it. Health Aff (Millwood). 2001;20(6):114-127.

7. Young CA, Brewer K, Nation P. Marketing continuing- care retirement communities: a model of residents’ per- ceptions of quality. J Hospitality Leisure Marketing. 2001;9:133-151.

8. Cavanaugh B. Upscale dining drives sales at Hyatt retirement village. Nation’s Restaurant News. 2003;37:157-158.

9. Sheridan M. Inviting options: marketing dining services to senior and families offers golden opportunities. Restaurants Inst. 2002;112:97-99.

10. Chao S, Boldy D, Lee A. Factors influencing resident satisfaction in residential aged care. Gerontologist. 2003;43(4):459-472.

11. Chao SY, Houser RF, Tennstdet S, Jacques P, Dwyer JT. Food and nutrition care indicators: experts’ views on quality indicators for food and nutrition services in assisted-living facilities for older adults. J Am Diet Assoc. 2007;107(9):1590-1598.

12. Grant L. Culture change in a for-profit-nursing home chain: an evaluation. The Commonwealth Fund. http:// www.commonwealthfund.org/publications/fund- reports/2008/feb/culture-change-in-a-for-profit-nursing- -home-chain--an-evaluation. Accessed December 19, 2015

13. Eden Alternative. It can be different. www.google .com/ url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved= 0CB4QFjAA&url=http%3A%2F%2Fedenalt. org%2Fwordpress%2Fwp-content%2Fuploads%2F201 4%2F02%2FEden_Overview_092613LR.pdf&ei=U6Y ZVJa4C5eBygTntILgDA&usg=AFQjCNGWaEDITIO qUHFh-5Jho-ql1LRvSA&bvm=bv.75558745,d.aWw. Accessed December 16, 2015.

14. Texas Department of Aging and Disability Services. Culture Change: Enriching Lives in Nursing Homes. Symposium. Austin, TX: DADS, 2011.

15. California Healthcare Foundation. Rethinking the nurs- ing home: culture change makes headway in California. www.chcf.org/publications/2008/12/rethinking-the- nursing-home-culture-change-makes-headway-in-cali- fornia. Accessed December 16, 2015.

16. Pioneer Network. About us. www.pioneernetwork .net/ AboutUs. Accessed JDecember 16, 2015.

17. Institutes for Caregiver Education. Foundations of cul- ture change: underlying principles. www . caregivereducation.org/culture/core_principles .htm. Accessed December 16, 2015.

18. Eden Alternative. The overview brochure. http://eden- alt.org/wordpress/wp-content/uploads/2014/02/Eden_ Overview_092613LR.pdf. Accessed December 16, 2015.

19. The Green House Project. Learn about us. www .thegreenhouseproject.org/about/discover? Accessed December 16, 2015.