The Nursing Home Culture-Change Movement: Recent Past, Present, and Future Directions for Research

This article uses a retrospective approach to critique the research base underlying the nursing home culture-change movement—an effort to radically transform the nation’s nursing homes by delivering resident-directed care and empowering staff. The article traces the development of the movement from its inception 10 years ago to 2005, when the Centers for Medicare and Medicaid […]

When to Ignore a Promise to ‘Never Put Me in a Home’

Our new patient, 88 years old, had been demented for years. She was admitted to the hospital with a deep, malodorous and infected pressure sore stretching from the top of her right shoulder down to the middle of her spine. It took us a only few seconds to choose her antibiotics, but a half hour […]