This is a snapshot of a service learning course founded on narrative medicine, a clinical practice designed to replace impersonal care with empathic listening. By utilizing poetry therapy techniques among nursing home populations, a program called "HPU LifeLines" promotes a community literacy of illness and provides psychological and…

Community-based frail older adults, burdened with complex medical and social needs, are at great risk for preventable rapid rehospitalizations. Although federal and state regulations are in place to address the care transitions between the hospital and nursing home, no such guidelines exist for the much larger population of community-dwelling…

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…

The Delta Society defines animal-assisted therapy as "a goal-directed intervention in which an animal is incorporated as an integral part of the clinical healthcare treatment process." Unlike other animal-assisted activities, animal-assisted therapy, or AAT, is led by a professional such as a physical therapist, occupational therapist,…

In part 1 of this paper we presented the theory of an integrative geragogy. Integrative geragogy is a basic part of educational gerontology, dealing especially with the oldest of the old, mentally handicapped elderly people, and their potentials. In part 2 the context between theory and practice of an integrative geragogy shall be explained. We…

Describes specific comprehensive program implemented in intermediate care facility/skilled nursing facility that reduced problematic wandering by patients, increased patient freedom and safety, and increased staff skill and comfort in handling wandering behaviors. Describes program components, problem identification, prevention programs,…

Describes an educational program that contributed to a 90% reduction in the use of physical restraints in nursing homes over a two-year period. Program consists of a workshop, telephone and on-site consultations, regional meetings, and other support materials. Surveys suggest that the project can be easily adapted by care providers. (RJM)

Examining the social context within which illness, hospitalization, and convalescence or adaptation occur permits recognition of the alternatives for creative intervention, and provides a framework for understanding the intrinsically disruptive nature of discharge from an acute care setting as well as the dangers and possibilities for change.…

Implemented multi-disciplinary program to assist nursing home staff in understanding the behavior of the mentally impaired and to develop effective intervention skills. Found curriculum to be effective in building knowledge and improving skills on the job. (Author/ABL)

Reports on an art therapy intervention which was implemented with 20 elderly nursing home residents so as to improve their psychological well-being. Program evaluation included self-evaluations, case progress notes, journal notes, and photography. Results indicate that participants showed significantly improved measures of self-esteem, and reduced…

Argues that nursing home mental health counselors should address nursing home residents' need for assistance in conflict resolution, having meaningful social interactions, and in developing and maintaining feelings of self-worth. Describes benefits of group therapy approach using life review format to help build basic trust and feelings of…

Reports on a group therapy program designed to enhance self-awareness, self-esteem, and body awareness among the demented elderly. Focuses on techniques of meditation, relaxation, sensory awareness, and guided imagery. Claims that the group is easily reproducible and offers benefits both to nursing home residents and staff. (RJM)

There is a growing need for professional psychology training in nursing home settings, and nursing homes provide a rich environment for teaching geropsychology competencies. We describe the nursing home training component of our Department of Veterans Affairs (VA) Predoctoral Internship and Geropsychology Postdoctoral Fellowship programs. Our…