Boston Nursing Homes Long-Term Care

Model of Care at Boston Nursing Homes

The basic tenet of care in Hebrew Rehabilitation Center’s nursing home long-term care communities is that resident preferences come first, not operational convenience or interests of staff. While daily life looks somewhat different on the Boston and Dedham campuses, due in large part to the differences in physical environment, the way it unfolds and the way care is delivered is driven by the same six elements, which are all critical to each community’s success.

1. Respect for resident preferences
The relationship between staff and resident is key, and staff are encouraged to become familiar with each resident’s habits and interests so they can be considered in all decisions. This helps ensure that resident preferences are upheld. Residents participate in planning their daily schedules including activities in which they wish to participate.

2. Promoting resident/family empowerment
Honest, open communication, mutual respect, and trust among residents, families and staff, with all parties involved in decision-making and care-planning, are linchpins to successful community life. Staff look to family members and residents for creative solutions to problems. Helping residents optimize independence and resident satisfaction are key organizational goals at HRC.

3. Resident-centered approaches to food and nutrition – the importance of mealtime
Newly constructed in 2009, HRC-Dedham was designed to promote resident independence and family participation in community life. In many homes the kitchen is the family hub, and so large, open kitchens serve as the center of each 14- to 16-resident household, making it easy for residents and family members to help prepare and enjoy meals together. And, just as families come together at mealtime to share news and stories, the central kitchen promotes a similar experience for residents, families and staff.

HRC-Boston recently renovated its units to look and feel more like home, with private bedrooms and smaller, more intimate dining areas that promote resident choice.

4. Comprehensive approach to health care
Affiliated with Harvard Medical School, HRC offers medical care provided by some of the best geriatric care specialists in the Boston area. In addition, wellness and prevention are keys to creating a vibrant, energized lifestyle for residents. Offerings such as yoga, acupuncture, massage and aromatherapy add to the full complement of geriatric medical services offered at HRC.

5. Caring for the caregiver
The caregivers on the front line have the most important role in residents’ lives: managing the day-to-activities of the household. In recognition and support of their critical roles, free continuing education and training programs are offered so staff can enhance their skills. HRC also demonstrates that caregivers are valued for their contributions to HSL by recognizing their accomplishments.

6. Empowering household work teams
At HRC we are turning the traditional nursing home hierarchy upside down by empowering direct caregivers to help make key decisions in the care of residents and to participate in planning resident care. At HRC-Dedham, resident assistants (formerly called CNAs) lead the team; at HRC-Boston, an interdisciplinary team has day-to-day responsibility for the household.

Those who are closest to the residents, who observe and interact with the men and women in our care, are best able to take ownership and be engaged in regularly enhancing our seniors’ lives.

Hebrew Rehabilitation Center is Creating a Culture of Respect, find out how.
Hebrew Rehabilitation Center, a teaching affiliate of Harvard Medical School, is committed to offering the highest quality of life by providing the highest quality of care to its residents.

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