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MCQC Contact Us Form Missouri Coalition for Quality Care
P.O. Box 7165
Jefferson City, MO 65102
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Green House
Movement
The vast majority of nursing homes are institution centered and are
based on a medical model. What does that mean? Residents Follow the
schedule of the nursing home. You eat when they want you to eat. You
bathe when they want you to bathe. You may have to get ready for bed
when they want you to go to bed. The resident's life revolves around
the schedule of an institution. In many ways, that is no different
than when we send someone to prison. Another example is being in the
hospital. Would you like to spend the rest of your life in a
hospital?
The Green House movement was started by Dr. William Thomas. The
Green house movement is resident centered. In theory and general
practice, the Green House is a small home that can house 6-12
residents. Residents live in individual rooms. They have individual
showers. Some homes are equipped with individual lifts in each room
to take the resident from the bed to the shower. Many have large
great rooms with a fireplace. Each state has different requirements
for staff and sometimes this means a state has to e0 and their
definitions for staff. Larger institutions have made Green Houses
within an existing nursing home. Each wing, spoke or floor of an
existing is turned into individual Green Houses.
The Green House movement may not be the definitive future of nursing
homes but it is moving us in the right direction. The emphasis is on
the word home instead of nursing.
Check the following websites for more information
on the Green House Movement.
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