introduction to luana
DESCRIPTION
Hale Makua Health Services' introduction to Luana, based on the Eden Alternative PrinciplesTRANSCRIPT
INTRODUCTION TO LUANA
TRAINING GOALS
1. Why Luana is Important
2. 10 Eden Principles
3. Your Luana Role
WHY LUANA IS IMPORTANT
It’s the Right Thing to Do
• Required by Nursing Home Regulations
• Hale Makua Health Services’ Vision
• Competitive Advantage
States the problem...
The three plagues of loneliness, helplessness, and boredom account for the bulk of suffering among elders.
PRINCIPLE ONE
THE THREE PLAGUESTHE THREE PLAGUES
Loneliness…
The pain we feel when we want, but cannot have, companionship.
THE THREE PLAGUESTHE THREE PLAGUES
Helplessness...
The pain we feel when we only receive care but do not have an opportunity to give care.
THE THREE PLAGUESTHE THREE PLAGUES
Boredom...
The pain we feel when our lives lack variety and spontaneity.
LUANA IDEAS
Loneliness, Helplessness and Boredom are plagues of the human spirit, not the human body.
Medical treatment offers no medicine to ease the suffering from these plagues.
PRINCIPLE TWO
Gives us the solution...A resident‐centered community commits to creating a human habitat where life revolves around close and continuing contact with plants, animals and children. It is these relationships that provide the young and old alike with a pathway to a life worth living.
LUANA VOCABULARY
“Human Habitat”
Human beings were not created to live in cold, sterile institutions.
A true human habitat is a garden...
LUANA IDEASLUANA IDEAS
Human Habitats include…
Animals that live with the residents
Making children a part of daily life
Lush, green, growing plants
Meaningful relationships
PRINCIPLE THREE
One of the Antidote Principles...
Loving companionship is the antidote to loneliness. Residents deserve easy access to human and animal companionship.
LUANA VOCABULARY
“Companionship”
• Close and continuing contact
• Animal companionship
• Human companionship
LUANA IDEASLUANA IDEAS
Children and the Human HabitatWays to make Children a part of everyday life….
•Individual field trips from school aged children •Child care / nursery school•After‐school program•Community groups (4H,Scouts)•Summer camp•Expanded volunteer programs
LUANA IDEASLUANA IDEAS
Pets and the Human Habitat
• Possibility of residents keeping a pet at Hale Makua?
• Plan of care for pet
• Define responsibilities
PRINCIPLE FOUR
A resident‐centered community creates opportunity to give as well as receive care. This is the antidote to helplessness.
The Antidote to Helplessness...
Care Balance
Elders need more opportunities to give care.
Staff need more opportunities to receive care.
LUANA IDEASLUANA IDEAS
CARE BALANCE SHEETCARE BALANCE SHEET
GIVING•Helping your child with their homework•Listening to your best friend’s bad day
RECEIVING•You share with your companion about a special event in your life•Someone makes you your favorite meal
PRINCIPLE FIVE
The antidote to Boredom...
A resident‐centered community imbues daily life with variety and spontaneity by creating an environment in which unexpected and unpredictable interactions and happenings can take place. This is the antidote to boredom.
In a habitat, spontaneity is welcomed because it makes life worth living; it’s exciting!
LUANA IDEASLUANA IDEASIn corporations, spontaneity is unwanted.
PRINCIPLE SIX
Principles 6, 7, and 8 are the things we have relied too heavily upon...
Meaningless activity corrodes the human spirit. The opportunity to do things that we find meaningful is essential to human health.
PRINCIPLE SEVEN
We’ve relied too heavily on medical treatment...
Medical treatment should be the servant of genuine human caring, never its master.
EDEN RESULTSEDEN RESULTSMedications are
• too often used thoughtlessly
• too often toxic
• too expensive
• an inadequate substitute for genuine care
Careful Reductions • save money
• improve quality of life
$0$1$2$3$4$5$6
Q1 Q3 Q5 Q7 Q9
Eden Control
Drug Cost per Resident per Day
PRINCIPLE EIGHT
We’ve relied too heavily upon top‐down bureaucratic authority...
A resident‐centered community honors its residents by de‐emphasizing top‐down bureaucratic authority and seeking instead to place the maximum possible decision‐making authority into the hands of the residents or into the hands of those closest to them.
LUANA IDEASLUANA IDEAS
Decision‐making authority should be placed with the resident or as close to the resident as possible…
LUANA IDEASLUANA IDEAS
As Management Does Unto Staff, So Staff Shall Do Unto Residents
Eden Alternative Golden Rule...
LUANA IDEASLUANA IDEAS
Team Approach• Few layers of
management
• Residents & front‐line staff make most decisions
• Resident‐directed focus
• Encourages innovation and pride
Department Approach• Numerous layers of
management
• Managers make most decisions
• Organization directed focus
• Encourages conformity with established routines
PRINCIPLE NINE
The Eden Alternative understands that …
Creating a resident‐centered community is a never‐ending process. Human growth must never be separated from human life.
PRINCIPLE TEN
Wise leadership is the lifeblood of any struggle against the three plagues. For it, there can be no substitute.
LUANA REVIEWLUANA REVIEW
Why are we doing this?
What are the Three Plagues?
What are Ways to Reduce Suffering in our Residents? Three Antidotes…
IS IT LUANA?IS IT LUANA?1. Is the idea close to the resident as
possible?
2. Does it promote:a) Companionship?b) Opportunities to give care?c) Variety and spontaneity?
3. Does the idea promote human growth?
WHERE DO WE GO FROM HERE?
Find ways to:
• Ask ourselves, “Is it Luana?”
• Increase COMPANIONSHIP for residents
• Create opportunities for residents to GIVE CARE
• Promote meaningful activities that provide VARIETY and SPONTANEITY
ANY QUESTIONS?
Thank you for your continued
dedication to Hale Makua Health
Services.
We look forward to our continued
Luana journey together…