Wrublowsky Robert A, Kaup Migette L, Calkins Margaret P
RAW Consultants, Winnipeg, MB, Canada.
Department of Interior Architecture & Industrial Design, College of Architecture Planning and Design, Kansas State University, Manhattan, KS, United States.
Front Dement. 2024 Nov 18;3:1470036. doi: 10.3389/frdem.2024.1470036. eCollection 2024.
Long-term care settings are at the center of strongly debated approaches to policies that shape the delivery of care and operational practices. There is advocacy for transformational change within these settings to support a person-centered approach to care delivery, but it is difficult and multifaceted involving everything from changing the level of staffing and care models to developing appropriate metrics to assess an individual's quality of life. The physical environment is a key component for accomplishing the organizational and operational goals related to person-centered care, but providers and their design teams need the appropriate tools to guide evidence-based decision-making. The Environmental Audit Scoring Evaluation (EASE) is a tool that helps lend structure to the process of developing the environment for our senior population-especially those living with dementia. This perspective article will discuss how EASE aims to align the design process to more fully support the myriad environmental elements that have a demonstrable impact on the individual, and the associated quality of life they experience. The article will also explore how EASE differs from previous planning strategies that did not prioritize residents' psychological wellbeing in conforming to current person-centered philosophies.
长期护理机构处于塑造护理服务提供和运营实践政策的激烈辩论方法的核心位置。有人主张在这些机构中进行变革性改变，以支持以个人为中心的护理服务方式，但这既困难又涉及多方面，涵盖从改变人员配备水平和护理模式到制定评估个人生活质量的适当指标等所有方面。物理环境是实现与以个人为中心的护理相关的组织和运营目标的关键组成部分，但提供者及其设计团队需要适当的工具来指导基于证据的决策。环境审计评分评估（EASE）是一种工具，有助于为为老年人群体，尤其是患有痴呆症的老年人开发环境的过程提供结构。这篇观点文章将讨论EASE如何旨在使设计过程更加契合，以更充分地支持对个人有明显影响的众多环境因素，以及他们所体验到的相关生活质量。文章还将探讨EASE与以前的规划策略有何不同，以前的策略在符合当前以个人为中心的理念时没有将居民的心理健康作为优先事项。
