What do you find beneficial or problematic related to the Green House Project and/or Eden Alternative?
At least 80 words.
Respond to the following:
When it comes to the Eden Alternative I do believe that one of the benefits mights include people being
involved they will have a sign of relief knowing that a burden of some sort was off their plate. Also for
the Eden Alternative many of the emotions such as loneliness or even helplessness can occur through
culture change and ic can be replaced with having a companion of some sort. Overall I do believe that
the Eden Alternative is beneficial .it can help us know how people are feeling and just to assure that
people are being taken care of. –Brittany
At least 75 words.
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Grass-roots movement based on belief that
legislated standards, quality improvement
systems and focused therapeutic programmes
do not alter nursing home “culture”
Authentic, lasting change in QoL of nursing
home residents requires a paradigm shift in
models of care
?
?
?
Aim of the Eden Alternative model is to combat
the chief “plagues” of nursing home life—
loneliness, helplessness, boredom
Based on ten humanistic principles designed to
enhance community, meaning, companionship
and human growth
Create an environment where there is
companionship, the opportunity to give as well
as to receive care and where there is variety
and spontaneity
Key changes in institutional culture targeted
by Eden Alternative model include:
? Physical
Environment (creating a thriving
home-like environment)
? Staffing
(empowering staff with increased
decision-making latitude and more flexible
roles with each caring for small numbers of
residents)
? Resident
autonomy (increasing
involvement in determining the nature and
routines of the home’s life)
“Cue-ing”
For individuals w/ dementia and Alzheimer’s
Cues to help one remember what is going on
Greenhouse cues people better than
institutions
Integration
Older adults w/ younger adults & children
People w/ & w/o dementia
The Eden Alternative model is highly flexible,
non-prescriptive, emphasises that its principles
be carried out in manner appropriate to the
local context
?
Trained Eden Associates
USA
Australia & New Zealand
Europe
Japan
Canada
UK
8200
400
650+
11
1200
62
Internationally, several formal evaluations of the
Eden Alternative have examined its impact on
residents, staff, residents’ families and facility
outcomes
A case-control study of five ‘Edenising’ homes
(Ransom, 2000) showed highly significant
improvements in
? Staff absenteeism (48% decrease)
? Staff injuries (11% decrease)
? Decubitus ulcers (57% decrease)
? Bedfast residents (25% decrease)
? Restraint use (18% decrease)
? Behavioural incidents (60% decrease)
? Facility census (11% increase)
The three plagues of loneliness, helplessness and boredom account
for the bulk of suffering among residents in care/nursing homes:
It Can Be Different!
Helplessness:
Loneliness:
Antidote: Giving & Receiving Care
Antidote: Companionship
The Eden Alternative is
committed to creating a
human habitat where life
revolves around close and
continuing contact with
plants, animals and children
After a lifetime of caring for
families some residents
find it difficult to be cared
for. Helping them to care
for fellow residents
enables them to contribute
and feel valued again.
Key elements of
companionship are
intergenerational activities.
Pengover House in Cornwall
has enlisted the help of the
Royal Navy in a project to
refurbish a ‘tired’ garden
Companionship is all about
caring relationships. In an
Eden Home residents and
staff are encouraged to build
relationships with each
other.
At Bennett House staff
residents and families work
together to create purpose
and meaning to the day by
continuing to do familiar
activities of daily living.
Person
Centred
Care
Boredom:
This man carries his
enthusiasm for gardening
into his new home at
Pengover House. It helps
him to feel a valued member
of his community and gets
him out into the fresh air.
Antidote: Spontaneity & Variety
In the Royal Borough of
Kingston the Activities
Programme is just a guide. If
it’s fine residents would
rather be out feeding the
swans on the Thames.
If it’s wet there are craft sessions with the local school
children or a dance. Clearly age is no handicap if you’ve
got rhythm!
Creating a life worth living
The Eden Alternative
encourages residents to be
themselves! Celebrate
individual uniqueness and
do things for fun, not always
for a deeper meaning.
June Burgess, Eden Alternative. Steve Milton, Innovations in Dementia,
Photos from Royal Borough of Kingston, Accord Housing Association, Cornwall Care & CLS Care Services

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