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Blueprint for empowerment.


The adage "our past does not dictate our future" was a guiding principle for the Livingston County Livingston County is the name of several counties in the United States:
  • Livingston County, Illinois
  • Livingston County, Kentucky
  • Livingston County, Michigan
  • Livingston County, Missouri
  • Livingston County, New York
  • Livingston Parish, Louisiana
 Board of Supervisors and Director of Long Term Care Franklin N. Bassett as they rolled up their sleeves and collaborated with a local design team to build a progressive new nursing and rehabilitation rehabilitation: see physical therapy.  center where the only thing reminiscent of any of this county's previous facilities was the rooftop cupola cupola /cu·po·la/ (koo´pah-lah) cupula.

cu·po·la
n.
A cup-shaped or domelike structure.



cupola

cupula.
. "In a dramatic departure from our old floor plans," Bassett says, "we let our vision for our residents' quality of life drive the design. Add our philosophy of empowering residents in decision making, respect for their individuality, and a strong emphasis on maintaining social connectedness Social connectedness is a psychological term used to describe the quality and number of connections we have with other people in our social circle of family, friends and acquaintances. These connections can be both in real life, as well as online.  for both residents and staff, and the outcome has been that many residents feel their life has a renewed sense of purpose within 'living neighborhoods' as functionally diverse as the towns and villages of our county."

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Architecturally, form follows function to complement lifestyle, where the facility design employs a cluster concept that includes many unique spaces on each floor to provide the social equivalent of "streets, neighborhoods, and households." Each 48-resident "neighborhood" is divided into two 24-resident "households," and further divided into two 12-member "family units." Nurses' stations are not found here, but instead just a friendly medical typist station/greeter desk at the entry of each neighborhood. All other staff and core facilities for the households are accessed from the "main streets" bisecting each neighborhood rather than from within the family units. In fact, the only staff accommodations within the family units are nursing substations resembling writing desks, medical and isolation supply closets Noun 1. supply closet - a closet for storing supplies
closet, cupboard - a small room (or recess) or cabinet used for storage space
, and clean linen, all within 14 feet of any resident room. Visitors to each family unit are greeted by a "front porch" area, then welcomed into a living room with a hearth and entertainment center, and are delighted to find wide circulation areas, in lieu of corridors, with social space--alcoves adjacent to most bedrooms. Shared dining rooms between each pair of family units include a residential-scaled preparation, heat, and hold kitchen from which all meals for each group of 24 residents are served family style.

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"The fear of losing control quickly fades away for new residents as they learn that their preferences in food, waking, bedtime bedtime Sleep disorders The time when one attempts to fall asleep–as distinguished from the time when one gets into bed , and bathing will be respected to help maintain their familiar life rhythm in their daily experience here," says Bassett. "Admittedly, this undertaking challenges task-oriented approaches to institutional care and demands a greater understanding of the resident as a person. Collectively, residents are represented on neighborhood Resident Councils and are liaisons to neighborhood (Staff) Team meetings, resulting in each neighborhood having the autonomy to adjust its work processes and lifestyle." An example of this newfound new·found  
adj.
Recently discovered: a newfound pastime.

Adj. 1. newfound - newly discovered; "his newfound aggressiveness"; "Hudson pointed his ship down the coast of the newfound sea"
 empowerment is the grassroots movement begun by residents to increase the $50 monthly Personal Needs Allowance that Medicaid recipients in New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
 State have received for the past 20 years. "The administration here has supported us in petitioning our county board to pass a resolution in support of our issue, which was sent to our legislators. We have used the computers here to e-mail nearly every nursing home in the state to help with letter writing to our elected officials in Albany," explains Beverly, Resident Council president and movement leader.

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With such a successful model in design and operation, residents of Livingston County, New York Livingston County is a county located in the U.S. state of New York. As of the 2000 census, the population was 64,328. It is named after Robert R. Livingston, delegate to the 1775 Continental Congress, member of the committee that drafted the Declaration of Independence, and , can age gracefully and be assured they will maintain a familiar rhythm of life while staying at the center.

BY ROBERT VOLZER, CID Cid or Cid Campeador (sĭd, Span. thēth kämpāäthōr`) [Span.,=lord conqueror], d. 1099, Spanish soldier and national hero, whose real name was Rodrigo (or Ruy) Díaz de Vivar. , IIDA IIDA International Interior Design Association
IIDA Integrated Icing Diagnostic Algorithm
IIDA Intercollegiate/Interscholastic Dressage Association
 VOLZER DESIGN DEVELOPMENT

RELATED ARTICLE: Livingston County Center for Nursing and Rehabilitation

MT. MORRIS, NEW YORK

PROJECT SUMMARY

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Type of Facility/Setting: Skilled Nursing, Rehabilitation, and Adult Day Care

Owner: Livingston County, New York, (585) 243-7200

Chief Administrator: Franklin N. Bassett, RN, LNHA LNHA Licensed Nursing Home Administrator
LNHA Louisiana Nursing Home Association
LNHA Lamington Natural History Association
, Director of Long Term Care

Architecture & Interiors: Clark Patterson Associates, (585) 454-7600

Photography: Robert Volzer

Resident Capacity: 266 Skilled Beds, 20-Slot Medical Adult Day Care

Total Project Area (sq.ft.): 199,327

Construction Costs (excluding land): $31,500,000

Cost/Sq.Ft.: $158
COPYRIGHT 2007 Vendome Group LLC
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2007, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Title Annotation:designcenter
Author:Volzer, Robert
Publication:Nursing Homes
Date:Mar 1, 2007
Words:681
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