Eden Alternative
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Eden Alternative
‘It Can be Different’The Eden Alternative transforms care settings from an institutional/medical approach and empowers staff to create human habitats within facilities.
The Story of Eden Founded by Dr Bill
Thomas in 1993
Saw that helplessness, loneliness and boredom were causing the greatest burden of suffering
The Eden Alternative is part of a World Wide Culture Change
Movement USA Canada Australia and New Zealand Northern Europe –Switzerland, Germany, Austria
and Netherlands Denmark, Iceland and Faeroe Islands UK and Ireland South Africa China
Eden Alternative in Ireland
Sacred Heart Hospital, Roscommon, registered July 2012
Received Taoiseach’s Public Service Excellence Award in recognition of success.
2013 onwards – expanding the network.
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Culture Change.
We introduces the change in three stages;
Personal Transformation Physical Transformation Operational Transformation
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A Paradigm Shift
Understanding the difference between: taking care of, and caring about giving, and giving and receiving care paternalism and normal life taking decisions, and handing back
decision making to residents and their carers
a structured life, and spontaneity.
The Ten Principles
Principle 1
The three plaguesof loneliness,helplessness and boredom account for the bulk of suffering among our Elders
Principle 2
An Eden elder-centred community commits to creating a human habitat where life revolves around close and continuing contact with plants, animals and children (not around care routines).
Creating a vibrant atmosphere where things are happening.
Principle 3
Loving companionship is the antidote to loneliness.Elders deserve easy access to human and animal companionship.
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Principle 4
An Elder-centred community creates opportunity to give as well as receive care.
This is the antidote to helplessness.
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Principle 5
An Eden elder-centred 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.
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Principle 6
Meaningless activity corrodes the human spirit. The opportunity to do things that we find meaningful is essential to human health.
Putting meaning back into our residents’ lives.
Principle 7
Medical treatment should be the servant of genuine human caring, never its master.
Changing the Language
Washing/showering • Activities of Daily Living
Going to the toilet • Continence Management
Eating• Dietary requirements
Tablets• Medication
Knitting/sewingRecreational therapy
Listening to musicMusic therapy
Going for a walkPhysiotherapy
Gardening Horticultural therapy
Having a cat/dogPet therapy
Life• Therapy
Principle 8
An Eden elder-centred community honours its Elders by de-emphasizing top-down bureaucratic authority, seeking instead to place the maximum possible decision-making authority into the hands of the Elders or into the hands of those closest to them.
Empowering staff to be creative
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Empowerment
Empowerment is about creating an environment that welcomes ideas, wisdom and the generosity of everyone.
Principle 9
Creating an Elder-centred community is a never-ending process. Human growth must never be separated from human life.
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Human growth = risk taking
Principle 10
Wise leadership is the lifeblood of any struggle against the three plagues. For it, there can be no substitute.
The Eden Alternative
Why is Eden different?
Eden is common sense Eden is non-prescriptive Eden is easy for care staff to understand Eden significantly increases staff satisfaction Eden is forgiving
Why is Eden different? Eden goes beyond person-centred care
We get to know our residents more deeply.
Care is not ‘done unto’ but ‘with’
Knowing their simple pleasures means putting the spark back into their lives
The Business Case for the Eden Alternative
Costs
Training Costs Associate Training Training for all other staff
Other costs
Benefits for residents
Research and anecdotal reports from the UK, USA and elsewhere show: Residents more engaged. Reduction in difficult behaviour. Reduction in use of psychotropic medication. Reduced use of night sedation. Reduction in medication costs. Reduction in falls.
Staff benefits Empowered Staff Reduction in staff turnover Reduction in staff absenteeism The workforce considers that they are
respected and valued by the employers and the older people.
Homes in the UK/Ireland Reduction in staff turnover Reduction in staff absenteeism Reduction in medication costs Increase in waiting lists for places in the
Home Residents continue to have a life worth
living and live longer
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