Therefore, the most distinctive feature of assisted living is personal autonomy. Home-like environments have become increasingly common in nursing homes, and providing services has always been a core component of the nursing home model.
(Shortform note: The founder of the assisted living model of care describes three distinctive features of the model: having a home-like environment, providing daily needs and health-related services, and emphasizing the personal autonomy of the residents over their own time, space, possessions, activities, and medical care. Early studies of these facilities found that residents had improved cognitive and physical health, higher levels of satisfaction, and less depression than those who stayed in nursing homes. Residents could live in a comfortable space and direct their own lives-they could choose when they wanted to sleep, what they wanted to eat, and so on. For example, the original assisted living model of care was designed in the 1980s to promote personal freedom. There have been alternative models of care that try to do a better job, but they’re not commonly practiced, writes Gawande.
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