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1. Many nursing homes have limited financial resources. Based on the information that you have learned from your reading assignment, what are two or three things that a nursing home administrator could do to enrich their nursing home environment?

2. How can the three basic theories of aging, discussed in this chapter, be applied to promote individual autonomy of a patient residing in a nursing facility?

3. Nursing homes may be comprised of patients from diverse backgrounds. What are three things that a nursing home administrator can do to accommodate a culturally diverse group of patients?

4. As a nursing home administrator who has just been appointed to manage a skilled nursing facility that was built in the 1970s, how would you go about delivering person-centered care? (Be sure to discuss what person-centered care is.)

5. The presence of dogs and cats does not appeal to everyone because of allergies or other health-related factors. As a nursing home administrator, how would you address such concerns?

Please read Case 1 "A Central American Immigrant Couple" on pages 523-524 in your text and discuss the following questions from your text in your initial post:

• On the basis of the information given in the case, assess Jim and Rosa's current long-term care needs.

• What type of living and care arrangements would you recommend? Why?

• If the couple moved into a nursing home, do you feel the culture change would be more challenging to this couple because they are immigrants? (Please explain your answer.)

• There are five personal domain areas (security, safety, wayfinding, autonomy, privacy) and three public domain areas (compatibility, dining, and socializing) associated with living in a long-term care environment. Choose two from each category and discuss how Jim and Rosa might view these as compared to a non-immigrant.

Use the reference below..

Effective Management of Long-Term Care Facilities, 2nd edition:

• Chapter 8: Internal Environment and Culture Change.

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