Teresian House

Common Themes in Teresian House Processes and Systems Prior to Implementation

Traditional top-down hierarchical structure;

Lack of autonomy for residents in dining or choice of meals;

Lack of autonomy for residents in activities;

Lack of autonomy for residents in bathing schedules;

Nursing unit managers led care by floor;

Some residents were restrained;

Staff were task driven and organized work around delivery of care and staff preferences.

Common Themes in Teresian House Physical Environment Prior to Implementation

Traditional institutional sterile environment;

Hospital-like corridors;

Private and semi-private rooms;

Small chapel;

Single large dining room;

Overhead paging;

Separation of living and gathering spaces;

Large, centrally located nurses' stations.