Depression is a recognized public health concern and is prevalent among older people, including those living in nursing homes. It can have a significant impact on quality of life and may affect many aspects of a resident’s daily life. So, what role can the culture of a nursing home play? Recent research examining person-centered care and depression gives us something to think about.

A recent review looked at how person-centered cultures contribute to managing depression among older people living in nursing homes. Researchers found several important factors, including staff education, leadership support, resident autonomy, social connection, independence, and organizational support. In other words, the culture surrounding the resident matters.

Person-centered care practices promote independence, social engagement, dignity, autonomy, and individual preferences. In fact, these are already considered important parts of nursing home care. But are we really putting them into practice every day?

According to the research, staff education and supportive leadership can help create a person-centered culture. Additionally, supporting resident autonomy through care planning and communication is important. Social connection, meaningful staff relationships, and opportunities for independence can also play a role. McKnight’s Long-Term Care News reported on the findings, which come from a review published in the International Journal of Nursing Studies Advances.

Remember, person-centered care is more than a care plan. I like to think of it as a “resident plan.” Every problem statement, intervention, and goal should focus directly on that specific resident. For example, what does that resident enjoy? Think about what is important to them and the choices they can make. Also, consider who they enjoy spending time with and what gives their day meaning.

We see “canned” care plans in many communities. Not because we don’t care about our residents, but because those interventions are readily available and easy to select. However, the problem is that they are “canned,” and our residents are anything but! Each resident has different needs, preferences, routines, relationships, and life experiences.

So, take some time to look at person-centered care and depression in your community. Are care plans really individualized, or could they belong to just about anyone? Do staff know the person behind the diagnosis? Are residents given meaningful choices and opportunities for social connection? And does your culture give staff the support they need to provide truly individualized care?

Ultimately, take the time to know each resident. Develop a resident plan that reflects individual needs and preferences, and grow a culture of caring with your staff. At the end of the day, maybe one more resident feels connected, heard, and valued. Even one can move the needle.

Stay well and stay informed!