Health and Well Being at American Orchards



Pathways of Promise is a person-centered, memory care program developed by a gerontologist, and informed by current research on best practices in dementia care. Pathways of Promise values the identity and life path of each individual, shaped by past and present life experiences. Care plans honor identity with daily schedules and activities based upon individual’s typical roles and routines, and interests. Evidence-based programming, staff training, and environmental design support the identity and autonomy of each individual within a safe and enriching environment.

Program Components:

  • Individualized Assessment
    • Individual skills and abilities
    • Honored History:
      • Past occupations
      • Daily routines and roles
      • Leisure interests
      • Favorite music, food, colors…
      • Enjoyment of outdoors
      • Spirituality
      • Level of social preference
  • Optimized Dining Experiences
    • Adaptive strategies to promote proper nutrition
    • Relaxing, social environment
    • Staff participation
  • The Orchard Room
    • For relaxation and solitude
      • Nature videos with sounds
      • Plants
      • Aromatherapy
  • Self-Expression Experiences
    • Singing
    • Dancing
    • Visual arts
  • Youth-Sage Mentor Program
    • Mentorship opportunities with college students
    • Weekly activities with preschool children

Daily Well-Being

  • Health & Wellness
    • Stretching and flexibility exercises
    • Fall prevention exercises
    • Walking
    • 15 minutes of daily sunlight exposure (weather permitting)
  • Caregiving
    • Care opportunities for plants and pets
    • Weekly visits by therapy pets

References For Program Development

Black, K., & Hyer, K. (2010). Person-centered considerations in practice for persons with dementia and their caregivers across the continuum of care. Best Practice in Mental Health, 6(1), 33-46.

Donath, L., Dieën, J., & Faude, O. (2016). Exercise-based fall prevention in the elderly: What about agility? Sports Medicine, 46(2), 143-149 7p.

Edvardsson, D., & Innes, A. (2010). Measuring person-centered care: A critical comparative review of published tools. Gerontologist, 50(6), 834-846.

King, C. (2012). Managing agitated behaviour in older people. Nursing Older People, 24(7), 33-36 4p. Lloyd, B., & Stirling, C. (2015). A tool to support meaningful person-centered activity for clients with dementia – a delphi study. BMC Nursing, 14(1), 1-8.

Maslow, K. (2013). Person centered care for people with dementia: Opportunities and challenges. Generations, 37(3), 8-15.

Roberts, G., Morley, C., Walters, W., Malta, S., & Doyle, C. (2015). Caring for people with dementia in residential aged care: Successes with a composite person-centered care model featuring montessori-based activities. Geriatric Nursing, 36(2), 106-110 5p.

Tuppen, J. (2012). The benefits of groups that provide cognitive stimulation for people with dementia. Nursing Older People, 24(10), 20-24 5p.