<h4>EXCERPT</h4> <p>The transition to long-term care is a critical period for new residents. This interpretive study examines the perspectives and experiences of a convenience sample of 10 newly admitted residents. Participants were interviewed within 1 week of admission and then periodically during the next 3 months. Thirty-two verbatim interviews were analyzed using interpretive phenomenology. Themes that emerged were becoming homeless, learning the ropes and getting settled, and creating a place. Understanding residents&rsquo; experience of transition leads to innovative practice changes in anticipation of individuals&rsquo; needs. Recommendations for the delivery of consumer-directed care are offered.</p>

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This evaluation of a specific CAM educational project suggests potentially transferable findings to other medical schools. Integrating CAM into the medical school curriculum requires a dedicated team if it is to result in a significant change. This change requires that CAM practices are visible to both students and faculty, that there is a co-operative climate, accessible resources, and institutional support, and that CAM content is embedded into the existing curriculum. All these factors combined can lead to sustainable integration of CAM content issues into the medical school curriculum.

The negative effects of institutionalization caused partially by homogeneity and uniformity of care prompts the exploration of personal and common meanings of nursing home residents. This study is viewed as an initial step in providing quality care as defined by the resident. Personal and common meanings embedded in the lived lives of five older women residing in a long-term care facility are interpreted using a seven-stage Heideggerian hermeneutical phenomenological approach. An unstructured modified life review format is used to interview each participant on three separate occasions. Three constitutive patterns emerge: dwelling in remembering, living relatedly, and being after loss. These patterns endure across the life span of each woman and continue to endure after admission to the facility. The revelation of common and personal meanings provide new possibilities for the transformation of nursing practice to ensure quality care from the perspective of what is considered meaningful to each resident.