# Using a Structured Environmental Assessment Tool of Inform Change Under Constraints: Action Marguerite

**Authors:** Robert Wrublowsky, Migette Kaup

PMC · DOI: 10.1093/geroni/igaf122.623 · Innovation in Aging · 2025-12-31

## TL;DR

This paper discusses using the EASE tool to help care providers renovate traditional buildings to improve resident and staff well-being.

## Contribution

The paper introduces the EASE tool's application in identifying cost-effective and impactful renovation strategies for traditional care settings.

## Key findings

- Smaller living areas and functional kitchens are key factors in improving care environments.
- The EASE tool identifies low-cost interventions for phased implementation.
- Evidence-based recommendations help overcome resistance to operational changes.

## Abstract

One goal of the EASE is to assist care providers who have older, traditional buildings determine how to best utilize scarce resources when considering renovations that will have the most positive impact on residents, families and staff. Analysis of differences between settings that clearly reflect traditional design elements (long, double loaded corridors and minimal space for meaningful social engagement) and settings that have adopted some person-centered care values identify smaller scale and the presence of a functional kitchen as key factors. Both of these involve significant operational as well as environmental changes and can be met with resistance. This session describes the process of working with a care provider that had seven highly traditional living areas assessed with the EASE which resulted in identification of specific recommendations to reduce the size of living areas and include functional kitchens. The evidence-based nature of the EASE supports constructive responses to perceived barriers to adoption of changes that require operational changes. The EASE also identifies numerous low-cost interventions that can be easily adopted allowing for a phased implementation process.

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Source: https://tomesphere.com/paper/PMC12760185