using the book IT SHOULDN’T BE THIS WAY, THE FAILURE OF LONG TERM CARE. by Robert and Joan west. choose any 2 chapters and discuss Ruth’s transition.

PE-Fit Theory and It Shouldn’t Be This Way The Goal: • Use the “Person-Environment Fit” theory (PE-Fit) to analyze one of Ruth’s transitions (from one care setting to another) and see how this theory can explain the conflicts she experiences. Getting Started: • The PE-Fit model reveals where a good “fit” is possible. It comes from a good balance between individual “competence” (or abilities) and the “press” (or expectations) of the “environments” in which they live or act. A lack of fit comes from an imbalance in these two factors. • When we examine Ruth’s “long-term care” journey over three years, we see her moving through many different care settings in a relatively short amount, as her competence levels change and eventually decline. • She goes from ER, ICU, Hospital to Rehab to ALF to Dementia Unit to Nursing Home. Each of these is its own environment with its own demands and expectations for Ruth and other patients in terms of competence and ability. She keeps moving because she keeps experiencing a “lack of fit.” Requirements: In this 4-5 page paper: • Choose two chapters (showing two different care settings). Describe what is expected of Ruth to “fit” (or maintain congruence) in each setting and what leads to hear having to leave one setting. Also, show me what is expected of her to get into the other. • Show me what happened to her in these two settings, but be focused and specific. I am asking you to find the best evidence showing a conflict between competence and pressure (ability and expectation). • Please indicate at least two examples of evidence from each setting that reveals the conflicts that lead to a lack of fit. Formatting: • This should be typed, double-spaced, 12-point font, with one-inch margins on all sides. APA style is required for in-text citations when you cite and quite evidence from the book. Don’t forget to include a complete reference for this book at the end. A cover page is not needed. Possible Deductions: • 2 points for late papers • 2 points for not having a clear presentation and use of PE-fit language and terminology. • 2 points for not having at least two details (evidence) and examples from each chapter • 2 points for lack of proper format for in-text citations (APA style) • 1 point for more than five typos (errors) in spelling and punctuation