Thailand had a large family with the culture of collectivism in the past history. Currently, the family group has changed from large family to single family. Many elder family members are left alone and nobody takes care of them. Additionally, the Thai health care system has not fully developed like the other developed countries. Thailand has begun the development of elderly care system starting from low to high income social status. Sukavet Nursing Home is the hospice for the elderly patients. The main needs were to increase the satisfaction and engagement of senior patients and create the sustainability of the institution. The final results were that there was a significantly positive increase of the satisfaction and engagement of senior patients/family members and there was a positively increased sustainable business development of the institution.
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