AbstractThe objective of this thesis consists of, the development of integral and sustainable activity projection to support the adaptability of employees in the long-term care and its changing general conditions.The thematic introduction of this thesis includes a short historical review which outlines the evolution of the long-term care in the last century. This should give a good illustration of the rapid pace of change in the sanitary sector.Chapter three deals with variations affecting long-term care, and the reasons why changes need to occur. Modifications of legal and economical requirements, enhancement of the staffs age structure, shortage of manpower and the transformation of job profiles, are just a few mentioned aspects of the alteration, which employees in the long-term care are confronted with. The process of change is described and commented in chapter four. Subsequently the types and formation of resistance are considered. Life cycles of the change process should be used as a scientific base to explain the causes for the phenomenon resistance. The connection of willingness for change and motivation is further explained in chapter five. For that matter the question which strategies employees motivate in the long run is dealt with. However, numerous motivation researchers have been engaged with this matter in the last de-cades. The resulting theories try to explain human behavior related to different motivational aspects. This part of the thesis examines the possible outcome of innovation management in change processes with the help of the depicted theories. In this part notably the management of a company is addressed, especially the leadership styles in change processes. The strategical aspect of the innovation management should include activity recommendations so that a change culture can be established in a Company.