Applying Person-Centred values in a residential home setting.

Esther BeckUUJ 9 May 2012

MY BACKGROUND Acute Sector

2006 Current Post

The Faith House Family 65 bedded unit

History

The Future

Need for Expertise Specialist Practice Nursing Course in Dementia Care

Definition: WHO 1992

“Dementia is a syndrome due to disease in the brain, usually of a chronic or

progressive nature, in which there is disturbance of multiple cortical functions, calculation, learning capacity, language and judgement. Consciousness is not

clouded. Impairment of cognitive function are commonly accompanied, and

occasionally preceded by deterioration in emotional control, social behaviour, or

motivation”

Case Study 1:Looking for Mavis

“It strikes the world that this is a burden for me, but what they don’t know is that he’s worth it. His weaknesses are only the tip of life’s iceberg. At night, as he asks for the fifth time what my plan is tomorrow, his gentle hands warm me into a sound sleep”

(Weyl, 2009, pp12)

ROLE OF THE ENVIRONMENT

MEETING DAVE

THE ASSESSMENT PROCESS

WANDERING Current Theory

Observing Dave

Interventions Used

Outcomes & Conclusions

CASE STUDY 2

‘Nursing models of dementia care cannot be so focused on the diseased body that critical changes to biopsychosocial-spiritual realms of health are ignored’ (Penrod et al; 2007)

‘The primary goal of dementia care must be centred on maintaining personhood’ (Penrod et al; 2007)

I have a meeting to take

Personhood

Person-centred environment

“I need to get to my meeting”

The Great Escape

The Greater Escape Interventions

Outcomes

CASE STUDY 3

Behavioural Sciences Approach

“Nellie I need you”

Admission

Strategies and Interventions

Needs Identified

Conclusions

SOMEWHERE OUT THERE

Somewhere out there, there is someone who needs:A touch of your hand.

A smile.A kind word.

Some understanding.Forgiveness.

A whisper of appreciation.Something to eat.

A place out of the cold.A pair of warm socks.

To be remembered.Just remembered,Even that will do.

As you live your life from this moment to next,Please think about those whose paths you cross.

Even if they stand right in front of you,Take one little step that can,

And will,Make all the difference, in the world

TAKE HOME MESSAGE

Know therefore that the LORD thy God, he is God, the faithful GodDEUT 7:9