Post on 22-Mar-2018
• Formed in 1992 (12 employees / 2 residents)
• Largest private company in elderly care
• Today operates in six facilities
• In 2010 will operate 7th facility in Attard
• Offer Independent Living for Active Adults
• Cater for Nursing Care for Dependent Elderly
Prince of Wales Apartments
Malta’s first Independent
Living Apartments for
Active Adults
Opened December 2005 Capacity 58 Apartments
Mellieha Home (P.P.P)May 2007
Completed in record time : 323 days (Apr07 – Feb08)
Home officially opened on the 1st March 2008
Capacity 154 residents
March 2008
CareMalta Staff
Activity Cordinator
1%
Receptionists6%
Housekeeping15%
Clerical3%
Home Assistants4% Kitchen
Assistants11%
Chefs2%
Laundry Assistants
3%Maintenance
4%
Care Staff (Nurses/ Care
Assistants)
50%
Managers1%
Mission Statement
To be the Market leader in providing high quality healthcare and management services in the care of the elderly in our country
Corporate Care Philosophy
To maintain a safe, comfortable and efficient environment recreating a home like atmosphere.
To encourage independence where appropriate, and provide sufficient privacy to maintain individual dignity.
To promote at all times, social interchange between our residents and our staff.
To continuously train and support in the physical and emotional well being of our residents.
Person-Directed Care
Returning decision making and choices
to the individual.
Enhancing the primary caregiver’s
capacity to engage with the individual
and respond to his/her needs.
Establishing a home-like environment in
our facilities.
Person-Directed CareRecognizes and honors the person despite the level of
cognitive impairment (a disease of certain parts of the
brain.)
Person with Dementia
“The skills and capacities of people living with
Alzheimer’s that don’t diminish over time, or do so
more slowly, provide windows for connection and
communication.”
John Zeisel, Ph.D.
Persons with Dementia Memory problems
Disorientation - in time and environment,
exchanging day and night.
Problems with ability to think –
- with abstract
thinking
- not able to take
decisions.
- discernment
Apraxie – problem with simple
instructions.
Problems with recognizing things and
people
Speech problems – difficulties in finding
the right word, their vocabulary is shrinking,
they make new words.
Behavioral problems
Wellness – Curative Therapy Program
• Ergo Therapy
• Art Therapy
• Music Therapy
• Hydro Therapy
• Memory Training
• Psychomotor
Therapy
CurativeEducation
The Aim of a Curative Education
Programme is not only to resolve
the problem, but also to help a
person gain self- competence
(managing relationships, training
in problems-solving, making
systematic plans, hobbies, new
habits and skills) so the client will
be able to deal with his everyday
life tasks.
The Curative Programme- Three phases of the Curative Programme
- Introduction – diagnostic information of
patient, forming partial goals, creating
atmosphere of trust & relationship,
cooperation…etc.
- Realization – creation of and adapting to
various situations, enrichment of
expression tools, practicing of skills,
preparing for changing habits. Also
modification of all steps according to
clients’ needs during the process.
- Concluding - reinforcement of new
habits, expansion of the possibility to use
new skills, encouragement, affirming
habits of model of searching for help and
resistance of stressful situations.
Types of the program
Basal Stimulation
Sensory-movement stimulation
Supporting
Reeducation
Social - integration
Psycho social rehabilitation
Individual education
Emergency plan
Ergo Therapy• Utilizes different
methods, materials
and handicraft
activities with the aim
of helping residents as
much as possible to
develop and improve
their ability in actions.
• As treatment it uses
work activities.
Use of Ergo Therapy The goal is to use and enjoy our
time together through creative
daily activities.
Facilitates the social/emotional
needs.
Builds their self-confidence.
Increases creativity, initiative,
communication, frustration
tolerance, cooperation, social
habits and also improves
understanding of the rules.
Art Therapy
Is expressive therapy that uses art materials, such as
paints, pastels, clay, markers, and collage.
Art therapy combines traditional psychotherapeutic
theories and techniques with an understanding of the
psychological aspects of the creative process, especially
the affective properties of the different art materials.
Art Therapy helps with achieving insight; resolving
conflicts; to express emotions and formulating new
perceptions that in turn lead to positive changes, growth,
and healing.
Art Therapy Uses wide spectral, visual, tactile
and emotional experiences.
It is also a form of assessment using some of following tests:
1. Body Image test (Machoverova)
2. Baum Test (Koch 1952)
3. The Draw a Person Test(Goodenough-Harris)
4. Drawing a “Person taking apple from a tree”(Lindy Gatt)
5. Clock Drawing Test
The Colours results from the above tests are not conclusive. Further examination is required.
Using Clay Improving fine motor and sensory skills.
Using it as hand print – expresses emotion.
Also it is a safe and good channel for releasing
behavioral problems.
Music Therapy Uses music to address physical, emotional, cognitive, and social
needs of individuals of all ages. Music therapy interventions can
be designed to:
promote wellness
manage stress and anxiety
alleviate pain
express feelings
• enhance memory
• improve communication
• promote physical rehabilitation.
• decrease depression
Music in Group Therapy Effect of the melody, harmony and rhythm evocate nice experiences
and imagination.
It gives a new way of communication through sounds, tones, rhythm
and so it opens clients up to self-expression.
Use of Musical instruments We use singing and playing on simple rhythmic instruments
(Karl Orff Instruments)
Music therapy also helps clients with speech, concentration and emotional problems.
Hydro Therapy The use of water for soothing pains and treating diseases.
Hidding et al:
A spa exercise therapy combined with drug treatment and
group physical therapy providing beneficial effects.
Hydrotherapy improves blood flow and the lymphatic
system. Increasing this circulation improves the immune
system.
Relieve Tension and stress
Stress is related to every disease. Hydrotherapy helps to reduce headaches, depression, andstress.
Memory TrainingAn educational program which
focuses on stimulating the brain
and enhances thinking abilities.
Psychomotor Therapy We communicate through movement with
our environment.
It is the source of basic information about the
client: the way they walk, body-control, face
play, condition of gross and fine motor skills.
The main aim of this exercise is to stimulate
neuromotor function, improve coordination
and proprioception between all body parts,
self-esteem through posture, experiencing
joy through tactile input, massage and
movement games.
We use dance, movement games, mimes,
relaxation techniques and massage amongst
other techniques.
Dance Therapy Help build self-esteem and body image, to develop effective
communication skills and to improve relationships, laugh and expression of emotions.
Also to expand movement vocabulary, help to gain insight into patterns of behaviour, as well as create new options for coping with problems.
Kairos Dance Theatre, Dancing Heart - Walker, photo ©Rich Ryan, Skyway News 2005
Exercises Exercises for legs,
abdomen, and hands to
keep their body fit. Also
coordination training,
fine and gross motor
skills such as standing
up and sitting down,
bending, throwing,
holding , pressing and
also balance when
walking.
Core Psychological Needs
Increase Self
Esteem
Give and
Receive
LOVE
To Care For Self
and Others
To be Useful