An integrated approach to dementia - Universiteit Maastricht
A New Approach to Dementia Care in Hospitals
-
Upload
rowanpurdy -
Category
Documents
-
view
222 -
download
0
Transcript of A New Approach to Dementia Care in Hospitals
-
8/14/2019 A New Approach to Dementia Care in Hospitals
1/14
A NewA New
Approach toApproach to
DementiaDementia
CareCarein Hospitalsin Hospitals
Phil PordesPrivacy & Dignity Matron
-
8/14/2019 A New Approach to Dementia Care in Hospitals
2/14
The way it was
o Good care wasinconsistent acrosswards and departments
o
No identified seniorclinician to lead onquality improvement
o Environment notconducive to those withcognitive impairment
oTraining and educationfor staff was limited
-
8/14/2019 A New Approach to Dementia Care in Hospitals
3/14
The Dementia CarePathway Group
The creation of a pathway
Training and education Leadership
The environment
Patient and carerengagement
-
8/14/2019 A New Approach to Dementia Care in Hospitals
4/14
KEY
Involve patients, carers, family and
friends in the care planningprocess from admission
ACHIEVEMENTS
Care Pathway / Guidelines
Electronic dementia care pathway in the form ofuser-friendly guidelines and prompts
Guidance taken from NICE, the NationalDementia Strategy, lessons learned throughcomplaints, and local and national best practice
Pathway covers:
Their first 24 hours in hospitalTheir in-patient stay
Discharge planning
Recommendations 3 & 7
-
8/14/2019 A New Approach to Dementia Care in Hospitals
5/14
Training and Education
Respectcourse
Customer care training programme
Study days
Links to Cheshire East
Links to Cheshire Hospice Education
Learning and development
Job swap!
Recommendation 5
-
8/14/2019 A New Approach to Dementia Care in Hospitals
6/14
Leadership
Clinical lead identified
Close relationship with liaison
psychiatry
Executive support
Financial investment
Recommendations 3 & 5
-
8/14/2019 A New Approach to Dementia Care in Hospitals
7/14
Environment 1
Coloured doors I always look for the colour when I
come back from the toilet.Patient B with no cognitive impairment
Signage Patient A with dementia reported not
being able to find the toilet before thesignage was installed, resulting infrequent incontinence which has nowresolved as she is able to find her ownway to the toilet and return to her
bedside Nurse A reported that less time is spent
directing visitors within the ward
Recommendation 6
-
8/14/2019 A New Approach to Dementia Care in Hospitals
8/14
Environment 2
Communication friendly menus
Memory aids
Activity Lounge Increased privacy,dignity and autonomy reported by
patientsand visitors/families
Recommendation 6
-
8/14/2019 A New Approach to Dementia Care in Hospitals
9/14
-
8/14/2019 A New Approach to Dementia Care in Hospitals
10/14
Patient and CarerEngagement
Complaints feedback / meetings
Patient carer representation
Outside links
Recommendation 7
-
8/14/2019 A New Approach to Dementia Care in Hospitals
11/14
OTHER ACHIEVEMENTSOTHER ACHIEVEMENTS
NutritionNutrition
Nutritional guidelines
Protected mealtimes Red Plate scheme
Volunteer feeders
Relative involvement
Recommendations 8 & 9
-
8/14/2019 A New Approach to Dementia Care in Hospitals
12/14
Staff Awareness
OPERA magazine
Privacy and Dignity roadshows
Audit (Essence of Care, DignityChallenge)
Dementia tea party
Privacy and Dignity policy
-
8/14/2019 A New Approach to Dementia Care in Hospitals
13/14
What next?
To meet future challenges
Be innovative
Build upon what we have achieved sofar
Share best practice
East Cheshire
signage to be used by NWSHA atconference in Bolton in December
-
8/14/2019 A New Approach to Dementia Care in Hospitals
14/14
Thank you
for listening.
Questions?