Connecting people, - iHubihub.scot/media/1950/focus-on-dementia.pdf · Connecting people, ......

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Transcript of Connecting people, - iHubihub.scot/media/1950/focus-on-dementia.pdf · Connecting people, ......

Connecting people, connecting support

Integrated & co-ordintated rehabilitation

Presenter
Presentation Notes
Supporting dementia strategy in practice

Elaine [email protected]@elaineahpmh

[email protected]@AliAHPDem

#AHPDementia #ConnectingPeople #Connecting Support

Inform, inspire & entertain

• Rehabilitation for dementia

• Power of conversations & narratives

• Developing a shared vision

• Why do we need to improve?

Postcard to selfOne key message

• Arts therapists (art, music, dance, drama)

• Dieticians• Occupational Therapists• Orthoptists• Paramedics• Podiatrists• Prothetists & Orthotists• Physiotherapists• Radiographers (diagnostic & therapeutic• Speech and language therapists

Allied Health Professionals who what? where?

Rehabilitation & dementia

1. Following an acute physical episode

2. Following a dementia related episode

3. Cognitive rehabilitation

4. As an approach to dementia care

Marshall 2005

“People with moderate to severe cognitive impairment demonstrated significant improvements in Barthel score and Barthel items showing that people CAN and DO improve with rehabilitation”

Vassallo et al 2016

“There is emerging evidence for non pharmacological interventions for dementia, and evidence for life style changes as a way of preventing a diagnosis of dementia. It is for me and many others living better with dementia,…… Who knows how many of us could possibly even stay at work, with immediate and intensive rehab?!”

by @KateSwaffer blog post April 8 2015https://kateswaffer.com/2015/04/08/rehabilitation-for-dementia/

Rehabilitation for dementia

Scotland’s National Dementia Strategies

“We will commission Alzheimer Scotland to produce an evidence based policy document outlining the contributions of AHP’s to ensuring implementation of the 8-Pillar model”

Connecting people, connecting support 2017

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Presentation Notes

Alzheimer Scotland Transforming the System : Improving Lives

Evidence

from research, literature & scoping evaluations exploring in depth the available evidence to support AHP-led interventions in dementia care

www.alzscot.org/ahp

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Collaboration

with health and social care practitioners, higher education institutions and AHP professional bodies through national and local engagement events and publications

Conversations

with people living with dementia using appreciative inquiry approaches to support participants to effect self determined change by identifying what works best for them

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Presentation Notes

“I have dementia but it does not define me, my actions, my hopes define me”

Henry

This is me

Enhancing Daily Living Valuing everyday activitiesEnhancing vocational & educational opportunitiesAHP-led rehabilitation interventions

Adapting everyday environments

Integrating environmental changesUsing everyday technologyEquipment adaptions to the home

Maximising psychologicalwellbeing

Maintain & maximise communication Psychological approaches Psychological Therapies

Maximising physical wellbeing Keeping physically activeFalls reduction & fracture preventionEating well

Supporting families & carers Families as equal partners in careMaximising your health and psychological wellbeingPartnership working with health and social care practitioners

Connecting people, connecting support

• A human rights based approach will be at the heart of person centred AHP services

• AHPs’ will deliver services to people living with dementia using a bio-psychosocial approach to rehabilitation

• Dementia is every AHP’s business, offering services in dementia-aware environments

• AHP’s will adapt & tailor their rehabilitation interventions, …while supporting individual ambition

How to make it happen 4 Underpinning Principles

Enhanced access I am supported to look after my own health and wellbeing & do the things that matter most to me

Partnership and integration I feel I am treated as a person by the people doing the work, we develop a relationship that helps us to work well together

Skilled AHP workforce I feel I get the support and resources I need to do my job well

Innovation, improvement & research The right care for me is delivered at the right time

How to make it happen : 4 ambitions

Presenter
Presentation Notes

Connecting People, Connecting Support

Presenter
Presentation Notes
Two thirds of people affected by dementia live in the community and one third in care home settings: the AHP offer consequently has an emphasis on communities, but it is equally applicable to hospitals and other care settings. The  offer is underpinned by principles of human rights, person-centeredness, and collaborative and partnership working, and is informed by existing models of good practice. For each element we offer a definition, provide some key facts, explain why it is important when working with people affected by dementia, and briefly define what will be delivered. The elements are described separately, but must be considered collectively within overall packages of care for individuals. Assessment, interventions and carer support are more effective when the health and social care team works in collaborative, interprofessional ways with people affected by dementia. The offer is therefore designed to be implemented within multidisciplinary, multiprofessional teams working collaboratively across agency lines. The starting point for all AHP interventions is skilled assessment. The AHP offer provides a foundational, underpinning minimum from which AHPs will be able to build, using their own skills, experience and understanding of the person to provide a service truly tailored to individual needs. Individualised assessment is the building block from which true person-centred, evidence-informed and effective interventions can be provided. How to make it happen, this is what we are thinking needs to be supported to integrate policy to practice

Why do we need to Improve?

Improvement Methodology

Improvement Approach Focus on Dementia, ihub.scot

Enhanced Access

Being aware of what we do

Share what we do

Implement home based rehabilitation

Improved access to AHPs for Dementia Link Workers

Aim:• To increase understanding of the AHP role in the PDS

period. • To improve Dementia Link Workers’ access to AHP led

information, consultation/request for assistance and interventions in the post diagnostic period

Change Ideas:• A clear Framework for DLWs around areas where AHPs

can contribute and how to access, including guidance note & measurement tool

• Accessible Self Management information• Role sharing and increased understanding

Enhanced Access

Home Based Memory Rehabilitation Programme

Aim:• Improve the care and experience of people with

dementia and their carers by December 2017,• Develop & share a Model for National roll out of AHP

Best Practice by December 2017Change Ideas: • Promotion of programme in 12 areas based on

Dumfries & Galloway evidence • Identified Leads in 12 Areas• Establish National Communication networks

Enhanced access

Presenter
Presentation Notes
by improving their access to an Occupational therapy-led post diagnostic intervention

1. Seek to understand

2. The Power of relationships

3. Start small, then make it smaller, then make it smaller again!

Improvement in Practice My 6 tops tips

“The biggest communication problem is we do not listen to understand. We listen to reply”

Covey

4. The importance of measurement

5. Prepare to fail

6. Patience!

Improvement in Practice My 6 tops tips “Without data, you

are just another person with an opinion”

Deming

“Failure is success if we learn from it”

Forbes

“Connecting People, Connecting Support”

Transforming the allied health professionals’ contribution to supporting people living with dementia in Scotland 2017-2020

Presenter
Presentation Notes
Connecting People, connecting Support is in the final stages of development however I am a bit like the penguin in the picture, poised to integrate the policy into local practice with a team of committed and motivated AHP’s with me who understand the benefits leadership and the strengths of partnership. Most people have some awareness of the work of allied health professionals, few have in-depth knowledge. Without knowledge of what can be delivered and achieved to support current and future health and social care needs, the full potential of our AHP cannot be realised. The action plan also addresses the underlying infrastructure that is necessary to drive high-quality practice – education and training, strong leadership, evidence-based practice and research.   Ambitions to make it happen in partnership with NHS boards, AHP leaders and AHPs are presented. The implementation of these ambitions will mark a very positive step in the quest to modernise AHP services to ensure person-centred, and strengths-focused services for people living with dementia

We have shared the work on how AHP’s CAN help people to live well with dementia

How can WE work together to support

people to live independently in their

communities?

One key message to take away……