Connecting people, - iHubihub.scot/media/1950/focus-on-dementia.pdf · Connecting people, ......
Transcript of Connecting people, - iHubihub.scot/media/1950/focus-on-dementia.pdf · Connecting people, ......
Connecting people, connecting support
Integrated & co-ordintated rehabilitation
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?
• 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
Evidence
from research, literature & scoping evaluations exploring in depth the available evidence to support AHP-led interventions in dementia care
www.alzscot.org/ahp
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
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
Connecting People, Connecting Support
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
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
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?