Michelle Harris - Bethanie Group - Living Well with Not Dying in Dementia

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1. Ageing Zestfully 2. Lets change attitudes and Myths Dementia is a shift in the way a person experiences the world Living with Dementia is an individual journey Communication is the key building cognitive ramps Care partnerships are the key A framework to guide practice is a good starting point 19/02/2015 2 3. Bethanie Overview 950 residential places (12 locations) 3,500 community clients (packages, HACC, NRCP, Day therapy, Social Centres) 1,000 retirement units 1,600 employees and 600 volunteers 19/02/2015 3 4. 19/02/2015 4 5. 19/02/2015 5 Life can be a challenge, especially when it comes to dementia. Talking about it can sometimes help But why all this stigma? 6. 6 Therapy Services at Bethanie Physiotherapists and Occupational therapists located within each residential facility as well as contracted allied health staff such as dieticians and podiatrists Therapy assistants and lifestyle coordinators are also found at our sites, implementing interventions under the direction of our Physiotherapists and Occupational therapists. Key areas that are overseen by the team: Mobility Falls Prevention Pain Management Maintaining physical and cognitive functioning Complex seating/positioning and pressure care Psychosocial wellbeing & social inclusion 7. 19/02/2015 7 The Value of Therapy Our Physiotherapists and Occupational therapist have a primary focus of ensuring all activities; 1:1 interventions and groups, have a therapeutic benefit to our residents, and is more than just a social activity. Strong focus on evidence based practice. Environment that supports continued learning and skills development of our Therapists and therapy assistants, to meet the complex needs of our residents 8. 8 9. 19/02/2015 9 Exploring the future A wellbeing approach wellness wheel Care environments enabling people not disabling people CommunicAid app assistive technology Mobile dementia respite services Dementia on the high street shop fronts Increased volunteers buddy for a person who has dementia 10. Well Being for Care Partners Making time to address the physical and emotional and spiritual needs Taking time out Set limits 1019/02/2015 11. Advance Care Planning The palliative care team communicates effectively and builds trust Facilitates the conversation about end of life preferences Encourages the documentation of these wishes e.g. Advance Health Directive Ensures the document is readily available to those that need to know The assessment includes all physical aspects for care e.g. measuring verbal and non verbal clients for physical and emotional pain Compassion for the psychological aspects of care and includes skilful listening Social aspects of care Cultural aspects of care Care of the imminently dying person 19/02/2015 11 12. The Reality Individual support from an interdisciplinary team how do we prevent the family disabling a clients The family carer from becoming ill themselves? Increased social stigma needs to be prevented Institutionalisation is not the answer The value of the Therapy team is still not fully understood The value of Recreational Respite /Retreats is formidable National Dementia Standards to guide leadership needs to be maximised across the country 19/02/2015 12 13. 19/02/2015 13 A society which places greater emphasis on intellect and reason than the ideals of community and love Person hood is about persons!! (Professor John Swinton talks about our hypercognitive society U.K.) 14. Thankyou! Contact Michelle.Harris@bethanie.com.au 1419/02/2015 15. References Dawn Brooker (2013) Richard Flemming (2014) John Swinton (2012) Elaine Wittenberg-Lyles (2013) 1519/02/2015