Quality Award - Frances Duffy - CLEAR Dementia Care in the ... · PDF fileCLEAR Dementia Care...
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The Team Clinical Psychology Social Work Nursing Occupaonal therapy Support Work Administraon CLEAR Demena Care in the Demena Home Support Team E COMP ASSION OPENNESS RESPECT EXCELLENCE C O R Acvity & Environment Emoonal & Physical Wellbeing Cognion Look at All of Me Relaonships Life Story & Personality Aims • Enable people living with demena to be supported in their own home or care home. • Prevent avoidable or unnecessarily prolonged stay in hospital. Step 4 Specialist Intervenon Step 3 High Intensity Intervenons Step 2 Low Intensity Intervenons Step 1 Recognion A Stepped Care Model CLEAR Demena Care Behavioural & Psychological Symptoms of Demena (BPSD) are oſten a sign of the stress and distress experienced as the person tries to cope with the daily challenges of living with demena. Carers of people living with demena oſten find some behaviours challenging and difficult to understand. It is important to consider all the factors that may be contribung to a behaviour and try to see the world from the perspecve of the person with demena. Developments within DHST • Training project delivered to care homes funded by Public Health Agency. Training delivered to over 350 care staff and carers in 2016. • Montessori based assessment to idenfy appropriate meaningful acvity. • Partnership working with the Demena Intensive Care Unit. Outcomes • Reducon in the frequency and intensity of BPSD. (using Challenging Behaviour Scale, Moniz-Cook 2001) • Accurate recording of behaviour which has resulted in beer understanding of BPSD. • Greater engagement, ownership and joint accountability. • Posive feedback from carers and staff. • Significant reducon in waing mes. The overall outcome is reduced distress and greater quality of life for the person with demena Supporng Assessment and Intervenon • CLEAR Demena Care enables simple assessment. Behaviour Record Charts were developed which are easy to use and do not require training. • The intervenon promotes understanding of behaviour in the context of the person and their environment. • A wrien formulaon helps understand the person beyond the label of their demena and posively impacts on interacon. Average length of 22.8 10.7 53% reducon episode (weeks) Average number 23 11 52% reducon of face to face contacts per episode Pre CLEAR Post CLEAR (c) Northern Health & Social Care Trust 2015 • CLEAR Demena Care in the Demena Home Support Team won the 'Innovaon of the Year' at the Alzheimer's Society Demena Friendly Awards 2016 • Duffy, F (2016) “Look at all of me” a Clear model for demena care. The Journal of Demena Care, 22(3), 27-30
Transcript of Quality Award - Frances Duffy - CLEAR Dementia Care in the ... · PDF fileCLEAR Dementia Care...
The Team Clinical PsychologySocial WorkNursingOccupational therapySupport WorkAdministration
CLEAR Dementia Care in theDementia Home Support Team
E
COMPASSION OPENNESS RESPECT EXCELLENCE
C O R
Activity &Environment
Emotional & Physical Wellbeing
Cognition
Look atAll of Me
Relationships Life Story &Personality
Aims• Enable people living with dementia to be supported in their own home or care home.
• Prevent avoidable or unnecessarily prolonged stay in hospital.
Step 4Specialist
Intervention
Step 3High IntensityInterventions
Step 2Low Intensity Interventions
Step 1Recognition
A Stepped Care Model
CLEAR Dementia CareBehavioural & Psychological Symptoms of Dementia (BPSD) are often a sign of the stress and distress experienced as the person tries to cope with the daily challenges of living with dementia.
Carers of people living with dementia often find some behaviours challenging and difficult to understand.
It is important to consider all the factors that may be contributing to a behaviour and try to see the world from the perspective of the person with dementia.
Developments within DHST• Training project delivered to care homes funded by Public Health Agency. Training delivered to over 350 care staff and carers in 2016.
• Montessori based assessment to identify appropriate meaningful activity.
• Partnership working with the Dementia Intensive Care Unit.
Outcomes • Reduction in the frequency and intensity of BPSD. (using Challenging Behaviour Scale, Moniz-Cook 2001)
• Accurate recording of behaviour which has resulted in better understanding of BPSD.
• Greater engagement, ownership and joint accountability.
• Positive feedback from carers and staff.
• Significant reduction in waiting times.
The overall outcome is reduced distress and greater quality of life for the person with dementia
Supporting Assessment and Intervention• CLEAR Dementia Care enables simple assessment. Behaviour Record Charts were developed which are easy to use and do not require training. • The intervention promotes understanding of behaviour in the context of the person and their environment. • A written formulation helps understand the person beyond the label of their dementia and positively impacts on interaction.
Average length of 22.8 10.7 53% reductionepisode (weeks)
Average number 23 11 52% reductionof face to face contacts per episode
PreCLEAR
PostCLEAR
(c) Northern Health & Social Care Trust 2015
• CLEAR Dementia Care in the Dementia Home Support Team won the 'Innovation of the Year' at the Alzheimer's Society Dementia Friendly Awards 2016• Duffy, F (2016) “Look at all of me” a Clear model for dementia care. The Journal of Dementia Care, 22(3), 27-30
