Valuing residents' stories. Weaving stronger and deeper care relationships
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Transcript of Valuing residents' stories. Weaving stronger and deeper care relationships
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Valuing residents’ stories - weaving deeper and wider care relationshipsElizabeth Knox Home & HospitalNena Delos Santos (RN at EKHH) and Nick Moore (The Literacy Professionals)
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Close, meaningful, continuing relationships and growth are the key to eliminating 3 plagues of loneliness, helplessness and boredom.
How well do we as an Eden Alternative home understand and know our residents’ stories?
Margaret Brown (Special Projects)03/05/2023 2
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Putting the person at the centre of care
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“Well the war came and my friends who were at the shop – one went into the army, one went navy, the other went to a dehydration factory and I thought “Blow I’m not staying here. I’m getting out of this!’ So I applied to be a land girl. But I was too young!” Peggy
“I’ve never been married and had a lot of time on my hands. I mean if you work eight hours in a day, that leaves you with a lot of time. I wanted to know how my mind worked. So I read psychology and philosophy books. I never did a course – if you do a course you start thinking you’re an expert!” Gerald
We decided to focus on stories
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Engagement with the whole Knox community
Training workshops
The evolving story
Infrastructure
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• For the whole team (carers, RNs, OT, admin, the accountant, residents, families). Sessions repeated on two days and one night shift.
• Focused on speaking strategies to elicit a narrative and writing strategies to record and share it.
Workshops
• Close link with literacy skills training that has been running for 3 years at Knox (Nick)
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- Unlearn “medical” practices so that stories did not become another exercise in “diagnosis”.
- Encourage and develop literacy skills in some cases.
- Keep the focus on snapshots of peoples’ lives.
Challenges
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“As we were talking I could feel the relationship between us growing – every time I visited I heard a little more.” Nena, RN.
Early outcomes
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“And I never knew any of this from reading her care notes.” John, RN. “Now I understand why she is as she is.” Jill, RN
Early outcomes
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“I’ve enjoyed this – thinking of things I haven’t thought about in years!” Olga (resident)
Early outcomes
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“He told me how he used to wash and turtle wax his tractor!”Kristen (Volunteer coordinator)
Early outcomes
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“As carers, this is what we do with residents. It's just that when they first come I make a real effort to get to know them but if they have been here for a while, I just assume that's all been done.”Maria (HCA)
Early outcomes
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1. Investigate the impact of the books. Have they helped make connections / start conversations?
2. Research into how narratives are helping to build meaningful care relationships at Knox.
3. Further support / encouragement and literacy skills development for staff, volunteers. Business as usual!
4. Stories send a challenge to society’s perceptions of elders and views of ageing as a process of decline.
Next steps
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- Residents who have given their input: Peggy, Gerald, Frances, Sarah and James.- The care staff at Elizabeth Knox Home & Hospital particularly carers Maria and Langi.- The management team – Jill, Janan, Charlene and Margaret for driving this one.- The Board at Knox for backing it. - Photographer Gareth Morgan for use of your beautiful woven flax photo.
Acknowledgements