Plenary 1: The Hospital – A Staff Empowering ... - HPH-Conference

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Parallel Sessions Parallel Sessions 1: Thursday, April 12, 2007, 11.00-12.30 Healthy ageing initiative for residential care Patricia Jaycock As the average age of the population worldwide is rising, the number of older people in residential care is on the increase and the necessity to focus on the quality and effectiveness of long-term care services, rather than the provision of those services to a minimum standard is a key setting for future development. In 2005 a partnership of The Irish HPH Network and Irish National Council for Ageing and Older People launched an initiative to support best practice towards Healthy Ageing Status in residential care facilities caring for older people. The initiative is based on the Ten steps to healthy ageing. The first step being consulting with the residents as to their preferences on ways to improve the quality of their lives. Early into the rollout it became clear that the consultation tool needed to change to encompass the large percentage of residents with cognitive impairment. The partnership felt it would be useful to evaluate the success of this tool and indeed the success of the initiative over the two year period. The aim of the qualitative and process evaluation is to provide an insight into the experience of the initiative, from the point of view of the key stakeholders, including the residents, the family members and staff. This approach is particularly relevant in that it will aim to provide an understanding of the processes, by providing an insight into how the initiative operates, who is involved in it, any barriers to successful implementation and aspects which need to be improved. This evaluation is due for completion in March 2007 and preliminary results will be available for this presentation. The partnership recognised that supporting best practice in residential facilities is crucial to the promotion of healthy ageing. The goals of the initiative are to support residential care facilities in realising and acting upon their health promoting capacity, to assist residential care facilities to adopt a health promotion aspect to their daily work and to achieve the above through supporting facilities in completion of the Ten Steps to Healthy Ageing. Above all the co-working with the residents on this initiative gives them a sense of empowerment and the staff a sense of achievement. Contact Patricia JAYCOCK Health Promotion Irish HPH Network C/o Connolly Hospital Blanchardstown, Dublin 15 IRELAND +353 164 650 77 info@ihph.ie An experience of imaginative short psychotherapy with patients aged eighty + Ivana Pisoni, Michela Bergamini, Riccardo Sandri, Annamaria Puccio, Mioli Chiung Ching Wang, Giuseppe Galetti, Roberto Caprioli Objectives The Don Gnocchi Foundation belongs to an Italian chain of more than 25 research, care and rehabilitation hospitals. One of these is Palazzolo, a great R.S.A. that accommodates 700 older persons who are affected by serious physical and mental pathologies, advanced comorbidity and brittleness. Most of the patients are female and about 85 years of age. As is also confirmed by the psychiatric literature, an institutionalization may at first cause a destabilization of the mood. This involves depressive conditions, fears of abandonment, is characterized by experiences of separation, limitataions with regard to affective relationships, and may consequently lead to a disintegration of the stability in the whole life of every patient. The main objective of our job is to improve the quality of life of the patients, acting on aspects of affectivity which may contribute to a disturbed relationship with the reality. This is possible through short psychotherapy, which is a dynamic walk: The body in the center of the suffering is a transfiguration of the language of the soul’s pain. The technique invokes again the calm mental functions, it acts on the individual conflicts and stimulates the unconscious creative resolution. Activity We identified RSA patients aged 70 to 90, with a condition of brittleness and with an appraisable suitable critical ability, through a cut-off to the MMSE of 24/30. The level of anxiety and depression was investigated through the administration of evaluation scale (SCAD and GDS). Patients with a moderate degree of anxiety and depression were recruited. The Cook test was administered. 10 patients participated in the treatment for 3 months, once a week. The tests were administered before and after. Results After treatment, the levels of anxiety and depression were reduced, in relationship to some conditions of the istitutionalization process, with a reduction of mental uneasiness caused by the use of hostile dynamics, particularly concerning the perception of the environment, the diminution of the sense of abandonment, the positive attitude towards social relationships, the use of resources of the self and a more suitable examination of reality. Conclusions The activity of short psychotherapy seems to be useful in the resolution of anxiety and depression problems. The patients went through the experience with enthusiasm, showing good compliance. Contact Dr. Ivana PISONI 16
Parallel Sessions Parallel Sessions 1: Thursday, April 12, 2007, 11.00-12.30 Geriatric Institute Palazzolo Institute, Don Carlo Gnocchi Foundation - Onlus Via L. Palazzolo, 21 20149 Milan ITALY +39 023 970 34 10 ipisoni@dongnocchi.it http://dongnocchi.it Session 1-2: Health promotion for children and adolescents in hospitals Health promotion for children and adolescents by hospitals (HPH-CA): update on task force activities Fabrizio Simonelli, Katalin Majer, Maria José Caldes Pinilla Background Within the international HPH network there is a specific Task Force active on the theme of health promotion for children and adolescents by hospitals (HPH-CA). Its mission is to "apply HPH principles and criteria to the specific issues of children and adolescents, providing an organic conceptual and operational framework as an authoritative scientific support". The attention was focused on the following priority thematic areas: definition of specific conceptual and operational background; promotion of the respect of children’s rights in hospitals; mapping and evaluation of current practices of health promotion addressed to children and adolescents in hospitals; HPH-CA Online Community. The Task force meets twice a year: in specific workshops and in the annual international HPH conferences. The most significant developments of action carried out in the last year: � HPH-CA Background: in the last international HPH conference the "Background document on Health promotion for children and adolescents by hospitals (HPH-CA)" elaborated by the Task force has been presented; now its updated version is being prepared. � Children’s rights in hospitals: in order to increase the awareness on this theme, specific actions have been started up (contacts with international/national/local authorities and elaboration of draft "Recommendations on Children’s Rights in Hospital"). � Current practices: a plan for mapping and evaluation of current practices has been elaborated, and a template for their collection is being finalised. � HPH-CA Online Community: a six months long experimentation was conducted with the support of EFQUEL (European Foundation for Quality in E-learning), based on an online platform. Now the evaluation process and definition of future work perspectives is in progress. The Task force is also continuing its efforts in building up links with another bodies at international level, and in particular with the Child and Adolescent Health and Development Programme of the WHO Regional Office for Europe. Contact Dr. Fabrizio SIMONELLI Head Health Promotion Programme - A. Meyer University Children's Hospital Viale Gramsci, 42 (6th floor) 50132 Florence ITALY +39 055 200 63 12 f.simonelli@meyer.it http://www.meyer.it/hph/hph-ca Report on the actions in 2006 of the task group on the rights of children in hospital (HPH-CA Task Force) Giuliana Filippazzi, Katalin Majer, Maria José Caldes Pinilla, Fabrizio Simonelli At the 3rd Workshop on Health Promotion for Children and Adolescents by Hospitals (HPH-CA) held in Florence Dec. 2-3, 2005 it was agreed that the members of the Task Group on Children’s Rights in Hospital contact the national/local authorities for children’s rights requesting an interview/audience with the following purposes: � To inform the authorities about the activity of the HPH-CA Task force. � To ask the authorities to check, promote and support the implementation of the children’s rights in the country’s hospitals, through the adoption of special charters and relative check tools in the single hospitals. As an example, the EACH (European Association for Children in Hospital) Charter was presented, which is fully in line with the UN Convention on the Rights of the Child (UNCRC), ratified by all EU Countries, that includes several articles referring to children’s health matters. In spite of the limited official reactions to the letter, something has started moving in the various countries for the implementation of the rights of children in hospital. Very encouraging responses came from Austria and Hungary. The HPH-CA Task Force, on proposal of the specific Task Group also prepared the Recommendations on Children’s Rights in Hospital, that has been presented in draft version in the last international HPH Conference of Palanga, Lithuania (May, 2006). Update on this issue will be given in the forthcoming international Conference of Vienna, based on the decisions taken during the 4th HPH-CA Workshop of Florence (November 20, 2006). The results of these actions will also be presented at the EACH (European Association for Children in Hospital) Conference in Vienna (April 12-14, 2007). 17
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Plenary 1: The Hospital – A Staff Empowering ... - HPH-Conference

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