The Implementation of a Model of Person-Centred Practice In Older ...

The implementation of a model of person-centred practice in older person settings
“Most of the people who entered the day room did not acknowledge the residents
who were there. One nurse was an exception to this and she did interact with the
residents. She placed her hands on residents’ shoulders when she was asked a
question and she looked into their eyes. The residents smiled and seemed
comforted by this. The nurse asked if the sun-glare was disturbing them [the
residents] and explained that she would close the blinds to prevent it being a
problem. A resident asks the nurse what time it is. She takes the time to explain the
time and that tea would be served shortly. Quiet calm respectful communication.
Non-threatening and friendly” (observation note)
These activities were seen to contribute to a greater sense of reducing
depersonalisation and preserving individual dignity
“I get good care here and the staff take a genuine interest in me. I love music and
really enjoyed ‘scriocht’ [traditional Irish storytelling and poetry activity] last year. It
reminded me of being at home with my friends and neighbours … I am very thankful
to those who care for me and try to improve life for me in all their different ways”
Paying attention to the environment was an important part of this category. Whilst
acknowledging that in most cases, the environment of the care settings in each of the
participating units did not reflect contemporary evidence about residential care
environments, an increased focus on developing the environment was seen to occur.
In previous rounds of data collection, issues of noise, environmental constraints and
a lack of ‘homeliness’ were noted. Whilst not completely eradicated (and it would be
unrealistic to expect that!), the data reflects a greater emphasis on paying attention to
environmental aspects and considering how these could be improved. Changes to
the environment have included changes to the management of noise, better use of
space, colour and light, and gardens, all with the impact of providing more
comfortable spaces for living and reducing the institutional ‘feel’ of the care setting
(e.g. seating arrangements).
The overall impression from the first observation carried out [4 months previous] was
of a great improvement in the décor of the room. The room was bright, freshly
painted and looked great. The tables and chairs and furniture in general in the room
was very much improved. The small tables were much more conducive to a homely
dining area. The tables were spaced out well with easy access for residents. In the
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