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

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The implementation of a model of person-centred practice in older person settings Across all three sites, programme facilitators at unit level worked with residents and staff on the development of individualised activity plans. These plans were based on activities/programmes the resident wanted to partake in. For some residents, trips to the local pub, local cinema, the resident’s home place, local matches has now become the norm. Other activities have been introduced within the units based on the specific identified need of individual residents (Midlands Area Evaluation data) A resident through her narrative shared a life long dream to travel to Lourdes but because of her medical condition never thought this could be possible. In collaboration with the family staff and members of the multidisciplinary team, this was organised. She fulfilled her life long dream accompanied by members of her family and staff members from the hospital (Midlands Area Evaluation data) It was generally reflected by participants in the analysis of the data, that the care environments are largely ‘monotonous’ and that there is a need to pay more attention to activities that act as diversions from day-to-day worries that residents may have and that lead to a greater sense of belonging and engagement “It’s a shock being a geriatric when you were healthy up to this … it could be terminal here, problem of passing the time. I get the books and pass the time with them. I find it hard in the late evening. Spirits tend to go down in the evening. Playing cards helps a bit with this” (Resident story) One way of alleviating loneliness is through the maintaining of connections with the older person’s ‘life-world’. Having social outlets is critical to this kind of engagement and there is evidence from the participating sites action plans and reports of achievements that a range of activities have been put in place to develop ways of engaging with communities and social activities.This example from the participating sites in the Midlands illustrates this work: A similar theme that emerged from the narratives across the three areas, highlighted how the residents were lonely and missed the connection with the outside community. For some they found the day really long with little to do, in particular the evenings for some were very lonely and boring. Several actions arose from this across the sites. In St Vincent’s Hospital an action plan was developed to address the establishment of a volunteer programme. This would involve the local community and link in with the national volunteer project. A series of communication strategies 151
The implementation of a model of person-centred practice in older person settings were identified to invite local people of all ages to get involved in volunteering. This included a visit to the hospital from the former Taoiseach, Albert Reynolds to promote the programme. A volunteer programme is now established with all the required protocols in place from Garda vetting to education and training programmes for volunteers. Music evenings for the residents are now facilitated by members of the active retirement group in St Vincent’s. A kitchen has been developed for the diversional therapy department in St Vincent’s this is now used by for cookery sessions where the residents are actively involved in cooking/baking, using their own recipes. This time provides a great opportunity to socialise and reminiscence about times past and has become very popular. Plans are under way to install a new computer into the diversional therapy unit where the residents will have access to the computer and have the opportunity to learn new skills. Gardening has also been included into weekly activities - this was highlighted by one of the residents in his narrative. Paying attention to the life-world of the residents was increasingly recognised as important by participants, as illustrated by this poem, written with a resident at Bantry Hospital, Cork Meanwhile in St Josephs Unit In the unit of St Joseph’s you won’t hear too much noise Some of us are silent an odd one sits and sighs But look behind the faces and put away the chart I’m sure my pulse is normal but try to read my heart. In my years before St Josephs’ I had some golden hours and I walked with my true love among the leafy bowers and if my eyes look vacant and sometimes I don’t hear I may be gone to shelter from the rain that fills my tears. There was a time believe me when friends were near and dear And I drank the cup of kindness and laughed without a fear So when you think I’m hungry and I push away the food I am struggling with my demons and don’t mean to be rude. 152
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