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 “… on getting older – you just have to get on with it. You can’t turn the clock back. I have retired but I would still rather be working. I am happy here. I have been here almost a year now. I get plenty to eat and enough cigarettes. I would like to get outdoors more. The staff are alright. They have rules and you have to abide by them, but I get on ok with all of them. I spend a lot of time on my bed but I don’t sleep well at night. I miss my family” (Resident story) Paying attention to narratives and stories enabled the sense of older people being voiceless to be addressed. Some facilitators viewed the sense of hopelessness as a bleak view of residential care and despite the range of activities put in place to address these issues, recognised that instilling a sense of hope needs to be a key strategic issue for the ongoing development of residential services for older people. The following poem by a programme participant, illustrates the heightened awareness that occurred regarding the need to pay attention to people’s lives and to continuously facilitate them having meaningful lives: Person-Centred Care (by Mary Kinnaird CNM1 St John’s Hospital, Enniscorthy, Wexford) How would it feel if you or me, Were suddenly known as ‘pet’ or ‘dearie’. Are we aware of what we say, When we do our work from day to day. The language we use may sometimes offend, The people we care for and attend. How would it feel if you or me, Were suddenly the stroke down in bed three, Who wears a nappy and needs a feed, That wears a bib, ‘an important need’. Lying there unable to say I don’t feel like porridge today. Or, I don’t eat fish and can’t you see, The tea is too hot it’s burning me. 157
The implementation of a model of person-centred practice in older person settings How would it feel if you or me, Were dragged from bed to go potty, In a great big metal frame that scares, With half pulled curtains and lots of stares. There’s lots of chatting going on, But no-one speaks to us. Not one. Wishing to speak, just to say, ‘Nurse, I feel so lonely today’. How would it feel if you and me Changed our attitudes to see, That the lady in bed three is Mary. She’s had a stroke and cannot speak, But her prognosis is far from bleak. She needs assistance with her meal, A choice would be nice she may well feel, So don’t just leave her a slice of bread, She may want porridge, please ask her, She will nod her head. She is very nervous in the hoist, Just reassure her in a gentle voice. She likes music, and did you know She was in a band some years ago. She has a daughter and likes when you say, If she will or won’t be visiting today. How would it feel if you or me, Suddenly found ourselves to be, Dragged and hoisted, fed hot tea. Stripped of our identity, Unable to shout ‘it’s me Mary’ NOT, The stroke over there in bed three. 158
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