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 THEMES IDENTIFIED FROM STEP FIVE (5) • Choice - • Activity - • Individual - • Voiceless - “Is it facilitated” Meal and mealtimes Lack of stimulation and meaningful activities Knowing the person De-personalisation Dignity Fear of future Fear of Dying Staying quick Fitting in Ignored not included • Boredom • Celebration • Choice • Loneliness - Boredom Isolation Monotonous Worry • Choice • Inclusion • Loss – Health Independence Identity Self Life Freedom • Environment • Isolation • Choice (Lack of) • Rituals • Loneliness 205
The implementation of a model of person-centred practice in older person settings • Social outlet • Belonging • Change • Hopelessness – Worry Ignored not included Loss Depression low spirits Sad No enjoyment Sense of hopelessness • Family • Teamwork - Tasks or Systems of work Time Staff attitudes and behaviour Lack of Autonomy/decision making • Environment - Noise Structure/space Contrasting environment Garden/nature Bright/Dull Space Design flaws/Depressing Lack/sense of home Comfort Safety Contrasting environment Institutional – e.g. seating • Hope and Hopelessness • Connectivity - • Acceptance - Connection to past family Connection to past life Connection to past role Connection to outside world Making the best Loss of independence • Bleakness • Resignation • Acceptance of plight 206
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The Implementation of a Model of Person-Centred Practice In Older ...

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