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 • Developing a more person-centred culture around the use of everyday language • Creating a more homely environment • More meaningful engagement of staff with residents • Creating a care environment that is supportive of power sharing and creates the potential for innovation • Shared decision making • Team work and communication • Loneliness and boredom • Creating more meaningful connections with the community • Issues relating to end of life care for residents and their families The process of conducting the narratives with the residents in the units provided the participants with an opportunity to really get to know the person. Having the opportunity to share their story gave staff the chance to really connect with the person and come to know them in a different way. When residents shared stories about important aspects of their lives with the staff, this helped them to identify meaningful activities and ways to help personalise care routines. Actions identified for development from the analysis of the narratives focused in BCNU on • Getting to know the individual. Through getting to know the person and understanding their biography, staff working with the residents and families developed individual life stories (Image 2.1). These stories are displayed throughout the building in different ways for example as a collage, in book form or in a individualised display box. They are a source of pride and joy for the community within the unit. This is an ongoing project with all residents, staff and families who wish to get Image 2.1 ‘My Life Story’ Example 43
The implementation of a model of person-centred practice in older person settings involved being given the opportunity to partake. • “My Day My Way “ The Importance of getting to know the person not just the resident and what is important to them in their daily care is central to the concepts underpinning PCC. As part of the Person-Centred Care Programme an innovative exercise “My Day My Way” was developed by participants in BCNU (Figures 2.1 and 2.2). This getting to know me exercise can be carried out before a resident is admitted to the unit, when they are admitted as part of their admission procedure or now as part of their ongoing assessment. All staff at unit level are involved, which has greatly enhanced team work. BIRR COMMUNITY NURSING UNIT “My Day My Way “ Towards Developing Person Centred Care for Residents The Importance of getting to know the person not just the resident and what is important to them in their daily care is kernel to the concepts underpinning PCC. How can we help staff be more person-centred in their care for the individual person? As part of the Person Centred Care Programme an innovative way “My Day My Way” was developed by participants. • This getting to know me exercise can be carried out before a resident is admitted to the unit, when they are admitted as part of their admission procedure or now as part of their ongoing assessment. • This can be completed with the resident by a family member care staff named nurse. • It should be kept in the residents care plan which is accessible to all staff. • It should be reviewed and updated as part of the ongoing evaluation of the residents care • All new staff should familiarise themselves with the plan Figure 2.1: My Day My Way ( Process) 44
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