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 I would like to share with you what is important to me when caring for me Name: Mary Kelly Suite: Sandymount What makes me Happy ? • I like to put my own makeup on in the morning please don’t rush me. If you leave the mirror and the makeup bag I will work away at it. I am not in a hurry • I love to get fresh air every day, if you can assist me to go to the garden • I love a lie in on a Saturday morning I always did it at home. If you can put my radio on and put RTE 1. I love the chat on the radio • I don’t like to eat my meals with other people. Please let me sit on my own to have my meals. I eat better that way. What Makes me Unhappy • Tea. . I hate tea, always have and I am not going to change now please let staff know that. • Trousers, I have never worn a pair and I would prefer not to at this stage of my life • Loud music and the TV on at the same time. If you bring me in to the day room, keep the noise level down please! • Not to be consulted when planning my care. I hate when people talk over me like I am not there! Figure 2.2 My Day My Way (Example) 45
The implementation of a model of person-centred practice in older person settings • Development of more individualised meaningful activities 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. In St Brigid’s Hospital, a trip to Lourdes for one of the residents was facilitated. This resident through her narrative shared a lifelong 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 lifelong dream accompanied by members of her family and staff members from the hospital. 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 were identified to invite local people of all ages to get involved in volunteering. This included a visit to the hospital from 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. 46
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