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

The implementation of a model of person-centred practice in older person settings
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.
In St Brigid’s Hospital, one resident in his narrative expressed a desire to have more
autonomy and control at meal times. In particular he wanted to have his own tea pot.
While it appeared to be a very simple and normal request, it proved a challenge for
the team to implement. There were issues raised initially from staff around health
and safety. The IF along with the team developed a plan of action addressing the
concerns of the staff. The resident along with others now have their own tea pots at
meal times. This achievement has led to other initiatives being introduced where
staff in the past would have resisted, citing concerns around health and safety.
Daily activity programmes for the residents have become much more focused on
providing activities that are appropriate and meaningful to the residents. Such new
activities included the availability of a minibus and driver one day a week to facilitate
outings for the residents in two of the sites. This service is provided free of charge
from a local community organisation. Innovative trips have been organised from
going on boat trips, trips to the theatre to attend their 'Elevenses club' that shows old
time movies in the morning followed by a trip to the local “McDonalds”
In St Brigid’s they have developed community links, this was something that had not
happened previously. Visits from Foroige youth club, local traditional and folk groups
are now a regular feature. Other activities include involvement in an inter care
setting Boccia league organised by Mountmellick Development Association in
conjunction with Sport Le Cheile. St Brigid’s have two teams involving 10 residents.
Using Person-centred Care Planning formats and processes, the internal facilitator
along with the residents and staff has completely revamped the activity programme
to include many more meaningful activities: we use Cats Skirts Lipstick exercise,
Poole Activity Level, activity questionnaires, My Way My Day and talk with family
members also. Residents have requested more social afternoons/evenings, social’s
are now organized in the revamped dining room where everyone is invited to attend.
Facilitating Residents to have a voice and to be involved in decision making was
identified from the observations and narratives across the sites.
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