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 THE NORTH WEST AREA Two community hospitals participated on the programme from the North West. The following section describes each of the sites, the practice development groups who were involved in the programme and a summary of their action plans and achievements. Participating Sites St Patrick’s Community Hospital St Patrick's Community Hospital is situated in Carrick-on-Shannon, County Leitrim. The hospital was built in 1841 and has been used as a care facility since 1928. There are a range of services provided to the local community including, residential care, respite, a day centre, an X-ray department, physiotherapy and occupational therapy and specific outpatient clinics. The building is located in a residential area on the periphery of the town a short drive off the N4 national Dublin/Sligo roadway. The community hospital has a bed capacity for 112 residents. There are 14 beds allocated for convalescent care, 10 for respite and one bed for rehabilitation. The remaining 87 beds are allocated for long term residential care. Accommodation is organised over two floors with three units on the ground floor. The Sheemore ward is a 20 bedded female unit, the Dr McGarry, a 28 bedded male unit and the Monsignor Young an 18 bedded dementia specific unit which was built in 1998. The Rivermeade unit on the upper floor provides care for 36 male and female residents. A nurse’s station and pharmacy area is located on each of the units. There is a reception area located at the entrance foyer with a small coffee shop, and seating area. A church is also located on the ground floor and is used on a regular basis by residents, staff and the local community. A quiet room for residents and their families is also located on the ground floor. The Programme Group – St Patrick’s The group consisted of multidisciplinary members as detailed in the table below. Two internal facilitators – a CNM and a staff nurse - were recruited at the outset, one worked on the Sheemore ward, and the other worked on the Dr McGarry Ward. One of the internal facilitators (Staff Nurse) left the programme after approximately 8 months and was replaced by an Assistant Director of Nursing who was already a 55
The implementation of a model of person-centred practice in older person settings member of the PD group. The Director of Nursing worked with the programme group in relation to the practice development work. Registered Grade Nurses 2 CNM11 x 1 Staff Nurse x 1 CNM1 2 Internal Assistant Facilitators Director of Nursing Non Registered Care Workers 8 Areas Of Work • Healthcare Assistants (5) • Catering Assistant (1) • Support staff from Housekeeping (2) • Occupational Therapy Assistant (1) • Resident Volunteer Worker Falcarragh Community Hospital is one of 11 Community Hospitals and Nursing Units in County Donegal. The hospital was purpose built in 1980 and all accommodation is organised on one floor. There are 35 in-patient beds and a day hospital; also on the grounds is a primary care centre that provides a General Practitioner and MDT service to the wider community of Falcarragh. Within the hospital there is a small church which is used daily by the residents and also widely used by members of the community. The range of services offered in the Community Hospital over the last number of years has expanded in response to client need, service development and reconfiguration of the health services. As well as the ability to provide continuing care beds there is also an allocation for respite, rehab/convalescence and palliative care. Community Mental Health Services in Donegal also use an area within the hospital as a day facility for their clients. The hospital is located in North West Donegal and is situated in a rural area, the nearest large urban town is Letterkenny which is approximately 30 miles away. The geographical area is a Gaeltacht area, where the Irish language is the first language for many of the older people and healthcare staff utilising the service. The Programme Group – Falcarragh Community Hospital Two internal facilitators were recruited to work with the NMPDU facilitator and programme group. One of the IFs is a Staff Nurse working in the ward area and the other IF a CNM 2 who is mainly based in the day hospital, although alternates to the 56
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