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 was definite improvement and change in the way staff relate to residents and also to each other. Quality of life exercises were carried out as part of the programme days and the information collated was used to find out more about residents and provide a more person-centred approach. In both sites notice boards were established in the sitting rooms and main corridors as a result of communication with residents and staff; these are updated with important news and events on a regular basis. In Falcarragh Community Hospital the introduction of mobile phones for residents was successfully facilitated through action planning. The overall intention is to enhance communication for the resident. This initiative was led by the activity assistant and support by the programme group. The introduction of a quarterly newsletter (St Patrick’s News) was successful in St Patrick’s with the aim of providing news and information for both residents and staff. Over the previous years there had been a consumer newsletter issued on a quarterly basis but it had ceased and was no longer published. Through the data collected and evaluated from the various sources it was decided after dialogue with the residents that reactivation of this newsletter would provide a forum to improve communication and share information. The programme group worked collaboratively to re-establish this newsletter and it is now issued quarterly, it is led by one of the CNMs. This publication has now been renamed ‘St Patrick’s Magazine’ after consultation with residents and staff. Environment There were a wide range of environmental changes identified overall from the data collected from both sites; this included narratives, observations of care and environmental observations. Collective themes emerged from the data analysis including the need to explore and address the following: • The need to re-decorate and creative furnishings that are person-centred and where residents have choice • Signage not appropriately placed or highlighted enough for older people • Furniture needing to be replaced • Areas used as storage space instead of living space 59
The implementation of a model of person-centred practice in older person settings Action plans were put in place to address these issues and improvements made in collaboration with residents and staff contributing to a more person-centred environment. In Falcarragh Community Hospital one of the early observations of care was carried out in the dining room and analysis of the data identified the need to change the environment and make it more homely and pleasant. A small working group consisting of the DON, activity assistant and CNM2 was established to progress the action planning process. The outcome of this for residents was a more ‘homely’ and person-centred environment. Soft furnishings, tables and chairs were purchased and the area was completely re-decorated. The emphasis of the group was to focus on creating a person-centred environment in the dining room; this area is used daily by residents and day visitors at mealtimes and also is used as a large recreational facility on occasions. The sitting rooms were also refurbished as a result of formal observations of care with the purchase of new televisions placed at appropriate levels to enable residents to view comfortably. Overall the observations of care and formal environmental observations identified many aspects that required further work and change to enable a person-centred approach to be realised. Meaningful Activities The need to identify activities that were meaningful, interesting and that each resident had choice and access to was identified through all stages of the data collection with specific reference to analysis of resident narratives and observations of care and in dialogue with residents through day-to-day conversations. Suggestions from residents and staff were similar in both sites and included facilitating residents to attend music sessions both in the hospital and outside in the community, the inclusion of the community in birthday parties here appropriate, and also the attendance at social events outside of the hospital. In St Patrick’s an area on the Rivermead Ward was identified which could be converted into a games/activity room and action planning put in place with the inclusion of residents and staff. This work is a long term project and some aspects have been completed and some are ongoing. One of the residents in St Patrick’s specifically requested a wish to visit Knock Shrine this was identified through participation at a resident group meeting. The CNM2 on 60
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