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 Image 2.4: Welcome Cards 73
The implementation of a model of person-centred practice in older person settings Final evaluation of findings, action plans and achievements (Third Phase): Following the analysis of data and the interpretation of the findings, the emerging themes from the three sites were similar and centred on improving quality of life issues: o Choice, no voice o Respect o Routines o Powerlessness o Meals and mealtimes o Caring (being cared for and acceptance and dependence) o Meaningful activities, boredom, outings etc o Environment, space, noise, o Family connections, loneliness, depression, isolation, visitors o Attitudes o Finance These themes mirrored the national themes (presented in Chapter 4). The participants continued to work with their action plans as they were ongoing and at different stages of development. Summary of achievements The site visits by Dr Jan Dewing (January 2008) and Professor Brendan McCormack (January 2009) were one of the highlights of the programme for the participants. Presentations on Person-Centred Care, workshop on aspects of dementia care, environmental walkabouts, group discussions, meeting staff and residents in all three sites proved to be both popular and informative to staff. The information obtained provided new ways of “thinking” and “doing” for example in caring for people with dementia. One IF obtained new knowledge about how the environment can impact on residents with dementia and influenced the management team on how best to maximise the planned decor of their proposed new building. Being person–centred relies on getting close to the person going beyond traditional notions of routine care etc. Even with the concept of “team nursing” participants have articulated how in today’s climate of healthcare “reforms” and “transformation” even the notion of individualised care is at times compromised. Moving towards person-centred care in some of the initiatives highlighted, means providing care and services that are 74
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