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