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

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<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 />

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