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 recognition of the importance of this. Staff have embraced new ways of working in the three sites and are proud of their achievements. They also have a growing appreciation of the importance of evidence to support their practice and are reluctant to accept custom and practices that don’t meet with person-centred principles. They all have a greater appreciation of the need to constantly evaluate their care and the idea of evaluation is no longer daunting. Two of the three sites have continued with formal PD sessions and continued to plan and monitor care practices inspite of an increasingly difficult working climate. The third site has sustained the progress made in the programme and incorporates person-centred principles into their care practices. The ship has significantly moved in a direction that it is difficult to see any one person being able to turn it around and back in the direction it came from. All three sites have had their individual issues that could have significantly impacted on the programme but the will and vision to keep going was strong. One internal facilitator said that although they now have severe staff shortages all the staff in the unit agreed that they are not going to let this affect the residents “we are not going to let the embargo stop us from being person-centred. All the staff have agreed that our priority is to the resident now and whatever else has to go, our person-centredness won’t”. 91
The implementation of a model of person-centred practice in older person settings THE DUBLIN NORTH EAST AREA Participating Sites St Joseph’s Hospital Trim (name changed to St Joseph’s Community Care Unit in interim period) - a 137 bedded HSE run residential care unit in Trim Co Meath it consists of 5 units and a Day hospital. St Mary’s Hospital Castleblaney - a 144 bedded HSE run Residential care unit for older people in Castleblaney Co Monaghan. It provides a range of facilities including day care, respite, convalescence, rehabilitation, extended care and palliative care. St Joseph’s Hospital Ardee - a 34 bedded HSE run Residential Care Unit in Ardee Co Louth. It consists of a male and female unit and an extended unit called the annex. There are facilities for three respite patients. Activities • Vision statements have been developed at each site reflecting the values and beliefs that have emerged from the values clarification exercises. This work involved staff, residents, families and visitors. This supports the collaborative, inclusive and participatory philosophy of the practice development framework. • Participants explored the language that is used in the organization not only with older people but amongst themselves. Work is ongoing in this area to heighten awareness of a person-centred approach in the language used. Awareness is kept high by challenge and support exercises and collage work and posters. • Staff have undertaken exercises to get to know their residents as people by finding out what they would most like staff to know about them and their likes and dislikes. The programme days involved staff reflecting on their own likes and dislikes and considering how this might feel for the people we are caring for. More recently life story work is being done to get a more in-depth knowledge of the resident as a person. This information is being linked into their care plan in order to make all staff aware of preferences. • Observations of care have taken place on each unit and participants have been encouraged to repeat this exercise and to involve as many staff as possible in 92
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