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 conducting an observation of care. This exercise has been one of the most powerful tools in allowing staff to reflect on practice and how it might feel for the residents. We have given feedback on the observations of care to the team and any residents who wished to be present. This was a very useful exercise in trying to get everybody on board and to let them know more about person-centred care. • Environmental walkabouts have been facilitated and participants encouraged to involve residents, families and visitors in reflecting on how person-centred the environment is for people living and working in the setting. • Participants have been introduced to a reflective framework and encouraged to undertake reflective exercises about their practice and their facilitation work. It has been very difficult to get participants to do the reflective work and this is something that needs to be worked on by the Internal facilitator in future. • Giving and receiving feedback has improved perceptions of the programme as a supportive and developmental endeavor to improve experiences for both staff and residents. This has helped to develop the facilitation skills of the team. Specific Action plans Developed across Participating Sites • Developing meaningful activity plans for the residents. • Developing a person-centred culture to enhance teamwork and staff relationships in order to improve communication and well being for staff and residents. • Enable residents to maintain their connections with family and the outside community. A meeting was held with the residents group and some family members in Trim and their issues were very much the same as the themes emerging from the overall evaluation of the programme (Chapter 4). Groups have been established at the other sites to address family and community connections. • Giving residents a voice and choice. • Working towards making changes and improvements in the environment to create a person-centred context and culture. 93
The implementation of a model of person-centred practice in older person settings • Changes in mealtimes in order to make the experience more person-centred. • Wall mural and sitting areas to encourage socialization and to make a place for visitors to meet residents. • Traditional music for residents. • Opportunity to have choice to see old movies or some of the programmes they enjoy. • Offering more choice around bathing and grooming activities. • Having the opportunity to get involved in cooking and baking that was a part of many lives before they came into residential care. • Shopping trips to Dundalk. This was something that came out of the narrative work and conversations with residents that they would like to go shopping. It has been a great success. • Pet therapy in the Dementia unit in St Joseph’s Trim • There is a resident dog in St Joseph’s Ardee since the new extension was built. Many of the resident’s enjoy spending time with this little dog and observing what she gets up to. Her name is Cara which is a Gaelic name that translates as friend in English. Achievements at St Josephs • Clarifying values and beliefs • Vision Statement • Ongoing work on language staying person-centred • Dining room area where residents can socialize and meet relatives and friends • The team are focused on providing meaningful activities for residents there is an activities co-ordinator in Trim who is a programme team participant. • Menus available to residents for meals • Had a traditional music session 94
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