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Changing Dementia Care Practices in a Community Based ...

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M1<br />

<strong>Chang<strong>in</strong>g</strong> <strong>Dementia</strong> <strong>Care</strong> <strong>Practices</strong> <strong>in</strong><br />

a <strong>Community</strong> <strong>Based</strong> Organisation<br />

Judith Basile<br />

<strong>Dementia</strong> Cl<strong>in</strong>ical Nurse Consultant MECWA


Slide 1<br />

M1 Mecwa, 15/05/2007


OVERVIEW<br />

1. <strong>Dementia</strong> an organisational priority<br />

2. <strong>Dementia</strong> Cl<strong>in</strong>ical Nurse Consultant –<br />

Roles & responsibilities.<br />

3. Outcomes<br />

4. Practical <strong>in</strong>volvements with specific<br />

programs<br />

5. Future Plann<strong>in</strong>g


Melbourne based<br />

MECWA <br />

MECWA began <strong>in</strong> 1959, as a volunteer<br />

group <strong>in</strong> the Malvern area to meet the<br />

needs of elderly citizens.<br />

Today – community not – for –profit<br />

<strong>Community</strong> <strong>Care</strong>, Home <strong>Care</strong> &<br />

Residential


Locations<br />

Northern<br />

Western<br />

Melbourne<br />

CBD<br />

Eastern<br />

Southern<br />

Card<strong>in</strong>ia


STAFFING


1. <strong>Dementia</strong>: An Organisational<br />

Priority<br />

<strong>Dementia</strong> National<br />

Health Priority<br />

Increas<strong>in</strong>g consumers<br />

with <strong>Dementia</strong><br />

Capacity to achieve<br />

best practice


Develop<strong>in</strong>g the Strategic<br />

Plan<br />

National Age<strong>in</strong>g Research Institute -<br />

NARI


Future Directions – A <strong>Dementia</strong> <strong>Care</strong><br />

Strategy for MECWA: 2005 - 2008<br />

Current <strong>Dementia</strong> <strong>Care</strong> Capacity<br />

Recommendations for changes<br />

Best Practice Template –<br />

<strong>Community</strong> & Residential<br />

Nurse Advisor Role for the<br />

Organisation


2. <strong>Dementia</strong> Cl<strong>in</strong>ical Nurse<br />

Consultant<br />

Promote “best practice”<br />

Cl<strong>in</strong>ical leadership<br />

Implementation of <strong>Dementia</strong><br />

Strategy


<strong>Dementia</strong><br />

CNC Initial Activities<br />

Recommendations Action Plan<br />

<strong>Dementia</strong> Steer<strong>in</strong>g Committee<br />

Assessment & Coord<strong>in</strong>ation Forums<br />

Family & Friends forums<br />

Policy & Procedures<br />

Review best practice templates (audits) from<br />

programs<br />

Establish<strong>in</strong>g l<strong>in</strong>ks with stakeholders related to<br />

client care cont<strong>in</strong>uum


Initially ……<br />

Engagement<br />

Activities<br />

Information & Communication<br />

Meet & Greet – Key staff / programs<br />

1:1 Support & Mentor<strong>in</strong>g<br />

<strong>Dementia</strong> Specific Education & ongo<strong>in</strong>g<br />

dissem<strong>in</strong>ation of <strong>in</strong>formation<br />

Special Presentations


4. Outcomes<br />

Sample Policy & Procedure Manuals<br />

implemented – <strong>in</strong>tegration<br />

<strong>Dementia</strong> CNC Referral – document /process<br />

“Best Practice Templates” – Annually<br />

<strong>Dementia</strong> CNC – <strong>Community</strong> & Residential<br />

Management Meet<strong>in</strong>gs<br />

Evaluation framework.


Practical Implications of<br />

the <strong>Dementia</strong> CNC Role<br />

<strong>Dementia</strong> Specific Programs ---<br />

• Olive Miller House<br />

“chang<strong>in</strong>g rooms”


Practical Implications of<br />

the <strong>Dementia</strong> CNC Role<br />

<strong>Dementia</strong> Specific Programs ---<br />

• Burke Rd. Day Centre<br />

“chang<strong>in</strong>g rooms”


Practical Implications of<br />

the <strong>Dementia</strong> CNC Role<br />

Liaise with external referral sources for best<br />

outcomes for clients liv<strong>in</strong>g with dementia –<br />

<br />

<br />

<br />

<br />

Aged <strong>Care</strong> Assessment Service<br />

Daughter <strong>in</strong>terstate<br />

Exist<strong>in</strong>g home care staff<br />

Transition <strong>in</strong>to day centre program.


Practical Implications of<br />

the <strong>Dementia</strong> CNC Role<br />

Project <strong>in</strong>volvement with Residential facilities<br />

Review entry protocols and transition<br />

processes.


5. Future Plans<br />

Consolidation & <strong>in</strong>tegration of current activities,<br />

roles & responsibilities.<br />

Expand<strong>in</strong>g the mentor<strong>in</strong>g role and support<br />

as a proactive process, not just reactive<br />

driven<br />

Annual <strong>Dementia</strong> focus by the organisation


Take Home Message<br />

Managerial Support & strategic<br />

implementation<br />

Cl<strong>in</strong>ical focus to support the project<br />

activities and engagement of staff<br />

participation<br />

Flexibility & <strong>in</strong>novation to engage a cross<br />

section of staff<br />

Engag<strong>in</strong>g staff with <strong>in</strong>clusive practice –<br />

<strong>in</strong>volvement / consultation


Thank you<br />

Contact details<br />

Judith Basile<br />

<strong>Dementia</strong> Cl<strong>in</strong>ical<br />

Nurse Consultant<br />

MECWA<br />

judith.basile@mecwa.org.au<br />

(03) 9563 6226


Last page<br />

‘thank you’

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