anne longmore “to enable participation for people with ... · pool j (2008) the pool activity...
TRANSCRIPT
www.yorkshirecareequipment.com@Yorkshire_Care
#YORTRAINGOLD2016
Anne Longmore“To enable participation for people with dementia”
Activity Matters
Picture removed
WHAT DO I NEED TO KNOW?
How does dementia impact how a person maintains
a sitting posture?
What are the differences between sitting at rest and
sitting for participation?
What are the options available for the individual?
Review of current seating
practices in supporting people
living with dementia in residential
aged care – a pilot study
Partners - Brightwater Group, Dementia Centre, HammondCare, Independent Living Centre, University of New South WalesFunded by DCRCCarers and Consumers, QUT
Translating dementia research into practice
Partner logo here
Translating dementia research into practice
Aims• Review relevant academic and grey
literature
• Identify the seating products currently used in residential aged care
• Benchmark current practice
• Identify and describe seating principles for people living with dementia and impaired posture
• Lay a foundation for future research and practice development
Partner logo here
JUST AS I THOUGHT
Pathology:dementia
Pathology:ageing
Pathology:co- morbidity
AEROPLANE SEAT
USING EVIDENCE TO SUPPORT PROFESSIONAL REASONING
Evidence supports:
People with cognitive impairment have potential abilities that can be realised when in an enabling environment and that occupation is the key to unlocking this potential Pool (2008)
Alignment of postural sets and being upright in a chair enables participation.
Barriers: the tilt in space chair looks comfortable in the recline position, but guess what !!
SEATING ASSESSMENT
DO WE NEED TO CHANGE LANGUAGE?
POSTURAL AND SEATING ASSESSMENT
IF SO NEED A MDT APPROACH
RECOMMENDATIONS
ACTIVITY MATTERS
Enabling Environments
http://www.kingsfund.org.uk/sites/files/kf/field/
field_pdf/is-your-care-home-dementia-friendly-
ehe-tool-kingsfund-mar13.pdf
Activity Matters
https://www.cot.co.uk/older-people/activity-
matters-toolkit
FUNDING
Sensory activity and reflex activity level: CHC funding
Writing the report
Cite why other chairs aren't suitable using language from
postural management
Alignment to language fromCare Act 2014 , activity matters
and dementia friendly environments.
Task: Fill in the blanks
SCENARIO
78 year old man who is in a foetal position in bed and hasn’t been out of bed for 4 months. Prior to admission to care home was in hospital and his brother stated that he never got out of bed in hospital.
Write an opening sentence why gentleman needs a specialist chair focusing on participation and promoting activity.
Share it with your neighbour
Discuss an area for development for CPD
WELLBEING
Experience lives: personal, cultural, social and faith
Build strong and positive relationships with others
Contribute to their community
Personal dignity
WELLBEING
Protect from abuse and neglect
Suitability of living accommodation
Safeguarding
Preserve privacy, individualism, self- respect and
dignity
• Identify the seating products in residential and nursing care
• Bench mark current practice
• Identify and describe seating principles for people living with dementia and impaired posture to improve quality of referrals
• Promote best practice
DON’T FORGET THE BASICS
National Institute for Health & Clinical Excellence (2008) Mental wellbeing in over 65s: occupational therapy and physical activity interventionshttps://www.nice.org.uk/Guidance/PH16[accessed 28.9.16]
Enabling Environments http://www.kingsfund.org.uk/sites/files/kf/field/field_pdf/is-your-care-home-dementia-friendly-ehe-tool-kingsfund-mar13.pdf
DON’T FORGET THE BASICS
Pool J (2008) The Pool Activity Level (PAL) instrument for occupational profiling: A practical resource for carers of people
with cognitive impairment. Third Edition. London,
Jessica Kingsley Publications
REFERENCE
Review of current seating practices in supporting people living with dementia in residential aged care – a pilot study
https://www.hammond.com.au/research/dementiaagedcare [accessed 28.9.16]