National Dementia Learning Event ‘Promoting Excellence’ in Acute Care

29/09/11 Patricia Howie NHS Education for Scotland

Promoting Excellence

A framework for all health and social A framework for all health and social services staff working with people with services staff working with people with Dementia, their families and CarersDementia, their families and Carers

Dementia Skilled Practice LevelDementia Skilled Practice Level

All staff with direct and /or substantial contact with people who have dementia their families and carers

Dementia Informed Practice LevelAll health and social care staff

Enhanced Dementia Practice LevelEnhanced Dementia Practice Level

•All staff that have more regular and intense contact with people with dementia , provide specific interventions, and or direct/manage care and services

Expertise in Dementia Practice LevelExpertise in Dementia Practice Level•Staff who, by virtue of their role and practice setting, play an expert specialist role in the care, treatment and support of people with dementia their families and carers

A journey

Coming in to the ward

Recognising and assessing care needs

The care experience

A STEPPEDapproach

Self directed

Take time

Explain and listen

Plan your approach

Previous experience

Environment of care

Delay unwelcome care

Meeting the needs of the person who is distressed

I am in a very strange place today. There is a lot

of

noise and many people walking about very fast. I

don’t know why I am here, I should be at home,

my mum will be looking for me and wondering

where I am. I think I better go. Everyone is very

busy; I’ll just slip out and not bother them.

I am in a very strange place today. There is a lot

of

noise and many people walking about very fast. I

don’t know why I am here, I should be at home,

my mum will be looking for me and wondering

where I am. I think I better go. Everyone is very

busy; I’ll just slip out and not bother them.

Leaving the ward/ transition.

Hearing the voice

Face the person and speak clearly. The tone andvolume of your voice is important. Many peoplewho are older have hearing difficulties. Do not talktoo quietly, screech at them or flap your arms about.Find the level at which the person can hear youclearly and maintain that level.

James McKillopA person with dementia

Challenge or distress?

I have lived in this house all my life and I can’tbelieve all these people that I don’t know are Sitting in my bedroom. Who are they? I have shouted and shouted at them but theywon’t leave.

HELP!! HELP!!

Pain. My name is Mary and I don’t know this place. I don’t know how I got here but I don’t like it. There are other people sitting nearby but they don’t speak to me

My back is sore ---my legs are sore------my head hurts.

Two young ones came up to me and said “we’re taking you to see the doctor “. They don’t need to shout, I can hear them fine. I won’t be telling them anything anyway.

I want to go home, I don’t like it here.

Images

What now?

The resources are available on the NHS Education Scotland Website

Acute care resourcehttp://www.nes.scot.nhs.uk/media/350872/acute_dementia_interactive_2011.pdf

Emergency care resourcehttp://www.nes.scot.nhs.uk/media/350995/dementia_emergency_dept_interactive_2011.pdf