Published on February 20, 2014
FACTORS INFLUENCING PERSON-CENTRED CARE THE INFORMATION IN THIS POWER POINT IS BASED ON A LITERATURE REVIEW COMPLETED IN JUNE 2013 BY SHERYL HAYWOOD NURSE PRACTITIONER CANDIDATE OLDER PERSON’S HEALTH, CDHB
PERSON-CENTRED CARE MODEL Tom Kitwood’s Model Patient centred vs person centred Residential aged care traditionally more focused on a biomedical model
HARRY…. Harry requires somebody with him 24 hours due to the fact he is unaware of hazards within his environment. He is unable to mobilise unaided and is a high falls risk as a result. He is unable to carry out the most basic of daily tasks such as eating, drinking, toileting and washing without assistance and has difficulty expressing his needs. The language he does have is not always reliable and mostly he will communicate through calling out; screaming; crying; laughing or through the use of facial expressions. He has significant nocturnal agitation and is frequently incontinent. He is unable to tolerate dentures and is a choking risk at times. Walking in Another’s Shoes Canterbury District Health Board
the PERSON with dementia the person with DEMENTIA
HOW AGED RESIDENTIAL CARE STAFF CAN INFLUENCE & SUSTAIN PERSON-CENTRED CARE Understand the person with dementia Meaningful activities Understand the meaning behind behaviour Utilise time efficiently Communicate effectively and develop reciprocal relationships Positive approach to change, attitude and flexibility
HOW CAN ORGANISATIONS & MANAGEMENT INFLUENCE & SUSTAIN PERSON-CENTRED CARE Staffing levels and consistency Education and support Management commitment Leadership Teamwork Staff recognition and inclusion
SUMMARY Person-centred care: acknowledges personhood interprets behaviour from the persons viewpoint personalises care and surroundings involves shared decision making emphasises importance of relationships Residential aged care are striving towards a personcentred care culture Person-centred care can exist with effective leadership, supportive management, a nurturing team environment and inclusion of all staff and families in decision making Recommendation: Develop New Zealand Best Practice Guidelines for person-centred care of people with dementia living in residential aged care
RESOURCES Alzheimer Society of Canada. (October 2010). Guidelines for Care: Person-centred care of people with dementia living in care homes. http://www.alzheimerbc.org/getdoc/5add27c4-30da-496a-86e3309bc4a7a140/Guidelines-for-Care-Oct-2010.aspx Loveday, B., Kitwood, T., & Bowe, B. (1998). Improving Dementia Care: A resource for Training and Professional Development. London: Hawker Publications. Ministry of Health (2012). Best Practice Guideline for Accommodating and Managing Behavioural and Psychological Symptoms of Dementia in Residential Care: A Person- Centred Interdisciplinary Approach. British Columbia. National Care Forum Older People and Dementia Care Committee (2007). Statement of Best Practice: Key principles of person-centred dementia care. United Kingdom. http://www.guidepoststrust.org.uk/wp-content/uploads/2012/05/Keyprinciples-of-person-centred-dementia-care.pdf
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Sheryl Haywood, Canterbury District Health Board: Utilising a person-centered approach: Best practice for nurses and carers in residential aged care.
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