KEEPING SYLVIA’S
IDENTITY
Dementia & GDCP
Working hand in hand with Community
Health/LGA Forum 18th June 2014
OVERVIEW
• Introduce Sylvia case study
• Developing Sylvia’s goal directed care
plan
• Challenging our beliefs on what is possible
• Decline or restoration?
• Engaging partnerships and preparing our
staff to provide what we set out to achieve
INTRODUCING SYLVIA
CURRENT SITUATION
• Other people in my life
• People who are regularly involved
• The people closest to me
Person Centred Thinking Tool, Learning Community for Person Centred Practices, Helen Sanderson & Associates.
Kate Pascale & Associates 2013
CURRENT SITUATION
• Family
• Community / neighbours / work
• Friends / unpaid support
• Paid support services
Person Centred Thinking Tool, Learning Community for Person Centred Practices, Helen Sanderson & Associates.
Kate Pascale & Associates 2013
IMPORTANT TO VS IMPORTANT
FOR
• What is the person trying to tell us about
their world?
• What is important to Sylvia (makes her
happy / content and feel fulfilled)?
• What is important for Sylvia (to keep her
healthy and safe)
• When we lose our language skills we can
only communicate physically by means of
our body language and behaviour
DEMENTIA AND MEMORY
As recent memory is impaired by the
disease process, older memories become
more important and can provide the
person with a continuing sense of who
they are.
COMMUNICATION
More than just the exchange of words!
It is any verbal or non verbal behaviour that
is perceived by another person
All behaviour conveys some message and is
therefore a form of communication
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COMMUNICATION
STRATEGIES
Given the potential communication difficulties
working with a person living with dementia, what
strategies might you use to obtain maximum
amount of information?
Do the questions in your assessment tool tell
you what you really need to know?
WHAT IS WORKING?
WHAT IS NOT
WORKING?
• I have a good day when:
• I have a bad day when:
PERSON CENTRED ASM
Can help a person with dementia by:
• feeling valued by entertaining others
• reinforcing long term memories that a
valuable
• being a fun thing to create together
• promoting self-esteem
• helping the person feel that they belong
• validating the person as an individual who
has a unique story
• helping facilitate social connections.
POSSIBILITES
•
•
•
•
•
What have we tried?
What have we learned?
What are we please about?
What are we concerned about?
Given what we know, what next?
Person Centred Thinking Tool, Learning Community for Person Centred Practices, Helen Sanderson & Associates.
Kate Pascale & Associates 2013
SYLVIA’S STORY AND PERSON
CENTRED PRACTICE
• The life story supports the practice of putting
Sylvia at Centre Stage
• Adds to the personal profile of the Sylvia
• Assists to identify personal motivators to
maximise independence
• Allows us to develop enabling strategies for risk
management
• Assists to identify peer support and social
inclusion in wider community
WHAT DO YOU BELIEVE IS
POSSIBLE?
•
•
•
•
•
What have we tried?
What have we learned?
What are we please about?
What are we concerned about?
Given what we know, what next?
Person Centred Thinking Tool, Learning Community for Person Centred Practices, Helen Sanderson & Associates.
Kate Pascale & Associates 2013
WHAT IT SUPPORTS IN THE
WORKPLACE
• Promoting a ‘doing with’ not ‘doing for’ approach
• Emphasizing the importance of ‘social
connectedness’
• A ‘holistic’ and ‘person centred’ approach to care
• Involving people in ‘setting their own goals’ and
making decisions about their care
• Providing ‘timely and flexible’ services
TO KEEP SYLVIA HEALTH &
SAFE
•
You need to know this:
•
And do this:
Person Centred Thinking Tool, Learning Community for Person Centred Practices, Helen Sanderson & Associates.
Kate Pascale & Associates 2013
ENGAGING AND
PREPARING OUR STAFF
SUPPORT STAFF WORKING
TOGETHER WITH SYLVIA
• use Sylvia’s story in their daily
communication with her
• focus on Sylvia not the task
• establish a relationship of trust
• have most satisfying interaction
• gain better job satisfaction, less stress for
everyone
PARTNERSHIPS
• Who else do we need to partner with for a
good outcome for Sylvia?
HOW WILL YOU EMPOWER
YOUR SUPPORT WORKERS?
• Risk vs benefits!
• Enabling vs disabling
• Restoring function vs declining function