Namaste Care How to deliver quality dementia care with no more staff. Dr Amanda Thompsell,

Transcription

1 Namaste Care How to deliver quality dementia care with no more staff Dr Amanda Thompsell,

2 Other Authors Min Stacpoole and Jo Hockley Care Home Project tteam, St Christopher s h Hospice, London, UK, Joyce Simard and Professor Ladislav Volicer Florida, School of Ageing Studies, University of South Florida, Tampa, USA

3 namastecare.com

4 Namaste Care Programme An enhanced nursing care programme combining best practice dementia care Best tpractice end of life care Cost neutral no new staff, no new space, no expensive equipment 7 days a week / before and after lunch Needs willingness to change, leadership and teamwork

5 NAMASTE CARE KEY ELEMENTS (Simard, 2013) Thepresence ofothersothers Comfort and pain management Sensory stimulation: 5 senses Sight, touch, taste, hearing, smell Meaningful activity based on ADLs and life history Based on power of loving touch Family meeting

6 Creating the environment Homely, calm atmosphere No TV Soft music Pleasant smell Green plants Presence of others

7 N Namaste t Session S i Welcome To N Namaste t Greeting by name Positioned comfortably Assessed for pain/discomfort Pleasurable activities Food treats

8 Ati Action Research hstudy 5 care homes recruited was 6 but one dropped out 37 Residents recruited and 5 died during study Workshop + education day at CH + role modelling day o Residents inclusion criteria = dementia diagnosis & BANS S 17+ o Care staff focus groups pre implementation & post evaluation period in each CH o Rlti Relatives focus groups after evaluation period

9 Benefits for patient t Greater awareness of change in individuals Improved symptom assessment especially painandand poor hydration More immediate response to agitation Benefits for family carers Family carers find visits easier if the person they visit is more content Family carers observe the efforts of staff and often form closer relationships with the staff and their loved one as a result Positive context for end of life conversations easier for staff and families Mental Health of Older Adults and Dementia Clinical Academic Group (CAG)

10 Benefits for staff More rewarding and motivating Improved job satisfaction Better teamwork Better quality of work life lf Culture change Benefits for Care home Better staff retention and job satisfaction Cost neutral Improved quality of life for resident which can be evidenced to CQC Rd Reduced dvacancies as more people want to live in the home Mental Health of Older Adults and Dementia Clinical Academic Group (CAG)

11 Challenges to implementation Taking off the gloves Changing practice takes time Changing culture takes longer Task focused culture Staff turnover Weak learning culture

12 What we have learned. Namaste is a feeling Namaste can motivate care staff and raise their self esteem Namaste can change staff tffapproach Humanising care Permission to care more intuitively Families value Namaste Namaste Care can transform the lives of people p with dementia

13 Questions

14 Health Professions Press Amazon.com

15 Rf References Alzheimer s society it (2013) Low Expectations ti Alzheimer s Society, London Aminoff and Adunsky (2004) Dying dementia patients: Too much suffering, too little palliation. Am J Alzheimers Dis Other demen July/August 2004 vol. 19 no Badger F, Clifford C, Hewison A, Thomas K. (2009) An evaluation of the implementation of a programme to improve end of life care in nursing homes. Palliat Med 2009; 23; 502 originally published online May 28, 2009

16 Rf References Morrison S, MD, A. Siu. (2000) A comparison of pain and its treatment inadvanced dementia and cognitively intactpatients with hip fracture Journal of Pain and Symptom Management ; April Vol. 19 No. 4 April Sampson EL, Gould V, Blanchard MR (2006) Differences in care received by patients with and without dementia who died during acute hospital admission: a retrospective case note study. Age and Ageing, 35, Lloyd Williams M, Payne S. (2002) can multi disciplinary yguidelines improve the palliation of symptoms in the terminal phase of dementia? International Journal of Palliative Nursing, Vol. 8, Iss. 8, 08 Aug 2002, pp Mitchell S, Teno J, Kiely D, et al. (2009). The Clinical Course of Advanced Dementia, The New England Journal of Medicine;361 (16);