“We acknowledge the traditional owners of this Land, the Nyungar people, and pay respect to the Elders of their community.” Training to care for people with dementia
“We acknowledge the traditional owners of this Land, the Nyungar people, and pay
respect to the Elders of their community.”
Training to care for people with dementia
Training to care for people with dementia
End of Life Dementia Care
Train the Trainer Program PilotPresentation 23rd October 2012
Jan Akers
Training to care for people with dementia
Background
• CoP-D1 Project - Suite of Resources
• WADTSC’s NPA – ‘End of Life’
• Knowledge Translation Activity
Aims of the project
• Develop a train the trainer package
• Pilot with 5 organisations in WA – evaluate
• Based on evaluation, modify and improve: deliver a second pilot in WA
• Invite other DTSCs to do a pilot – SA doing
• Final outcome – training package on DTSC website – stand alone
Training to care for people with dementia
Why?‘Chang et al (2009)
have long advocated the need for staff to have superior skills in assessment, pain and symptom management and negotiation of care with family’ Chang and Johnston
Training to care for people with dementia
A Palliative Approach
‘One thing that is known is that dementia is a progressive disease that cannot be cured…people with dementia will have a shortened life span because of their disease’
E. Chang, 2007Training to care for people with dementia
Participation CriteriaOrganisations that provide
residential aged care:
• for people with dementia who are at end stage of life
• who recognise a need for improvement in practices related to end-of-life dementia care
• who could commit to a12 week programTraining to care for people with dementia
Pilot One: The 5 Organisations
• Southern Cross Care Inc.
• Adventist Aged Care
• Catholic Homes Inc.
• Hall & Prior Rockingham
• Juniper (UCH) Rowethorpe
Training to care for people with dementia
Pilot Two: The 2 Organisations
• Maurice Zeffert Home
• Juniper (UCH) - Ella Williams facility
Training to care for people with dementia
Engagement
• Each organisation nominated 2 key people to participate in the program
• The 2 key people needed to have the capability, desire, strength and knowledge to lead and implement change
Training to care for people with dementia
Training to care for people with dementia
1. Area of Concern
EOL D
2.Specific Issue
3.Form a work team
4.Plan of Action
5.Implementation
6.Feedback
7.Evaluation:
Preparation
Workshop 1
Workshop 2
Workshop 3
Follow up
Change
Map
Stage 1 Preparation
Scope the ‘gap’:
• Audit
• SWOTTraining to care for people with dementia
Stage 2 Intervention
• Form a Community of Practice (CoP)
• Develop S.M.A.R.T goals
• Action Plan – do it!
Training to care for people with dementia
• SPECIFIC• MEASURABLE• ACHIEVABLE • REALISTIC• TIME-LIMITED
Evaluation
• Evaluate – the process
• Evaluate – the outcomes
• Evaluate – the impact
• Reflection and logging activities
• Staff Knowledge
• Resident QOL
Training to care for people with dementia
Participants’ Quotes
‘Great project with potential for being very unifying for the whole team’
‘Proud of the outcome’
‘Opportunity to influence others – the ripple effect’
‘Like being on a journey’Training to care for people with dementia
Participants’ Stories• Gabriella and
Roanne from MZH Inc.
• Deb from Southern Cross Care Inc.
• Me Tun and Ruth from Adventist Aged Care
• Angela from Catholic Homes Inc.
• Isabelle from Juniper Ella Williams facilityTraining to care for people with dementia
Gabriella and Roanne – Maurice Zeffert Home Inc.
Engagement of executive staff
‘Smoothing the journey’
Training to care for people with dementia
Deb - Southern Cross Care Inc.
Benefits of a pre-project audit: staff audit - some surprises
Q1 What do you think palliative/end of life is?Q2 How do you think we should treat people who are in their last stage of life?Q3 What care do you feel the resident should receive during the last days of their lives?Q4 How do you think we can help families during this difficult time?Q5 What can I do to assist you to provide best care…?Q6 What education would help you to provide highest standard care?
Training to care for people with dementia
Me Tun and Ruth - Adventist Aged Care
S.M.A.R.T goals – ‘small changes’ ‘the ripple effect’ F.A.S.T Scale – ‘a tool which engaged families, GPs and care staff ’
Training to care for people with dementia
Angela - Catholic Homes Inc.
Achievements
‘Some surprises… New criteria for admissions -
less repetition’
Training to care for people with dementia
Isabelle - Ella Williams facility
A Reflection
‘Importance of passion and planning’
Training to care for people with dementia
Questions?
Training to care for people with dementia