Working with People with Dementia Why connect person centred care with staff safety Creating Connections background amp structure Workshop evaluation results Future steps Presentation overview ID: 604990
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Slide1
Creating Connections:
Working with People with DementiaSlide2
Why connect person-centred care with staff safety?Creating Connections background & structure
Workshop evaluation results
Future steps
Presentation overviewSlide3
1. What is the injury rate for continuing care workers?9.2 / 100 4.0 / 100 8.2 / 100
2. Of
all reported injuries, what is the most-common accident type?Acts of violence Overexertion Slips, trips and falls
3.
What is the most common source of injury?Working Surfaces People Boxes & Containers 4. Dementia is not a specific disease. True or False?5. What % of people in residential care have a diagnosis of dementia?52% 61% 85%
A quick quiz…Slide4
70,000 people in B.C. have Alzheimer’s disease or another form of dementia
Over 10,000
of these 70,000 people are
65 years of age or younger
15,150 new cases in B.C. each yearSetting the context: Dementia in B.C.Slide5
“Seeing the person with dementia as a person first and foremost...Person-centred care means getting to know the person and then thinking how
their
condition is affecting them.”
Setting the context:
What is “Person-Centred Care”?Slide6
Person-centred care:Fewer incidents of staff being verbally abused or struck by residents (Chrzescijanski et al., 2007)Higher levels of staff job satisfaction / lower levels of burnout (
Edvardsson
et al., 2009)
So Why Staff Safety and Person-
Centred Care?Slide7
Good for the person with dementia
=
Good for staffSlide8
Vision: Our ultimate vision is to create a world without Alzheimer's disease and related dementias.Mission: The Alzheimer Society of B.C. exists to alleviate the personal and social consequences of Alzheimer's disease and related
dementias, to
promote public awareness and to search
for
the causes and the cures.Alzheimer Society of B.C.Slide9
Vision: Safe, healthy, and injury-free workplaces in continuing care.Mission:
To empower those working in the continuing care sector to create safer, healthier workplaces by fostering a culture of safety through evidence-based education, leadership, and collaboration.
SafeCare
BCSlide10
Partnership formed between WorkSafeBC and the Alzheimer Society of B.C.Purpose: Determine if there was a need and desire by B.C.’s paid frontline care workers for basic education on dementia.
October 2012 to November 2013
Pre
-Creating Connections
: The pilot projectSlide11
8 workshops (6 hours)Led by Alzheimer Society of B.C. educatorLower Mainland, Vancouver Island, Fraser Valley, Interior and the North474 participants attended
Participants had
an average of 11.4 years experience
Pre
-Creating Connections: The pilot projectSlide12
98% agreed or strongly agreed that the workshops gave them a better understanding of dementia100% agreed or strongly agreed that they were now more aware of the importance of their own safety
while providing care to persons with dementia
Results: Better Understanding, Enhanced AwarenessSlide13
Follow-up survey in late 2013Participants had opportunities to use knowledge and strategies gainedThey had shared the information with others in their workplace
Great examples of changing
behaviours and work practices
Results: A workshop with lasting effectsSlide14
“Breakfast time is always a challenge as care staff are trying to get as many residents up as possible for breakfast as a routine. Now with the new knowledge, we don't routinely wake up residents. We find out what would be their preference: to get up early, stay in bed for breakfast and get up later, it’s ok now for them just to come out in their house-gown for breakfast and get dressed later - after all, it is their home
.”
-Director of Care
Results: Changes in care approachesSlide15
New partnership established Spring 2014 Creating Connections: Working with People with Dementia
SafeCare
BC & Alzheimer SocietySlide16
What it is:Basic information on dementiaPrinciples of person-
centred
care
Communication strategies
Responding creatively to behavioursWhat it isn’t:Clinical information on disease managementAdvanced neuropathology of diseasesPrescription for organizational practices
Program ContentSlide17
Basic understanding of dementiaPrinciples of person-centred careHow to be a ‘detective’Practical communication tips
Application of knowledge
Knowledge of available resources
Learning ObjectivesSlide18
What are some things you’ve heard about dementia that you think may not be true?Dispelling the MythsSlide19
Dispelling the MythsDementia is not…
A
disease that only affects older
people.
Normal aging/memory loss.Preventable/curable.Caused by aluminum.Slide20
Dispelling the MythsDementia does not mean…
The end of a meaningful life.
That a person cannot understand what is going on around them.
That a person will become violent or aggressive.Slide21
Group ExerciseSlide22Slide23
Who is attending?Care aide: 40.5%RN: 20%LPN: 15.5%
Average number of years in the industry:
11.8
Workshop EvaluationSlide24
Immediately post-workshop:The workshop gave me a better understanding of dementia: 94%
The workshop was applicable to my
job:
97%
I have learned the importance of person-centered care: 96%I will recommend this workshop: 99%
I have learned/reinforced strategies for communicating with people with dementia:
97%I am now more aware of the importance of my own safety while providing
care: 89%
Making a differenceSlide25
Immediately post-workshop:“Doesn't matter what stage of disease, a person is a person.”“I did learn more even after being a nurse after 19 years.”
“I
learned more that I didn’t learn when I went to school to take the care aide course.”
Making a differenceSlide26
2-3 months post-workshop:Have you used some of the strategies and techniques that you learned in the workshop?
91%
Have
you noticed a change in your own work practices after attending the workshop?
81%Have you shared any of the knowledge, strategies, or resources that you learned in the workshop with others in your workplace? 88%Making a differenceSlide27
2-3 months post-workshop:“Being creative with approaches was something I've definitely put into practice.”“I move slower, and no longer use terms like 'dear’ and ‘sweetie’.”“I'm not avoiding them anymore.”
Making a differenceSlide28
Person-Centred Care in Practice“I take more time talking to residents, and make my tasks secondary as people come first!”“I no longer talk over patients like they are not there.”
“I accept that what they feel is their reality
.”
Making a differenceSlide29
Sharing knowledge gained:“I have posted 2 of the workshop handouts in my office at work where everybody comes in to have report at shift changes.”“We are planning to add into our employee orientation some points around the client approaches and working with them, not for
them…”
Making a differenceSlide30
What is the next step for workshop evaluation?Continuing to “Create Connections” – Alzheimer Society of B.C.’s perspectiveContinuing to “Create Connections”
–
SafeCare BC’s perspective
Looking forward…Slide31
Upcoming opportunities
Date
Location
Facility
TimeSept. 24BurnabyAccent Inns Burnaby9AM – 4PMOct. 20Victoria
Comfort Inn & Suites9AM – 4PM
Nov. 4Abbotsford
Menno Place9AM – 4PM
Register online at:safecarebc.ca/education-initiatives/course-listingSlide32
Contacts
There is more to a person than a diagnosis of dementia.
Alzheimer Society of B.C.:
Jennifer Stewart
,
Manager, Advocacy & Educationjstewart@alzheimerbc.org
SafeCare BC:Jennifer Lyle, Executive Director
jlyle@safecarebc.ca Slide33
Thank-you!Questions?