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Thursday, 5 October 2017

Enhanced Dementia Care

What makes care an unbearable place to live for people with dementia, sensory deprivation and complex health condition to live?

One where people in care are not welcome because:

·         Their environment, corridors, walkways and rooms are unsafe, cluttered, badly lit, noisy and smelly, and are difficult to manoeuvre, confusing, unfamiliar and disorienting

·         Their bed, chairs and clothes are often wet soiled and uncomfortable

·         Management and staff attitudes are restrictive, insensitive and do not wish to answer their constant cries for help, or have time to know and understand people’s likes and dislikes, or their individual needs for comfort, independence and choices

·         Little attention is given to the big concerns that relate to people’s poor health and quick progression into demise, of insufficient fluids, poor nutritional food consumption, pain management, stimulation and companionship

·         Importantly time and opportunities for involvement relaxation and happiness are not given to people when they might be scared, sad, and showing all the signs that trigger their depression and uncontrollable behaviour frustrations and anger.

The Foundation recognises that dementia training in the UK falls short of improving the Holistic Kindness in Care for people. That there are no true mechanisms for measuring dementia care performances and improved outcomes for those people that have varying degrees of dementia, sensory deprivation, and those with challenging behavioural problems.

The broad ranges and practices of care needed to deliver on complex health conditions of undiagnosed, diagnoses and advance dementia and Alzheimer’s are wholly reliant on staff being able to create a safe, sensory, familiar, relaxing, comfortable and accessible environment that is focused on people’s own individual needs.

However, management and staff have difficulty in dismantling the “us” and “them” relationships barriers and to understand the cognitive stimulation, exercise, and therapeutic activity tools that are necessary to break through the individual barrier which people with dementia surround themselves; which makes it harder to get to know them personally and who will withdraw quickly within themselves if they personally feel threatened, scared and fearful.

The Foundation seek for all care givers to be able to see all people in care as a whole individual; have an understanding of their background and culture; their family relationships; their likes and dislikes, and for all care givers to encourage and support independence and choice rather than rigid conformity which leads to isolation and fear. 

It looks to develop and support management and staff awareness of the need for improved and functional skills in critical and timely observations and reporting of any changes in well-being of people with dementia, and of the huge part that staff attitudes, approaches and actions have on their well-being and self-worth and days in care.

It shapes high standards of greater team opportunities for working together around each individual person’s day and structure in care.

It harnesses staff knowledge of people’s character, limitations, choices, and hobbies, to empathy, understanding, responsive and creative skills attitudes and approaches, to minimise people’s complex health problems and any heightened level of emotional and behaviour distress, and to ensure people have a better life in all aspects of their Holistic Kindness in Care.

Management and Staff are encouraged to share and build on best practices and gaining a total commitment to involve everyone in the relationship of holistic care. To bring outside services, therapies and partnerships to aid people’s continued contact with their families, friends, lifestyles, hobbies and their local communities, for everyone to join in, management, staff, residents and family, to share the responsibility to create together a great place for living.

Good care is where management and Staff understood and listen to what people with dementia are trying to say to them.

Which in Foundation’s terms of value and consistency, shows staff appreciate that positive engagement is integral to all team holistic care work but will only be beneficial if it is structured to the levels of the individual resident’s needs and wishes, and across all duties and contact during the day.

Good care is where staff teams exhibit an inclusive of activities for all people in care, not just some, and there is a clear determination to ensure care creatively nurtures a healing environment, and an advanced enhanced and healthier culture, for people to relax, feel safe and comfortable, that minimise people’s fears anger anxieties and frustration.

Good care is where management and staff are fully informed about all aspects of dementia. People regardless of the stages of their illness and complex health conditions, are known as an individual and cherished by experienced skilled and trained nursing care, who are focused on people’s needs for consistent support, recognition and familiarity, continuity and reassurance.

The Foundation seeks to establish that everyone will have a more enjoyable and relaxing day, including staff and that Holistic Kindness in Care improves people’s well-being, self-worth and lifestyles and shapes a life in the care that people wish.


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