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.
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