- Written by Administrator
BRChanging the traditional “institutional”, risk-averse care model to a person-centred, “quality of life” model requires time and patience. Employees, management, families and visitors have to become comfortable with a different ethos that is important to building the relationships that are central to this model of care.
- Uniforms are used to help residents and guest to identify people who can help them. A great deal of flexibility can be afforded regarding the definition of “uniform” as long as the chosen “uniform” affords the appropriate visual cues to residents and visitors.
- Staff have time to “be” with residents, to learn about them, and to understand how dementia alters their view their world.
- Learning about the residents as people not patients.
- Understanding where residents are in interpreting their world as their dementia progresses
- Bonding and forming relationships.
- Understanding that this is the “home” of the resident.
- Staff learn that in relationship with residents they not only give of themselves but receive support as well. It is family.
- The facility is not task oriented.
- E.g. Paperwork preferably is not be done in an office, but if possible should be done either while sitting and chatting with residents, or at a table or small desk in the common area
- Confidential work may be completed during the night shift
- Case conferences focus on understanding rather than managing.
- Family and friends are critical to the model of care.
- There are no visiting hours.
- Residents are free to have family join in a meal – “would you like to stay for dinner?”
- Staff sit down to meals with the residents.
- Staff are competent in expressing feelings and engaging in feeling based conversations.
- A volunteer ombudsperson(s) will be recruited to:
- Act as a “family” mediator between staff and residents and family
- To be an independent ‘third party’
- To help maintain the relationships necessary to a healthy family atmosphere
- Has the following qualities
- Calm and comfortable with people
- Problem solving acumen.