SNPG958 Advancements In Dementia Care

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Question:

Assessment Title: Implementing Person-Centered Care in The Workplace

This assignment is composed of:

(i) Share a report about using the Building Effective Engagement Techniques tool workbook with colleagues. This will allow them to identify one (1) area of dementia care and to implement improvements for people living with dementia or their family carers at work.

(iii). You and your colleagues will create one (1) learning resource from BEET Tool activities, which you and others can use to support implementation of improvements in the one (1) area of dementia care in your workplace.

What is the BEET tool?

BEET Tool consists of workbook activities that guide practitioners through the process to collaborate with colleagues to critically examine current practices and create implementation strategies to change services provided to consumers and caregivers.

It is crucial that the BEET Tool activities include structured and purposeful discussions among colleagues about what learning resources they will find useful and relevant for their efforts to implement the BEET Tool in the care area.

Structure the report using the BEET Tool workbook headings.

The content of the resource must be evidence-based. Additionally, the format of the resource should engage colleagues so that they are more likely to adopt new ways of working when it is put into practice.

To submit the Beet Tool Workbook report to turnitin electronically, you will need to convert it to PDF.

It might be necessary to take photos of the learning resource before you convert it into a pdf document and submit it electronically.

Answer:

Title: Guide to bringing people together cooperatively to find sustainable solutions

Introduction

It is a serious condition that can cause death and must be addressed.

It can be difficult to work with different health care professionals to improve care for dementia patients. This is partly due to existing policies and procedures.

To address wandering in dementia care, the main idea is to create a collaborative teamwork with all stakeholders (Warner 2006).

As wandering patients may pose a risk, the environment where they live is very important.

Caregiver’s responsibility in designing care facilities is immense. This may reduce risk or allow for patients to be free.

It is necessary to make changes in order to minimize wandering patients when providing dementia care.

Caretakers face challenges as wandering is a serious problem among dementia patients.

A multidisciplinary approach is required to help caregivers offload the care they provide.

Care strategies, prevention strategies, and the involvement of different teams are all necessary to coordinate care for wandering patient.

The topic of wandering is essential to understand in order to decrease the risk involved when caring for patients who are lost.

Literature Review

Literature is available that extensively discusses the consequences and effects of wandering in the dementia care process.

Warner (2006) demonstrates the dangers associated with wandering, which can lead to the need for intensive care.

Beattie Song and LaGore (2005, respectively) show that wandering poses a risk to patients.

McShane, Htay and Hermans (2007) refer to the environment that patients should stay in that can be improved to lower the risk.

The care given to dementia patients who wander is a key factor in determining risk levels.

While many studies have focused on the prevention and management of wandering in order to minimize wandering among dementia patients’, structural change has not been investigated as an aspect of prevention.

Snyder (2010) also pointed out that Snyder (2010) only examined the other possibilities to understand wandering dementia care.

Miskelly (2004) highlights a multidisciplinary approach for caring for wandering dementia patients.

Accordingly, the Beet Tool Workbook Report combines the puzzle and the context, evidence, context and facilitation of changing the dementia care process to wandering patients.

The Puzzle Behind the Proposal

Exercise 1 – Naming your issue, problem or idea

Care for wondering in dementia is provided by a variety of caregivers.

The care is provided by different institutions spread across the country.

Patients in wandering states are caused by the inability to coordinate care from different departments.

The multidisciplinary team should be involved in caring for wandering patients (Miskelly 2004,).

Exercise 2: Identifying and solving the puzzle question

a) How do we create an environment that will allow for proper care of wandering dementia patients?

This could also include a multidisciplinary approach for caring for patients in wandering states.

It is a positive question because it implies improvement in the treatment and care of patients with Alzheimer’s disease.

We propose to change the approach we use in caring for patients with wandering dementia.

Generator: Are you open to multiple solutions for your puzzle?

You can find many solutions to this puzzle.

Yes

Exercise 3: Identifying Your Purpose

3a. Our patients will experience the intensive care and be able to appreciate the entire process of dementia care.

The goal of change care is to provide better patient-oriented care to wandering clients.

3b. The staff will feel satisfied and see the whole process. They will work in a group environment rather than as individuals, and will give reasonable feedback.

3c. Our service will be satisfactory due to improvements in the dementia care system that increase care for wandering people.

Because we offer dementia care to patients, the heart of our work and practice is closely tied to the puzzle.

Because the puzzle is focused on the change in the process of dementia-care, it should be a focus area for practice and work.

Wandering in dementia can be a serious issue and affects many people.

It is difficult to care for patients wandering with dementia. There have been very few studies.

Brodaty &Donkin, 2017, offer a plan of care to wandering patients.

Multiple studies on dementia care have shown that patients who wander need better care and that the strategy to provide this care must be changed.

Jurgens Clissett Gladman and Harwood (2012) suggest that there should be more caregiver involvement in care for wandering dementia patients.

Fetherstonhaugh (2010) and Edvardsson (2010) all recommend the prevention of wandering among dementia patient. There are many risks involved with wandering patients.

This is a complex issue that requires careful consideration.

Multiple staff are needed to make the necessary changes and improvements.

They play a variety of roles in the dementia care process and ensure that each step is properly followed.

Here are some examples of staff.

Laboratory technologists

Nurses

Familie of patient

Health service for the community

Officials from the department for health

Clinicians

This list includes people who will participate in dementia care services.

Some of those who will directly be involved in the process are

Labor technologists

Nurses

Familie of patient

Clinical officers

To make the necessary changes in care for wandering patients, other parties will need to consult with our team. These include community health services providers, patient’s families, and hospital management.

All those involved in the department and other health care policy makers should be kept informed. We will continue to communicate with them to ensure that they are aware of all changes.

6c. Different employees or parties are expressing different opinions or experiences about the changes being proposed.

These can be either positive or negative. The following are the possible experiences of those involved.

Positively

Staffs have been previously involved in the care of wandering patients. This was done by a physician and a laboratory technologist.

It is likely that some staff will be positively involved in the current care, particularly physician and laboratory technologists.

Negatively

The care of wandering patients can also be negative for pharmacists or clinical officers.

6d. I expect that all those involved in care for wandering patients would respond positively to the changes.

Staff members have been discussing the changes since they will be affecting most of them.

6e) My impression is that parties will approach the idea with an intention to achieve completion.

My impression is that all parties must agree to participate in the changes as a condition of engagement.

If the changes are more demanding, parties will also have to consider adding resources (Michie et. al 2005).

6f)No. I only have a suggestion for a solution to the problem encountered in caring for wandering patients at most hospitals in the country.

We are open to hearing from other major stakeholders.

Our key partners will be

The key supporters of our organization are most likely to be

We enjoy a close relationship

Exercise 7: Understanding the Readiness Of The Environment

Knowing the readiness of the environment requires identification of resources that can play a role when the proposed changes are implemented.

7a) To ensure consistency with standards of practice, the proposal must be given substantial attention.

Although services are still being offered, there is limited coordination and delay among caregivers in cases where the patient is wandering.

This could take up to a few months (Palecek, et al., 2010).

7b. Health practitioners are able to adapt the changes required to their environment.

The management of the resources required to make the desired changes may also be involved.

Changes require both a multidisciplinary approach as well as a design approach.

This is a time when the dementia care team shows the potential to adapt and accept the changes that are occurring in wandering.

These changes include a multidisciplinary approach to designing a structure that is safe for wandering patients (Cerejeira Lagarto & Mukaetova Ladinska, 2012).

Exercise 8: Identifying Structural Disablers and Enablers

8a. There are already policies and strategies in place that could allow the integration of the puzzle.

Some strategies allow for these changes include teamwork policies, which allow people to come together in the event of a need.

This situation might require that different staffs are brought together into one unit.

Multidisciplinary teamwork can increase care and aid caregivers in attending to wandering patient.

Staffs will ensure that these patients who are wandering require more attention are taken care of (Mason (2008)).

8b. Yes, there are policies that may prevent the implementation of the puzzle from the current health care system. This is especially true for patients with dementia.

The patient or the person at risk must go through a series of steps to evaluate and create a care plan that can be sued.

Because the puzzle is rigid and does not allow for effective coordination of care, this will alter the process (Grol Wensing & Eccles 2004, 2004).

Facilitating Engagement

Facilitating engagement means that all identified parties who play an important part in the management of the caring wandering patient are included in the changes.

These factors can also be identified and addressed with ways to improve them.

Exercise 8: Summary of Information

8a. In order to ensure that all the parties involved in the care are engaged, the most important thing is the coordination of all care given the changes to the system.

Also, it is important to have the right management procedures in place to quickly pick up the whole process (Leatt Pink & Guerriere2000).

8b). I believe you need to understand the entire system and the parties involved in the change. You should also be able to modify the policy and procedure in the most important areas.

Changes to policies and procedures remain a risk. This is because it takes a long time and requires a rigorous process (Beattie Song & LaGore (2005)).

8c) Policies and procedures are key to achieving success.

This is due the strict process of changing all policies and procedures.

8d) For a successful engagement, I believe good will and acceptance will support both the proposal and its implementation.

It is important to show strong support for changes in the care system.

The best chance of success is to show goodwill for all those involved in caring for wandering patients with dementia.

8e) To ensure a smooth process, it is important that all colleagues are willing to accept and implement the changes. Acceptance of these changes will lead to successful wandering patient treatment.

8f) For a successful outcome, I believe procedures, strategies, policies, and policies that are part dementia care process should be fully implemented to take into account the proposed changes in care in wandering.

9a) I believe that I have the necessary skills to submit the proposal. However, I will need to consult various stakeholders in certain areas.

It is necessary to consult on ways to modify policies that relate to dementia care for wandering persons.

It is necessary to account for the changes. This will allow the proposal to be successful.

The main parties that will be consulted about the policies procedures are the healthcare management (Leatt Pink & Guerriere2000).

9b). The main element of the engagement and the parties that will use it in the proposal are coordination of teamwork.

As this will help them psychologically, I need to make sure all parties are informed and aware of the proposal.

Some people need to be identified, including pharmacists, clinicians, doctors, and the families of patients. It’s beneficial to establish a relationship before letting out the proposal.

Senitization and teamwork can be achieved through bringing people together (Atri, 2008).

9c) Preparing the environment for the process requires actions like preparation of environment and allocations of human and machine resource.

In order to prepare for the proposal, key stakeholders need to be made aware of the proposal.

It is important to prepare the environment for the proposal’s launch and to set up machinery or other resources.

All parties will be informed of the plan to incorporate them into the changes.

This includes consulting management to enable them to participate in the proposed changes (Edvardsson Fetherstonhaugh & Nay 2010).

10a. We are interested in discussing with you ways we can work together on a proposal to change the care of wandering people.

The purpose of this proposal is to improve care and reach a solution that works with many clients.

We hope that we can work together to create a solution for our clients and ourselves (Bero et. al.

10b) Caring to a wandering patient requires many different stages of involvement, especially when implementing a multidisciplinary approach (APPENDIX 2.

Many parties will be involved at different levels. This includes assessment and provision of care.

It is important for all parties to identify the level and areas that they wish to be involved in as the process evolves.

Each health professional should indicate the area in which they feel most comfortable.

For example, the pharmacist must indicate the level of involvement they have in dementia care. The healthcare management should also indicate when they can be consulted. (Prince & Jackson 2009.

10c. After engaging all parties and staffs involved in the process that requires changes, it is time to raise awareness.

As part of sharing the information, sensitisation is done to ensure that the proposal gets to the right people at the right time. It also helps to make sure they are available to help in solving the problems in the care.

It also allows the parties to express their views on the proposed changes (Horner & Salazar et.al., 2004).

Learning Resources

Caregiving for patients with dementia is difficult without wandering.

As a team, we can care for wandering dementia sufferers.

To make this change in the way that wandering patients are cared for, you need to involve colleagues at the healthcare workplace.

It is essential to involve others in the process of bringing about change.

It is better to say “we need ….”” than “I think.”. This will promote inclusion rather than personal.

It is important to have a comprehensive question or puzzle which will draw the attention of colleagues and not cause resistance.

One example is: How can we bring together multidisciplinary teams to improve the processes and procedures for caring for patients with dementia care?

A well-defined purpose is essential to give meaning to the proposals for changes.

Are you positive about the question?

Is the question conditional, or generative?

The second step is to identify those involved in the solution.

There are many practitioners involved in the process, either directly or indirectly.

This will allow for the creation of awareness and help in releasing the proposal.

“List all parties who are most likely to be involved in the process.”

Last but not least, you need to get their consent. This will stop any resistance from occurring and will allow them to feel part of the changes.

With the goal of establishing a relationship, those parties most likely to support and get on board with the process are identified.

There will be changes in the areas where colleagues can participate.

Ask them to answer the question “What do YOU think about this process?”

The resources will help caregivers face the challenges of caring for patients in wandering condition.

The institution will be able to reduce the risk associated with wandering patients. It will also help in training caregivers on how to care for dementia patients.

The leaning resource will also provide direction for scoring the risk of wandering and the level risk as per the APPEDIX 2-4.

Conclusion

In conclusion, this report outlines the various steps involved in a collaborative approach for wandering in dementia care.

To solve the problem, the report invites all employees to collaborate.

All stakeholders should be involved in the care of wandering patients to avoid resistance.

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Comparison of wandering behavior between nursing homes and assisted living facilities.

Res Theory Nurs Pract. Vol.19, No.2, pp 181-1896.

Brodaty H., Donkin M. 2017.

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Comfort Feeding only: A Proposal for Clarity in Decision-Making Concerning Difficulty With Eating for Persons With Advanced Dementia.

Journal of the American Geriatrics Society. vol.58 no.3, pp. 580-584.

An evaluation of the ethics and acceptability of non-pharmacological interventions for dementia wandering prevention and evaluation of their effectiveness in a systematic literature review.

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In search of Alzheimer’s Wanderer. A guidebook to help you protect your loved ones.

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