Change Project - DCU

1. Change Project - DCU Catherine Keogh Occupational Therapy Manager Bloomfield Care Centre

2. The Problem and Proposed change • The problem • Occupational Deprivation in people with dementia in residential care setting. • The problem is that physical risk is prioritised over psychological risk and the issue of boredom may not be addressed once someone is ‘safe’. • The change: • Improve the awareness by staff of the concept of ‘mental bedsores’ and how they can do much to improve the risk of this occurring. This will occur within a larger aim/organisational aim of improving the culture, environment and staff knowledge to support best practice dementia care.

3. The Plan! • Choose one mental health approved centre wards to work with. • Meet with the CNM on the ward to explain and gain support for the change project. • Choose 2 residents who have dementia and who are at risk/or are experiencing occupational deprivation. • Establish a baseline of what a typical day is currently like for those residents • Collate information with staff that will help to engage the person in occupation

4. The Plan – continued! • Meet with CNM’s to discuss ‘findings’ i.e. the occupations and changes in the environment that will assist the person with dementia to engage. • Create a ‘Resident Appreciation Day’ for both of the residents. • Discuss with the team afterwards any observations, what worked about the day and celebrate the teams’ achievement in putting the spotlight on abilities.

5. Four Stages of ‘mental bedsores’ Stage One

6. Four Stages of ‘mental bedsores’ Stage Two

7. Four Stages of ‘mental bedsores’ Stage Three

8. Four Stages of ‘mental bedsores’ Stage Four

9. Progress • Buy-in secured at Senior Management level • Questionnaire Developed • PAL completed on two residents – strengths focussed and included in care plan • Life history review commenced by family members on both residents • ‘mental bedsores’ document developed