Early recognition and treatment of malnutrition in primary- and homecare Points of interest concerning implementation

1. Early recognition and treatment of malnutrition in primary- and homecare Points of interest concerning implementation

2. The program of this meeting • Exchange experiences • Malnourished and afterwards? • Toolkit • Point of interest concerning implementation

3. ‘ Elevator Pitch’ • Use an attracting introduction • Should be 40 seconds maximum (=100 words) • Introduce yourself • A concrete description of the project • The content of your request • Why is this person the one you are requesting • What can participating bring him/her • Finish with a question or invite the person to start a conversation with you (by provoked curiosity) • Bring with passion, be convinced by yourself, be assertive and show courage

4. Types of persons involving the implementation of a renewal Early Majority Early Adopters Late Majority Innovators Laggards Facilitate Inform Support Convince Oblige Bron: Rogers, Diffusion of innovation

5. With which general practitioner/healthcare team to start? • Pioneer • Ambassador • Enthousiastic healthcare manager • Difficult general practitioner • Example team • ……….. Think, when not known yet, with which general practitioner(s) or healthcare teams you want to start

6. Projectplan april december january march Milestone2 Milestone 3 Name project Results project Action Action Action Action Action Action Action Action Milestone1

7. Actions projectplan • Name of the project • Formulate the goal (take wishes and possibilities in consideration) • Determine milestones • Chronological • Use past perfect • Determine actions for each milestone (see checklist) • Make a planning and distribute the tasks N.B. Make, if necessary, preconditions

8. Use of different media When media of each category are used the result is more than A+B+C Effectivity B C A Interaction posters,pencils, cups, key-cords, advertisements, commercials, t-shirts, etc. clinical education, lecture, presentation, video/DVD, article, brochure, etc. training, personal advice, coaching, etc.

9. Ersösz Vision Skills Stimulation Resources Plan of action Renewal Skills Stimulation Resources Plan of action Confusion Vision Stress Insecurity Stimulation Resources Plan of action Vision Skills Resources Plan of action Delay Vision Skills Stimulation Plan of action Frustration Vision Skills Stimulation Resources False start

10. Stadia of changes PERMANENT EXIT integrate Consolidation Relapse Active change Preview apply hear Negotiation Decision Recognition Reflection Decision Temporary exit Information understand know

12. Features of innovation • Relative benefit: better than what is currently used? • Compatibility: does it fit to current available things? • Complexity: Hard to understand/use? • Divisibility: Can there be experimented? • Visibility: Are results visible? Rogers, E. (1983). Diffusion of innovations. New York: Free Press.

13. Implementation Tips • Method by means of project • Ambitious and concrete goals • Projectgroups (composition!) • Formation projectleader • Connect to current developments (attention to elderly/ageing) • Good preparation and time scedule • Multidisciplinary approach • Agreements (LESA) • Evaluation • Customise the products of the toolkit • PR & communication

14. Points of interest for upcoming period • How to get to the next step? • Which actions are you starting? • What resources do you need yourself? • Next meeting • Assignment: First primary practices started screening and you acquired experience with treatmentplan malnutrition