What is Triple T?

1. What is Triple T? Jo Spence Manager, Community Engagement & Volunteers Kathy Kirby Aged Care Clinical Nurse Consultant

2. Overview Education on a community health issue ‘What About Me....' How to implement a program using partnerships outside of your sector to address the community health issue Group work Extend your thinking to 5 years time Footer Text *

3. About Western Health • 7 campuses • Fastest growing population in Australia servicing 777,000 people • Ageing Population • High incidence of chronic disease • 70% of admitted patients on any given day aged ≥ 65 years Footer Text *

4. A typical day at Western Health 933 patients cared for overnight 57 surgical operations performed 15 babies are born 3,006 meals are served Over 100 volunteers provide a range of support across the organisation On average over 100 hours of time is given to the organisation by our volunteer team Footer Text *

5. Victoria’s Ageing Population Population growth based on age structure in Victoria: 1976 vs. 2006 vs. 2036 Source: Victorian Department of Planning and Community Development Footer Text *

6. What is Dementia • Dementia : a collection of symptoms that are caused by disorders affecting the brain. It is not one specific disease.  • Dementia affects thinking, behaviour and the ability to perform everyday tasks.  • Brain function is affected enough to interfere with the person’s normal social or working life. Footer Text *

7. The Early Signs of Dementia The early signs of dementia are very subtle and vague and may not be immediately obvious. Some common symptoms may include: Progressive and frequent memory loss Confusion Personality change Apathy and withdrawal Loss of ability to perform everyday tasks. Dementia is a terminal illness – there is no cure Footer Text *

8. Dementia: The Statistics Footer Text *

9. The Future: 2050: 2.8% of the population or 981,000 people will have dementia 2010: 1.2% of the population or 257,000 people had dementia Footer Text *

10. What is Delirium? “Few ill health situations are more degrading to people of any age than loss of reasoning, faculties, and personhood. These are the unpleasant consequences of delirium…” Delirium in older people. Young J & Inouye S. BMJ 2007;334:842-6 Footer Text *

12. Predisposing factors Advanced age Pre-existing cognitive impairment – dementia Sensory impairment - hearing, vision loss Pre-existing medical conditions and/or medications Malnutrition / Dehydration Footer Text *

13. Outcomes of delirium Delirium has serious consequences and results in: • Increased: • Length of stay • Risk of hospital acquired complications • Risk of new admission to residential care • Increased mortality

14. Person Centered Practice Person-centred practice is treatment and care that places the person at the centre of their own care and considers the needs of the older person's carers. It is also known as: person-centred care patient-centred care client-centred care. Person-centred practice is treating patients as they want to be treated. Footer Text *

15. “What About Me?” In pairs or groups of 3, take ten minutes to talk to each other and complete the About Me Tool Footer Text *

16. The Project Proposal Utilise volunteer resources to address the issue in an innovative way Access potential funding opportunities Match a training opportunity to volunteer training gaps Use existing tools to ensure a person centred outcome Match the skills and interests within the current volunteer team to the needs of the health service Embed a culture of volunteering within the ward based environment Develop evidence gathering tools to test outcomes Footer Text *

17. Who Were Our Partners Volunteers: Utilise members of the current volunteer team Target those volunteers who spoke another language, had identified an interest in dementia and were pro active in providing feedback Clinical Experts/Educators: Western Health Cognition Advisory Committee Best Care of Older People team (BCOP) Western Health Neuropsychology Department External Organisations: The Victoria & Tasmania Dementia Training Study Centre Ward Staff: Nursing, Medical and Allied Health Staff Footer Text *

18. The Planning Process Looked for like minded departments Identified a Need Searched for resources/ funding Expanded across the organisation Engaged with potentialpartners Locked in the funding and decided how to use it Reviewed the program Developed the education sessions targeting volunteers & clinical staff Promoted the program within the organisation – Executive /volunteer teams/ ward unit teams Footer Text *

19. The TTT Program $10,000 prize money Ward staff place a TTT magnet on the board Patient is identified by the ward staff Winner- 2013 Hesta Australian Nursing Award- Team Innovation Volunteer checks the board for referral magnets Recognition internally and externally leading to trust, support and opportunities within the organisation to implement other programs in the future. Nomination for internal and external awards Finalist- Minister for Health Victorian Volunteer Awards Assess for Success!! Improved patient satisfaction Clinical and volunteer staff utilise the information Patient is reviewed by the TTT volunteer Nominated- 2013 Western Health Excellence Awards About Me form is placed in the bedside chart Footer Text *

20. SWOT analysis of the model Footer Text *

21. What Have We Done So Far? Identified the issue Engaged with partners within our sector and outside our sector Looked at what current issues are within our organisation Analysed the risks • Some practical tips • Promote yourself! Ensure your profile is as high as it can be internally and externally • Be involved in as many steering/advisory groups as you can manage • Have a very good understanding of your organisational priorities Footer Text *

22. Think Outside The Square Be flexible in your approach, look for what is current “ in the news” “ on the web” or being “blogged about” National Health Priorities Census Data Local Council Strategic Plan Government Priorities across all community based areas Access Plan Footer Text *

23. Be Like A Scout– Be Prepared Benchmark against other services or organisations Research Literature searches Evidence based data Be educated on your focus What is going to be an identified need/gap in your service in 5 years time? Footer Text *

24. Prepare for the future – What will our community need from us? Footer Text *

25. Whiteboard Activity- Future Planning Lets discuss the following topics: What will our community need from us in the next 5 years? What projects or volunteering activities could be linked to these things? What funding bodies can we align with and how can we work together to address the needs? Who else can we involve in the process? Footer Text *

26. A Collaborative Approach Footer Text *

27. Dementia Therapy Garden Footer Text *

28. Dementia Unit Artwork Footer Text *

29. Western Health Volunteer Team Members attending training Footer Text *

30. Our volunteer pathway for TTT Footer Text *

31. Easy to follow instructions Footer Text *

32. Targetted skilled volunteers Footer Text *

33. Volunteers feel part of the team Footer Text *

34. Any Questions? Footer Text *