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Tackling Loneliness and Isolation in Care Homes in Wales
- 1. Tackling Loneliness and Social Isolation in Care Homes Tanya Strange, Associate Director of Nursing/ Person-Centred Care Tanya.strange@wales.nhs.uk Claire Jordan, Lead Nurse, Patient Engagement and Education Claire.Jordan@wales.nhs.uk RCN Foundation Care Home Summit- 23rd September 2019
- 3. A Prescription for Loneliness? 2015 - 79.5 million prescriptions in Wales. 5 million were anti-depressants – more than double previous decade. 2016 - 30% increase in anti-depressants prescribed to children in Wales. NHS Wales Shared Service Partnership 2017 2017 - 80.4 million prescriptions - 5.6 million anti-depressants 2017- Drugs for dementia up 1,473%. 11,000 in 2002, almost 179,000 in 2017.
- 4. “ A little bit of help would help everyone………” www.FfrindIMi.co.uk @FfrindIMi
- 5. Engagement Key Questions: Affects of loneliness/isolation and how people currently cope? What is already available? What else is needed/gaps? What the new service model should look like? Feedback: informed direction ‘Name the Service’ Competition Ffrind i mi/Friend of Mine Loneliness Inquiry 2017
- 6. Some Examples “What matters to me” (feedback) Need to ask the question! #CountMeIn- Ffrind i Mi Volunteers Blind date! Website www.ffrindimi.co.uk Bespoke Volunteer Training Conversational BSL Mums without Mums Friendship Clubs Memory Gardens Bi-Lingual Scrabble Clubs Job Centre/Claimants Animal Therapy- dogs, hens Meaningful activity- care homes
- 7. Residents in Care Homes “I'm bored” “I'm lonely” “I feel like nothing” “The staff are lovely but I’ve got no-one to talk to” “I'm fed up of bingo!” Intergenerational Practice
- 8. Benefits “What children are missing is experiential learning” (Professor Donaldson)
- 9. Intergenerational Practice Pre-strategy 10 care homes and 8 schools • Dementia Friends Training • Intergenerational ‘Bake Off’ • Exclusion/Lack of Social Confidence • School Visits • Digital Heroes • Pen Friends • Intergenerational Exercise • Gardening/Memory Gardens • Falls Reduction: ‘Pimp My Zimmer’- BBC World News • Anti-psychotic prescribing
- 10. • Dementia • No family/friends • Aggressive/resistive • Self harm • Sedated • Increased falls Intergenerational Practice • Digital Heroes- Pigeon Racing • 50% reduction in anti-psychotic prescribing • 100% reduction in PRN • Chicken Coup/ ‘In Charge’ • School Visits/ Tuck Shop • Diversion Therapy • “ We now FIM rather than sedate”
- 11. Developing an Intergenerational Strategy
- 12. RCN Foundation Bid Tackling Loneliness and Isolation in Care Homes At Pace! School Curriculum 100 Local Care Homes
- 13. Aims of the bid Intergenerational Strategy Meaningful intergenerational activity in care homes Twin 50 care homes with schools/uniformed cadet organisations Pen Pals (including ‘professional’) Digital Heroes +++ Wider determinants of health training- care home staff Dementia Friends- care home staff Health and Social Care Books Anti-psychotic reduction Research
- 14. Progress to Date Intergenerational Strategy and Toolkit 64 care homes twinned with 72 primary schools/uniformed cadets 11 ‘secondary’ schools Training: Teachers and children Care Home Staff Training Colleges- intergenerational exercise 150+ Digital Heroes Digital Companions Mental Health- anti-psychotics Health and Social Care Books Research
- 15. Going Forward More Twinning! Pen Pals (including professional) Strategy- sharing Coloured Walking Frame Anti-psychotic reduction Book- bereavement/palliative care nurse Intergenerational dining/allotments Research Singing for Lung Health
- 17. Your challenge today if you choose to accept……………….
- 18. Thank you Tanya Strange Tanya.strange@wales.nhs.uk @StrangeTanya Claire Jordan Claire.Jordan@wales.nhs.uk @justanicklepixie
Editor's Notes
- Need to add here about older people in care homes/sheltered accomodation- loneliness and social isolation
- The evidence shows that: Older people need a sense of purpose and feeling that they belong is important Older adults who participate in social and leisure activities are more likely to say they feel well Good social relationships are associated with positive health effects for individuals Staying physically active protects health and good physical health makes an important contribution to overall well being Being lonely or socially isolated has been associated with health problems and early death. Isolation causes depression and makes older people more vulnerable to abuse Intergenerational practice bridges the gap between generations and has positive impacts on well being for all who participate
- Held an intergenerational conference 52 partners
- 10 homes twinned- challenge was to get to 50 Link work with school curriculum and Welsh Bacc
- Produce an intergenerational strategy that can be adopted across wales Objectives: To build upon and increase intergenerational activity across nursing and residential homes to support mental (and physical) well-being To increase meaningful activities for older people living in care homes To reduce use of sedative medication for older people To educate nurses in regards to the wider determinants of health To produce a multi-organisational intergenerational strategy that leads to wellbeing outcomes for older people, children and care givers To increase confidence and self-worth in the younger population To educate children in regards to the caring profession and compassionate citizenship with the objective to encourage more children to choose a career in nursing/caring To produce a child friendly career book for children
- Published and shared intergenerational strategy and toolkit Mention training in progress Intergenerational dining- food poverty/allotments
- Children- more asking to get involved Expressing a wish to persue a career in health and social care Older people- increased meaningful activity Better access to the community Sharing their skills with children e.g. cooking, gardening