Download to read offline
Uploaded bypidc
On Aligning Dementia Care Practices with Relational Theory: Examples from the Partnerships in Dementia Care (PiDC) Alliance.
On Aligning Dementia Care Practices with Relational Theory: Examples from the Partnerships in Dementia Care (PiDC) Alliance. Dr. Sherry L. Dupuis, Dr. Carrie McAiney, Susan Brown, Dr. Jennifer Carson, Dr. Lorna de Witt, Dr. Darla Fortune, Sian Lockwood, Kimberly Lopez, Janet McKeown, Dr. Jenny Ploeg, Kristie Wiedenfeld. The poster shares learnings from our 4 year iterative culture change (CC) process, during which CC coalitions formed in 6 diverse long-term care (LTC) and community settings and actively integrated the voices of individuals with dementia, residents in LTC, family care partners, volunteers, and staff at all levels in decision-making
On Aligning Dementia Care Practices with Relational Theory: Examples from the Partnerships in Dementia Care (PiDC) Alliance.
- 1. Aligning Culture ChangeValues With Relational Theory Aligning Dementia Care Practices with Relational Theory: Examples from the Partnership in Dementia Care (PiDC) Alliance Sherry L. Dupuis1, Carrie McAiney2, Susan Brown3, Jennifer Carson4, Lorna de Witt5, Darla Fortune6, Sian Lockwood6, Kimberly J. Lopez4, Janet McKeown6, Jenny Ploeg7, & Kristie Wiedenfeld8 Background The Partnerships in Dementia Care (PiDC) Alliance is a culture change (CC) initiative based in Canada. Guided by the philosophical underpinnings of the Alzheimer Disease and Related Dementias Framework, authentic partnerships, participatory action research, and Appreciative Inquiry, the PiDC Alliance is facilitating a CC process focused on aligning care practices with relational theory. Working within five diverse long-term care (LTC) homes (Bloomington Cove, The Royal Oak, The Village of Wentworth Heights, The Willowgrove, Yee Hong Centre for Geriatric Care) and one community dementia care setting (Huron County), the ultimate goal is to enhance the dementia care experience for all within LTC homes and community care. Our CC processes at each research site are informed by persons with dementia, family members, staff at all levels, and community partners. This poster shares learnings from our CC process. 1Recreation and Leisure Studies, University of Waterloo, Waterloo, 2Dept of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, 3Schlegel-University of Waterloo Research Institute for Aging, 4Aging, Health and Well-Being Collaborative PhD Program, University of Waterloo, Waterloo, 5Faculty of Nursing, University of Windsor, Windsor, 6Partnerships in Dementia Care Alliance, University of Waterloo, Waterloo, 7School of Nursing, McMaster University, 8Wentworth Heights, Schlegel Villages, Hamilton, Canada Our Process Guiding Principles Culture Change Process Culture Change Outcomes To guide our process we… • Make decisions together • Create a livable space where all can thrive • Value and integrate our collective abilities & gifts • Respect the welfare of others • Are accountable • Focus on the process In partnership, we strive to… • Enhance the care experience for persons with dementia, family members, & staff • Appreciate & build on our strengths to build capacity Establish & maintain open communication Dawn DreamDeliver Design Discover We appreciate & work to… Discovering… Dawning… Dreaming… Designing… Delivering… …what could be …the best of what is …relationships and capacity …an ideal future …our shared destiny “ Members work together to establish a Culture Change Coalition that is inclusive of all key stakeholders and where they begin to develop trusting relationships. Together, skills and knowledge are developed to prepare for the appreciative culture change process. Members work to gather stories about what gives life to a community when it is at its best, and discover what the information is telling them about an ideal future. Based on what they discover, members work to imagine an ideal future for their group or organization. Dreams should not be obstructed by concerns over finances, bureaucracy or current policy. Members work together to identify specific strategies and actions – a clear action plan – that describe how dreams will be realized. Members work together to put the plan into action to make the dream a reality! … I learned, yes, there is actually another way to look at things… Focusing on the positive aspects really does help the team. - Yee Hong CCC member “From years ago I see a change – the staff know the residents. The staff follow the residents’ day (instead of staff dictating how the residents’ day should be) and adapt to this. - Village of Wentworth Heights ” Design plans answer the following questions: • What is the goal? • When will the goal be accomplished? • What steps need to be taken to accomplish the goal? • Who needs to be involved? • What supports will be needed? Flexibility Choice and self-determination Dignity and respect Nurturing body, mind, and spirit Knowing and focusing on the person Living life Enabling normalizing environments Close interdependent relationships Collaborative decision-making Care Experiences are at their BEST when there is: Nurturing, reciprocal and caring relationships and partnerships Appreciation and recognition Flexible, consistent, and person-centred care Meaningful inclusive and engaging experiences Safe and accessible environments Humour, laughter, and fun Education, knowledge, and support Mutuality and relational responsibility Mutual empathy Authenticity Sharing power Mutual accommodation Relational competence Learning through disconnection and connection Relational ethics ADRD Planning Framework • An informed society • Enabling & supportive environments • Personal, social & system connectedness People involved in dementia care are actively and meaningfully engaged in their care experiences and in the life of their communities - Huron County Example Aspiration Statement ”