This document discusses person-centered approaches to dementia care. It begins by outlining the guiding values of person-centered care: valuing people, autonomy, life experience, understanding relationships, and environments. It then discusses what a person-centered approach is and how its values can be used to support active aging. Specifically, it provides examples of how each value - valuing people, autonomy, life experience, understanding relationships, and environments - can be applied to optimize opportunities for health, participation, and security as people age. The presentation concludes by thanking the audience and expressing the value of relationships between organizations.
Person centered care models with reference to dementia care, has demonstrated positive outcomes for behavioral disturbance. This presentation will increase awareness and understanding about person-centered care for people with dementia. Discussion includes complex needs of people with dementia, leading to compromised behavioral symptoms; including non-pharmacological approaches, sleep-wake-cycle disturbance, verbal outbursts and aggression. Further discussion encompasses evidence based outcomes with the use of person centered care that focuses on preserving the "personhood" of the individual.
Presentation made by Lynne Seward, CEO, A Grace Place Adult Care Center and Jay White, MS, Virginia Commonwealth University, Department of Gerontology, October 31, 2012. Review recording of webinar at www.alzpossible.org
Geron 2014: Caregiver Issues and Challenges by Swapna Kishore (Kolkata, India)Swapna Kishore
Caregivers: Issues and Challenges Faced--- A caregiver perspective presented on Sept 6, 2014, as part of the theme symposium at GERON 2014, the 10th Annual National Conference of the Indian Association for Geriatric Mental Health, held at Kolkata, India.
If you are concerned about dementia home care, also see the pages at: http://dementiacarenotes.in/caregivers/
Person centered care models with reference to dementia care, has demonstrated positive outcomes for behavioral disturbance. This presentation will increase awareness and understanding about person-centered care for people with dementia. Discussion includes complex needs of people with dementia, leading to compromised behavioral symptoms; including non-pharmacological approaches, sleep-wake-cycle disturbance, verbal outbursts and aggression. Further discussion encompasses evidence based outcomes with the use of person centered care that focuses on preserving the "personhood" of the individual.
Presentation made by Lynne Seward, CEO, A Grace Place Adult Care Center and Jay White, MS, Virginia Commonwealth University, Department of Gerontology, October 31, 2012. Review recording of webinar at www.alzpossible.org
Geron 2014: Caregiver Issues and Challenges by Swapna Kishore (Kolkata, India)Swapna Kishore
Caregivers: Issues and Challenges Faced--- A caregiver perspective presented on Sept 6, 2014, as part of the theme symposium at GERON 2014, the 10th Annual National Conference of the Indian Association for Geriatric Mental Health, held at Kolkata, India.
If you are concerned about dementia home care, also see the pages at: http://dementiacarenotes.in/caregivers/
Geriatric Counseling Or Gerontological CounsellingBabu Appat
Old age is an age of problems. The deteriorating physical health will give rise to a lot of mental problems too. Loss of independence, slackening freedom of movements, a feeling of alienation from the society, loss of beloveds and companions of life, fear of being incapacitated or death may prevail during this time. These problems will produce a lot of changes in the way an individual things. Senile cognitive degradation is another problems. If the person is having other mental illnesses like depression, BPD, manias or phobias, senile dementia, Alzheimer's disease, or sense of being singled out the condition can be worse. Any effort to properly understand an old person's mental and physical conditions and helping him to cope up with these changing conditions is what a counselor can do.
The person-centred approach views the client as their own best authority on their own experience, and it views the client as being fully capable of fulfilling their own potential for growth.
Topic: Elements and Goals of Counselling
Student Name: Naveed
Class: M.Ed
Project Name: “Young Teachers' Professional Development (TPD)"
"Project Founder: Prof. Dr. Amjad Ali Arain
Faculty of Education, University of Sindh, Pakistan
a presentation containing brief information of governmental policy in India for elderly and is reliable for first year, second year and third year students of bachelors of social work.
Professional identity for social workers - what is it and how can it be stren...Sophie40
Session that explores current research projects around professional identity and a project currently underway for the Scottish Social Services Council on newly qualified social workers. How do we develop and strengthen the identity of social workers in Scotland? This exploration, important in the light of health and social care integration, would benefit from the contributions of a wide range of participants as well as benefitting social work students, practitioners and managers. Contributed by: Glasgow Caledonian University
1) The Death System and Cultural Contexts
2) Defining Death and Life/Death Issues
3) A Developmental Perspective on Death
4) Facing One's Own Death
5) Coping with the Death of Someone Else
This is a presentation that I give to medical professionals educating them on the role and potential use of social work in the hospital setting. I presented this on May 22, 2009 to the Trauma Education & Research Committee.
Definition of mental health
Concept of normalcy, normal mind characteristics of abnormality
Overview of mental health globally
Prevalence of mental health in developing countries
Prevailing misconception about occurrence and treatment of mental illness
Description of measurable indicators of positive well being, good psychological adjustment
Personality development including behavioral, psychodynamic, cognitive, moral and other schools of personality.
Geriatric Counseling Or Gerontological CounsellingBabu Appat
Old age is an age of problems. The deteriorating physical health will give rise to a lot of mental problems too. Loss of independence, slackening freedom of movements, a feeling of alienation from the society, loss of beloveds and companions of life, fear of being incapacitated or death may prevail during this time. These problems will produce a lot of changes in the way an individual things. Senile cognitive degradation is another problems. If the person is having other mental illnesses like depression, BPD, manias or phobias, senile dementia, Alzheimer's disease, or sense of being singled out the condition can be worse. Any effort to properly understand an old person's mental and physical conditions and helping him to cope up with these changing conditions is what a counselor can do.
The person-centred approach views the client as their own best authority on their own experience, and it views the client as being fully capable of fulfilling their own potential for growth.
Topic: Elements and Goals of Counselling
Student Name: Naveed
Class: M.Ed
Project Name: “Young Teachers' Professional Development (TPD)"
"Project Founder: Prof. Dr. Amjad Ali Arain
Faculty of Education, University of Sindh, Pakistan
a presentation containing brief information of governmental policy in India for elderly and is reliable for first year, second year and third year students of bachelors of social work.
Professional identity for social workers - what is it and how can it be stren...Sophie40
Session that explores current research projects around professional identity and a project currently underway for the Scottish Social Services Council on newly qualified social workers. How do we develop and strengthen the identity of social workers in Scotland? This exploration, important in the light of health and social care integration, would benefit from the contributions of a wide range of participants as well as benefitting social work students, practitioners and managers. Contributed by: Glasgow Caledonian University
1) The Death System and Cultural Contexts
2) Defining Death and Life/Death Issues
3) A Developmental Perspective on Death
4) Facing One's Own Death
5) Coping with the Death of Someone Else
This is a presentation that I give to medical professionals educating them on the role and potential use of social work in the hospital setting. I presented this on May 22, 2009 to the Trauma Education & Research Committee.
Definition of mental health
Concept of normalcy, normal mind characteristics of abnormality
Overview of mental health globally
Prevalence of mental health in developing countries
Prevailing misconception about occurrence and treatment of mental illness
Description of measurable indicators of positive well being, good psychological adjustment
Personality development including behavioral, psychodynamic, cognitive, moral and other schools of personality.
The dementia friendly primary care ‘iSPACE’ project was introduced into GP practices across Wessex as an innovative, cost-effective solution to enhance services in primary care
for people with dementia.
During the past three years (2014-17), the project team publicised this project throughout the Wessex region, and at the time of writing this report, 50% have completed the steps to become dementia friendly:
- Over 150 surgeries are dementia friendly
- Nearly 3,000 (2,969) surgery staff have received dementia training at the tier one (awareness level)
stage, and a further 244 people have received talks about dementia and the project
- This means the project is impacting over 15,000 people living with dementia across surgeries, which are collectively caring for over 1.4 million people
- Dorset, NE Hants and West Hants CCG are aiming at 100% dementia friendly surgery status – currently they stand at 56%, 70% and 46% respectively
Broadly speaking, the iSPACE work has led to:
• Fewer A&E admissions for patients with dementia
• More patients with personalised care plans
• Fewer appointments needed with GPs, which has freed-up appointments for other patients
This report summarises the project, what it found, how iSPACE improves lives for patients and their carer.s
Opportunities to transform care
George McNamara and Dr Ann Johnson, Alzheimer's Society
Prof Maxine Power, Dementia United
Day One, Pop-up University 3, 11.00
The Appointment - a film to support working towards dementia friendly dental ...UKFacultyPublicHealth
The Appointment: a film to support working towards dementia friendly dental practices - presentation at the Faculty of Public Health annual conference 2016
Kane Partners offers customized company training and presentations on LinkedIn, from the "How To", Building Business, Advanced Settings, Etiquette to purely Informational. Here are a few select slides from a recent presentation with the Philadelphia Business Journal in June 2010. For more detail or for your own presentation please give us a call!
How People Really Hold and Touch (their Phones)Steven Hoober
For the newest version of this presentation, always go to: 4ourth.com/tppt
For the latest video version, see: 4ourth.com/tvid
Presented at ConveyUX in Seattle, 7 Feb 2014
For the newest version of this presentation, always go to: 4ourth.com/tppt
For the latest video version, see: 4ourth.com/tvid
We are finally starting to think about how touchscreen devices really work, and design proper sized targets, think about touch as different from mouse selection, and to create common gesture libraries.
But despite this we still forget the user. Fingers and thumbs take up space, and cover the screen. Corners of screens have different accuracy than the center. It's time to re-evaluate what we think we know.
Steven reviews his ongoing research into how people actually interact with mobile devices, presents some new ideas on how we can design to avoid errors and take advantage of this new knowledge, and leaves you with 10 (relatively) simple steps to improve your touchscreen designs tomorrow.
What 33 Successful Entrepreneurs Learned From FailureReferralCandy
Entrepreneurs encounter failure often. Successful entrepreneurs overcome failure and emerge wiser. We've taken 33 lessons about failure from Brian Honigman's article "33 Entrepreneurs Share Their Biggest Lessons Learned from Failure", illustrated them with statistics and a little story about entrepreneurship... in space!
You are dumb at the internet. You don't know what will go viral. We don't either. But we are slighter less dumber. So here's a bunch of stuff we learned that will help you be less dumb too.
LASA Queensland Community Care Conference 'Supporting staff to embrace wellne...Louise Forster
Louise Forster, Manager Innovation and Business Development, CommunityWest
Louise Forster is Manager Innovation and Business Development at CommunityWest Inc. based in Western Australia.
Louise has a grass roots background in community services, growing up in a respite care family for children with disabilities in the UK. She studied Anthropology at the University of London and is near completion of an MBA from the University of Western Australia.
Louise has worked in disability, community services and aged care, in London, Sydney and Perth. For the last ten years Louise has worked in aged care in Perth, focussing on training, workforce development, technology, innovation and governance. She has experience on three not-for-profit boards and is a regular contributor to discussion in the sector (speaking at events, publishing work and an active voice on social media). In her work at CommunityWest, Louise has been central to embedding wellness and reablement in community aged care, as well as more recent involvement in Consumer Directed Care, co-production and co-designing services with consumers.
"putting patients at the heart": the workforce implicationsJeremy Taylor
Slides I presented at the NHS Employers autumn workforce summit on 13 October 2015. They set out National Voices' perspective on what good person centred, community-focussed care looks like, and the implications for the healthcare workforce of making it real.
Jeremy Taylor presentation to FT governorsJeremy Taylor
Presentation to Foundation Trust governors in April 2015 explaining National Voices' take on person centred and community focussed care and inviting governors to reflect on their role in making it happen
My presentation at the kick off event for the 29 vanguards who will be testing new models of care as part of the NHS Five Year Forward View. This highlights key issues for vanguards in making a reality of the commitment to a "new relationship with patients and communities", and explains the role of the People & Communities Board which I chair.
This workshop brought together, for the first time, the pioneers and the partner organisations of the Integrated Care and Support programme. It focused on building a learning community that will help develop, share and spread knowledge and solutions at scale and pace across the country.
More information: http://www.nhsiq.nhs.uk/news-events/events/integrated-care-and-support-pioneers-inaugural-workshop.aspx
More about the integrated care and support pioneers programme: http://www.nhsiq.nhs.uk/7862.aspx
Transforming the relationship with patients and communities (are we getting t...Jeremy Taylor
Slides to accompany a presentation at Member Engagement Services Challenge 2020 event on 6 July 2016. Is engagement getting better? An overview of policy, practice and lived experience, and what needs to happen next
Transforming Care: Share and Learn Webinar – 30 November 2017NHS England
Topic One: “What does good look like: Person-centred support to promoting positive outcomes for people with learning disability and autism”.
Guest speaker: Professor Julie Beadle-Brown, Professor in Intellectual and Developmental Disabilities at the Tizard Centre, University of Kent
This presentation introduces an evidence based practice framework for promoting positive outcomes for people with a learning disability, autism or both, including those who may display behaviours described as challenging. It considers what is needed for successful implementation, with a particular focus on practice leadership and introduce a tool for assessing and monitoring implementation. Participants can download the “What does good look like” guide and tool from https://www.unitedresponse.org.uk/what-does-good-look-like
Topic Two: High Impact Actions for service improvement and delivery by Transforming Care Partnerships.
Guest speaker: Emma Stark, Improvement Manager, Sustainable Improvement Team, NHS England
This presentation gives an in-depth reminder of the High Impact Actions for service improvement and delivery by Transforming Care Partnerships (TCP). Published a year ago this month, the High Impact Actions aim to help TCPs make the biggest strides forward in supporting people of all ages with a learning disability, autism or both to have a home within their community, be able to develop and maintain relationships and get the support they need to live health, safe and rewarding lives, thereby reducing the number of people in inpatient settings.
Learning Disabilities: Share and Learn Webinar Thursday 27 October 2016Paul Goulding
Topic one: What helps makes a successful Care and Treatment Review?
Guest speakers:
Anne Webster, Clinical Lead, Learning Disability Programme, NHS England
Gavin Harding, MBE, Learning Disability Advisor, Learning Disability Programme, NHS England
Maggie Graham, Learning Disability Programme, NHS England
The presentation focused on everyone’s role in a Care and Treatment Review and explored the vital role of the chair of the panel, the expert advisers and also people who attend a panel, for example the role of an advocate at a CTR.
The presentation was also provided an update on the policy refresh, what is happening and when, and a discussion about the role of the learning disability advisers in the programme.
Topic Two: Guidance for TCPs in relation to Children and Young People
Guest Speaker: Phil Brayshaw, NHS England
The presentation considered how Transforming Care Partnerships can plan and deliver local support and services for children, young people and their families. This is ahead of the publication of “Developing support and services for children and young people with learning disabilities and/or autism” later this year (November).
The presentation also considered each of the 9 principles of the Service Model: Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: Service model for commissioners of health and social care services, how they relate specifically to children and young people and what this will mean in terms of local commissioning intentions going forwards.
Learning Disabilities: Share and Learn Webinar Thursday 27 October 2016NHS England
Topic one: What helps makes a successful Care and Treatment Review?
Guest speakers:
Anne Webster, Clinical Lead, Learning Disability Programme, NHS England
Gavin Harding, MBE, Learning Disability Advisor, Learning Disability Programme, NHS England
Maggie Graham, Learning Disability Programme, NHS England
The presentation focused on everyone’s role in a Care and Treatment Review and explored the vital role of the chair of the panel, the expert advisers and also people who attend a panel, for example the role of an advocate at a CTR.
The presentation was also provided an update on the policy refresh, what is happening and when, and a discussion about the role of the learning disability advisers in the programme.
Topic Two: Guidance for TCPs in relation to Children and Young People
Guest Speaker: Phil Brayshaw, NHS England
The presentation considered how Transforming Care Partnerships can plan and deliver local support and services for children, young people and their families. This is ahead of the publication of “Developing support and services for children and young people with learning disabilities and/or autism” later this year (November).
The presentation also considered each of the 9 principles of the Service Model: Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: Service model for commissioners of health and social care services, how they relate specifically to children and young people and what this will mean in terms of local commissioning intentions going forwards.
Digital Transformation and IT Strategy Toolkit and TemplatesAurelien Domont, MBA
This Digital Transformation and IT Strategy Toolkit was created by ex-McKinsey, Deloitte and BCG Management Consultants, after more than 5,000 hours of work. It is considered the world's best & most comprehensive Digital Transformation and IT Strategy Toolkit. It includes all the Frameworks, Best Practices & Templates required to successfully undertake the Digital Transformation of your organization and define a robust IT Strategy.
Editable Toolkit to help you reuse our content: 700 Powerpoint slides | 35 Excel sheets | 84 minutes of Video training
This PowerPoint presentation is only a small preview of our Toolkits. For more details, visit www.domontconsulting.com
FIA officials brutally tortured innocent and snatched 200 Bitcoins of worth 4...jamalseoexpert1978
Farman Ayaz Khattak and Ehtesham Matloob are government officials in CTW Counter terrorism wing Islamabad, in Federal Investigation Agency FIA Headquarters. CTW and FIA kidnapped crypto currency owner from Islamabad and snatched 200 Bitcoins those worth of 4 billion rupees in Pakistan currency. There is not Cryptocurrency Regulations in Pakistan & CTW is official dacoit and stealing digital assets from the innocent crypto holders and making fake cases of terrorism to keep them silent.
In the Adani-Hindenburg case, what is SEBI investigating.pptxAdani case
Adani SEBI investigation revealed that the latter had sought information from five foreign jurisdictions concerning the holdings of the firm’s foreign portfolio investors (FPIs) in relation to the alleged violations of the MPS Regulations. Nevertheless, the economic interest of the twelve FPIs based in tax haven jurisdictions still needs to be determined. The Adani Group firms classed these FPIs as public shareholders. According to Hindenburg, FPIs were used to get around regulatory standards.
LA HUG - Video Testimonials with Chynna Morgan - June 2024Lital Barkan
Have you ever heard that user-generated content or video testimonials can take your brand to the next level? We will explore how you can effectively use video testimonials to leverage and boost your sales, content strategy, and increase your CRM data.🤯
We will dig deeper into:
1. How to capture video testimonials that convert from your audience 🎥
2. How to leverage your testimonials to boost your sales 💲
3. How you can capture more CRM data to understand your audience better through video testimonials. 📊
B2B payments are rapidly changing. Find out the 5 key questions you need to be asking yourself to be sure you are mastering B2B payments today. Learn more at www.BlueSnap.com.
The 10 Most Influential Leaders Guiding Corporate Evolution, 2024.pdfthesiliconleaders
In the recent edition, The 10 Most Influential Leaders Guiding Corporate Evolution, 2024, The Silicon Leaders magazine gladly features Dejan Štancer, President of the Global Chamber of Business Leaders (GCBL), along with other leaders.
Discover the innovative and creative projects that highlight my journey throu...dylandmeas
Discover the innovative and creative projects that highlight my journey through Full Sail University. Below, you’ll find a collection of my work showcasing my skills and expertise in digital marketing, event planning, and media production.
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Holger Mueller of Constellation Research shares his key takeaways from SAP's Sapphire confernece, held in Orlando, June 3rd till 5th 2024, in the Orange Convention Center.
The Influence of Marketing Strategy and Market Competition on Business Perfor...
Final person centred approaches to best practice in dementia care 3
1. Person Centred Approaches
Best Practice in Dementia care
Presented by Wendy Morey
Executive Manager Workforce Development and Governance
Resthaven Incorporated
South Australia
2. Guiding Values: Person Centred
Approaches
Valuing People
Autonomy
Life
Experience
Understanding
Relationships
Environments
4. Thai Population 60 and older
2010 2015 2020 2026 2030 2035 2040
Number
in 1000s
8408 10351 12622 15126 17579 19361 20519
Ratio to
2010
number
1.00 1.23 1.50 1.80 2.09 2.30 2.44
5. Person Centred Approaches
People living with Dementia want to be as
independent as possible and in control of their
own lives
Community and health care systems are
important and impact quality of life
Community and Government expectations are
that support services meet diverse needs
18. Using the Person Centred Approach values to
support Active Ageing
Valuing People
Autonomy
Life
Experience
Understanding
Relationships
Environments
19. WHO says…
Active ageing
• Optimizes opportunities for health, participation
& security
• Applies to individuals & population groups
• Allows people to realize their potential for
physical, social & mental well-being throughout
life & to participate in society
• Provides people with adequate protection,
security & care when they need
20. WHO says…
Active ageing
• Optimizes opportunities for health, participation
& security
• Applies to individuals & population groups
• Allows people to realize their potential for
physical, social & mental well-being throughout
life & to participate in society
• Provides people with adequate protection,
security & care when they need
21. WHO says…
Active ageing
• Optimizes opportunities for health, participation
& security
• Applies to individuals & population groups
• Allows people to realize their potential for
physical, social & mental well-being throughout
life & to participate in society
• Provides people with adequate protection,
security & care when they need
22. WHO says…
Active ageing
• Optimizes opportunities for health, participation
& security
• Applies to individuals & population groups
• Allows people to realize their potential for
physical, social & mental well-being throughout
life & to participate in society
• Provides people with adequate protection,
security & care when they need
24. Valuing
People
•Good footpaths
•Easy crossing points
on busy roads
•Driver education
and awareness
•Warning signs in
appropriate places
•Easy access to
community facilities
•Inclusive community
programs & activities
•Program staff
educated & aware of
Dementia
Using the values
to support
Active Ageing
25. Autonomy
•Dementia friendly
materials & information
•Improve access to
buildings
•Staff and volunteers
offer choices
•Support organisations
which give a voice to
people with Dementia
•Include people with
Dementia when making
decisions
Using the values
to support
Active Ageing
26. Life
Experience
•Create new life
experiences
•Create enjoyment
through community
participation
•Expose to IT and new
technologies
•Get to know the
individual as a person
•Explore their past and
identify interests and
experiences
•Create connections to
the past
Using the values
to support
Active Ageing
28. Environments
•Dementia friendly
spaces
•Spaces where people
can be active and
independent
•Ensure spaces are safe
and free of hazards
•Cater for religious and
cultural needs
•Consider colours,
sounds, temperature
•Consider comfort
•Design with needs of
people with Dementia
in mind
Using the values
to support
Active Ageing
31. Thank you ขอบคุณ
It has been an honour to be here today with
such distinguished guests
Resthaven greatly values its relationship with
Baan Sudthavas
Editor's Notes
45 minutes 1030 - 1115
Thank you again for the opportunity to share some Australian experiences.
I would like us to focus on Person Centred approaches to provide care and services to older people who have Dementia.
Australia is trying to move forward with these approaches – in some areas we are doing well and in other areas we could do a lot better. But it is the small changes we make in many places – that transform our world and so we need to think long term to keep moving forward to the changes we want to see.
In this first session we will talk about:
Why person centred approaches are important
What exactly person centred approaches are
Then in the second part we will:
Look at practical examples which illustrate these approaches and
Ways to start to make changes to adopt these approaches
Finally we will look at how person centred approaches support active ageing. (1145 > 1215)
First I want to talk about a resource that I have used to prepare this part of the seminar. The ‘Valuing People’ resource is one that any organisation or professional person or carer can use to encourage and enable a person centred approach to Dementia care. It is freely available on the internet and was published by Alzheimer's Australia in 2014. It is a tool that organisations can use to increase their understanding of person centred approaches for people with Dementia and for those who want to be excellent in providing relevant services.
It was developed based on a review of the published data, the experience of people living with dementia and the experience of Australian service providers. It provides a map for cultural change – so people and organisations can go on a journey to improve their understanding and use of person centred approaches. Australia has not arrived a the destination of this journey yet. We are still on the journey. My organisation is still on the journey – I suspect the journey never ends but it will never happen if it is not started!
Hospitals can use this
Community Services can implement
Government departments can require this
Universities can teach this to their undergraduates
Carers of those with Dementia can use this
If we are to get the person centered approach into action – we need to look at using the values in many areas of the community to build momentum for the change – so that there is cross function support.
Why are these important for both Thailand and Australia? It is important to appreciate ‘why’ these values are important – so that when it comes to action – there is a clear link between the values and what we do
Increasing numbers of older people and those who have chronic illness such as dementia will have a major impact on the health system and community care
Australia has a rapid increase in numbers of older Australians. Population aged 65 years and over is expected to increase from 3.2 million in mid 2012 to about 5.8 million by 2031. As a result we have a rapid increase in those who have dementia. Currently 320,000 but projected to be 500,000 by 2050. (Australian Institute of health and welfare 2012 Dementia in Australia Cat No AGE 70 AIHW Canberra).
Similarly, population ageing is well underway in Thailand. The number of older Thais has increased by 5 fold since 1960. There has also been a reduction in birth rates and increased survival into older ages with the older persons making up a % of the population growing from 5% to approximately 13%. According to UN estimates – for all ASEAN countries, only Singapore has a higher % of older persons in the population. Life expectancy has risen from 56.2 and 51.9 years for women and men respectively in the mid 1960s to around 75.7/69.9 years today (WHO, http://www.who.int/bulletin/volumes/90/2/12-020212/en/)
Thailand has a rapid increase in numbers of older Thais. According to the 2014 publication: “Dementia in the Asia Pacific Region” published by Alzheimer’s Disease International the estimated number of Thais with dementia will rise from 600,000 in 2015 to 1,117,000 in 2030 and then to 2,077,000 in 2050.
“In low- and middle-income countries specialist numbers are never going to be enough, and dementia care will need to involve community health workers, primary care doctors and nurses in a community-based programme,” says Dr Tarun Dua, a medical officer in WHO’s Evidence, Research and Action on Mental and Brain Disorders unit. http://www.who.int/bulletin/volumes/89/3/11-020311/en/
The Alzheimer’s disease and Related Disorders Association Thailand does a great job in in raising public awareness of dementia and the needs of those with this disease and their carers though: media engagement, publications, online engagements, events and stakeholder engagement (hotline and support group meetings).
Source: Projections prepared the National Economic and Social Development Board for the 11th Socioeconomic Plan
Currently the 13% is predicted to rise to about 33% by 2040. (% of older people in the entire population)
The other important point is that the ratio of children 0 – 14 compared to the numbers of older people will continue to fall.
This is a national treasure – to be valued and celebrated. Not feared or put down. Increasing numbers of older people is not actually a problem and should not be seen like this.
Person centred care is a philosophical approach which adds value to service development and delivery and ultimately to older people who have Dementia.
The Australian Govt is under constant pressure to do more with less – and encourage a move away from dependence upon govt funds and initiatives.
Sandy to give out first cards ready for next slide.
So if the person centred approach adds value – lets see what that value is.
Make up flash cards with the 8 dot points on page 6. One table reads them out one by one and sticks up on the board. This board to say What's the value?
So why would we want to consider person centred approaches to care and Servcies for older people with Dementia? What are the results we would be looking to see?
Give out flash cards with the answers written on both sides in Thai and English. One table reads these out and sticks up on the board. This board to say: results
The flash cards to say:
Older people and their carers have greater control over their own lives
Older people and their carers make choices about the types of care and Services they access
Support staff value and seek to know the people they care for
Support staff understand the experience of the person with dementia and support them to retain as much independence and dignity as possible
Staff are happier and want to stay in your organisation because they see the difference you make
Organisations provide culturally appropriate responses
The reputation and standing of organisations is enhanced in the community
So if we want these results - how do we do this? What are we doing already and what else do we need to do?
We have talked about the growth in the expected numbers of Australian and Thai older people and the expected growth in those who have Dementia. We have talked about the value of person centred approaches to the older person, their carer and organisations and we have talked about the results that we expect to see if we use person centred approaches.
We have seen that there is a model we can use called “Values” to guide us in our thinking about person centred approaches and in our planning to take some actions.
Let’s now recap the model and then work together on some practical ways to use it to make changes.
A reminder: it is a tool that organisations can use to increase their understanding of person centred approaches for people with Dementia and for those who want to be excellent in providing relevant services.
Lets look at it in more detail
A commitment to valuing people involves being aware of and supporting personal perspectives, values, beliefs and preferences incorporating a variety of characteristics that make individuals unique including race, ethnicity, gender, aged and physical abilities.
Autonomy involves the provision of choice and respect for choices made; recognition of when a person requires support in decision-making; and optimising a person’s control through sharing of power, decision-making and responsibility.
Life experience is the connection between a person’s past, their present day experience, and their hopes for the future.
A commitment to developing collaborative relationships across the organisation including between the service provider and those receiving services and their carers and between all levels of staff. All parties work in partnership and understand the importance of community connections in designing and delivering services.
Person-centred principles underpin the organisational values that describe what is important to an organisation and how people should approach their work. Person-centred organisations have a systematic approach to knowledge and skill development that is inclusive of the experiences of staff, consumers and the people who care for them.
Lets do some brain storming together.
The Manager in this cartoon obviously talked with the staff about person centred approaches but did not really explain the ‘how to do this’ of the approach. We will now work together to do this.
We have many people in the room from different types of organisations. (state who they are).
Turn to page …. In your booklets
Work in tables – to create some simple ideas that we can take away from our time together to consider in our own work contexts. How does change happen? – one small step at a time.
So if moving towards person centred approaches for people who have Dementia is something that people are willing to look at – this change can happen one small step at a time
One value per table. Please open to page 20
The journey has begun. I suspect the journey never ends but it will never happen if it is not started!
In this exercise together – we have talked about how:
Hospitals can use this
Community Servcies can implement
Government departments can think about this
Universities can teach this to their students
Carers of those with Dementia can use this
Ask for one to two ideas: to read out one thing from the value that they thought about.
Sandy to walk about with the relevant card.
Recapping – we now have many different, practical ideas which can be used in the work environment. Each person can take away the framework and use it as a tool to create other ideas for moving towards a person centred approach for services and care for people with dementia and their carers. All the activities wont be the same – and that is good. If each person here made one change back in their workplace – and that change influenced 10 others – we would have X hundred people putting into practice person centred approaches.
Thank you for working on this together. (Arnop can we collate all the ideas and share them via email?)
1145 – 1215
Lets make the link then between person centred approaches to care and services for people who have dementia and their carers – with active ageing.
Lets all stand and stretch!
Active ageing is being engaged in your life – making choices about what you do.
It is about being physically active, mentally active, socially active and spiritually active – in ways that are healthy and which suit the person. Its about being in control.
So if we use the person centred approach values to think about active ageing – what kinds of things can this expand to?
WHO says that Active ageing is the ‘process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age. It applies to both individuals and population groups. Active ageing allows people to realize their potential for physical, social, and mental well-being throughout the life course and to participate in society, while providing them with adequate protection, security and care when they need. The word “active” refers to continuing participation in social, economic, cultural, spiritual and civic affairs, not just the ability to be physically active or to participate in the labour force. Older people who retire from work, ill or live with disabilities can remain active contributors to their families, peers, communities and nations. Active ageing aims to extend healthy life expectancy and quality of life for all people as they age.
“Health” refers to physical, mental and social well being as expressed in the WHO definition of health. Maintaining autonomy and independence for the older people is a key goal in the policy framework for active ageing.
Ageing takes place within the context of friends, work associates, neighbours and family members. This is why interdependence as well as intergenerational solidarity are important tenets of active ageing.
WHO says that Active ageing is the ‘process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age. It applies to both individuals and population groups. Active ageing allows people to realize their potential for physical, social, and mental well-being throughout the life course and to participate in society, while providing them with adequate protection, security and care when they need.
WHO says that Active ageing is the ‘process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age. It applies to both individuals and population groups. Active ageing allows people to realize their potential for physical, social, and mental well-being throughout the life course and to participate in society, while providing them with adequate protection, security and care when they need.
WHO says that Active ageing is the ‘process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age. It applies to both individuals and population groups. Active ageing allows people to realize their potential for physical, social, and mental well-being throughout the life course and to participate in society, while providing them with adequate protection, security and care when they need.
WHO says that Active ageing is the ‘process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age. It applies to both individuals and population groups. Active ageing allows people to realize their potential for physical, social, and mental well-being throughout the life course and to participate in society, while providing them with adequate protection, security and care when they need.
The word “active” refers to continuing participation in social, economic, cultural, spiritual and civic affairs, not just the ability to be physically active or to participate in the labour force. Older people who retire from work, are ill or live with disabilities can remain active contributors to their families, peers, communities and nations. Active ageing aims to extend healthy life expectancy and quality of life for all people as they age.
“Health” refers to physical, mental and social well being as expressed in the WHO definition of health. Maintaining autonomy and independence for the older people is a key goal in the policy framework for active ageing.
Ageing takes place within the context of friends, work associates, neighbours and family members. This is why interdependence as well as intergenerational solidarity are important tenets of active ageing.
Dementia aware people address barriers to participation in active ageing for people with dementia.
Active ageing programs should include people with dementia and use volunteer support for group activities such as walking groups, yoga, tai-chi and brain games.
What does this mean in practice to support active ageing for people with Dementia ?
Here are two ideas to support active ageing for people with dementia - which demonstrate the recognition of autonomy person centred approach
What are the barriers?
Transport
Lack of confidence
Lack of knowledge or information
Wrong information and ignorance amongst people
Using organisations such as ARDA-T to provide a voice for those who have dementia and their carers – can elders clubs work more closely with such organisations?
Dementia aware people can actively encourage and create programs as a way to improve the physical, social and emotional wellbeing of people with dementia.
Dementia aware people address barriers to participation in active ageing for people with dementia.
What does this mean in practice to support active ageing for people with Dementia ?
Here is one idea to support active ageing for people with dementia - which demonstrate the recognition of importance placed on the life experience in the person centred approach
Can we use a range of communication methods to reach and teach people?
How can this be promoted at the local level?
How can health professionals in hospitals and health centres get involved?
How can people with dementia be supported to continue to work as long as they can?
Dementia aware people can design exercise programs and active ageing services to include carers of people with dementia
What does this mean in practice to support active ageing for people with Dementia ?
Here are two ideas to support active ageing for people with dementia - which demonstrate the recognition of importance in understanding relationships in a person centred approach
How do we include carers?
How do we find them?
One of the suggestions from HelpAge in the 2013 publication (p89) is to expand IT access and familiarity for older people to encourage social inclusion, improve service delivery and help with maintaining family contacts.
There are many apps available to assist with ‘brain training’ and IT platforms provide very suitable bridges between younger and older people.
So we have seen that the concept of Active Ageing is consistent with the guiding values of the person centred approach to care and Servcies for people with dementia and their carers.
The two can work hand in hand. The capacity to respond to both concepts is dependent upon many variables. Some of those variables are economic and out of our reach. But some capacity to respond is very much within our areas of influence. I am a firm believer in the fact that small acts change the world – and small acts can come from small shifts in understanding and belief about what is possible for the future. As we have seen, active ageing is not just about physical activity. It is about social, emotional, mental and spiritual health and activity as well.
I will hand out a script now. This is the script of a video which I will show now. We will look at the video 2 times as once won’t be enough for you to fully appreciate the content in relation to all we have talked about today. This video is a great example of a service manager – who cares for people with dementia in a residential home – using the guiding values to shape his approach to care and services. His name is Colin and he understands the importance of autonomy, life experience, relationships, environments and it is very obvious that he values people.