Question:

Assessment Title – Implementing Person Centred Care at Work

This assignment consists:

(iii) Share a report using the Building Effective Engagement Techniques Workbook (BEET) with colleagues in order to allow them to identify one (1) area of dementia care where they can develop and implement improvements.

(iii. Develop one (1) learning tool from the BEET Tool Activities that you and colleagues can use to support the implementation or improvement of one (1) aspect in dementia care from work.

What is the BEET Tools?

BEET Tool is composed of workbook activities. These activities guide practitioners to review their current practices and to develop strategies for implementing changes.

Structured and focused discussions with colleagues are key to the BEET Tool activities. They discuss the learning resources that they think will be most useful in supporting their efforts towards implementing the BEET Tool.

You can structure your report by using the BEET Tool headings.

The content and format of the learning resources must be evidence-based.

For electronic submission to turnitin, the Beet Tool Workbook document and learning resource must be converted to PDF.

Perhaps you will need to take pictures of the learning resources in order for it to be converted into a PDF document that can be submitted electronically.

Answer to Question: SNPG958 Advancements In Dementia Care

Title: A guide for bringing people together in a cooperative effort to find sustainable solution

Introduction

A serious strategy must be developed to deal with dementia, which can pose a grave threat to your life.

Sometimes it is difficult to collaborate with other health care professionals in order to improve care for patients with dementia.

Main idea is to make sure that a solution is found by collaborating with all the parties (Warner, 2006).

It is crucial to design a safe environment for wandering patients as this can pose many risks.

As this can reduce risk or give patients freedom, caregivers need to carefully design care facilities.

There are structural changes that can be made to ensure wandering patients are not a problem in dementia care.

As wandering is a major problem for dementia patients, caregivers face many challenges.

Multidisciplinary care is necessary to reduce the amount of care that caregivers are required to provide.

In order to coordinate care for wandering people, there are many factors that need to be considered. These include prevention strategies, caring strategies, and participation of multiple teams.

It is imperative to study the issue of wandering to lower the risk to patients in a wandering situation.

Literature Review

There is a lot of literature available on the effects and implications that wandering can have on the dementia care process.

Warner (2006) highlights the risks associated with wandering and the need to provide intensive care for these patients.

Beattie Song (2005) and LaGore (2004) also confirm this. These studies show that wandering has a negative impact on caregivers.

McShane, Htay & Hermans (2007) suggest that the environment in which patients are kept should be improved so that there is less risk.

Risk levels for dementia patients are determined by the level of care they receive.

Although there have been many studies that focus on prevention of wandering and minimizing the risk associated with wandering among patients with dementia, no research has been done to examine structural change as prevention.

Snyder (2010) also highlighted this. Snyder (2010) focuses only on the other options to understand wandering and dementia care.

Miskelly (2004) summarizes a multidisciplinary approach to caring for wandering patients with dementia.

The Beet Tool Workbook reports, which focuses on the complexity and the evidence, context, and facilitation needed to change the care of wandering dementia patients, outlines the complete puzzle.

The Puzzle Behind the Proposal

Exercise 1: Naming an idea, problem, or issue

There are several types of dementia care available. These care options can be provided by caregivers working in different areas.

These services are offered at various institutions located all over the country.

The care given to dementia patients can be provided by multiple disciplines. However, if the coordination is poor, patients may wander.

We are looking to increase the participation of multidisciplinary teams in caring for wandering patients (Miskelly (2004)).

Exercise 2 – Identifying the Puzzle Question

a. How can we design an environment that ensures proper care for wandering dementia patients?

This may also require a multidisciplinary approach to care for patients in wandering condition.b)Positive:Is your question framed positively?

Positive because it suggests improvements in the care of patients suffering from dementia.Unconditional:

We propose changing the care of wandering dementia patients.

Generative: Can you think of a number of solutions to your puzzle?

There are many possibilities for solving the puzzle. This may include suggestions from caregivers.Question:

Yes

Exercise 3 – Identify Your Purpose

3a. Patients will appreciate the dementia care process and the intensive care they receive.

The aim of change care is for patients to be more patient-oriented.

3b. Our employees will see the whole thing and feel satisfied, as they will be working in a team rather than individually. This will allow them to give fair feedback.

3c. We can expect a high quality service and a significant improvement in our care due to the changes in dementia care.Exercise 4:

The puzzle closely relates to the heart or work of practice, since providing dementia care for patients is one of our key responsibilities.

The puzzle’s goal is to improve the process of dementia-care, so it is important to focus on your work.Exercise 5:5a.

Wandering in dementia is an issue that affects many people.

The problem of wandering in dementia is not well understood. However, there have been limited studies to help find a solution.

Brodaty, Donkin, 2017: This is how a care plan for wandering people can be developed.5b.

Numerous studies have been done on the dementia care process. They show that there is a need to improve care for wandering patients and to alter the care strategy.

Jurgens Clissett Gladman Harwood (2012) state that the caregivers involved in wandering dementia patients’ care must be improved.

Fetherstonhaugh (2011), Nay (2010), and Edvardsson (2010) recommend that dementia patients be prevented from wandering. There are many dangers associated with wandering patients.

This is a complex issue that requires careful consideration.Exercise 6:

There are many staff members involved in making the changes and improving dementia care.

These individuals play an important role in ensuring that the entire dementia care process is carried out.

These staff members are listed below.6a)PharmacistsPhysicians

Labor technologists

NursesPsychologists

Family members of the patientHealth care management

Community health services

Officials from Department of Health

Clinical officers6b)

These parties are people who will participate or have to take part in the dementia care services.

Some of these parties will directly be involved in the process.PharmacistsPhysicians

Laboratory technologists

NursesPsychologists

Family members of the patient

Clinical officers

Our team will continue to consult with other parties to make changes to care for wandering patients.

The department of health and other decision-makers in health care must be informed. We will ensure they are in constant communication to ensure all proposed changes are taken into consideration.

6c. Different parties or staff have different perceptions of the proposed changes.

These experiences could be positive, negative, or both. Here are the possible outcomes.

Positively

The only people who have previously been engaged by staff to care for wandering patients were a physician or laboratory technologists.

The current care will see some staff, including physician and lab technologist, being positively involved.

Negatively

Pharmacists and clinical staff are just two of the people who have been negatively affected by the care for wandering patient.

6d. I believe the change will be welcomed by all involved in the care of wandering patient.

The topic of the changes has been a hot issue among staff since most staff will be affected by the changes.

6e) It seems that the parties will approach the idea with an intention to achieve completion.

Engagement will require that all parties agree to take part in the changes.

Assuming that the changes will require more work, parties will need additional resources (Michie 2005).

6f) No, I don’t know the solution. However, I do have a suggestion to solve the problem that wandering patients are being treated in many hospitals across the country.

This suggestion is open to more discussion from key stakeholders.

Our key partners are most likely to be

They are expected to be our most important supporters

We have a good relationship

Exercise 7 – Understanding the Readiness Of Your Environment

Understanding the readiness of the environment requires identification of resources that will play a role when we adopt and implement the changes that are proposed.

7a. It is important to put in a lot of effort into the proposal to ensure consistency with accepted standards of practice.

In the current environment, services are still provided even though there is delay or limited coordination among caregivers when a patient is wandering.

This may take several months to achieve the desired result (Palecek und al. 2010, 2010).

7b. The health professionals are equipped with the cultural ability and the capability to adapt to any changes that may occur, as long the environment allows for them to do so.

It may also require management to allocate the resources necessary to effect the needed changes.

It is important to consider both the design and multidisciplinary approaches when making changes.

These changes are possible because of the ability of the people involved in the dementia care environment to adjust and adapt to wandering.

This change includes the use of multidisciplinary methods and the creation of a structure with minimal risk for wandering patients. (Cerejeira Lagarto, Mukaetova & Ladinska 2012).

Exercise 8 – Identifying Structural Empowerrs and Disablers

8a. Existing policies and strategies can be used to allow the inclusion of the puzzle.

There are policies and strategies in place that can allow for such changes, including teamwork policies that allow members to work together if necessary.

This situation could require multiple staff to be unified.

Multidisciplinary teamwork will help increase care and assist caregivers with wandering patients.

Staff members will be able to provide more care for wandering patients, as they have a lot of attention (Mason, 2008).

8b.Yes, policies can also be hindered by the current system of health care, particularly when it comes to caring for dementia patients.

The patient or patients at risk must be evaluated and put through a series to develop a plan of care.

This will be altered by the puzzle, as its rigidity makes it difficult to provide effective care.

Facilitating Engagement

Facilitating engagement is when all the parties that are important in the care of the patient are involved in making the changes.

There are many factors that could support or hinder the proposal being made at this stage. We also identify ways to overcome them.

Exercise 8: Summary

8a. For successful engagement of all parties in the healthcare, I believe coordination of all care following new system changes is key to success.

It is also important that management procedures are developed quickly in order to manage the entire process efficiently (Leatt Pink & Guerriere(2000)).

8b). To ensure a successful process, I believe that I have an understanding of the whole system and any parties that could be involved in the implementation, and that policies and procedures are being changed in areas that will most likely get in the way.

Changes to policies and procedures remain a risk. It takes a lot to do so and requires a rigorous process (Beattie Song & LaGore (2005)).

8c). For a successful outcome procedures and policies will be most effective.

This is due the strict process of changing policies and procedures.

8d). I believe good will and acceptance will be key factors in a successful engagement.

There is strong need for goodwill to support the improvements in care.

Caregiving for a wandering patient with dementia requires goodwill from everyone involved. Acceptance of the changes will be most successful (Larson and al., 2013).

8e) In order to have a successful adoption and implementation, I believe there must be acceptance from all of your colleagues. Because acceptance will result in successful wandering patient management.

8f) To ensure a successful outcome I believe procedures, strategies, policies and policies that are part in the dementia care process have to be properly implemented. This should take into consideration the proposed changes regarding care in wandering.Exercise 9: Establishing Your Pre-Engagement Action Plan

9a. I believe I have all the skills necessary to complete the proposal. However I will need consultation with stakeholders in some areas.

To make the changes necessary to policies that relate to dementia care for wandering persons, consultation will be required.

This is because the proposals must be considered and include the changes.

The primary parties that will be consulted about the policies procedures will be healthcare management (Leatt. Pink & Guerriere. 2000).

9b) coordination of teamwork is the main feature of the engagement.

It is important to create awareness and sensitize all parties before I release the proposal. This will prepare them psychologically.

There are many people who need to know about the proposal. This includes pharmacists, physicians and clinicians.

It is possible to bring together all of these people in order to create a team.

9c) preparation of the environmental and allocation of machinery and human resources are key actions to address in preparing for the process.

In order to prepare key stakeholders for the proposed proposal, they must be informed about it.

Prepare the environment in which you will launch your proposal. Also, make sure that machinery and other resources are available.

We will inform all parties about our intention to include them in any changes.

The process also includes consulting management in order to include them in the proposed changes. (Edvardsson Fetherstonhaugh & Nay (2010)Exercise 10: Taking Your Proposal Out To Your Key Partners

10a. We would like to meet with you to discuss how we can work together regarding a proposal for some changes to the wandering care process.

This proposal is being made to improve the care and address the existing service delivery with many clients.

We hope that our collaboration will lead to a mutually beneficial solution for both ourselves and our valued clients (Bero and al. 2008).

10b. Caring for wandering patients involves many stages, particularly when it comes to building a multidisciplinary approach. (APPENDIX 2.

Different parties will participate at different levels. These include assessment, provision of care, and others.

Parties that are involved in the change process should indicate which areas they would like to contribute.

Each healthcare professional is asked to identify the area that they feel comfortable working on.

For instance, the pharmacist will need to indicate how much they are involved in the dementia care. Healthcare management needs to indicate when and where they can be consulted.

10c. Awareness must be created after engaging the parties and staff who are part of the process.

Sensitisation is a part of communicating the information. This ensures that the proposal reaches the appropriate people and that they are open to discussing the solutions to problems in care.

Parties also have an opportunity to voice their opinion on proposed changes (Horner & Salazar et.al. 2004).

Learning Resources

If you are caring for a dementia patient, it is important to consider wandering.

Walking dementia patients should be cared for together.

Engaging colleagues in healthcare will be necessary to make the change in how care is provided for wandering patients.

Engaging others is key to bringing about such process change.

This statement should begin with “we require ….”” rather than “I think..” to promote inclusion, not individualism.

The first is to formulate a broad question or puzzle that can be viewed by all colleagues.

What can be done to bring multidisciplinary teamwork together to improve the process and procedures of caring for patients with dementia care?

The purpose of the puzzle must be clearly defined so that it adds meaning to the change proposal.

Ask yourself, is the question positive or negative?

Is the conditional question or generative question the question?

A second step is to identify the parties involved with finding a solution.

These parties could include any number of professionals who are directly or indirectly involved in the solution.

The roles of these parties should be identified before the proposal can be released.

“Listen to the parties most likely participate in the process.

Finally, parties must consent to the changes they are involved in. This will keep any resistance away.

The goal is to develop a relationship with those who are most likely and willing to support or help the cause.

On the proposed areas for participation among colleagues, changes will be made.

Ask them questions like “What do your thoughts about the process?”Implications Of Learning Resource

These resources will assist caregivers in caring for patients who are wandering.

This will allow the institution to reduce risk of wandering patients, and help also with training caregivers in how to care.

The leaning resource can also be used to help determine the risk associated with wandering as well as the level of risk.

Conclusion

The report concludes with a description of the steps required for a collaborative approach in dealing with wandering dementia care.

The report encourages collaboration among colleagues in the workplace to find a solution to the care puzzle.

It is important to involve all parties in caring for the wandering patient to avoid resistance.

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