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‘Meaningful Day’. Staff Nurses Jenny Reynolds & Julie McIlroy Mater Hospital Trust Belfast. What is ‘Meaningful Day’?. Nurse led initiative by Mater Trust in association with community facilities. Weekly group which focuses on aspects of healthy living and social functioning.
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‘Meaningful Day’ Staff Nurses Jenny Reynolds & Julie McIlroy Mater Hospital Trust Belfast Meaningful Day
What is ‘Meaningful Day’? • Nurse led initiative by Mater Trust in association with community facilities. • Weekly group which focuses on aspects of healthy living and social functioning. Meaningful Day
Why ‘Meaningful Day’? • Concern re. psychotic patients increased weight & reduced motivation. • Identified significant lack of daily living skills within this patient population. • Need for a structured programme of activities to enhance motivation and social inclusion. • Practice Development & Care Pathways. Meaningful Day
Rationale • To educate and empower patients to make informed choices about diet and physical and social activities so that they can lead a healthier lifestyle and ensure a more ‘Meaningful Day’. Meaningful Day
Aims & Objectives of ‘Meaningful Day’ • Educate patients to eat more healthily • Encourage patients to increase their physical and social activity • Motivate patients to lose weight • Improve patients self esteem • Create a supportive environment in which patients can openly discuss their mental and physical wellbeing. Meaningful Day
Criteria for Referral • Patients with severe mental illness who are currently prescribed antipsychotic medication. • Have shown a desire to change a current behaviour: weight mgmt, diet or become more socially active. Meaningful Day
Assessment • Screening prior to commencement • Social Functioning Scale • LUNSERS (Liverpool University Neuroleptic Side Effects Rating Scale) • SUDS (Subjective Units of Distress) Meaningful Day
Information & Assessment Meaningful Day
Programme Structure • 8 wk repeating, rotational programme (Wednesdays in Ward K) • Morning Session: 1 hour group • Afternoon Session: Social activity until 2.30 - 3pm approx. Meaningful Day
ART Meaningful Day
Pictorial Interpretation of Meaningful Day Meaningful Day
8 week Programme includes: • Healthy eating and drinking. • Physical activity • Self Esteem / Motivation • Stress & Anxiety Management • Activity scheduling • +ve/-ve of social activities • Quizzes/Art • Evaluation Meaningful Day
Social Activities • Walking, ten pin bowling, Cinema, eating out, museums, Christmas shopping, Christmas Meal. • Public transport is utilised as much as possible. Meaningful Day
The Future………… • To continue ‘Meaningful Day’ on an 8 week rotational programme. • To engage other nursing staff and disciplines. • To empower and enable patients to make small achievable changes to their lifestyle which will have a positive impact on their physical and mental health. Meaningful Day
‘Helps me get out, I never get over the door’. ‘Hadn’t been to the cinema in 20-30 yrs’ ‘People in the group understand my illness’ ‘Has increased my confidence to speak out, more assertive’. ‘Helps me feel motivated & gives me a routine’. ‘I can now use buses & trains’. Quotations: Meaningful Day
Any Questions? • Thank you for giving us this opportunity to present ‘Meaningful Day’. Meaningful Day
