“Where angels fear to tread”

“Where angels fear to tread” Dementia Care Mapping in Elderly care and beyond Carla Murray – Lead Nurse for Older People Jayne Sheard – Matron for Elderly Care 22nd March 2007,

Dementia Statistics • At present there are 683,597 people living with dementia in the UK • 1 in 88 people or 1.1% of the population • By 2021 forecast to increase by 38% to 940,110 • By 2051 expected to rise by 154% to 1,735,087 Dementia UK Report 2007

Introduction to Dementia care Mapping (DCM) • DCM promotes person centred care • DCM emphasises the perspective of a person with dementia • DCM improves patient care for people with dementia and patient care in general

Person centred care • Person centred care in visual form

Comfort: The provision of warmth and closeness to others • Identity: To know who you are, how you feel and how you think • Attachment: To need to feel attached to others particularly at times of heightened anxiety and change • Occupation: Being involved in the process of life • Inclusion: Being part of a group is important and not being excluded

Personal enhancers and detractors • Personal enhancers improve a persons well being • Personal detractors extend a persons ill being • There are PE’s and PD’s for each of the 5 petals of the flower

The person with Dementia • Dementia is one of the most feared aspects of ageing. • People with Dementia have the same wants and needs, rights and feelings as the rest of us. • People with Dementia don’t want to be called “demented”, they are still people separate from the disease. If they had cancer, would we call them “cancerous”?

What is DCM • An observational tool and a process • Improves quality of care for people with dementia • Captures the experience of care from the patients perspective • Observations recorded in 5 minute time frames, over a few hours • PE’s and PD’s recorded to capture quality of interactions with staff

DCM continued…… • Mood and engagement values are recorded which represents how engaged a person is and whether they are in a positive or negative mood • Once the observations are complete the data is recorded in an understandable format and is fed back to the staff • Feed back can be quite intimidating if staff are not adequately briefed

Action Plans for Elderly care Using DCM has enabled us to look at many aspects of our care: • Person centred care • Dignity on the wards • Communication • More education regarding quality care for older people with mental health illness • Back to basics programmes

DCM turns the philosophy of PCC into concrete observations and because it uses observations based on the lived experiences of people with Dementia, it becomes obvious to those looking at the data, what does and does not constitute person centred care. • Brooker D, Surr C 2005 “Dementia Care Mapping: Principles and Practice” Bradford Dementia Group

Thank You Any Questions!?

“Where angels fear to tread”