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Care homes: The setting for modernised long-stay dementia care

The Prevalence of Dementia in the United Kingdom. 2006: 750,000 people with mild dementia2040: 1.2 million people with mild dementia 2050: 1.8 million people with mild dementia. The Care of People with Dementia. Progressive dependency - inputs, who is caring, micro-management and care

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Care homes: The setting for modernised long-stay dementia care

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    1. , Care homes: The setting for modernised long-stay dementia care Care homes once used to care for the fragile independent, lonely and insecure With the introduction of community care, care homes began to accept the frail and the forgetful Coincided with the closure of the asylums, geriatric hospitals and rehabilitation (slow-stream) units Driving out the frail and the forgetful into supported care at home Care homes now accommodating those with chronic disease and disability With the NHS abrogating all responsibility to provide living space and the commitment of social services to purchase intensive/enhanced homecare, chronic disease/disability with complex health and behavioural needs now to be found in care homes. The frail and the forgetful are now driven out of care at home as they drop below the threshold of eligibility. Care at home now provides for the uncomplicated chronic disease/disability profile. Care homes once used to care for the fragile independent, lonely and insecure With the introduction of community care, care homes began to accept the frail and the forgetful Coincided with the closure of the asylums, geriatric hospitals and rehabilitation (slow-stream) units Driving out the frail and the forgetful into supported care at home Care homes now accommodating those with chronic disease and disability With the NHS abrogating all responsibility to provide living space and the commitment of social services to purchase intensive/enhanced homecare, chronic disease/disability with complex health and behavioural needs now to be found in care homes. The frail and the forgetful are now driven out of care at home as they drop below the threshold of eligibility. Care at home now provides for the uncomplicated chronic disease/disability profile.

    2. The Prevalence of Dementia in the United Kingdom 2006: 750,000 people with mild+ dementia 2040: 1.2 million people with mild+ dementia 2050: 1.8 million people with mild+ dementia

    3. The Care of People with Dementia Progressive dependency - inputs, who is caring, micro-management and carer strain Risk of challenge - hazard and resistance Management of unpredictability

    4.

    5. Impact of the Growth in Dementia on Care Homes Between 1998 - 2031 numbers of people with cognitive impairment in care homes is projected to increase by 63%. 72% of people with cognitive impairment will be suffering from Alzheimers disease. Cost of providing long-term care for people with cognitive impairment will rise from 4.6 billion in 1998 to 10.9 billion in 2031

    6. BUPA Care Homes Resident Survey 2003

    7. BUPA Care Homes 2006: The Growth in Registered Dementia Care Beds 5,866 registered dementia care beds (+ 48.4%) 140 care sites (+ 42.9%)

    8. The Care Home Challenge for the Future

    9. Dementia Care Profiling Residential model of social care Care for people who challenge us High dependency care Palliative care Younger people with dementia

    10. Care profiles are distinguished by:- Staffing ratios Skills mix Staff competencies Care regime Specialist equipment Interior design and layout Fee level

    11. Bringing added-value to dementia care Meeting personal care needs Delivering appropriate healthcare Providing safe living environments Rehabilitating functional abilities ACHIEVING A LIFE FOR RESIDENTS THAT IS WORTH LIVING Intensive homecare/extra care lets all down as solely concerned with task-led inputs with, by necessity minimal regard for life quality care homes meet health- and personal care needs within an envelope of care that strives to provide occupation, human contact and peace of mind.Intensive homecare/extra care lets all down as solely concerned with task-led inputs with, by necessity minimal regard for life quality care homes meet health- and personal care needs within an envelope of care that strives to provide occupation, human contact and peace of mind.

    12. How do we achieve the objective of achieving a life for our residents that is worth living?

    13. A person with dementia who is unique

    14. A person with whom we share more in common than which separates us Physical needs Security needs Social and human contact needs Stimulation and occupation needs Curiosity needs Hygiene needs Psychological needs (dignity,agency,possession) Sexual needs

    15. A SPECTRUM OF ELDER MISTREATMENT

    16. The mission statement We provide a person with a home Within an envelope of 24 hour support That provides the opportunity for human contact, occupation and peace of mind

    17. We are presented with needs to be met, not problems to be managed Caring for People, not Accommodating Pathology

    18. Beware the Emperors New Clothes!

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