leading from where you stand in providing supportive care annual alzheimer conference 2008 winnipeg...
TRANSCRIPT
Leading From Where You Stand in Providing
Supportive Care Annual Alzheimer Conference 2008
Winnipeg Manitoba
Joanne Collins
Objectives
Revisit Leadership in providing care Highlight strategies and approaches to
care Introduce a shared solution finding
approach to care and its connection to leading from where you stand.
What is leadership?
True leadership is measured by one’s ability to motivate and influence others
You do not need to be a world leader or have a fancy title to be a
Great Leader!
What can you do…..
Connect with team members!
The needs of people living with ADRD
Many and often complex Requires interdisciplinary care planning Requires partnerships between the
person, family members, and formal health care providers
Critical thinking is imperative
Critical Thinking Strategies
Recognize patterns Setting priorities Searching for
information Generating
hypotheses Making predictions Forming relationships
Providing explanations
Starting a proposition Applying best practice Making choices Judging the value Drawing conclusions
Rubenfield and Scheffer 2006
Critical Thinking Strategies Relate to:
Holistic Patient-Centered Care Relationship Approach to Care Evidence Based Practice Quality Improvement
Collaborative Approach to Care relates to….
Holistic patient-centered care Critical thinking Relationship approach to care Shared team solution finding
Relationship Approach to Care
Person with
ADRD
Family & Informal Caregivers
Formal Health Care Providers
Recognizes the diverse knowledge base and contributions of all partners
in care
Shared Solution FindingCollaborative Interdisciplinary Care
Flagging – Observations focused on all aspects of the person; what has changed
Interaction – Strategies for interacting with the person, family/caregiver, others
Reflection & Reporting – Sharing what is observed and understood about the person
Support – Care strategies that maximize the persons strengths
Team – Shared solution finding that values the contributions of all team members
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Understanding My knowledge that all behaviour has meaningAsk – What is the person trying to tell me?
Because of the disease process the persons way of understanding the world around them is different.
How does this behaviour affect the person, family/caregivers, me?
Remember – there are many possible causes for behaviour!
When seeking causes for behaviour think P.I.E.C.E.S!
Physical – Pain and physical conditions Intellectual – Memory, thinking, language, self-
awareness, problem solving Emotional – Adjusting to change Capabilities – Knowing & building on strengths Environment – Physical and social environment Social – Social and cultural history and needs
Flagging
My observations of the person’s behaviourAsk – What am I seeing and what has changed?
Look for unmet needs or stressors Consider changes in the P.I.E.C.E.S
Infection Constipation Unable to understand Noisy environment Reacting defensively to care
Interaction How I relate to the person, family/caregivers and other
health care providers
Ask – How do others interpret what I say and do?
Be mindful of body language, tone of voice and my reactions
Remain non-judgmental and respectful Understand how dementia affects the family and the
person Remember the person we see as caregivers and the
person the family sees may not always be the same person.
Reflection and Reporting
My time to think about what I’ve learned about the person, the meaning of behaviour and how what I share improves care.
Ask – What do others need to know form me to improve the care plan?
Think about the persons response to care. Think about next steps what do I start, stop,
continue doing. Think about what to share with team.
Support
My supportive and creative care strategies
Ask – What am I doing to bring out this persons strengths?
Focus on strengths Compensate only for losses
Team How the care team that I am part of works in the
best interests of the person.
Ask – What can we do together?
Think about the team support you need Contribute by sharing your observations with
others Understand that all behaviour has meaning
What we have learned…
ADRD’s - complex presentation Requires collaborative inter-disciplinary care
planning Requires partnerships between the person,
family members, and formal health care providers
Consider all possible causes - P.I.E.C.E.S Connect with the Team via U-FIRST!
Resources
Canadian Coalition for Seniors Mental Health, National Guidelines www.ccsmh.ca
P.I.E.C.E.S Canada www.piecescanada.com
U-First www.u-first.ca
The one hand trying to wash itself is a pitiful spectacle, but when one hand washes the other, power is increased, and it becomes a force to be reckoned with.
Maya Angelou
Thank You
Questions?