University Hospitals of Morecambe Bay Trust
Person Centred Care for Dementia at UHMBT
When a person with dementia finds that their mental abilities are declining, they often feel vulnerable and in need of reassurance and support. The people closest to them - including their carers, friends and family - need to do everything they can to help the person to retain their sense of identity and feelings of self-worth. At UHMBT we aim to deliver care centred around the needs of the person with dementia. It’s important that we involve not only the person themselves, but their families and carers in the assessment, care planning and updates on the care we give.
As members of the Butterfly Scheme, we offer, with consent, an option of joining for people who come into hospital with dementia, acute or longstanding memory problems and confusion.
UHMBT ensures all clinical staff complete dementia awareness training through our Butterfly Scheme, together with expert facilitators trained at University of Stirling delivering classroom based teaching for Alied Health Professionals with accreditation Our Registered Nurses are offered an Older Person Pathway Training Programme.
With the aid of a discrete butterfly, it allows all staff to know that the person may need extra care and attention, and above all are always safe. The butterfly is then put on their electronic record for any future needs.
We aim to offer a forget me not passport of care for every inpatient admission. This is completed by the families and carers, telling us how to care for the person in their unique way, offering individual detail to give that personalised approach.
University Hospitals of Morecambe Bay Trust have signed up as part of the first 100 trusts to be part of John's Campaign. This is nationally led, to ensure carers of people with dementia are involved in the care provision and decision making with the person whilst in hospital. We offer a specific lanyard and badge for carers to wear, and its offered in both inpatient and outpatient services.
UHMBT offers a dementia menu for those who need it, and is unique to the Trust. With support from identification through the Butterfly Scheme, it encourages family and carers to be involved in choosing from the menu and helping at mealtimes, as they know the person best.
The menu offers lighter meal options, such as foods which need reduced supervision and can be eaten without cutlery. It also provides the opportunity for patients have snacks, eating “little and often” as needed. The menu provides extra nutrition as needed, whilst ensuring a dignified approach to mealtimes.
Dementia Buddy Programme
Thanks to a generous donation from the Royal Voluntary Service, we have launched a new dementia buddy programme at the Trust. There was a very positive response from the general public and we now have a waiting list for dementia buddy volunteers. The scheme promotes reminiscence enrichment activity for patients with dementia. The dementia buddies will help in-patients with activities to trigger happy memories, as well as providing companionship and reading to them.
Each clinical area should have a dementia champion to support dementia awareness. This will include updating staff on how person centred support can be given, be a point of contact for families and carers, and ensuring clinical practice is up to date for their areas.
For every unplanned admission, everyone aged 75 or more is screened for frailty which always includes dementia or cognitive impairment (confusion memory problems). All patients who are identified as frail on the screen are now entitled to comprehensive geriatric assessment which is a complete assessment of needs and involves family and carers, to a complete history of the person. This is done by a Care of the Elderly Team at both Royal Lancaster Infirmary and at Furness General Hospital.
Care of the Elderly Team Royal Lancaster Infirmary: 07815 003765
Care of the Elderly Team Furness General Hospital: 07815 003764
Dianne Smith is the Matron for Dementia at UHMBT whose role is to manage the Care of the Elderly Teams, ensure person centred, safe and dignified care is delivered throughout the trust, by training and development of staff, appropriate dementia friendly environments, and high quality standards are maintained.
You can contact Dianne via email at Dianne.Smith@mbht.nhs.uk or on 07805895862.