““Where angels fear to tread”Where angels fear to tread”

Carla Murray – Lead Nurse for Older PeopleCarla Murray – Lead Nurse for Older PeopleJayne Sheard – Matron for Elderly CareJayne Sheard – Matron for Elderly Care2222ndnd March 2007, March 2007,

Dementia Care Mapping in Elderly care and beyond

Dementia StatisticsDementia Statistics

At present there are 683,597 people living At present there are 683,597 people living with dementia in the UKwith dementia in the UK

1 in 88 people or 1.1% of the population1 in 88 people or 1.1% of the population By 2021 forecast to increase by 38% to By 2021 forecast to increase by 38% to

940,110940,110 By 2051 expected to rise by 154% to By 2051 expected to rise by 154% to

1,735,0871,735,087 Dementia UK Report 2007Dementia UK Report 2007

Introduction to Dementia care Introduction to Dementia care Mapping (DCM)Mapping (DCM)

DCM promotes person centred careDCM promotes person centred care

DCM emphasises the perspective of a DCM emphasises the perspective of a person with dementiaperson with dementia

DCM improves patient care for people with DCM improves patient care for people with dementia and patient care in generaldementia and patient care in general

Person centred carePerson centred care

Person centred care in visual formPerson centred care in visual form

ComfortComfort: The provision of warmth and closeness : The provision of warmth and closeness to othersto others

IdentityIdentity: To know who you are, how you feel and : To know who you are, how you feel and how you thinkhow you think

AttachmentAttachment: To need to feel attached to others : To need to feel attached to others particularly at times of heightened anxiety and particularly at times of heightened anxiety and changechange

OccupationOccupation: Being involved in the process of life: Being involved in the process of life InclusionInclusion: Being part of a group is important and : Being part of a group is important and

not being excludednot being excluded

Personal enhancers and detractorsPersonal enhancers and detractors

Personal enhancers improve a persons well beingPersonal enhancers improve a persons well being

Personal detractors extend a persons ill beingPersonal detractors extend a persons ill being

There are PE’s and PD’s for each of the 5 petals There are PE’s and PD’s for each of the 5 petals of the flowerof the flower

The person with DementiaThe person with Dementia

Dementia is one of the most feared aspects Dementia is one of the most feared aspects of ageing.of ageing.

People with Dementia have the same wants People with Dementia have the same wants and needs, rights and feelings as the rest of and needs, rights and feelings as the rest of us.us.

People with Dementia don’t want to be People with Dementia don’t want to be called “demented”, they are still people called “demented”, they are still people separate from the disease. If they had separate from the disease. If they had cancer, would we call them “cancerous”? cancer, would we call them “cancerous”?

What is DCMWhat is DCM

An observational tool and a processAn observational tool and a process Improves quality of care for people with Improves quality of care for people with

dementiadementia Captures the experience of care from the Captures the experience of care from the

patients perspectivepatients perspective Observations recorded in 5 minute time Observations recorded in 5 minute time

frames, over a few hoursframes, over a few hours PE’s and PD’s recorded to capture quality of PE’s and PD’s recorded to capture quality of

interactions with staffinteractions with staff

DCM continued……DCM continued……

Mood and engagement values are recorded Mood and engagement values are recorded which represents how engaged a person is which represents how engaged a person is and whether they are in a positive or and whether they are in a positive or negative moodnegative mood

Once the observations are complete the Once the observations are complete the data is recorded in an understandable data is recorded in an understandable format and is fed back to the staff format and is fed back to the staff

Feed back can be quite intimidating if staff Feed back can be quite intimidating if staff are not adequately briefedare not adequately briefed

Action Plans for Elderly careAction Plans for Elderly care

Using DCM has enabled us to look at many Using DCM has enabled us to look at many aspects of our care:aspects of our care:

Person centred carePerson centred care Dignity on the wardsDignity on the wards CommunicationCommunication More education regarding quality care for More education regarding quality care for

older people with mental health illnessolder people with mental health illness Back to basics programmesBack to basics programmes

DCM turns the philosophy of PCC into concrete DCM turns the philosophy of PCC into concrete observations and because it uses observations observations and because it uses observations based on the lived experiences of people with based on the lived experiences of people with Dementia, it becomes obvious to those looking at Dementia, it becomes obvious to those looking at the data, what does and does not constitute the data, what does and does not constitute person centred care.person centred care.

Brooker D, Surr C 2005 Brooker D, Surr C 2005 “Dementia Care Mapping: “Dementia Care Mapping: Principles and Practice” Principles and Practice” Bradford Dementia GroupBradford Dementia Group

Thank You Any Questions!?