stakeholders be educated on environmental impact on patients experiencing BPSD (Behaviour psychology of the symptoms of dementia) and how we should initiate that environmental change. UnitingCare Ageing South Eastern Region (UCASER) and the University of Wollongong (UoW) have undertaken a large scale multi dimensional 3-year Practice Development (PD) Research Program. UCASER is the first aged care provider world-wide to embark on a PD program of this nature and scale. PD describes organisation-wide strategies aimed at changing and improving the way services are provided to older people and embedding these philosophies in the culture. The Program has been implemented in the context of UnitingCare Ageing's person-centred framework, Inspired Care. successes and lessons learnt from the research outcomes and the ongoing Program. Specifically, we will examine strategies developed and put into practice in both residential and community care environments to support and enhance the well-being of older people living with dementia and their carers. The outcomes for people with dementia who receive our services can be seen as measures part of the process of creating places of human flourishing. and outcomes of collaborative approaches, strategies and processes as part of the Practice Development Model and Person- Centred Practice Framework (McCormack and McCance 2010), with the aim of supporting older people with dementia to live fulfilling lives. The built environment, (development of a new facility and service), the mealtime experience and meaningful activities will be explored in detail as well as the importance of team values in supporting the person with dementia to be more included and participative. refine the role of a community clinical nurse consultant (CNC) (with a speciality in dementia) to address the issues of timely diagnosis for clients experiencing cognitive changes and accommodate carer support. The role of the CNC was to: review the client [and family carer] goals and determine the clients and family carers readiness to seek diagnosis, support a negotiated disclosure of the diagnosis by establishing the client's preparedness for diagnosis, using the information gathered from the structured assessment, process of differential diagnosis, history taking, physical and mental state exam), provide emotional support, giving the client and their carer time to absorb the diagnostic information and access to support services at the right time for the individual. |