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FiFtEENtH NatiONal CONFERENCE
with dementia. Of the 489 staff members
responding, the majority were female (95%),
average age of 48 years and 12.8 years
working in aged care.
Self-complete surveys were distributed to staff
and common to all projects was a staff-based
measure of individualised care (Chappell, Reid
and Gish, 2007), selected to examine the
complexity of the concept of person-centred
care. The ICI comprises four sub-scales
representing three domains of individualized
care: knowing the resident, opportunities for
autonomy and choice for the resident, and
communication (between staff members,
and between staff and residents). These
core elements are examined using data to
demonstrate the utility of this tool to identify
strengths and weaknesses in the practice of
person centred dementia care. The discussion
is framed around the data that reveals higher
scores on the dimensions of `knowing the
resident' and `communication' but less robust
scores on resident autonomy. This is analysed
in relation to how the information from the
ICI can enable care providers to target quality
improvement to areas of weakness and
highlight how strengths can be used to build
on to achieve dementia care excellence.
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seRVIce 2
tHE PERsON FiRst stORy ­ makiNg
PERsON CENtREd CaRE CONsistENt
aNd REal
Margaret Ryan
Bupa Care Services Australia
In 2011 a pilot group of five care homes were
selected to commence their journey with a
focus on developing our people by way of an
intensive and extensive training program called
"Person First ...dementia second - Dementia
Excellence" program.
This bespoke training program was developed
by Bupa Care Services in partnership with
Bradford University Dementia Group with a
focus on understanding the experience of
people living with dementia and enabling care
that optimises personhood and wellbeing.
This story is about the positive impact of
training to create a person centred culture
where staff
· understand each person's life story and
personality are central to the way they
support and care
· are enabled to look behind the way a
resident is "behaving" to seeing that how
they act or react is related to unmet needs
emotional, social and physical such as ,
comfort, identity, attachment, inclusion and
occupation
· appreciate and value the person's
perspective in any given situation
· Have changed their language from de
personalised use of terms where people
with dementia are "labelled" toward more
person centred use of language.
Additionally, there is also been improved
relationships with families as staff are
empowered by knowing each resident well and
families seem to trust the staff in this way.
Overall the care homes reported a general
empowerment of staff and teams around a
common purpose of person first; real and a
consistent person centred approach for people
living with dementia.