University Hospitals of Morecambe Bay Making a Difference

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A massive thank you to Dianne Smith – Dementia Matron, Sue Smith – Executive Chief Nurse, Barry Rigg – Community Engagement Manager, Alison Scott – Better Care Together Matron and Martin Brooks – Communications Officer at University Hospitals of Morecambe Bay NHS Foundation Trust for a truly inspiring event today.  Tommy is arriving back in Glasgow to the team, with a smile in his heart 🙂

We are truly inspired by the 27 pledges trees that have been traveling around the trust, on the lead up to today.  A fantastic 640 personal pledges have been made so far.  The trees will now be displayed around the trust to inspire people and to be used for values based reflective practice.

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Tommy had the great privilege to give a joint talk with Paul Jebb, Execitive Care Lead for NHS England.  Paul gave a short talk before and after Tommy`s on key messages from a national level.

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Thank you to all involved for a truly inspiring day of making a difference. 

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You can now view all the tweets from the day here:

https://storify.com/UHMBT/you-can-make-a-difference-in-dementia-conference

Have a read of the pledges from the pledge trees below:

PMO Evidence for Make a Difference in Dementia

AMU – RLI

  1. Allow family flexible visiting if comforts the patient
  2. Introducing who you are and talk through as many times as needed what is happening
  3. I pledge to not rush when doing tasks and explain to the patient what I am doing
  4. Ensure forget me not passport is completed, involve patient and relatives
  5. To see the patient not just the Dementia
  6. Involve family in patients management plan
  7. Always giving patients time to talk and listen to them
  8. Properly identify Dementia patients and make sure the COTE Team are aware and Butterfly Scheme in place
  9. Ensure board behind the bed is completed

PMO Evidence for Make a Difference in Dementia

CCU – RLI

  1. To increase my knowledge and understanding of the problems faced by the people coping with the effects of Dementia
  2. To be able to ensure my actions help someone with Dementia and not upset them
  3. I will be more understanding towards them
  4. To be able to learn techniques to put the patient at ease when in hospital and understand their condition better
  5. Make time to get to know patients and family to provide individualized care
  6. To help and support the patient and their relatives looking after them, learn more about the support groups, helping them through this frustrating illness

PMO Evidence for Make a Difference in Dementia

ED FGH

  1. Ensure all staff are trained to care for Dementia
  2. To make carers aware of Butterfly Scheme and offer them the help they need or find someone who can

PMO Evidence for Make a Difference in Dementia

HQ Corridor

  1. To put the patient at the centre of everything we do, to deliver safe, effective quality care – Clinical Governance
  2. To ensure that I treat the families of those with Dementia with empathy and understanding – PALS
  3. Always act with kindness – Anonymous
  4. Remember to treat everyone as an individual and be kind caring and patient to keep people safe – anonymous
  5. To try to put myself into the patients shoes, to see things the way they do – Anonymous
  6. To promote quality changes with regards to Dementia in the Trust and to encourage feedback in order to further improve – Patient Relations
  7. To be more understanding of the stress families are under when a loved one has Dementia – Patient Relations
  8. To ensure family and visitors can contribute to care – Anonymous
  9. To always consider the person before their Dementia diagnosis – Joann Morse Dept Chief Nurse
  10. To be mindful of the difficulties faced by the families and friends of Dementia patients – Anonymous
  11. To put myself in patients and their families shoes when thinking of services – AC
  12. To complete all Dementia training offered to staff so I am up to date with the best ways to help Dementia patients and their families – PALS
  13. To keep updated in my knowledge around Dementia – Paula Evans ACN
  14. Coffee morning for fundraising at FGH Money raised to go to Dementia Fund – Shahnaz Governor
  15. To ensure we provide healthy nourishing food, new plates, dishes, bowls, introduce coloured ones – Sandra Shaw Catering Supervisor

PMO Evidence for Make a Difference in Dementia

Ward 2 FGH

  1. To treat them as an individual not just a “dementia patient”
  2. Keep safe and happy
  3. Always introduce myself with “hello my name is……”
  4. Involve the patients family and “important” people in decisions and keep them informed
  5. Communicate at eye level
  6. Warm, happy smile
  7. Have familiar things around them eg photos
  8. Give understanding, individual care
  9. Give patients patience
  10. Refer frequently to patients passport
  11. Promote the Butterfly Scheme
  12. Chat about what the remember
  13. Have suitable cutlery, dishes and cups etc
  14. Wear own clothes (patients)
  15. Give the best care for the patient and their family
  16. Look past the illness to see the individual
  17. Activities co-ordinator, diversion therapy

PMO Evidence for Make a Difference in Dementia

Ward 4 FGH

  1. Reduce the level of noise around the patient
  2. Improve nutritional care
  3. To give patient centred care to improve patient experience
  4. Ensure ward has good signage to help navigate around ward
  5. Use their name when communicating
  6. Find something they are interested in
  7. Provide support at meal times
  8. Identify those in need
  9. Sit at same height and make eye contact
  10. Purchase red cups and glasses to ensure hydration
  11. Bring own personal items i.e. photos
  12. Be courteous
  13. Reduce the risk of falls
  14. Reassurance
  15. Insure passports are filled out to improve patient care
  16. Lease with family to insure they are involved and informed about the care of their relative
  17. Positive body language
  18. Use short jargon free sentences
  19. Gather info from care givers
  20. Use their preferred name
  21. Butterfly scheme in situ so MDT are aware
  22. Tone and pitch of voice
  23. Listen to music to bring back memories
  24. Speak clearly in a manner appropriate to an adult
  25. Use visual cues to aid communication
  26. Difference between night and day
  27. Talk to them about their children
  28. Sufficient lighting at night
  29. To sit and do jigsaws
  30. Talk to them about their lives
  31. Make use of facial expression
  32. Respect their personal space
  33. Provide the person with clues about what is going on
  34. Focus on what the person can do
  35. Avoid asking questions that test the memory
  36. Have a calm approach and take your time
  37. Show them around the ward, i.e. toilet and day room
  38. Show them dates on newspapers
  39. Participate in activities which can prevent frustration and boredom
  40. Use day and night clocks
  41. Bring blanket from home
  42. Encourage them to take part in their decision making
  43. Disbelieving the person will only make matters worse
  44. Make conversation enjoyable by focusing on the things the person remembers
  45. Try and see feelings behind the words
  46. Think about your gestures so that the person gets the message right
  47. Show name badges to identify yourself
  48. Find out what food and drink they like
  49. Smile
  50. As a dementia champion I will endeavour to communicate any news initiatives from dementia days
  51. Ensure staff to watch “Dementiaville”
  52. Always introduce myself and regularly explain any procedures to the patient always repeating this
  53. Find out choice of beverages and how they like them
  54. Liaise with catering services

PMO Evidence for Make a Difference in Dementia

Ward 7 FGH

  1. Trial new crockery for Dementia patients
  2. Offer relatives of people suffering with Dementia more open visiting
  3. More staff to meet patient needs
  4. Volunteer staff to sit and play games

PMO Evidence for Make a Difference in Dementia

Ward 20 RLI

  1. Always be patient with the patients and listen more and continue to be empathetic
  2. To ensure all patients are being listened to and 100% care given
  3. To continue to give holistic based care
  4. I pledge to go the extra mile and demonstrate to relatives that we care for their loved ones
  5. Maintain equality and diversity always
  6. To always smile
  7. Make sure patients know they are in hospital and that they are safe and families are aware they are in hospital
  8. I’m going to be the Dementia Champion on Ward 34
  9. Keep the patient safe and reassure them they are safe in hospital
  10. To make patients feel safe and secure whilst feeling they have someone to talk with when it is needed
  11. To ensure patient dignity and wellbeing
  12. To remember to be warm and smile to reassure
  13. To always listen and reassure
  14. To see the person not the illness
  15. To pursue and improve on person centred care planning and delivery
  16. To try to engage patients in more activities on the wards
  17. I will continue to embrace social media, to obtain new ideas and good practice from other organisations
  18. To ensure patients have a good and decent diet and fluid intake
  19. Show patients compassion, dignity and respect
  20. Encourage patients to re live their past hobbies
  21. To love and respect the elderly
  22. Give hugs when hugs are required
  23. To provide safe and timely patient and family centred discharge
  24. Take time to listen and understand
  25. To reassure patients and engage patients in activities, talking about their past and childhood
  26. To understand patient confusion and forgetfulness and be helpful
  27. To encourage patients to be and become more independent
  28. Care compassion competence courage commitment courtesy
  29. To try harder to do activities with patients ie bingo, music
  30. To keep relatives informed at all times and to show care to patients at all times
  31. Liaise with proper members to achieve safe discharge of patients
  32. To ensure patients safety and dignity
  33. To ensure patients families understand the illness
  34. To make the patients feel welcome when arriving in a new environment
  35. Take trips down memory lane if it provides the patient with reassurance
  36. Patient to wear own clothes more and maybe staff to wear dressing gowns so patients know when it is day or nights
  37. Encourage passport documentation on the wards
  38. Always be approachable to patients, visitors and staff
  39. To engage and listen to patients when they need a friend and encourage them to feel comfortable
  40. To take time to talk, listen and understand each person
  41. Ensure everyone feels safe
  42. To understand from their point of view how hard it is to understand everyday issues
  43. Maintain confidentiality
  44. Be aware of body language
  45. Create more group activities to encourage social skills
  46. I will encourage patients reminisce and talk about their past
  47. Uphold good communication skills
  48. Listen to patients and help them feel better
  49. Ensure the end of life care for dementia patient sis delivered to a high standard ensuring comfort in the last weeks, days and months
  50. To always be polite and respectful
  51. Maintain best practice always
  52. Include family and friends in all care aspects
  53. Make sure every patient with Dementia goes on the Butterfly Scheme
  54. To encourage patients relatives to assist with care at meal times
  55. Ensure their safety is maintained and listen to them when they want to talk, respect their wishes

PMO Evidence for Make a Difference in Dementia

Ward 21 (Ripley Suite)

  1. If refused diet please go back and ask again later
  2. Get to know your patient, use the passport of care, ask relatives as they know best
  3. Take time to read forget me not passport to help individualize care and get to know likes and dislikes
  4. Give support to families to care for the patient
  5. Smile and be friendly, we know our ward and each other but they don’t
  6. Communicate with relatives as well as the patient
  7. To always see the person not just the Dementia
  8. Don’t give up
  9. Deliver on listening event
  10. To care
  11. Ensuring Dementia patients have correct food menus
  12. To treat patients with dignity and respect and as you would if they didn’t have Dementia
  13. To be myself I can help if I am myself
  14. To respect their views and opinions and put them into consideration which might help in their care
  15. To speak to the person not the illness
  16. To engage with each person with Dementia, encourage them to recall memories, use various communication techniques and non-verbal communication signs

PMO Evidence for Make a Difference in Dementia

Ward 33 RLI

  1. I will make you smile and sing a song from years gone by
  2. I will reassure you and help make your surroundings more familiar
  3. I will reminisce and chat 1 to 1 with my patient
  4. To care with compassion
  5. We will talk about the good old days
  6. Surround them with familiar things
  7. To nurse the patient holistically
  8. I will be kind, understanding and always patient
  9. I will always explain and help to make them feel safe

PMO Evidence for Make a Difference in Dementia

Ward 35 RLI

  1. Don’t take it personal they don’t mean it
  2. Be sure they understand what you’re doing to them
  3. Always be consistent
  4. Build a relationship with the patient
  5. Sit down next to them when conversing
  6. Find their likes and dislikes
  7. Smile
  8. Talk to the patient with respect it may be you next
  9. Ask about family, hobbies, interests etc.
  10. Dignity and respect at all times
  11. Listen
  12. Hold their hand
  13. Give them eye contact and smile
  14. Promote independence
  15. Explain and give time
  16. Respect their decision
  17. Make own choice

PMO Evidence for Make a Difference in Dementia

Ward 36 RLI

  1. Maintain eye contact and speak clearly
  2. I will hold your hand
  3. Patients need, to comb hair, clean my glasses keep me, comfortable and pain free
  4. Music to sing along to eg Max Bygraves or Tom Jones
  5. Regular toileting and drinks
  6. To treat all patients with dignity and respect
  7. Pass on a patients routine to other staff
  8. Promote independence
  9. Remember who I was and not who I am now
  10. Treat them with respect and kindness
  11. Don’t rush care, take your time to explain step by step what is happening
  12. Talk to them
  13. Anticipate their needs
  14. Remind them of their hobbies
  15. Listen to their preferences
  16. Be kind
  17. People with Dementia are not babies, don’t treat them like that
  18. Have patients when constantly repeating
  19. Don’t speak down to them

PMO Evidence for Make a Difference in Dementia

Ward 37 RLI

  1. Make sure I involve families in my patient care
  2. To always listen and be patient
  3. I will hold your hand
  4. Dementia is all about feeling lost, talk to the patient about their family or their past, smile, give eye contact, a hug, or hold their hand just show you care
  5. To listen, have a chat and reassure even if it takes more time
  6. To always pay attention to patients and their families to make sure I understand their needs
  7. To never assume or prejudge and to always ;listen and provide support to both patient and realitves
  8. Take time to listen, be patient asnd caring all the time
  9. Care and provide compassion
  10. To do all I can to make the patient feel comfortable
  11. To give time and support, listening to their needs and requests

UHMB also held a follow up event for teams to review and celebrate their dementia pledges. By grouping the 640 pledges into  five core areas, staff were able to evaluate their work in relation to ‘Environment’, ‘Experience’, ‘Food and Nutrition’, ‘Training’ and ‘Other’. Dementia champions reviewed the pledges in April 2016 and have confirmed a number of pledges have been delivered and are embedded within the trust. The quality committee has now published their six month dementia paper which shows how UHMB have committed to our You Can Make a Difference campaign and embedded its principles within their work in order to promote transformational change.Dementia paper Quality 2016 Morecambe Bay

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Posted in "You Can Make a Difference" Pledges

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