What Matters to me, a tale of rosary beads, earrings. - What Matters to me, a tale of rosary beads, earrings - a new vital sign Geraldine Marsh Associate Chief Nurse Scottish Quality & Safety Fellow NHS Greater Glasgow & Clyde @geraldinemars11

Patient Assessment & Diagnosis Early Warning Scores Bloods ECG’s X rays Mobility Exercise Functional ADL’s BUT

What Matters to them?

Flip Health Care from ‘What’s the matter’ to ‘What matters to you’ The care experience driver diagram

“It is more important to know what sort of person has a disease than to know what sort of disease a person has,” Hippocrates approximately 2,400 years ago.

A potential flipping slide? Changing our perspective…. Notes on the American approach to “flipping healthcare”: The traditional doctor’s visit is ripe for reinvention - it is such a valuable interaction. New tools, technologies, and strategies can empower people to be more informed and more engaged when they walk into the doctor’s clinic and better equipped to improve their health when they walk out the door. Doctors, nurses, and other care providers can improve the ways they communicate and engage with patients during visits. Healthcare providers need to take advantage of new tools for monitoring, supporting, and connecting with their patients outside of the office, too. Tapping into these strategies could turn the provider-patient interaction on its head—and promote better, more meaningful relationships..

Jen Rodger’s and her team were asking children what mattered to them, why could we not ask older people what and who mattered to them?

What’s Important to me 1st Draft

Rose’s story 88 year old with advanced dementia Admitted following a fall at home, had little safety awareness, would often try to mobilise unaided and would often become distressed. Frequently fell while in hospital and sustained a # NOF

Barbara 92 year who was admitted following a fall at home Nursing staff knew everything about her; They knew she lived alone, was partially sighted, was mobile with a zimmer, had home care 4 times a day, her next of kin is her daughter. She required further physiotherapy and a home assessment prior to discharge...... But wasn’t complying, medical staff considered anti depressants We knew everything about her ……. Or did we ?

David Story

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Stop seeing the patient. Start seeing the person Ask what matters Listen to what matters Do what matters Stop seeing the patient. Start seeing the person

So.................. Asked what matters Listened to what matters Did we do what matters ? Testing within GORU asking patients what will make today a good day for you ?

Thank you for listening Special thanks to Jen Rodgers & Paediatric team at Royal Hospital for Children Glasgow for the Inspiration @geraldinemars11 @ jenfrodgers