1. Innovation in West Lothian Health and Social Care
Heather Lyle
Care Home Education Facilitator

2. My role Care Home Education Facilitator (C.H.E.F)
2 CHEFs in Lothian. Work alongside PEF team
Wide geographical area covered
Support learning in care homes to facilitate quality learning environments
Student placements
Facilitation of staff education

3. Recent innovative training
Falls (West Lothian care homes
Dementia (Edinburgh City care homes)
Long term conditions (West Lothian)
Managing care of older people (West Lothian)
Frail / elderly training (West Lothian)

4. Long Term Conditions 2 day course Twice yearly event
Registered Nurses and SVQ 3 level care staff
Developed and coordinated by Shena Brown in collaboration with West Lothian CHP
207 attendees (6 years)

5. Long Term Conditions Course (2day)

6. Frail Elderly Study Day 2016
1 day event
6 times per year
Open to all levels of care staff from private, social NHS and homecare services
Varied guest speakers / topics

7. Learning Outcomes
Understand the importance of monitoring and reporting changes in a frail older adults health
 Have an awareness of different assessment tools appropriate to use with frail older adults
Recognise their role in the facilitation of self management techniques relevant to frail older adults and integrate these into practice
Demonstrate an awareness of the role of key frailty experts in West Lothian including when and how to contact them

8. Frail / Elderly Attendance 2016
28, 15, 12, 15 attendees
3 study days so far this year = 70 attendees

9. Case Study - Edith
Edith is 84 years old and has a long history of extreme breathlessness due to COPD. Other medical conditions include Parkinson’s Disease and dementia.
Recent months
Chest infection
Distress
Anxiety
Reduced mobility
Risk of choking
Recent falls
Dry skin
Incontinence
Risk of malnutrition
Over the last month her condition has deteriorated following a chest infection, she has frequent periods of distress and anxiety. Edith has become increasingly dependent on her carers requiring assistance to wash and dress, due to pain and reduced mobility. Her appetite is poor and she can cough and choke at times whilst eating and drinking. She lacks confidence to mobilise, having had a few falls in recent weeks. Her skin is dry and at risk of breakdown and she has episodes of urinary incontinence.
BMI 17, MUST score 4

10. Interprofessional learning
Promotion of person centred care
Variety of topics
Networking and collaboration opportunities

11. Topics covered during day
Dementia
Falls
Respiratory
Pain management
End of life care
Podiatry
Oral health
Nutrition
Stress / distress
Sensory awareness
Medications
Tissue Viability
Revalidation

12. Rotational Guest Topics in 2016
Parkinson’s Specialist Nurse
Frail / elderly liaison nurse
Delirium - Frail / elderly consultant
Others
Oral health, diabetes, continence

13. Evaluation and Challenges
Ongoing evaluation
Diverse range of topics
Rotational topics
Co-ordination of programme
Future
Excellent opportunity for integration of education