1. Dementia training in Norwich – to reduce the reliance on antipsychotic medication
Training to support
Care workers in care homes
Clare Daly and Penny Levett
Started in 2009 – pilot
Monthly ish
30 per course
Taught 400 approx

2. Origins In advance of the national strategy
Safeguarding issue in West Norfolk
Developed in conjunction with CSCI
To introduce alternative management techniques rather than over reliance on medication

3. Training Combines medication and alternatives One day
Developed and delivered by specialist staff
Off site
Interactive!
Specialist staff allow for annecodateos and questions to be answered
Part of wider PCT initiative
Follows national guidance

4. Pharmacy training
Outlines the appropriate use of medication in dementia
Looks at Behavioural and Psychological Symptoms of Dementia
Looks at treatment with antipsychotics
Looks at side effects / cautions
Looks at medication management as part of the broader picture in dementia

5. Non medication training
Based on principles of Tom Kitwood
‘Person Centred Care’ overused and misused
Go back to PCC roots – looks at the flower and the support these people need to achieve these basics rights
If support not there or forth coming - clash

6. Non medication training
Considers full understanding of persons history
and how it impacts on current presentation
Insight into coping strategies
How the past influences their responses to others

7. Looks at practical application of this
Potential restrictive nature of risk assessments
Removal of all risk impractical and restricting

8. Looks at memory
How it is stored and how that influences and disorientates

9. Behaviour
Challenging behaviour arises from misinterpretation of intentions and actions
Get carers to think about it in a situation that they can relate to

10. Busy boxes and diaries Appropriate to the person
Distraction and enjoyment
Allow you to become a detective
Can accurately report to GP

11. Case studies allows learning into practice
Allows sharing of good practice
Encourages discussion
Real life examples

12. Challenges we have encountered
Keenness to change but perceived difficulties
Lack of awareness of alternatives to medication
Lack of awareness from GPs about alternatives – reliance on mediation
Change from ‘prn’ medication to regular medication
Culture
Resources
Time
Rules

13. Future direction
Waiting for outcome of a research bid RfBP to take this further

14. Any questions