1. Person centred care and failure free activities in a ward setting
What change can we make that will result in an improvement?
Occupational Therapy Project
Maximising skills/abilities, recovery focused and promoting well being
Cognitive Disability Model Key in approach
Greater understanding of global cognitive functioning in everyday tasks
Focuses on both remaining abilities and deficits so therapist can adapt approach and environment to keep someone participating in everyday things.
Situation:
All Male extended assessment ward for older
People with mental illness.
Patients with very complex needs, meeting the continuing health care criteria.
Identified Problem:
Previous high incidence of aggression
High incidence of falls
High levels of pharmlogical interventions
High levels of staff observations needed Level 2 & 3
Staff very stressed, low morale, unhappy
Outcomes
Staff Attitude – becomes patient centred – warm, empathic and open (Rogers)
Staff/patient/carer relationships – provide more understanding of a patient’s personhood (Kitwood) considering and knowing a patients likes, dislikes and capabilities.
Reduction in anxiety, agitation and aggression
Reduction in prescribing and administering of
Anx-iolytic and Antipsychotic medication
Reduction in falls
References
Alzheimer’s Australia (2017) Agitated Behaviours. Available at: ( changes/agitated behaviours)
 Allen Cognitive Network (2017) Brief History of the Cognitive Disabilities Model and Assessments. Available at: (
Allen, Claudia kay, Earhart Catherine T. and Blue, Tina (1992) Occupational Therapy treatment goals for the physically and cognitively disabled, AOTA, Bethesda MD.
Team members: Rebecca Hanmer, Joanne Hollyman, Rebecca Taylor, Daniel Beuse-Evans
Reflection
New staff settling in.
Not being based on ward
context of spot checks, 15 steps project and understanding staff feelings
Could have raised understanding of project more with ward based staff.
Some patients overseen by several OTs-Link OT for all patients
Remaining optimistic and positive