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The impact of RYCT on staff and residents in care home context: Using Dementia Care Mapping (DCM) RYCT Project 2013. La Sagrera Long term care & Day Care Centre
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DCM Mapping Place: La Sagrera (Barcelona) : Date: October 30th 2013 Time: 17:30- 19:00pm (1.30h) Number of people with dementia : 9 Data collected for each one DCM Basic Mappers: Marbel León, Josep Alcocer
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ME’s group value: 30% of time: neutral Mood and Engagement (ME): Absence of overt signs of positive or negative mood. 53% of time: The group is Content, happy, relaxed. Considerable positive mood and concentrating but distractible. Considerable engagement. 15% of time: the group is Very happy, cheerful. Very high positive mood; and also very absorbed, deeply engaged. 2% of time: the group has small signs of negative mood, withdrawn and out of contact.
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Behaviour Category Codes(BCC): Comun BCC 33% of time ► Going back. G 17% of time ► Articulation (interacting with others). A 16% of time ► Beeing engaged but passively. B 14% of time ► Directe engagement of senses. T 12% of time ► Expressive or creative activities. E 5% of time ► Exercice or physical suport. I 1% of time ► Doing for self (self care). D 1% of time ► Leisure,fun activities. L 1% of time ► Displaying or relating to objects. O
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WIB score: Shows how the participant fared on mood and engagement MB: ME +3.0 JM: ME +1.6 CD: ME +2.9 MC: ME +2.8 JH: ME +2.5 TB: ME +2.6 AB: ME +3.1 MP: ME +2.1 FC: ME +3.3
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Individual Profile: MC RYCT project
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MC Individual Profile: MC ME Value: 50% in ME +3; 31% ME +1 and 19% in +5. BCC’s : 31%- T: Direct engagement of the senses 25%-G: Going back 19%-A: Interacting with others 13%-E: Expressive (she is singing) 6%-B: Being engaged but passively 6%-O: Displaying or relating to intimate objects Other observations: When she is participating in reminiscence activities, she looks happy and really engaged. The music make her feel really engaged. Her son’s participation has an impact in her need for comfort and attachment.
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Individual Profile: MC Daily life in the Long term Care Center
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ME value: 7% in -3; 75% in +1 and 10% in +3 BCC’s: 27%-B: Being engaged but passively 20%-F: Eating or drinking 20%-O: Displaying attachment to or relating to inanimate objects 11%-P: Receiving practical, physical or personal care 7%- D: Engaging in self –care 5%-A: Interacting 5%-J: Engaging in exercise or physical sport 5%-T: Direct engagement of the senses 2%-N: Sleeping
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Individual Profile: AB RYCT project
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ME’s value: 24% a +1; 47 % a +3 and 29 % a +5 BCC’s 47% -A: interacting 24% B: being engaged but passively 6%-D: Engaging in self-care 18% -E: Expressive or creative activity 6%-G: Going back. The ME’s values +3 and+5 are especial singing and doing something with music.
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Individual Profile: AB Daily life in Long term Care Center
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ME value: 19% in -1, 80% in +1 and 2% in +3 BCC’s: 21%-B: Being engaged but passively 21%-D: Engaging in self-care 16%-C: Being disengaged 14%: Eating 9%-T: Direct engagement of the senses 5%-A: Interacting 5% -N: Sleeping
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GROUP: Personal Detraction and Personal Enhancer coding PERSONAL DECTRACTIONS Imposition: Forcing a participant to do something, over-riding their own desires or wishes, or denying them choice. Invalidation: Failing to acknowledge the reality of participant in a particular situation Outpacing: Providing information and presenting choices at a rate too fast for a participant to understand.
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GROUP: Personal Detraction and Personal Enhancers PERSONAL ENHANCERS Facilitation: Assessing level of support required and providing it. Warmth: Demonstrating genuine affection, care and concern for the participant. Relaxed pace: Recognizing the importance of helping create a relaxed atmosphere. Fun: Accessing a free, creative way of being and using and responding to the use of fun and humor. Collaboration: Treating the participant as a full and equal partner in what is happening consulting and working with them.
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