Dementia Friendly Care

 

Across Morecambe Bay we're working hard to make a difference when it comes to dementia care; using innovation and collaboration we're tackling the condition in a variety of ways.

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What is Dementia?

The word dementia describes a set of symptoms that may include memory loss and difficulties with
thinking, problem-solving or language. A person with dementia may also experience changes in their mood or behaviour.

Dementia is caused when the brain is damaged by diseases, such as Alzheimer's disease or a series of strokes. The specific symptoms that someone with dementia experiences will depend on the parts of the brain that are damaged and the disease that is causing the dementia.


Patient Centred Care

When a person with dementia finds that their mental abilities are declining, they often feel vulnerable and in need of reassurance and support. The people closest to them - including their carers, friends and family - should do everything they can to help the person to retain their sense of identity and feelings of self-worth.

We aim to deliver care centred around the needs of the person with dementia. It's important that we involve not only the person themselves, but their families and carers in the assessment, care planning and updates on the care we give.


Now open - The Bay Dementia Hub offering information on the aims and ambition of the country's first dedicated drop in "one stop shop" for advice and information on dementia.

On the first friday of every month, from 1.30-3.30pm, alternately The Trimpel Club in Morecambe and the Lancaster Town Hall. It is well supported by service providers to offer help, information and advice on managing day to day living with dementia. It is also an opportunity to meet others living with dementia.

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Butterfly Scheme

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When someone with Dementia is admitted to hospital, they are given the option of joining the Butterfly scheme.

The butterfly scheme involves a discrete butterfly being displayed above the patients' bed and on their records so that staff are made aware that the person may need extra care and attention and, bove all, are always safe. 2019-01-08 09_38_00-butterfly scheme - Google Search.png

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There are two types of butterfly, depending on the patients needs. The full butterfly indicates a definite diagnosis of Dementia, whereas an outline butterfly indicates undiagnosed Dementia, cognitive impairment or delirium (acute confusion). 

 Going forward from 2019, the scheme aims to be available in the community hospitals and teams including the GP surgeries.  


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We also offer a forget me not passport for every inpatient admitted who has Dementia. This is completed by the families and carers, and tells us how to care for the person based on their individual preferences.

We encourage families and carers to bring the passport on any visit to the hospital for staff to read to ensure the care is person-centred. The passport belongs to the individual and can be updated by them or their family at any time.

UHMBT ensures all clinical staff complete dementia awareness training through our Butterfly Scheme, together with expert facilitators trained at University of Stirling delivering classroom based teaching for Allied Health Professionals with accreditation

All staff are offered dementia training which is classroom based to learn more about dementia, management and care and the importance of the person-centred approach. 

Johns Campaign

lanyard.jpgJohn’s Campaign is about the right of people who care for someone living with dementia to be able to stay with them – and the right of people with dementia to be able to have a family carer stay with them. It applies to all hospital settings: acute, community, mental health and its principles could extend to all other caring institutions where people are living away from those closest to them.2019-01-08 10_10_57-.png

John’s Campaign recognises the important role of those family members who care for people who are living with dementia. Behind its simple statement of purpose lies the belief that carers should not just be allowed but should be welcomed, and that a collaboration between the patients and all connected with them is crucial to their health and their well-being.

UHMBT were one of the first hospital Trusts to sign up to the scheme in 2015. We offer a lanyard and badge for carers to wear when supporting the person with dementia. Please ask staff for one when you visit. 


Dementia Menu
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UHMBT offers a dementia menu for people staying with us that might struggle at mealtimes. 

Using the information provided by family or carers through the Butterfly Scheme, the person can receive a personalised menu which helps to reduce the stress of mealtimes and eating. 

The menu offers lighter meal options, such as foods which need reduced supervision and can be eaten without cutlery.

It also provides the opportunity for patients to have snacks - eating “little and often” as needed.

The menu provides extra nutrition as needed, whilst ensuring a dignified approach to mealtimes. 


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Thanks to a generous donation from the Royal Voluntary Service, we have launched a dementia volunteer programme at the Trust. There was a very positive response from the general public and we now have a waiting list for dementia volunteers.

Our dementia volunteers help in-patients with activities to trigger happy memories, as well as providing companionship and reading to them.

They also provide 'move it or lose it' classes for both inpatients and outpatients to ensure strength and mobility is maintained in our more frail patients. Crochet ward (2).jpg

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There are memory walls in place at each of our three sites for patients and families to enjoy while visiting. They depict local scenes which provoke happy memories of our local areas. 


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Dementia Champions

UHMBT supports them with training days to learn more about dementia care and management. Each clinical area should have a dementia champion to support dementia awareness. This includes updating staff on how person centred support can be given, be a point of contact for families and carers, and ensuring clinical practice is up to date for their areas.

 


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For every unplanned admission, everyone aged 75 or more is screened for frailty, which always includes dementia or cognitive impairment (confusion memory problems). All patients who are identified as frail are now entitled to comprehensive geriatric assessment - a complete assessment of needs that involves family and carers. This is done by a Care of the Elderly Team, who can be found at both the Royal Lancaster Infirmary and at Furness General Hospital. 

They assess frail patients in our emergency departments, offering recommendations for the patients' next steps, signposting to acute frailty beds. 


Contact Us

The Care of the Elderly team can be reached on the following numbers:

FGH - 07815 003764

RLI - 07815 003765

Dianne Smith is the Matron for Dementia at UHMBT. Her role is to manage the Care of the Elderly Teams, ensure person centred, safe and dignified care is delivered throughout the trust by training and development of staff, and to ensure that appropriate dementia friendly environments and high quality standards are maintained.

You can contact Dianne via email at Dianne.Smith@mbht.nhs.uk or by telephone on 07805895862.

 


Updated January 2019

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