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DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Effective Resources for Training Staff in Person-Centred.

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Presentation on theme: "DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Effective Resources for Training Staff in Person-Centred."— Presentation transcript:

1 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Effective Resources for Training Staff in Person-Centred Dementia Care Buz Loveday DementiaTrainers Dave Bell Care Homes Support Team

2 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Background NICE/SCIE Guidelines Dementia UK report Dementia Strategy Everybodys Business National Minimum Standards

3 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Who is training for? 70% of Care Workers have no qualifications – theres a case for all staff to be trained including Drs and Nurses (Banerjee) All staff working with older people should have access to training in dementia care consistent with roles/responsibilities (NICE) All staff working in generic, non-specialist areas to better meet the requirements of older people with mental health problems across the board (Everybodys Business)

4 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care What should Training Achieve? Improve quality of care received by people who have dementia in all areas Development of skills and attitudes for staff to better meet needs of clients Establish career pathways for staff Maintain workforce development/staff retention

5 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care What makes training effective? Part of an organisational strategy Reinforced through leadership Relevant to needs - what staff need to learn and unlearn

6 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care theres nothing that can be done Hopeless case

7 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care What makes training effective? Part of an organisational strategy Reinforced through leadership Relevant to needs - what staff need to learn and unlearn Inspirational

8 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care The learning stairway Dont know you dont know (unconscious ignorance) Know you dont know Dont know you know Know you know (conscious ignorance) (unconscious understanding) (conscious understanding)

9 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care What makes training effective? Part of an organisational strategy Reinforced through leadership Relevant to needs - what staff need to learn and unlearn Inspirational Methods address different learning styles and abilities

10 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care 4 basic learning styles (Honey & Mumford) Activists Theorists Reflectors Pragmatists

11 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care What makes training effective? Part of an organisational strategy Reinforced through leadership Relevant to needs - what staff need to learn and unlearn Inspirational Methods address different learning styles and abilities Relevant, practical and applicable

12 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care What makes training effective? Part of an organisational strategy Reinforced through leadership Relevant to needs - what staff need to learn and unlearn Inspirational Methods address different learning styles and abilities Relevant, practical and applicable Opportunity for discussion and feedback

13 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care How do we measure the effectiveness of training? Assess learning of participants Knowing is not enough; we must apply. Willing is not enough; we must do (Goethe) Measure outcomes for people with dementia Measure outcomes for staff and the organisation Observation and anecdote Inspection reports

14 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Research reviews Kuske B et al (2007) - Nursing home staff training in dementia care: a systematic review of evaluated programs. International Psychogeriatrics, 19, 818 – 841. McCabe M et al (2007) – Effectiveness of staff training programmes for behavioural problems among older people with dementia. Aging and Mental Health, 11, 505-519. NICE/SCIE - Guidelines for Dementia (9.4 Models of Training pp 274-280). British Psychological Society/RCP, London.

15 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Reported Research (2) Teri L et al (2005) – STAR: a dementia specific training programme for staff in assisted living residences. The Gerontologist, 45, 686-693. Burgio L et al (2002) – Teaching and maintaining behaviour management skills in the nursing home, The Gerontologist, 42, 487-496. McCarthy B & Dalrymple M (2003) – Supervisory feedback sustains change after training in dementia care. Paper from Alzheimers Australia National Conference. Davison T et al (2007) – Controlled trial of dementia training with a peer support group for aged care staff. International Journal of Geriatric Psychiatry, 22, 868-873 Bryan K et al (2002) – Working with older people with communication difficulties – an evaluation of care worker training. Aging and mental health, 6, 248-254.

16 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Resources Knowledge and experience of trainer! Videos Group exercises – eg case studies Experiential exercises

17 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care HOW MUCH LEARNING IS RETAINED? 3 months later ToldTold and shown Told, shown and experienced 3 weeks later

18 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care HOW MUCH LEARNING IS RETAINED? 3 months later ToldTold and shown Told, shown and experienced 3 weeks later 70%72%85%

19 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care HOW MUCH LEARNING IS RETAINED? 3 months later 10% 65% 82% ToldTold and shown Told, shown and experienced 3 weeks later 70%72%85% Tell me and Ill forget; show me and I may remember; involve me and Ill understand (Chinese proverb)

20 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Try to understand how hard it is for us…its just that you cant see the missing bits that we are having to cope without Christine Bryden, 2005 (9 years after her diagnosis of dementia)

21 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care

22 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care How would you feel?... Youre away from home in an unfamiliar place. A complete stranger comes into your room, speaks to you in a language you cant understand and starts trying to pull you out of bed.

23 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care How would you feel?... Youre away from home in an unfamiliar place. A complete stranger comes into your room, speaks to you in a language you cant understand and starts trying to pull you out of bed. Photo from Openings – John Killick and Carl Cordonnier

24 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care

25 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Slide courtesy of Alzheimers Society

26 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Resources Knowledge and experience of trainer! Videos Group exercises – eg case studies Experiential exercises

27 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Resources Knowledge and experience of trainer! Videos Group exercises – eg case studies Experiential exercises Role plays

28 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care PAT COOPER Pat Cooper has been a service user for 2 years. Pat has dementia and arthritis. Pats partner died a number of years ago. Pat has one son who usually visits every week. Recently he has been ill and has not been visiting. Pat was the deputy head of a large school. Sometimes Pat thinks this is the school. Before the onset of arthritis, Pat was very fit and active. Pat does not have any friendships with other service users; some people consider Pat to be a nuisance. 26

29 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Resources Knowledge and experience of trainer! Videos Group exercises – eg case studies Experiential exercises Role plays

30 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Resources Knowledge and experience of trainer! Videos Group exercises – eg case studies Experiential exercises Role plays Discussions and brainstorms

31 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Resources Knowledge and experience of trainer! Videos Group exercises – eg case studies Experiential exercises Role plays Discussions and brainstorms Games and quizzes

32 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care Resources Knowledge and experience of trainer! Videos Group exercises – eg case studies Experiential exercises Role plays Discussions and brainstorms Games and quizzes Real stories

33 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care

34 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care

35 DementiaTrainers www.dementiatrainers.co.uk Buz Loveday & Associates – working to improve dementia care What kinds of dementia care training are happening currently? What resources do you use? What works best???? What evidence do you have of the effectiveness of your training?


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