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Anne Longmore“To enable participation for people with dementia”

Activity Matters

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WHAT DO I NEED TO KNOW?

How does dementia impact how a person maintains

a sitting posture?

What are the differences between sitting at rest and

sitting for participation?

What are the options available for the individual?

Review of current seating

practices in supporting people

living with dementia in residential

aged care – a pilot study

Partners - Brightwater Group, Dementia Centre, HammondCare, Independent Living Centre, University of New South WalesFunded by DCRCCarers and Consumers, QUT

Translating dementia research into practice

Partner logo here

Translating dementia research into practice

Aims• Review relevant academic and grey

literature

• Identify the seating products currently used in residential aged care

• Benchmark current practice

• Identify and describe seating principles for people living with dementia and impaired posture

• Lay a foundation for future research and practice development

Partner logo here

JUST AS I THOUGHT

Pathology:dementia

Pathology:ageing

Pathology:co- morbidity

AEROPLANE SEAT

USING EVIDENCE TO SUPPORT PROFESSIONAL REASONING

Evidence supports:

People with cognitive impairment have potential abilities that can be realised when in an enabling environment and that occupation is the key to unlocking this potential Pool (2008)

Alignment of postural sets and being upright in a chair enables participation.

Barriers: the tilt in space chair looks comfortable in the recline position, but guess what !!

SEATING ASSESSMENT

DO WE NEED TO CHANGE LANGUAGE?

POSTURAL AND SEATING ASSESSMENT

IF SO NEED A MDT APPROACH

RECOMMENDATIONS

ACTIVITY MATTERS

Enabling Environments

http://www.kingsfund.org.uk/sites/files/kf/field/

field_pdf/is-your-care-home-dementia-friendly-

ehe-tool-kingsfund-mar13.pdf

Activity Matters

https://www.cot.co.uk/older-people/activity-

matters-toolkit

FUNDING

Sensory activity and reflex activity level: CHC funding

Writing the report

Cite why other chairs aren't suitable using language from

postural management

Alignment to language fromCare Act 2014 , activity matters

and dementia friendly environments.

Task: Fill in the blanks

SCENARIO

78 year old man who is in a foetal position in bed and hasn’t been out of bed for 4 months. Prior to admission to care home was in hospital and his brother stated that he never got out of bed in hospital.

Write an opening sentence why gentleman needs a specialist chair focusing on participation and promoting activity.

Share it with your neighbour

Discuss an area for development for CPD

WELLBEING

Experience lives: personal, cultural, social and faith

Build strong and positive relationships with others

Contribute to their community

Personal dignity

WELLBEING

Protect from abuse and neglect

Suitability of living accommodation

Safeguarding

Preserve privacy, individualism, self- respect and

dignity

• Identify the seating products in residential and nursing care

• Bench mark current practice

• Identify and describe seating principles for people living with dementia and impaired posture to improve quality of referrals

• Promote best practice

DON’T FORGET THE BASICS

National Institute for Health & Clinical Excellence (2008) Mental wellbeing in over 65s: occupational therapy and physical activity interventionshttps://www.nice.org.uk/Guidance/PH16[accessed 28.9.16]

Enabling Environments http://www.kingsfund.org.uk/sites/files/kf/field/field_pdf/is-your-care-home-dementia-friendly-ehe-tool-kingsfund-mar13.pdf

DON’T FORGET THE BASICS

Pool J (2008) The Pool Activity Level (PAL) instrument for occupational profiling: A practical resource for carers of people

with cognitive impairment. Third Edition. London,

Jessica Kingsley Publications

REFERENCE

Review of current seating practices in supporting people living with dementia in residential aged care – a pilot study

https://www.hammond.com.au/research/dementiaagedcare [accessed 28.9.16]