Spirituality and Care of Dying Nursing Home Residents: Perspectives of Physicians, Nurse Practitioners, Nurses and Nursing Assistants - PowerPoint PPT Presentation

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Spirituality and Care of Dying Nursing Home Residents: Perspectives of Physicians, Nurse Practitioners, Nurses and Nursing Assistants

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Title: Spirituality and Care of Dying Nursing Home Residents: Perspectives of Physicians, Nurse Practitioners, Nurses and Nursing Assistants


1
Kindness, Compassion and Time Quality of Care
for Frail Older People
The Ten Year Celebration of the Gerontology
Interest Group October 24th 2008
2
Dr Angela KyddSenior Lecturer, University of the
West of Scotland
  • What Older People Want from Care
  • Voices from friends, colleagues and family aged
    74-93

3
THE PURPOSE OF THE EXERCISE
  • To seek the views of a selection of older people
    in order to inform a textbook on the care of
    older people.
  • The book is designed for health care
    professionals and healthcare workers who are
    working with, or seek to work with, older
    clients.
  • The Care and Wellbeing of Older PeopleA Textbook
    for Healthcare Students
  • Edited by ANGELA KYDD, TIM DUFFY and RAYMOND
    DUFFY

4
WHY ASK OLDER PEOPLE THEIR VIEWS?
  • Issues seen as important to policy makers and
    service providers are not always the issues that
    are seen to be important to the people who use
    the services.
  • People in their 70s, 80s and 90s are likely to
    have had experience of good and poor care
  • We know that at different times in our lives we
    all have different priorities

5
BUT WHAT DO OLDER PEOPLE WANT IN TIMES OF NEED?
6
THE QUESTIONS POSED
  • What six things would you expect from a
    healthcare professional?
  • What six things would detract from your ideal for
    a health care professional?

7
THE RESPONDENTS
  • 50 older peoples views were sought
  • 35 people responded
  • 19 respondents were part of an older peoples
    forum
  • 16 respondents were family / friends of the
    editors
  • The ages ranged from 74-93

8
THE RESULTS
  • There were 7 main attributes that respondents
    wanted from a health care professional
  • These attributes correlated directly with what
    the respondents said would detract from their
    ideal health care professional
  • A questionnaire with small response boxes was
    sent out, but many people gave stories

9
THE RESULTS WHAT SIX THINGS WOULD YOU EXPECT
FROM A HEALTH CARE PROFESSIONAL?
  • A caring understanding and kind person
  • A professional attitude to older people
  • A patient person who will listen
  • A respectful person
  • A skillful and knowledgable practitioner
  • Continuity of care
  • A cheerful person

10
WHAT PEOPLE SAID-CARING
  • I want someone who understands that patients
    often do not like to ask for help

11
WHAT PEOPLE SAID -CARING
  • I wanted to say this to the night nurse
  • When you have finished putting me to bed, please
    say goodnight and try to show me that I mean
    something to you by taking hold of my hand or
    giving me a kiss on my forehead before you leave
    me. You might be the only caring contact I have
    had today

12
WHAT PEOPLE SAID -CARING
  • Whilst caring for me, talk to me, even though
    you may feel that I may not be able to reply. It
    isnt always possible to know what people can
    still understand

13
WHAT PEOPLE SAID-PROFESSIONALISM
  • I want someone to care for me who knows their
    limitations and has the humility to say they do
    not know what to do

14
WHAT PEOPLE SAID-LISTENING
  • An understanding of the difficulties of coping
    with having to travel distances for appointments
    which are difficult to get to especially when
    the person has to rely on public transport.

15
WHAT PEOPLE SAID-RESPECT
  • I think they just dont care anymore when you
    are old. I know this because of the way my mum
    was treated, the way we my sister and brother
    were treated. It was how my mother died, I will
    never forget it. My mother was always
    independentshe was sent to hospital because she
    could not eat. We all came to see her her 3
    surviving childrenMum was bad, we knew she was
    dying. The staff put her in a side room, but in
    the move they had lost her teeth

16
  • ...she was clean and all that, but she hated to
    be seen without her teeth, she was proud of her
    looks and she always looked good. She now looked
    awful, and what made it so bad was that we
    couldnt understand what she was trying to say to
    us.
  • It still upsets me now. Mum was trying to talk
    to us, she was trying to tell us something, but
    to this day I do not know what that was.

17
WHAT PEOPLE SAID-SKILLFUL
  • Staff need to remember that the effects of
    ageing on a person can be just as frustrating for
    the older person as they are for those who are
    looking after them.

18
WHAT PEOPLE SAID-CONTINUOUS CARE
  • I would like the same carers to come on a
    regular basis as far as possible so that I can
    learn to be comfortable with them. This will make
    it easier for me to talk to them about my family
    and the outside world. This will help to give me
    something else to think about.

19
WHAT PEOPLE SAID-CHEERFUL
  • I want someone who has a sense of humour even
    when mine is lacking..I remember when I was in
    names hospital, there was this one cheery
    little nurse, she always had a smile for everyone
    and it brightened up my day. I used to look
    forward to her coming on duty

20
WHAT PEOPLE WANTED
  • Only 2 of the 7 attributes identified as
    important involved professionalism
  • 5 attributes centred on the human nature of
    caring
  • Nearly all respondents related stories of good
    and poor care they had received at times of
    vulnerability, and the impact this had on
    themselves and their families

21
Implications for Practice
  • In using the voices of a small number of older
    people, the results demonstrate that many
    perceptions of good care are grounded in positive
    attitudes, sensitive interactions, inherent
    kindness, professionalism with knowledge and a
    respect for individuals in times of need.

22
The six cs philosophy (Prof Touhy) caring,
compassionate, competent, confidential, credible
and conscientious professional
  • A caring understanding and kind person
  • A professional attitude to older people
  • A patient person who will listen
  • A respectful person
  • A skillful and knowledgable practitioner
  • Continuity of care
  • A cheerful person

23
THE GERONTOLOGY INTEREST GROUP
  • The main aim of the GIG is to foster these
    concepts and share good practice in the care of
    older people on a continuum from healthy ageing,
    times of need, frailty and end of life care.

24
THANK YOU
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