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Meaningful Day

• Staff Nurses
• Jenny Reynolds Julie McIlroy
• Mater Hospital Trust Belfast

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What is Meaningful Day?

• Nurse led initiative by Mater Trust in
  association with community facilities.
• Weekly group which focuses on aspects of healthy
  living and social functioning.

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Why Meaningful Day?

• Concern re. psychotic patients increased weight
  reduced motivation.
• Identified significant lack of daily living
  skills within this patient population.
• Need for a structured programme of activities to
  enhance motivation and social inclusion.
• Practice Development Care Pathways.

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Rationale

• To educate and empower patients to make informed
  choices about diet and physical and social
  activities so that they can lead a healthier
  lifestyle and ensure a more Meaningful Day.

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Aims Objectives of Meaningful Day

• Educate patients to eat more healthily
• Encourage patients to increase their physical
  and social activity
• Motivate patients to lose weight
• Improve patients self esteem
• Create a supportive environment in which patients
  can openly discuss their mental and physical
  wellbeing.

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Criteria for Referral

1. Patients with severe mental illness who are
   currently prescribed antipsychotic medication.
2. Have shown a desire to change a current
   behaviour weight mgmt, diet or become more
   socially active.

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Assessment

• Screening prior to commencement
• Social Functioning Scale
• LUNSERS (Liverpool University Neuroleptic Side
  Effects Rating Scale)
• SUDS (Subjective Units of Distress)

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Information Assessment
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Programme Structure

• 8 wk repeating, rotational programme
  
  (Wednesdays in Ward K)
• Morning Session 1 hour group
• Afternoon Session Social activity until 2.30 -
  3pm approx.

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ART
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Pictorial Interpretation of Meaningful Day
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8 week Programme includes

1. Healthy eating and drinking.
2. Physical activity
3. Self Esteem / Motivation
4. Stress Anxiety Management
5. Activity scheduling
6. ve/-ve of social activities
7. Quizzes/Art
8. Evaluation

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Social Activities

• Walking, ten pin bowling, Cinema,
• eating out, museums, Christmas shopping,
  Christmas Meal.
• Public transport is utilised as much as possible.

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The Future

• To continue Meaningful Day on an 8 week
  rotational programme.
• To engage other nursing staff and disciplines.
• To empower and enable patients to make small
  achievable changes to their lifestyle which will
  have a positive impact on their physical and
  mental health.

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Quotations

• Helps me get out, I never get over the door.
• Hadnt been to the cinema in 20-30 yrs
• People in the group understand my illness

• Has increased my confidence to speak out, more
  assertive.
• Helps me feel motivated gives me a routine.
• I can now use buses trains.

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Any Questions?

• Thank you for giving us this opportunity to
  present Meaningful Day.