Caring and Sharing: A Community of Practice for Seniors with Responsive Behaviours Mr. Robin Hurst RN BScN, CPMHN,GNC Ms. Karen Ray RN, MScN

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Caring and Sharing A Community of Practice for
Seniors with Responsive BehavioursMr. Robin
HurstRN BScN, CPMHN,GNCMs. Karen Ray RN, MScN
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Conflict of Interest Declaration

• I declare that I have no conflict(s) of interest
  that may have a direct bearing on the subject
  matter of the presentation

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Overview

• Responsive Behaviours
• SHRTN
• Community of Practice
• Goals of CoP
• Knowledge Exchange methods
• Outcomes

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Caring and Sharing
A community of practice funded by
MOH/LTC through Seniors Health Research
Transfer Network
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Seniors Health Research Transfer Network

• The purpose of the Seniors Health Research
  Transfer Network (SHRTN) is to improve the
  quality of health and health care of seniors in
  Ontario.

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Seniors Health Research Transfer Network
Seniors Health Research Transfer Network
(SHRTN) A government supported joint initiative
convened to facilitate the sharing of knowledge
about health care related to Ontarios seniors.
It envisages a future in which caregivers,
researchers, and policy makers participate in
knowledge exchange initiatives.
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Knowledge and Exchange
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Participating Organisations

• Baycrest Centre for Geriatric Care,
• The Aphasia Institute,
• Elisabeth Bruyère Research Institute (EBRI)
• Schlegel - UW Research Institute for Aging (RIA)
• Alzheimer Society of Ontario
• Saint Elizabeth Health Care

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Community of Practice

• A place of Learning
• Learning engine of practice
• Practice history of learning
• Informal groupings of people
• Common interests
• Develop relationships (Social)
• Allow them to share expertise and
• Experiences

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Community of practice for Seniors with responsive
behaviours

• Goals
• A website and online discussion forums for all
  participants
• Resources, supports and networks for participants
• A toolkit of literature, resources and care
  delivery methods for participants
• A sustainable community of practice to link
  participants

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What are Responsive Behaviours

• Responsive behaviours have been described in the
  research (Cohen-Mansfield, 2000)
• Verbally non-aggressive (verbal complaints,
  constant requests for attention)
• Verbally aggressive behaviours (cursing, sexual
  content)
• Physically non-aggressive (pacing, undressing,
• handling objects )
• Physically aggressive behaviours
• (spitting, hitting throwing objects, physical
  sexual advances and hurting self or others) .

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Web Site

• Public site for information
• Resources/ Links to educational events
• Sharing of Best Practices
• Ask the Expert Forum
• Private site
• Community of Practice

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Web Site- wwwresponsivebehaviours.ca

• Responsive behaviour can be managed by different
  approaches. We have chosen the categories used by
  the National Guidelines for Seniors Mental Health
  2006.
• LINKS
• General Care
• Assessments
• Approaches to Care
• Treatments
• Research

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Fireside Chats

• 90 minute presentations on a variety of topics
• Able to provide education
• Teleconferencing
• Visual
• Polling
• Discussions
• Reach a wide audience across the province

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Educational programs

• P.I.E.C.E.S.- U-F.I.R.S.T.
• Gentle Persuasive Approaches (GPA)
• Responsive Behaviours C-D ROM(MAREP)
• Montessori Approach to Dementia Care

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Topics

• Admission process to long term care
• Ontario partnership for Aging and Developmental
  Disabilities
• National Seniors Mental Health Guidelines
• Change Theory
• Success stories
• On-line education

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Example

• Seniors Mental Health Teams
• Requesting to have help with sharing knowledge
• Sharing role of teams
• Updating re educational Initiatives
• Private discussions re policies

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New Development

• Seniors Mental Health Executive team Mtgs across
  the province
• Provided the opportunity for the development of a
  community of practice for Seniors mental health
  and behavioural issues

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Progress

• Monthly Fireside chats up to 75-100 people across
  Ontario
• Joint sessions with other CoP example. Driving
  with Dementia
• Identification of Future Sessions
• Positive feedback

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Face-to-Face Meetings

• Attending conferences has a number of advantages
  including gaining information and networking. To
  facilitate this information dissemination
• Small symposium presentations will be utilized
  coupled with a webcast function to help send
  information to more remote areas
• Other innovative approaches will be used during
  the symposiums including workshops, networking,
  toolkit development and a Knowledge Marché

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Outcomes

• Outcomes
• Increase awareness and knowledge about issues for
  seniors with responsive behaviours
• Creation of linkages for all participants through
  websites, networks, etc.
• Sharing of knowledge and expertise with all
  participants
• Improved care and health outcomes for seniors
  with responsive behaviours and their caregivers

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Contacts

• Mr. Robin Hurst RN, BScN, GNC, CPMHN
• Clinical Consultant for Seniors and Mental Health
• 905-968-6459
• rhurst_at_saintelizabeth.com