The impact of RYCT on staff and residents in care home context … · ME’s group value: 30% of...

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The impact of RYCT on staff and residents in care home context: Using Dementia Care Mapping (DCM) RYCT Project 2013. La Sagrera Long term care & Day Care Centre

Transcript of The impact of RYCT on staff and residents in care home context … · ME’s group value: 30% of...

Page 1: The impact of RYCT on staff and residents in care home context … · ME’s group value: 30% of time: neutral Mood and Engagement (ME): Absence of overt signs of positive or negative

The impact of RYCT on staff and residents in care home context:

Using Dementia Care Mapping (DCM) RYCT Project 2013. La Sagrera Long term care & Day Care Centre

Page 2: The impact of RYCT on staff and residents in care home context … · ME’s group value: 30% of time: neutral Mood and Engagement (ME): Absence of overt signs of positive or negative

DCM Mapping

Place: La Sagrera (Barcelona) Date: October 30th 2013 Time: 17:30- 19:00pm (1.30h) Number of people with dementia : 9 Data collected for each one

DCM Basic Mappers: Marbel León, Josep Alcocer

Page 3: The impact of RYCT on staff and residents in care home context … · ME’s group value: 30% of time: neutral Mood and Engagement (ME): Absence of overt signs of positive or negative

ME’s group value: 30% of time: neutral Mood and Engagement (ME): Absence of overt signs of

positive or negative mood. 53% of time: The group is Content, happy, relaxed. Considerable positive

mood and concentrating but distractible. Considerable engagement. 15% of time: the group is Very happy, cheerful. Very high positive mood; and

also very absorbed, deeply engaged. 2% of time: the group has small signs of negative mood, withdrawn and out of

contact.

0 0 2

30

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15

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ME Values

Group WIB Profile

Page 4: The impact of RYCT on staff and residents in care home context … · ME’s group value: 30% of time: neutral Mood and Engagement (ME): Absence of overt signs of positive or negative

Behaviour Category Codes(BCC): Comun BCC 33% of time ► Going back. G 17% of time ► Articulation (interacting with others). A 16% of time ► Beeing engaged but passively. B 14% of time ► Directe engagement of senses. T 12% of time ► Expressive or creative activities. E 5% of time ► Exercice or physical suport. I 1% of time ► Doing for self (self care). D 1% of time ► Leisure,fun activities. L 1% of time ► Displaying or relating to objects. O

17 16 0 1

12 0

33

5 0 0 1 0 1 0 0 0 14

0 0 0 0 0 0 0

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A B C D E F G I J K L N O P R S T U V W X Y Z

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Behaviour Categories

Group Behaviour Profile

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WIB score: Shows how the participant fared on mood and engagement

MB: ME +3.0 JM: ME +1.6 CD: ME +2.9 MC: ME +2.8 JH: ME +2.5 TB: ME +2.6 AB: ME +3.1 MP: ME +2.1 FC: ME +3.3

+3.0

+1.6

+2.9 +2.8 +2.5 +2.6 +3.1

+2.1

+3.3

+0.0 +0.0 +0.0

-5.0-4.0-3.0-2.0-1.0+0.0+1.0+2.0+3.0+4.0+5.0

Mon

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Ben

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Jorg

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artín

Con

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Die

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ia C

uria

Jesú

s H

ayas

Tere

sa B

enito

Ang

eles

Bos

que

Mar

ia P

erez

Fina

Cas

tro 0 0 0WIB

Sco

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Participants

Individual WIB Scores

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Individual Profile: MC RYCT project

0 0 0

31

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19

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MC

19 6 0 0

13 0

25

0 0 0 0 0 6 0 0 0

31

0 0 0 0 0 0 0

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Behaviour Categories

MC

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Individual Profile: MC

ME Value: 50% in ME +3; 31% ME +1 and 19% in +5.

BCC’s : • 31%- T: Direct engagement of the senses • 25%-G: Going back • 19%-A: Interacting with others • 13%-E: Expressive (she is singing) • 6%-B: Being engaged but passively • 6%-O: Displaying or relating to intimate

objects Other observations: When she is participating

in reminiscence activities, she looks happy and really engaged. The music make her feel really engaged.

Her son’s participation has an impact in her

need for comfort and attachment.

Page 8: The impact of RYCT on staff and residents in care home context … · ME’s group value: 30% of time: neutral Mood and Engagement (ME): Absence of overt signs of positive or negative

Individual Profile: MC Daily life in the Long term Care Center

0 0 7

75

18 0

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MC

5

27

0 7 0

20

0 0 5 0 0 2 20

11 0 0 4 0 0 0 0 0 0

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Behaviour Categories

MC

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ME value: 7% in -3; 75% in +1 and 10% in +3

BCC’s: •27%-B: Being engaged but passively •20%-F: Eating or drinking •20%-O: Displaying attachment to or relating to inanimate objects •11%-P: Receiving practical, physical or personal care •7%- D: Engaging in self –care •5%-A: Interacting •5%-J: Engaging in exercise or physical sport •5%-T: Direct engagement of the senses •2%-N: Sleeping

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0 0 0

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A B

47

24

0 6 18

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Behaviour Categories

A B

Individual Profile: AB RYCT project

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ME’s value: 24% a +1; 47 % a +3 and 29 % a +5

BCC’s • 47% -A: interacting • 24% B: being engaged but passively • 6%-D: Engaging in self-care • 18% -E: Expressive or creative

activity • 6%-G: Going back.

The ME’s values +3 and+5 are

especial singing and doing something with music.

Page 12: The impact of RYCT on staff and residents in care home context … · ME’s group value: 30% of time: neutral Mood and Engagement (ME): Absence of overt signs of positive or negative

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Angeles Bosque

Individual Profile: AB Daily life in Long term Care Center

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ME value: 19% in -1, 80% in +1 and 2% in +3 BCC’s: •21%-B: Being engaged but passively •21%-D: Engaging in self-care •16%-C: Being disengaged •14%: Eating •9%-T: Direct engagement of the senses •5%-A: Interacting •5% -N: Sleeping

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GROUP: Personal Detraction and Personal Enhancer coding

PERSONAL DECTRACTIONS Imposition: Forcing a participant to do something, over-riding their own desires or

wishes, or denying them choice. Invalidation: Failing to acknowledge the reality of participant in a particular situation Outpacing: Providing information and presenting choices at a rate too fast for a

participant to understand.

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GROUP: Personal Detraction and Personal Enhancers

PERSONAL ENHANCERS

Facilitation: Assessing level of support required and providing it. Warmth: Demonstrating genuine affection, care and concern for the participant. Relaxed pace: Recognizing the importance of helping create a relaxed atmosphere. Fun: Accessing a free, creative way of being and using and responding to the use of fun and humor. Collaboration: Treating the participant as a full and equal partner in what is happening consulting and working with them.

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Page 18: The impact of RYCT on staff and residents in care home context … · ME’s group value: 30% of time: neutral Mood and Engagement (ME): Absence of overt signs of positive or negative