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Reflections

Any Questions?

Key Messages

How might you be able to use information about what a person can do to create an activity that will suit them?

What Goals has the therapist set for a patient; and What do you do with the patient that can support their Goals and help them be independent?

What difficulties may occur when you do activities with people with dementia and how can you prevent this before it happens?

Everyone is different.....

Consider what the person with dementia can do, rather than what they can no longer do.

Knowing about the strengths helps us create activities that someone with dementia can engage in.

Inviting a person to engage in activities and thanking them after wards supports a patients self esteem and independence. Simple things count!

People with dementia can engage in activities in different ways and at all different levels.

If someone becomes agitated during activity acknowledge what they are saying, give a brief response and re-direct them.

Read the knowing me and structure activities around their interests.

Speak to the patient about their family, past and old roles.

If patient is non-verbal they may enjoy some sensory activities like playing with the twiddlemuffs, smelling different smells, using the TV or IPad to play music they like.

A patient may still be able to brush their own hair or wash there own face even if they can't stand in a shower or wash their body.

This also reduces agitation, abuse of staff and falls.

The (OT) accepts the referral

- Mrs P is mildly confused

- Looks at knowing me

Case Study

Initial Ax

This gathers baseline information from patient

Mrs P wants to return home

Collateral from neighbour

Mrs P was able to go home with support, equipment and adjustments to increase independence and safety in own home

Occupational Therapy and Dementia

Assessments

Look at walking and transfers

Washing and dressing

Making a hot drink

Cognitive Assessment

Ask for Care Diaries

Mental Capacity

Working with MDT

Ongoing referrals

- Regaining Independence Service - care and OT at home

- Falls Team

- Age UK

- Dementia friends / Hub

Goal Setting

What Does she want to do?

What do we do now?

Equipment For Her Home

- bed lever, perching stool, toilet frame

-Falls sensor

-Door Alarms

Home Visit- with patient

Mrs. P was admitted to SRH with increased confusion and 'Acopia'. She has a background of Dementia and Heart failure.

The doctor assessed and diagnosed her with a UTI and dehydration. Prescribed oral antibiotics and IV fluids. Mrs P's acute delirium resolves.

The MDT then assess her as being MFFD however...

  • history of falls
  • neighbour has raised concerns
  • currently having help getting washed and dressed

Occupational Therapists support people to keep up with their normal activities to remain as independent as possible after developing Dementia (RCOT, 2010).

Reviewing functional abilities to see how a person is able to manage their personal and domestic activities of daily living and address any difficulties or needs.

Support patient, families and carers of those with dementia to create safe and calming environments, including establishing and maintaining meaningful activities and routines.

What is Occupational Therapy?

'Occupations' are everything we do to occupy our time.

So Occupational Therapists work with these people to enable them to do these occupations their way, as independently as possible!

Such as...getting washed and dressed, toilet hygiene, preparing a meal, accessing the community, engaging in hobbies

Some individuals are unable to perform these everyday tasks due to physical, intellectual, social, emotional, cognitive or psychological illness and/or disability.

Objectives:

Brief overview of Occupational Therapy and what we do to support people with dementia

How you can use meaningful activities to support those patients with dementia

How can WE implement purposeful activities for people with dementia; and in turn increase their likelihood of being able to stay safe and independent in own home?

Occupational Therapy and Dementia

By Yasmin Novis

Occupational Therapist

Presented by Ayla Greenwood

Occupational Therapist

ayla.greenwood@wsht.nhs.uk

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