The Integrated Sensory Experience 2017 2 Introductions Lorraine - - PowerPoint PPT Presentation

2017

The Integrated Sensory Experience

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Introductions

• Lorraine Gibson, Executive Director
• Tracey Adams-Thibaudeau, Director of

Resident Programs

• Edward Thach, Activation Aide

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Discuss and share

• What is the most effective Sensory Practice

currently being used in your home? Or

• What is the most effective Sensory Activity

you have heard/seen in action Discuss as a group and share

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Cortisol and the body

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Dementia and Anxiety

Cortisol is a stress hormone Elevates Blood pressure, Elevates Heart Rate Breathing Deeply helps decrease Blood pressure and heart rate Even with Word Finding in Normal Aging

Dementia and Anxiety cont’d

Dementia Experience, Anxiety and How Confusion feels What gets everyone’s blood pressure up and heart racing- fight flight fright When things makes no sense…..unknown………anticipation of discomfort or pain……….. What else?

Evaluate how you feel

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Evaluate how you feel

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Sensory Research

• Positive increase in attention and

engagement/ability to stay on task

• Lower Blood pressure
• Reduction in agitated behaviour
• Repetitive motions/calling out

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Project Background

• Pre-evaluation for Dove Lane our secured home

area

• Falls
• Behaviours
• Mood
• Depression
• CISs
• Code Whites and Forms
• Team engagement with Recreation Aid

Sensory Room Evolution

• Before

Existing Equipment

• Fibre optic Sprays
• Bubble Tube
• Star Projector
• Sensory Projection

Wheel

Home Area Layout

Limitations:

• Residents

wandering to ends of halls (limited visibility from Nursing station)

• Under-used

Sensory Room

Previous Aesthetics

Initial Staff Survey

Questionnaire

• 1. Have you heard of Sensory Therapy before? (Please circle)

Yes / No

• 2. Name the 5 senses:

____________________________ ____________________________ ____________________________ ____________________________ ____________________________

• 3. Name two possible benefits of Sensory therapy

___________________________________________________________________ ___________ ___________________________________________________________________ ___________

• 4. Which type of responsive behaviours could benefit from Sensory Therapy?

_____________________________________________________________ _____________________________________________________________

• 5. Who can deliver Sensory Therapy?

_____________________________________________________________

• 6. Where can Sensory Therapy be offered?

_____________________________________________________________

• 7. Are you currently aware of the Sensory Preferences of 1 or more of the

residents you care for? Yes / No IF YES…Is this information documented (to your knowledge?) Yes / No Your Position: _________________________________________________

Survey Says…

Have you heard of Sensory Therapy before?

Have heard of Sensory Therapy Have not heard of Sensory Therapy

Room for Improvement

Awareness of Sensory Preference documentation

Aware of Documentation of Sensory Preferences for 1 or more resident No aware of any documentation pertaining to Sensory Preferences

Summary of “before” state

• Our Activation Aide was the only person using the

Sensory Room

• Our Interdisciplinary staff had a basic

understanding of Sensory Therapy, but there was room to grow

• Families didn’t use the sensory room
• Our Sensory Room was cluttered and some

equipment was lacking impact

• Our residents were often walking through the

halls, was there any way to engage them there?

Project Plan

Description Overview

Project Plan

Current Practice

The team assesses residents on admission. The Recreation Aid completes an assessment about their life story and it resides in the computer care plan. The Recreation Aid formulates a recreation plan for the resident.

• Determine staff knowledge re: sensory uses/risks and aids

available

• Determine current use of Sensory Room Determine

Sensory needs of Residents

• i.e. reduction in wandering/relaxation/stimulation

Current Practice cont’d

• Nurses and PSW do a separate assessment and complete

a lengthy care plan which is rarely referred to on a daily

• basis. Nurses and PSW do not always engage with the

Recreation Aid regarding activities and ideas that will engage residents and families while decreasing responsive behaviors.

• Assess staff current knowledge of Sensory therapy/use of

Sensory room/Risks & benefits associated

• Assess residents who currently use Sensory room
• Breakdown most common behaviors on Dove Lane

Desired State/Outcome

• Inter-professional team will collaborate with residents

and families in the creation of a sensory map

• Inter-professional team will be trained by Flag house to

use Sensory Magic

• Create sensory nooks in hallway areas with Fire Marshall

approval and using sensory map

• Create evaluation tool for inter-professional team and

families

Home Responsibility

• Implementation:
• Nurses will use report the pre mid post sensory

evaluations at each shift report

• Nurses PSWs Recreation Aid will collaborate on updating

the sensory map based on the evaluation

Training

• Assess current state and training needs
• Daily Memo and Minutes to follow progress of

phases

• Flag house training of all staff
• Assess resident’s sensory needs and create

maps

• Daily update memos to be used at shift report

regarding maps and pre mid post evaluation

• Weekly evaluation of project timelines with

Leads

Team Responsibility

• ED and Project Lead responsible for

deadlines

• Director of Programs and Recreation Aid

Lead and DOC are responsible for ensuring communications are sent daily and evaluations are completed weekly

• ADOC to ensure communications are read

and understood for all shifts

• DOC and ADOCs to schedule and ensure all

education and in-services and 1:1 to ensure understanding of the concepts, goals, and

Key Milestones

Key Milestone Dates: Review of Current State including Current processes for assessment of resident sensory needs, Resident Satisfaction, Family Satisfaction, Falls, Restraints, Responsive behaviors, CIHI data, and Shift Report Review Feb 2017 completed Memo of introduction to pilot March 1 2017 completed Phase 1 Review of each resident’s life stories Completed by March 31 2017 Phase 2 training completed and sensory maps created April 3- 2017 completed Phase 3 Evaluation of Pilot May 31 Review of New State including Resident Satisfaction, Family Satisfaction, Falls, Restraints, CIHI data, and Shift Report Review May 31 Preparation for Presentation at TRO June 1-8

Flaghouse Sensory Magic

A workshop

3 things about our residents: That give their life meaning That make them happy

Inspirations for the day

The Intergenerational Choir Project a collaboration between the Alzheimer Society London and Middlesex, the Sisters of St. Joseph and Medway High School Validation Therapy, a proven method of communication developed by social worker and gerontologist Naomi Feil

3 things about them

Sensory Magic

In action

Pre-Evaluation

Post-Evaluation

Staff-Training

Interdisciplinary Days/Evenings/Nights Including:

• What is Sensory Therapy
• What are some positive outcomes for the

participant?

• Practical Applications for them
• Evaluating Effect
• How to use equipment

Hallways Improvements

Welcoming Hallway nooks

Engaging Artwork

Data Evaluation

• Falls decreased by 15%
• Behaviors decreased by 25%
• Code Whites decreased by 50%
• SIE scores
• Shift Report included sensory

maps/profiles

• Families were satisfied (small survey)
• Staff were satisfied and engaged with

Recreation Aid (small survey)

Recommendations

• Nursing roll out was bigger and more

challenging than planned –needed more time

• Installation was delayed slightly and

training on software a little harder than anticipated

Caring Hands –Connecting Heart with Technology