Highlights
Task:
What do we know about BPSD and/or delirium and how do we decide when to use nonpharmacological and pharmacological interventions?
Project Title:
Development of a toolkit that focuses on the understanding of patients who display behaviour and psychological symptoms of dementia (BPSD) to reduce the incidents of aggression and agitation towards all staff. Knowledge of when to use nonpharmacological interventions versus the use of pharmacological with BPSD and/or associated delirium.
Project Overview:
The practice development project (PDP) would be the understanding of patients who display BPSD and/or delirium. The creation of a toolkit using a screening process on admission, formulation of a collaborated decision-making flowchart and tailoring of individualised behavioural plans agreed by all stakeholders involved. The expected benefits are increased staff satisfaction, a positive workplace culture, a stronger focus on person centred dementia care and a reduction in incidents of aggression and agitation.
Project Objectives:
•Creation of a collaborated toolkit for stakeholders to utilise with individual patients with BPSD and/or delirium to reduce the incidents of aggression and agitation and use of pharmacological interventions in the first instance.
•Increase BPSD and/or delirium related knowledge, attitudes, confidence, shared values and beliefs for stakeholders to improve person centred dementia and/or delirium care.
Project Context:
There are many reasons why a patient with BPSD and/or delirium displays aggression and agitation. Each individual patient will react differently to their circumstances. Understanding and identification of what triggers certain behaviours can assist with individual management and help determine when to use nonpharmacological and pharmacological interventions (Dementia Australia, 2020).
The PDP would be based on three principles: emancipatory practice development to allow facilitators to engage with all group members to creation of shared values and beliefs, and human flourishing to develop and embed management interventions required to achieve a person-centred culture with BPSD patients (Heyns et al., 2017). Collaborative inquiry allowing for all group participants to be fully involved in designing the PDP, collecting and examining the evidence, completion and sharing of documentation, and celebration as a group regarding the knowledge they have gained and the development of a toolkit fit for purpose (Busari et al., 2017). Finally active learning where all group participants will be able to utilise critical thinking skills, reflective learning skills, to achieve increasing confidence levels and practice satisfaction (Culha, 2019).
A management stakeholder group (MSG) to be established represented by Nursing Unit Manager (NUM), Dementia Clinical Nurse Consultant (CNC), Director of Nursing and Midwifery (DONM). An action stakeholder group (ASG) represented by Clinical Educator (CE), a Doctor (Dr) from each treating team, Nursing Staff (NS), Pharmacist (P), Allied Health Staff (AH), Family members/Carers (FC) and patients (P).
Project Implementation:
The PDP begins with the creation of a culture change journey through a transition process involving all stakeholders. To commence the journey
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