World Mental Health Day: Using Hodges' model to anticipate...

.... a Person's reaction to Respite Care

individual

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INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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group

cognitive problems - usual routine prior visits - positive experience personal space person-centred approach - listened to, acknowledged, afforded dignity and respect able to 'exercise' choice even if a struggle non-verbal communication mood, withdrawal, behaviour change facial appearance, voices (unconscious?) reminder of friend or foe from distant past? staff knowledge of person - likes / dislikes - favoured activities, distractions personal care preferences recognising distress, anxiety sleep pattern disturbance

ambiance - atmosphere safety noise, smell sense of constructive activities temperature impact of visual cues, case, travel bag, coat.. impact of infections ventilation, draughts variety of spaces, large, small, able to gravitate towards preferred places places to wander access to garden territory "That's my chair!" comfort, chair, bed, pillows... belongings, valuables (avoid)

assessment at client's own home personal-social history degree of dependency negotiating goodbyes, hellos personalities of care staff, other residents clash of personalities or developing attachments, other resident mistaken for spouse? life experience, forces, disinhibition at various levels, invading someone's personal space, taking their things, touching them, 'surprising' them to visit or not - friends other family? cost of care - time away from home?

contingency plans (contacts) if agitated, acutely distressed, aggression diversity - residents and staff mental capacity deprivation of liberty locked doors observation 24 hour checks - (expect the unexpected) staff uniform or non-uniform the political ambiance - homely, cold - impersonal, formal community nurse follow-up - alt assessment environment authoritarian - fixed routine 'house rules' cost of care - funding?

World Mental Health Day