CLINICAL NURSE SPECIALIST; DEMENTIA

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CLINICAL NURSE SPECIALIST DEMENTIA

• By
• Clive Gibson
• Audrey Joslin

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IDENTIFYING THE NEED

• National Audit Statistic over 40 of people in
  acute hospitals with cognitive impairment
• MEHT pro-activity in recognising the need
• Prior post holder employed by MEHT
• No spirit of collaborative working
• Problems with Clinical Supervision for post
  holder
• Identified need for Trust collaboration

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NEPFT MEHT

• Collaborative working
• Jointly agreed post funded by MEHT, provided
  by NEPFT
• Joint devising agreeing of Job Description
• CNS supported by mental health although managed
  by primary care - EAT

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NATIONAL DEMENTIA STRATEGY

• SECTION 8
• Improving care of those with dementia in general
  hospitals noting the importance of identifying a
  senior clinician to take the lead in improving
  the quality of dementia care and in developing an
  explicit pathway for the management of people
  with dementia as well as the importance of
  effective basic training and continuous
  professional and vocational training.

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DEMENTIA MDT

• Dr Ahsan Consultant of Elderly Medicine, MEHT
• Dr Leontis Consultant Psychiatrist, NEPFT
• Clive Gibson Lead Nurse, EAT Safeguarding
• John Gardner Clinical Manager, NEPFT

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DEMENTIA MDT contd

• Lisa Durham Lead Therapist, MEHT
• Intisar Ibrahim Lead Pharmacist, MEHT
• Liz Duncan Senior Practitioner, Social Care
• Audrey Joslin CNS Dementia Chair, NEPFT
  MEHT

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DEMENTIA MDT contd

• Overall aim of the group
• To ensure excellent care delivery whilst
  utilising our services and appropriate and timely
  discharge planning from our services

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DEMENTIA MDT contd

• Case discussion reflective practice
• Relevant policies and procedures
• Diagnostics and identification of other problems
  i.e. delirium, stroke, depression
• To identify key patient care / safety issues and
  contributory factors and develop interventions to
  address these.

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CLINICAL NURSE SPECIALIST DEMENTIA

• Since coming into post the following has been
  achieved
• Improved collaborative working with both Trusts
• Improved robust assessment process
• Development of MDT
• Identification of link nurses
• Training programme and implementation

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CNS DEMENTIA contd

• Introduction of volunteers to work with dementia
  / befriend and support
• Improved links with non statutory agencies AS,
  AfFC, Patient Council Voluntary Department
• Improved links with local academic partners
  ARU Essex University

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CNS DEMENTIA contd

• IT access via Intranet Internet
• Utilisation of This Is Me focus on
  individual not illness / disease
• Representation of client group re Equality
  Diversity
• Recognising helping others to manage End of
  Life care

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CNS DEMENTIA contd

• In the process of achievement
• Snack boxes
• Research project re antipsychotic usage
• Diagnostic checklist collaborative with
  MASS
• Carers support pack for those using MEHT
  services
• National Dementia CQUIN
• National Dementia Audit Phase 2

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THANK YOU FOR LISTENING

• CONTACT DETAILS
• Audrey Joslin
• Clinical Nurse Specialist Dementia
• Elderly Assessment Team
• 01245 516943/515362
• 6555 2557