SNPG958 Advancements In Dementia Care

Table of Contents


Assessment Title: Implementing person-centered care in the workplace

This assignment includes:

(i) A report on the Building Effective Engagement Techniques Tool Workbook. This will enable colleagues to identify one (1) aspect in dementia care that they will improve for family caregivers and individuals with dementia.

(iii) Developing one (1) learning resource using the BEET Tool activities that will be used jointly by you and your coworkers to support the implementation practice improvements in one (1) aspect of dementia care at your workplace.

What is the BEET Tool?

BEET Tool is a set of activities that guide practitioners in the collaborative process of critically reviewing current practices and developing implementation strategies to improve services for consumers and carers.

The BEET Tool activities are based on structured, purposeful conversations with colleagues about which learning resources they find most relevant to their efforts to make changes in care practice.

To structure the contents of the report, you will use the BEET Tool Workbook Headings.

The learning resource content must be evidence-based. It should also engage colleagues to encourage them to use it in practice.

You will need to convert the Beet Tool Workbook and the learning resource to PDF for electronic submission to Turnitin.

It is possible to take a photograph of the learning resource in order to convert it into a PDF file and send it electronically.


Title: This guide will help you bring people together to work together to find sustainable solutions.


The seriousness of dementia is life-threatening and requires serious strategies.

This is often difficult because of the pre-existing policies and procedures.

It is important to work with all parties involved in the solution to wandering in dementia care.

Because wandering patients can be dangerous, it is important to consider the environment in which they are kept.

Caregivers have to design care facilities to minimize risk and allow patients freedom.

It is important to make structural changes to reduce the risk of wandering patients in dementia care.

Caregivers face many challenges when it comes to wandering patients with dementia. There are very few procedures in place.

To reduce the burden on caregivers, a multidisciplinary approach to care is needed.

It is important to have a variety of teams involved in the coordination of care for wandering patients.

To reduce risk when caring for patients in wandering situations, it is important to examine the topic of wandering.

Literature Review

The literature on wandering and dementia care provides extensive information.

Warner (2006) shows that wandering can pose a risk to patients and that intensive care is necessary.

Beattie Song, LaGore and LaGore (2006) also support this view. They show how wandering can impact caregivers. This will help to reduce the risk of patients becoming lost.

McShane, Htay, and Hermans (2007) cite the environment in which patients stay that needs improvement to reduce risk.

Based on dementia patients’ wandering, risk levels can be calculated.

Although many studies have focused on the prevention of wandering in dementia patients to reduce risk, structural changes as a prevention method of wandering have not been explored.

Snyder (2010) also points out this, but he only focused on other ways to understand wandering in dementia-care.

Miskelly (2004) outlines a multidisciplinary approach to the care of wandering dementia patients.

The Beet Tool Workbook report explains the multidisciplinary approach to care for dementia patients who wander.

The Puzzle Behind the Proposal

Exercise 1: Naming your problem, idea or issue

There are many options for dementia care. They can be provided by caregivers from different backgrounds.

These care are provided in different facilities that are scattered across the country.

Because the care provided for dementia patients is not coordinated by different disciplines, they are often in wandering condition.

To improve the care of wandering patients, we want to involve the multidisciplinary team (Miskelly 2004).

Exercise 2: Identify the Puzzle Question

a) How can we create the right environment for dementia patients who wander?

Multidisciplinary care can be used to help patients with wandering dementia.

This question is positive because it indicates improvement in the care and treatment of dementia patients.

We propose changes in the way we care for wandering dementia patients.

Generate: Does your puzzle have a variety of solutions?

There are many possible solutions to the puzzle, including suggestions from caregivers.


Exercise 3: Identifying your Purpose

3a) Patients will be able to see and feel the intensive care provided.

The change care program has the oval goal of improving patient-oriented care for wandering patients.

3b. Our staff will see the entire process and feel satisfied because they will be involved in a teamwork, rather than an individual, and thereby provide reasonable feedback to our staffs.

3c) We will provide a satisfactory service that is highly improved by changes in dementia care that improve care for wandering patients.

Since providing dementia care to patients is a key aspect of our practice or work, the puzzle strongly relates to the heart of practice.

The puzzle focuses on improving the process of dementia care, so focus on that area of work or practice.

Wandering with dementia is a serious problem that affects many people.

There are limited studies that have been done to improve care for dementia patients who wander.

Brodaty and Donkin(2017) offer a plan for care for wandering patients.


Jurgens Clissett Gladman, Harwood (2012) all suggest that caregivers should be more involved in the care of wandering dementia patients.

Fetherstonhaugh, Nay (2010) also recommend prevention of wandering among dementia patients. This is because there are many risks associated to wandering patients.

This complex problem requires steps to be taken in order to determine the best strategy and provide the necessary care for the patient.

Many staff members are involved in the changes and improvements that must be made by dementia caregivers.

Each party plays a different role in the care process to ensure that every step is completed.

Below are some of the staff.

Labor technologists


Family of the patient

Service for community health

The department of Health officials


The above-listed parties include people who will be participating in dementia care services.

Some of those who will be directly involved in the process are

Labor technologists


Family of the patient


Other parties involved in the care of wandering patients will need to consult with our team in constant consultation. These include the patient’s family, community health service providers, and hospital management.

We will inform all those in the department for health and other policy makers in health care.

6c) Different staff or parties have different experiences or opinions about the proposed changes.

These experiences can be positive or negative. Below are some examples of the most common.


The only people who have previously been involved in caring for wandering patients were a doctor and laboratory technologists.

Some staff members are likely to be positively involved in the care of the patients, especially the physician and the laboratory technologist.


There are two types of staff that can be negatively affected by caring for wandering patients: pharmacists and clinical officers.

6d) I believe that the responses of all parties involved in the care of wandering patients will be positive.

Since the changes will affect most staff, the topic has been hot among staff.

6e) I believe that all parties will approach the idea with the intent to reach completion.

The agreement of all parties to the changes is a precondition for engagement.

If the changes result in increased workload, parties will need to also consider resource addition (Michie and al 2005).

6f)No, I have a solution for the problem of wandering patients in many institutions across the country.

I am open to receiving more solutions from the major stakeholders.

These are our key partners

These are our key supporters

We enjoy a great relationship

Exercise 7: Understanding the Readiness of The Environment

Recognizing the environment’s readiness is key to the adoption and implementation the changes we propose.

7a)The proposal needs to be given a substantial effort in order to achieve consistency with practice standards.

Services are still available, but there is delay and limited coordination between caregivers when the patient wanders.

It can take several months for the results to be achieved (Palecek and colleagues, 2010).

7b) Health professionals have the ability and cultural capacity to adapt to changes in the environment.

Management may be required to ensure that the changes are made.

This requires both a multidisciplinary and design approach to the changes.

The parties involved in the dementia care environment show potential for change and can adapt to the new wandering conditions.

These changes include the introduction of multidisciplinary approaches and the design of structures with low risk to wandering patients (Cerejeira & Lagarto, 2012).

Exercise 8: Identifying structural enablers and disablers

8a) There are policies and strategies that allow for the incorporation of the puzzle.

These strategies include policies that permit teamwork and allow for collaboration when necessary.

This may require the involvement of multiple staff members into one unit.

Multidisciplinary teamwork will allow for more care and help caregivers tend to wandering patients.

Staffs will also ensure that wandering patients are given more attention as they require it (Mason 2008).

8b)Yes. There are policies that could hinder the adoption of the puzzle due to the current health system, especially for dementia patients.

The procedure states that patients or people at risk for the condition must be assessed and a care plan developed to be sued.

The puzzle will change this process as it is not able to coordinate effective care. (Grol Wensing & Eccles 2004).

Facilitating Engagement

Facilitating engagement refers to the stage at which all parties involved in the care wandering patient’s management can be included in the changes.

The proposal can be supported by various factors, and measures are taken to address them.

Exercise 8: Summary of Information

8a. I believe that for all parties to be engaged in the care process, it is important that they coordinate the whole care system following any changes.

The management procedures must be established in time so that the entire process can be picked quickly (Leatt. Pink & Guerriere 2000).

8b) I believe that you have a good understanding of the system and all parties involved in the implementation and modification of policies and procedures in those areas that are most likely. This will ensure that the process is successful.

Changes in policies and procedures are still a threat. It takes a long time to make those changes and it also requires a strict process (Beattie Song & LaGore 2005).

8c) For a successful outcome, policies and procedures are the most likely to be followed.

This is because the process of changing entire policies and procedures can be very strict.

8d) I believe that goodwill and acceptance are key to successful engagement.

Strong goodwill is needed to make the changes in care for the better.

It is important to have goodwill and acceptance from all parties involved in the care of a wandering dementia patient.

8e) I believe that acceptance by all parties is key to a successful implementation and adoption of changes. This will ensure successful wandering patient care.

8f) I believe that procedures, strategies and policies that are part the dementia care process must be implemented in a way that considers the proposed changes to care in wandering.

9a) While I believe I have the skills and knowledge to make the proposal, there are areas where I will need to consult with different stakeholders.

Consultation is needed on how to change policies related to dementia care for wandering patients.

To make a proposal a success, it is important to consider the potential changes.

Healthcare management will be the primary parties to consult on policies procedures (Leatt Pink & Guerriere 2000).

9b) The main aspect of the engagement, and the parties involved in the proposal, is coordination of teamwork.

Before letting the proposal go out, I must make sure that all parties are aware and prepared psychologically.

It is important to identify the people involved. These include pharmacists, physicians, clinicians, and patients’ families.

This can be achieved by sensitizing and bringing all the people together for teamwork (Atri 2008).

9c) Actions such as the preparation of the environment, allocation of human and machine resources, and the allocation of these resources must be addressed when preparing the environment.

To prepare the stakeholders for the proposal, it is important to inform them about the proposal.

Preparation of the environment in which the proposal will launch is essential. Machinery or other resources must also be put in place.

All stakeholders will be informed about the plans to include them in the proposed changes.

Consulting management is also required to make sure they are included in the proposed changes (Edvardsson Fetherstonhaugh & Nay 2010, 2010).

10a) We are open to discussing how we might work together to create a plan to improve the care of wanderers.

This proposal was created to improve care and provide a better service delivery option for many clients.

We hope to work together and create a solution that benefits both us as well as our valued clients (Bero, et al.

10b) Care for wandering patients requires participation at many stages (APPENDIX 2 ).

There will be many parties involved at different levels, from assessment to the provision of care.

Parties should indicate the areas they are interested in participating in the process.

We ask each healthcare practitioner to indicate which area they are most comfortable working in.

The pharmacist should indicate how involved they are in dementia care. Healthcare management must also indicate when they can be consulted. (Prince & Jackson 2009).

10c) Once the various parties and staff have been involved in the process, it is necessary to create awareness.

The information should be sent to the appropriate parties. This will ensure that the proposal reaches them at the correct time and that they are willing to help solve the problems in care.

The parties have the opportunity to offer their opinions on the proposed changes (Horner & Salazar et. al., 2004).

Learning Resources

When caring for dementia patients who need to be changed, wandering can be a problem.

Care for wandering dementia patients requires that we all work together.

This change in care for wandering patients requires the involvement of colleagues within the healthcare industry.

To make such process changes, it is important to engage others without being too pushy.

As this will encourage inclusion and not just personal thinking, the statement should start with “we have ….”” instead of “I think.

First, you need to create a question or puzzle that is inclusive and will not be rejected by other colleagues.

To take an example, how can multidisciplinary teams work together to improve the care of patients with dementia?

It is important that the puzzle has a clearly defined purpose. This will give more meaning to the proposed changes.

Is the question positive?

Are you asking the question in a conditional or generative way?

Second, it is important to identify the parties involved in solving the problem.

This could be any number of practitioners who are directly involved or indirectly in the problem solving process.

It is important to identify the roles of each party before you release the proposal.

“List the most likely parties to take part in this process.”

Finally, it is important to obtain the consent of all parties and the areas they will be involved as this will ensure that there is no resistance.

It is important to identify those parties who are most likely support the changes and work with them in order to establish a relationship.

The areas that colleagues are expected to participate in will be modified.

Ask them questions such as: “What do you think about the process?”

These learning resources will be of assistance to caregivers who have to care for patients in wandering states.

This approach will help the institution to reduce risks associated with wandering patients and also assist in training caregivers about how to care for dementia patients.

Leaning resources will provide guidance on how to score for wandering risk and what level of risk, as indicated in the APPEDIX 2-4.


The report concludes by describing the steps and strategies required to create a collaborative approach to dementia care.

This report encourages colleagues to work together to solve the problems in care.

To avoid resistance, all stakeholders must be involved in caring for wandering patients.

Refer to

Atri, A. Shaughnessy LW., Locascio JJ. and Growdon JH.

Long-term Effects of Combination Therapy in Alzheimer’s Disease.

Alzheimer Disease and Associated Disorders. Vol. 22, no. 3, pp 209-21.

Cochrane Effective Practice Group and Organisation of Care Group.

About the Cochrane Collaboration (Cochrane Review Groups, CRGs).

Cochrane Effective Practice Group and Organisation of Care Group 2008 issue 2.

Beattie, ER. Song, J. and LaGore S. 2005.

Comparison of wandering behavior in assisted living facilities and nursing homes.

Res Theory Nurs Pract vol.19 no.2, pp 181-1896.

Brodaty H. and Donkin M., 2017.

Family caregivers for people with dementia.

Cerejeira J., Lagarto L. and Mukaetova – Ladinska EB (2012).

Dementia symptoms: Behavioral and psychological signs

Edvardsson D., Fetherstonhaugh D., and Nay R., 2010.

Promoting self-respect and normalcy: Person-centered care, as described by persons with dementia, their families, and aged care staff.

Hermans, DG. Htay UH. and McShane R., 2007.

Htay U Hla, Ed.

Non-pharmacological interventions to prevent wandering in the home of dementia patients.

Jurgens F., Clissett P., Gladman J., Harwood R.

Why is the dissatisfaction of family caregivers of dementia patients with general hospital care?

BMC Geriatr.

Larson, EB, Yaffe, K., and Langa, KM. (2013)

New insights into dementia epidemic.

The New England Journal of Medicine vol.369, No.24, pp 22775-7.

Always on Call: When Illness Turns Families Into Caregivers (2nd edition).

Vanderbilt University Press, United Hospital Fund.

A review of the influences on prescribing by general practitioners: New medicines in primary health care.

Journal of Clinical Pharmacy and Therapeutics. Vol. 33, pp. 1-10

A consensus approach by the ”Psychological Theory Group” to make psychological theory more useful in implementing evidence-based practices:

Quality and Safety in Health Care vol. 14, pp 26-33

Miskelly F. May 2004.

An innovative system for electronic tagging of patients with wandering and dementia.

World Alzheimer Report 2009.

International Alzheimer’s Disease: 38.

Archived from the original version on 11 March 2012.

Palecek Eric J.; Teno Joan M.; Casarett David J.; Hanson Laura C.; Rhodes Ramona L. and Mitchell Susan L.

Comfort Feeding Only: A proposal to bring clarity to decision-making regarding difficulty with eating for persons with advanced dementia.

Journal of the American Geriatrics Society. Vol.58, No.3, pp 580-584.

The systematic review of the effectiveness and ethical implications of non-pharmacological interventions to prevent wandering dementia.

Living well with early-stage Alzheimer’s: A guide for the patient (pp.

World Health Organization 2006.

Quality of care is a process that allows for strategic decisions in the health system.

Geneva: WHO press.

Practical recommendations on how to create effective leadership and clinical engagement across organizational boundaries.

Modernization Initiative.

The workbook for protecting your loved one: In Search of the Alzheimer’s Wanderer.

Indiana: Purdue University Press.

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