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Dignity in Care. Julia Ryan Director of Research and Graduate Studies Senior Lecturer in Older Adult Nursing [email protected] 0161 2952790. Isn’t it obvious?. What is dignity?.

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Dignity in care l.jpg

Dignity in Care

Julia Ryan

Director of Research and Graduate Studies

Senior Lecturer in Older Adult Nursing

[email protected]

0161 2952790

palliative care education conference


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Isn’t it obvious?

What is dignity?

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The Healthcare Commission identified the most common complaints they receive which impact on older people’s experience of dignity in care

  • What do you think might in the Commission’s list?

  • Spend two minutes talking to the person next to you about what you think.

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Being addressed in an inappropriate manner complaints they receive which impact on older people’s experience of dignity in care

Being spoken about as if you are not there

Not being given proper information

Not being asked for consent

Being left in soiled clothes

Being exposed in an embarrassing manner

Not being helped to eat and drink

Being in mixed sex accommodation

Being left in pain

Being in a noisy environment at night

Lack of protection of personal property

Being subject to mistreatment and abuse

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Dignified care complaints they receive which impact on older people’s experience of dignity in care

  • ‘When you feel that they treat you with loving care, affection, attention, gentleness it makes you feel good. It makes you feel like a human being’

  • ‘They always find time to talk to me and treat me with dignity. It didn’t matter whether they were just passing, you were acknowledged and you were treated like the person you are.’

  • ‘They never make me feel like another old woman. They remember who I am, a mother, a grandmother, and that I bring another life with me’

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Undignified care complaints they receive which impact on older people’s experience of dignity in care

  • ‘He was, well, a sort of dignified man. Marvellous mind. And he had to go into hospital towards the end of his life and he did tell me, when I went in to see him once, and he told me that he couldn’t stand this business of ‘Come on love’ or them calling him ‘George’ . That just wasn’t his language, he was very dignified.’

  • ‘The doctor and the nurse just chatted together while he put in the drip- it was awful. They just moved him as if he were an object. Not one word, not one smile, nothing’.

  • ‘They would not do any deliberate harm to her but they did a lot of negative harm in the way in which they treated her, because she was still able to make certain kinds of decisions for herself. But somehow even these were taken away from her’

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Positive health and social outcomes complaints they receive which impact on older people’s experience of dignity in care

Legal and professional requirements

Fundamentals of care

It is right

Why does dignity matter?

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Dignity: a Human Right? complaints they receive which impact on older people’s experience of dignity in care

The right to life

Freedom from

degrading treatment

Freedom of thought,

conscience and religion

Freedom of

expression

The right to

liberty

The right not to be discriminated

against in any of these

rights or freedoms

The right to

respect for

private and family life

The right to

peaceful enjoyment

of your property

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IT’S NOT ROCKET SCIENCE? complaints they receive which impact on older people’s experience of dignity in care

  • OR IS IT?

    What do you do to ensure dignity in care?

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Care which enhances dignity complaints they receive which impact on older people’s experience of dignity in care

  • Respect

  • Privacy

  • Autonomy

  • Sense of self

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The Senses Framework complaints they receive which impact on older people’s experience of dignity in careNolan et al

Security

Belonging

Continuity

Purpose

Achievement

Significance

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Pragmatic complaints they receive which impact on older people’s experience of dignity in care

Task focused

Personal and responsive

Resident focused

Reciprocal

Relationship focused

Brown Wilson 2009

Relationships and sense of community

  • Residents

    • Family

    • Friends

      • Neighbours

  • Staff

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    • Leadership complaints they receive which impact on older people’s experience of dignity in care

      Shared values

    • Teamwork

      Continuity and consistency

    • Mutual Trust

      Reciprocity

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    Enhancing dignity complaints they receive which impact on older people’s experience of dignity in care

    Fairness

    Autonomy

    Continuity

    Doing

    Purpose

    Respect

    Trust

    Belonging

    Achievement

    Being

    Significance

    Security

    Privacy

    Independence

    Equality

    Participation

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    Do the mirror test! complaints they receive which impact on older people’s experience of dignity in care

    What do you see?

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