Case Study [PDF]
Like many in her nursing profession, Barbie Moore entered the field with the intention of providing quality health care in a compassionate manner that truly helped improve patients' lives. But it wasn't until well into her career that she found the guidance to cement that approach.
While Moore served as a quality care consultant to an assisted living and long-term care provider, facility management began implementing a quality improvement program to address concerns over increased falls for residents in dementia care.
Tasked with the responsibility of raising staff skills, Moore worked closely with Dementia Care Specialists (DCS) to improve resident-centered care approaches by training staff in the Dementia Capable Care
Despite having been an R.N. for over a decade when she was first exposed to DCS training, Moore had never encountered such targeted dementia care skills. She believes care teams are hungry for simplified yet pragmatic approaches that are about clients' remaining abilities. She finds that DCS training allows caregivers to develop skills that they didn't know they had within them.
"My colleagues comment on how gratified they are with the ability to go beyond the basic needs of the client and see them in a brand new light, and clients benefit from being 'seen'—sometimes for the first time."
The training opened staff's eyes to the importance of conducting care in a manner based on the resident's capabilities, physical health, behavioral status, and personal preferences. Moore recalls one resident who staff believed was not ambulatory. Later, that resident was found to have left the facility without staff's knowledge, and to have walked across the street. When staff implemented their DCS training skills, the resident's true abilities were recognized, and family outings became a part of her regular activities.
"As a result of capturing that resident's best abilities, we were able to make her far more safe and content. More importantly, the family was able to have a renewed relationship they thought was lost," Moore explained.
Moore's experience after DCS staff training was the demonstration of predictable best performance outcomes, including:
- Decreased supplement use.
- Reduced incidence of pressure sores and contractures.
- Reduced staff turnover.
"The proliferation of smiles on residents' faces is a pretty good barometer of the improved quality of life for these residents," she added.
The training has made a difference for Moore as a nurse. "The skills I've developed from the DCS training will remain with me the rest of my career."