The impact of RYCT on staff and residents in care home context:

Using Dementia Care Mapping (DCM)RYCT Project2013. La Sagrera Long term care & Day Care Centre

DCM Mapping

Place: La Sagrera (Barcelona)Date:: October 30th 2013Time: 17:30- 19:00pm (1.30h)Number of people with dementia : 9 Data collected for each

one

DCM Basic Mappers: Marbel León, Josep Alcocer

ME’s group value:

30% of time: neutral Mood and Engagement (ME): Absence of overt signs of positive or negative mood.

53% of time: The group is Content, happy, relaxed. Considerable positive mood and concentrating but distractible. Considerable engagement.

15% of time: the group is Very happy, cheerful. Very high positive mood; and also very absorbed, deeply engaged.

2% of time: the group has small signs of negative mood, withdrawn and out of contact.

Behaviour Category Codes(BCC):

Comun BCC

33% of time ► Going back. G17% of time ► Articulation (interacting with others). A16% of time ► Beeing engaged but passively. B 14% of time ► Directe engagement of senses. T 12% of time ► Expressive or creative activities. E 5% of time ► Exercice or physical suport. I 1% of time ► Doing for self (self care). D 1% of time ► Leisure,fun activities. L 1% of time ► Displaying or relating to objects. O

WIB score: Shows how the participant fared on mood and engagement

MB: ME +3.0JM: ME +1.6CD: ME +2.9MC: ME +2.8JH: ME +2.5TB: ME +2.6AB: ME +3.1 MP: ME +2.1FC: ME +3.3

Individual Profile: MCRYCT project

Individual Profile: MCMC

ME Value: 50% in ME +3; 31% ME +1 and 19% in +5.

BCC’s :• 31%- T: Direct engagement of the senses• 25%-G: Going back• 19%-A: Interacting with others• 13%-E: Expressive (she is singing)• 6%-B: Being engaged but passively• 6%-O: Displaying or relating to intimate

objects

Other observations: When she is participating in reminiscence activities, she looks happy and really engaged. The music make her feel really engaged.

Her son’s participation has an impact in her need for comfort and attachment.

Individual Profile: MCDaily life in the Long term Care Center

ME value: 7% in -3; 75% in +1 and 10% in +3

BCC’s: •27%-B: Being engaged but passively•20%-F: Eating or drinking•20%-O: Displaying attachment to or relating to inanimate objects•11%-P: Receiving practical, physical or personal care•7%- D: Engaging in self –care•5%-A: Interacting•5%-J: Engaging in exercise or physical sport•5%-T: Direct engagement of the senses•2%-N: Sleeping

Individual Profile: ABRYCT project

ME’s value: 24% a +1; 47 % a +3 and 29 % a +5

BCC’s • 47% -A: interacting• 24% B: being engaged but passively• 6%-D: Engaging in self-care• 18% -E: Expressive or creative

activity • 6%-G: Going back.

The ME’s values +3 and+5 are especial singing and doing something with music.

Individual Profile: ABDaily life in Long term Care Center

ME value: 19% in -1, 80% in +1 and 2% in +3

BCC’s: •21%-B: Being engaged but passively•21%-D: Engaging in self-care•16%-C: Being disengaged•14%: Eating•9%-T: Direct engagement of the senses•5%-A: Interacting•5% -N: Sleeping

GROUP: Personal Detraction and Personal Enhancer coding

PERSONAL DECTRACTIONSPERSONAL DECTRACTIONS

Imposition: Forcing a participant to do something, over-riding their own desires or wishes, or denying them choice.

Invalidation: Failing to acknowledge the reality of participant in a particular situation

Outpacing: Providing information and presenting choices at a rate too fast for a participant to understand.

GROUP: Personal Detraction and Personal Enhancers

PERSONAL ENHANCERSPERSONAL ENHANCERS

Facilitation: Assessing level of support required and providing it.

Warmth: Demonstrating genuine affection, care and concern for the participant.

Relaxed pace: Recognizing the importance of helping create a relaxed atmosphere.

Fun: Accessing a free, creative way of being and using and responding to the use of fun and humor.

Collaboration: Treating the participant as a full and equal partner in what is happening consulting and working with them.