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Are They Caring?

Our committed and enthusiastic staff are continually looking at ways to improve patient care. One of the outcomes that we are aiming for is to ensure that people have a great experience of our services and one of the ways that we will achieve this is by sharing our skills and knowledge in the organisation.

The Trust is delighted to share some of the innovative ideas being practiced around the Trust.

Iggy’s Bar & Maureen’s Cafe

During Dementia Awareness Week 2016, a non-alcoholic dementia pub and also dementia café opened at The Harbour to help patients with dementia feel at home and improve their overall wellbeing. 
 
Complete with a bar, beer pumps, pump badges, cask taps, a dart board and ice buckets, the dementia pub—named Iggy’s Bar—has been designed to make the experience as authentic and mentally stimulating as possible. 
 
The café, on the other hand, is named Maureen’s café and has an outdoor seating area, a counter, cake stands and necessary cutlery to also give it a traditional and authentic feel. Both have been named after former patients at the hospital. Staff at The Harbour said the pub and café are being designed to prompt conversation, keep people engaged and stimulate memories. 

The pub and café are to be used for reminiscence therapy. According to the Alzheimer's Society, reminiscence work helps people connect between the past, the present and the future. It also helps people living with dementia who are losing their communication skills to talk more and encourages sociability. 

What Happens at the Dentist

Hannah Walsh, Community Dental Officer, developed a Social Story booklet named ‘What happens at the Dentist’ which will be sent to new patients identified as having behavioural/social difficulties so they feel some familiarity when they attend St Peters for the first time. It includes photographs of the room, the chair and the dentist etc.

This was given to a young boy with Autism Spectrum Disorder and on his visit to the department he was very happy to see Simon at the reception and settled down very well. The boy knew everyone’s name in the clinic and appeared incredibly relaxed in his surroundings. Dad was very impressed by all individuals at the clinic. He mentioned how well prepared the team were for his son’s visit and how well the social story had been used at school to prepare him for his visit. Dad was astounded that he managed to cope extremely well with a full dental examination. He’d never had a positive visit to a dentist previously nor had anyone ever managed to look in his mouth

RCNI Award

An LCFT nurse has been shortlisted for the prestigious National RCNi Award, the profession’s top accolade, in the Nursing Older People category for her work on the service’s Hydration Toolkit.  Lesley Spall, Specialist Practitioner in the Care Home Effective Support Service (CHESS), has been shortlisted along with five other nurses and is to attend a final selection interview panel on Monday 21st March. Her work on hydration is an early intervention initiative that addresses a common problem among the elderly who are often admitted into hospital due to dehydration.

“Lesley has carried out some sterling and thought-provoking innovative work in putting this important toolkit together to ensure elderly people in care homes remain well hydrated. The toolkit is one-of-a-kind and includes strategies to improve hydration and educate care staff on the absolute need for people to remain well watered,” said Glyn Jones, Innovation Programme Manager at Lancashire Care NHS Foundation Trust.

AVURT (Aspirin for Venous Ulcer Research Trial)

This is a Multi-centre trial led by St Georges Hospital in London and supported by the Clinical Trials Unit at York University
It is a double blind RCT – patients with venous leg ulcers are either randomised to 300mg Aspirin or Placebo and they take one capsule every day for 6 months or until healed.
Small trial – 3 patients recruited within LCFT
Of the three patients recruited they had continuous leg ulceration for 9, 16, 18 years respectively
The patient with 9 years ulceration healed within the trial (after 16 weeks in the trial) and booked their first seaside holiday in 9 years.
The patient with 16 years ulceration (and 2 previous failed skin grafts under Plastics)  has decreased by >40% surface area – trial continues
The patient with 18 years ulceration has reduced from 6 open leg ulcers to 2 ulcers and has now completed the trial and stopped the trial medication.
Trial continues until last week of August 2016

It will be interesting to know when the trial has completed whether patients were randomised to placebo or Aspirin, but all patients have said that being part of the research trial has been a really great experience.  One patient commented “this trial has been the best thing that has ever happened to me and my leg ulcer”.

Trust participation in this trial would not have been possible without the fantastic support of the Research Nurses in LCFT and their commitment to supporting the site PI (principal investigator) and the teams involved in the care of these patients (Saul Street Leg Ulcer Clinic; Chorley Treatment Room; Brookfield District Nurses). 

Huge thanks also go to the teams listed above who facilitated pre-trial screening of patients, their ongoing care of these patients throughout the research trial and their support to both the research team and PI.

This is a great example of LCFT commitment to leading nursing research and improving patient care.
Nicky Morton (Site Principal Investigator)
Liana Dunn (Research Nurse)
Karen Palmer (Senior Nurse – Research)

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