How to try and promote awareness and a greater understanding of the 3rd and independent sector to health and council staff.
Promoting the services that third sector and independent sector can and do already provide for older people and how they can prevent avoidable admissions and delayed discharges. Also how to access the organisations and services their, referral systems, costs etc
The reablement approach in homecare offers support and encouragement to individuals to empower them to help themselves and so increase their independence. It supports individuals ‘to do’ rather than ‘doing to’ or ‘doing for’.
Goal setting and review of outcomes achieved are central to the reablement ethos. This means that we work with individuals and their carers to establish what tasks they want to gain confidence in doing or relearn particular skills. By engaging with individuals around an agenda of what they can do and what they would like to do we can develop short term interventions which support them to achieve these goals. These are often around basic daily living skills such as dressing, meal preparation and mobility. It is not uncommon for an individual to have lost confidence around their ability to carry out certain tasks after spending time in hospital.
Our traditional home care approach has been to assess people around what they no longer can do and provide a service to meet these deficiencies. As a result services are embedded into people’s lives, often for length periods of time. While this is perfectly acceptable for a number of people who suffer from severe and complex conditions it has the potential to create a dependency for people who may have had the potential to relearn or regain skills. Reablement focuses on this potential and research suggests that many people who would have received a traditional service leading to risks of dependency can eventually become more confident and lead fulfilling lives when they regain lost skills.
A lady with poor mobility with pain on standing/walking, reduced confidence in walking, difficulty with activities of daily living including bathing & stairs (only one banister) and problems related to chest infections. Financial worries and concerns related to her disease progression.
transfer appropriate people to the HWCRS (e.g. those who meet the agreed criteria)
work with and encourage service users to regain their level of function with regards to mobility, personal care and kitchen tasks resulting in an increase in confidence and independent living for the service user
educate the informal care/family regarding the re-ablement approach to care
encourage socialisation and taking part in mainstream HWC activities