In this second blog about the Admiral Nurse Service Evaluation Report I will look more closely at the details such as demographics within my caseload from Jan 2017 - April 2018.
34 residents and 55 relatives were on my caseload during this time.
Residents were mainly women: 20 women and 14 men
Age range: was mainly 85-94
Ethnicity: was mainly White British (33) Black British (1)
31 residents had their family involved.
Family members were mainly female: 34 females and 21 males, with sons and daughters being the major type of relatives with whom I worked.
Families needed support for: adjusting and understanding the relative's dementia and/or changes in their behaviour; End of Life support; understanding the continuing health care funding system etc.
Diagnosis: Vascular dementia and non-specific dementia were the most common diagnosis and all 34 residents had other medical conditions present (co-morbidities) as well as other existing factors such as mobility issues; reduced ability to communicate or delirium.
The top three reasons for the involvement of an Admiral Nurse were:
- Distressed reaction - referring to a range of behaviour that may be complex for the carers to address including aggressive behaviour; refusal of personal care; reduced social inhibitions
- Mental health needs
- Co-morbidities - such as cardiovascular problems, neurodegenerative diseases or diabetes
All of the residents on my caseload had been diagnosed with co-morbidities and also a number of additional co-existing factors, the full statistics are available in the report (below). It is the presence of both of these which are known to increase complexity in the clinical presentation of a person with dementia.
Care Fit For VIPS Audit (see previous blog)
3 audits have been completed during this time. The baseline audit (done in April 2017) showed that the home was already largely providing good care although there were areas that required improvement to bring the practice to a higher level. The latest review (April 2018) shows how the practice has shifted in the home with more statements with which we strongly agreed and less statements with which we disagreed. An action plan has been drawn up on the basis of the last review to support continuous improvement.
It has been hard work collecting all of the data and producing this report but it has been an enjoyable 18 months working as an Admiral Nurse at Riversway Nursing Home and I think the report illustrates the fruits of our labours very well
by Jakki Whitehead, Admiral Nurse
The Springhill Care Admiral Nurse Service Evaluation report