ii. St. Joseph's Continuing Care Centre - One to One Patient Engagment Opportunities!

Program Name: One to One Patient Engagement Opportunities!

  • Goal: To assist patients in meeting their unique health and wellness goals through individual opportunity engagement that supports unique social, emotional, spiritual, physical or intellectual needs through admission through recovery and discharge.

    Objective:

     - To provide engaging and encouraging one to one opportunities that enhance overall wellbeing and quality of life

     - To incorporate unique social, spiritual and emotional activities that alleviate and decrease isolation, depression and decline and reduce the desire to become withdrawn

     - To provide sensory stimulation, enhance alertness, provide hand eye coordination activity to enhance opportunity for functional progress toward improvement

     - To facilitate communication and encourage individualized-expression in daily activities.

     - To be offered opportunities to be out, engaged and active with others in a therapeutic, motivated, and healing environment with support

     - To engage in a calm and relaxing environment that helps to decrease anxiety and reduces agitation

     - To support and encourage patients in reaching their individual wellness goals toward meeting full potentials

    Procedure/Description:

    1). At the time of shift start, the volunteer will:

    a). Sign in on the 1st Floor Nursing Station.

    b). See ‘One to One Patient Engagement Opportunities’ referral list to identify which patients who may be in need of 1:1 visitation with recommendations as to what kind of activity unique to the patient’s needs/interests/ability level the volunteer may propose to the patient as follow up in visitation.

    c). Record patient name/and/or room number with response within the program referral list and documentation binder as to have a record for our clinician staff to seek as needed for the patient/and or family.

    Appropriate patient referrals identified by interdisciplinary clinical staff may include individuals who may;

    - have higher functional limitations or lack of independent mobility and would benefit from receiving encouragement with exercises that encourage regaining strength, inspire hope and recovery,

     - be identified with less support from family members on a routine basis,

     - be experiencing isolation, psychological distress through difficult life/emotional changes, seeking comfort with simple activity and light encouraging conversation on a one to one basis, be experiencing difficulties adjusting to changes after admission, or

     - simply need assistance familiarizing themselves to the site with an orientation tour, the meeting of other patients, or familiarizing themselves with welcoming remarks and information presented through the patient handbook.

    6). The volunteer will report to nursing staff immediately if any unusual changes to mood, behaviour, etc., as needed.

    7). Volunteers are responsible to the Volunteer/Academic Placement Coordinator who follows through with routine performance check-ins, follow up education provided as identified, and/or providing guidance to volunteers as needed. Interdisciplinary staff are to contact the Volunteer/Academic Placement Coordinator if any concerns and/or any recommendations for changes are identified for follow up.

    Risk Management: Low Risk

     Volunteers use the appropriate mobility equipment set up by clinical staff with each patient and their use and are instructed on proper use.

     Upon exiting the floor with a patient, the volunteer will notify the nursing staff of the location destination and approximate time of return.

    Evaluation:

    Number of Volunteers participating in the program

    Average number of patients seen by a volunteer per visitation shift

    Some of One to One referral activities may include assisting a patient with:

    Responding to a request to assist a patient in need of therapeutic relationship building and support through recreational activity, or may include restorative components which require assistance alongside the individual to encourage regaining their independence with activities of daily living.

     Reading or looking through a book or newspaper,

     Creative art activities such as painting, colouring, or other craft projects set up in kits and available in the recreation area for use.

     Hand eye coordination activities – based on the individual’s ability level, such as matching and sorting, colours, wii games, etc.

    •Computer use, sending an email or letter to a loved one,

    •Interactively visit socially with other patients,

    •playing board games, puzzles, cards etc, at the person's individual ability level, etc., (puzzles and games are available within the cabinet at the activity lounge area on each 1st and second floor. (Volunteers are free to use a quiet table in the dining room with a patient when needed).

    •Go on social walks and provide for a calm and peaceful environment that nurtures a positive and supportive environment,

    •Going to visit the healing gardens and/or watering and weeding the gardens with a patient where appropriate and weather permitting,

    •Going on indoor or outdoor walks, (outdoor where weather is appropriate) Page 3 of 3

    1:1 Patient Engagement Opportunities - Volunteer Support Program

    •Looking at photographs, reflecting on life stories and memories,

    •Providing assistance in the organization of the room,

     Escorting and companionship to the chapel for Spiritual and Religious Care Services or time for personal spiritual reflection,

    •Accompanying patients to various activities within the site,

    A Restorative component may include: assisting a patient with the unpacking, setting up personal items in a room, or declutter or organize items in room which often may be a difficult task to accomplish for an individual undergoing recovery until the patient has had time to maximize their potential to regain strength and reach successful accomplishment of daily tasks/ recover independent abilities. The volunteer would be assisting the patient with a task, however allowing the patient to complete as much as possible while monitoring limitations and offering encouragement, then report back to the clinical nursing staff once visitations are complete.

    Volunteers do;

    -Knock and greet patients upon entering and greeting – show your Identification tag worn on the upper chest level,

    -Notify registered staff immediately if there are any significant unusual changes observed including a patient’s cognitive, responsive, behavioural, physical or other significant change observed regarding health status of the patient,

    -Upon returning a patient to their room, place the call bell within easily accessible reach,

    - Return any identifier notes such as sticky notes with patient names and room numbers back to the nursing station shredder before signing out for the day for their confidential information shredding,

    - If leaving the floor for any reason (such as a walk off the unit), please sign the patient out at the Unit Assistant (central nursing station) desk.

    - Record patient name/and/or room number with response within the program referral list and documentation binder as to have a record for our clinician staff to seek as needed for the patient/and or family.

    Volunteers do not;

    -Administer any internal feeding, medications,

    -Transfer, lift, reposition, change or physically move a patient,

    -Use brakes or any other forms of restraints at any time on wheelchairs.

    -Do laundry for patients, but may assist a patient if the patient has no family or friend for support and the patient is looking for assistance through this activity in order to regain strength to accomplish this Activity of Daily Living independently.

    * If assistance is required at any time, volunteers are to notify registered staff and/or the Volunteer/Academic Placement Coordinator.

    Volunteers are welcomed to join us on a routine schedule that best suits their schedule throughout the week and must have a sincere desire to work with patients of a variety of interests, personalities and ability levels, have an understanding of the aging process through provided orientation and program specific training, involving the person centered approaches to meeting individual needs of our patients wellness goals