Bulletin #5 – Resident and Family Centered Care

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“Resident and Family Centered Care” (RFCC) theme focus is the second Quality and Safety theme of our series of nine themes between now and our onsite Accreditation survey October 22 – 25, 2018. It focuses on care which recognizes that residents have individual values, cultural history and personal preferences, and that each person has an equal right to dignity, respect, and to participate fully in their care.  Specifically, it is an attitude, not a procedure. It involves advocacy, empowerment and respect for one’s autonomy, voice, self-determination and participation in decision-making.

Definition of Resident and Family Centered Care (RFCC):

Menno Place has adopted the following definition of RFCC :

“Providing resident and family centered care means working collaboratively with residents and their families to provide care and services that is respectful, compassionate, culturally safe, and competent, while being responsive to their needs, values, cultural backgrounds and beliefs, and preferences”. (Accreditation Canada)

Our values – Stewardship, Excellence, Respect, Values-Driven, Innovation, Compassion, Encouragement – align with RFCC which makes this philosophy concept a good fit for Menno Place.

The four Core Concepts that support RFCC include:

  1. Dignity and respect: Listening to and honouring resident and family perspectives and choices. Resident and family knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care.
  2. Information sharing: communicating and sharing complete and unbiased information with residents and families in ways that are affirming and useful. Residents and families receive timely, complete, and accurate information in order to effectively participate in care and decision-making.
  3. Partnership and participation: encouraging and supporting residents and families to participate in care and decision making to the extent that they wish.
  4. Collaboration: Collaborating with residents and families in policy and program development, implementation and evaluation, facility design, professional education, and delivery of care. (Accreditation Canada)

The RFCC philosophy focuses on the individual rather than on the condition, and on the person’s strengths and abilities rather than losses.

  • At Menno Place staff members respect the wishes, concerns, values, priorities, perspectives and strengths of the person and family. The value for human dignity is shown by caring for residents as whole and unique human beings, not as problems or diagnoses. To support the individual’s personhood, the team provides RFCC with a focus on the person and the relationship; not the disease.
  • What does RFCC look like in real life?
    • Speaking to the resident respectfully:
      • use the name the resident prefers
    • Engaging in social conversation, as appropriate, about events and experiences in the person’s life:
      • create memory boxes
      • family pictures
      • items from home in their room
    • Offering choices about how to accomplish the task:
      • Style of dress, makeup (does a woman who always wore makeup feel un-presentable without it?)
  • Greeting and expressing interest in the resident’s welfare, comfort, condition:
    • Knock before entering the resident’s room
    • Introduce yourself – “Hi, my name is……”
    • When I leave the resident’s room I ask – “Do you need help to the bathroom? Do you need something for pain? Are there any personal items you need within reach before I leave?”
  • Finding out what makes the resident’s life meaningful when making decisions about their care:
    • Together with the resident and family create and honor their goals of care
    • Individualized activities that connect to the resident’s previous interests (can a gardener enjoy looking at a seed catalogue if he or she can no longer physically plant seeds?)

  • RFCC is 24/7
  • Residents living at Menno Place do not live at our workplace – we work in their home
  • RFCC is an attitude
  • RFCC needs commitment from the whole community

 

 

 

Q & A:

Can you name the values of Menno Place?

Clue – They spell the word SERVICE

2. What is Menno Place’s definition of RFCC?

Answer:  We provide care and services together with our residents and their families in a respectful and compassionate manner. We respond to their needs, preferences, values and beliefs.

3. How do you provide RFCC on a daily basis?

Answer:

  • We learn about the residents from their stories, preferences and what is meaningful to them
  • We speak to the resident respectfully
  • We orientate the resident to the task we are going to do for/with them and ask them permission to begin
  • We express interest in their welfare, comfort and condition
  • Giving the resident choices, checking regarding their wishes/preferences