Welcome to the Specialist Section for Older People Newsletter: July 2020 Vol 14(5) IN THIS ISSUE: Follow us on Twitter: Page 1: Twitter NEC vacancies @RCOT_OP Page 2: Journal Club Feel free to Tweet us any questions, queries or Page 3: RCOT updates updates from your own work places Page 4: Planning the development of a “pub” Don’t forget to let us know how you’re adapting and within a care home. flourishing at this time - use our COVID-19 special hash Next time… tag Research spotlight on drinking alcohol as an #TopTipsOP occupation in later life NEC Secretary Vacancies Dementia/Mental Health clinical forum co-lead ACE clinical forum co-lead Care Homes clinical forum lead If you’re interested in filling any of these roles please contact the committee Chair: firstname.lastname@example.org Journal Club Journal club is coming! Stay tuned into the e-Newletters and Webinars to get involved! “This is a short message to say that we have This is the same for those who did not or not forgotten about the Journal Club. In fact, could not seek urgent acute hospital care in the content and guidance for the first article the instances of stroke and other cardiac was ready back in March with a Webinar related disorders. Not only that but the impact planned for facilitating feedback. Due to the this has had on their carers health and situation that unfolded we both agreed wellbeing. Positively, there are many however that it was not the right time to ask instances of encouraging media reports that members to get involved. The difficult and boost our OT profession. ongoing circumstances in practice; the day by day changes to directives, including staff So for now I leave you with two not too shortages alongside juggling childcare with lengthy articles to read. One which is from the older dependents has to take priority. We are BBC News in Northern Ireland and details the fully aware of this and it is for this reason we work of home visits by Emily Costello in a have postponed it for now. 2:16 minute video (BBC News, May 23rd 2020): We are holding a Webinar later in the summer https://www.bbc.co.uk/news/av/uk- or beginning of Autumn to look closely at northern-ireland-52715416/coronavirus-the- Reablement and Rehabilitation, two urgent occupational-therapists-providing-homecare- focal areas as the impact of emergent during-pandemic discharges and decrease in community services start coming to light. To this extent I The other, which significantly was only plan to do a scoping review of any evidence published less than a week ago, is an MP that comes my way so that Amy and I can feed backing of RCOT’s call for prioritising this back to you as well as thinking ahead rehabilitation for those affected by about what the future may hold. We are aware coronavirus: that there will be a subsequent wave, as consistently raised in Media reports, and http://attoday.co.uk/mps-back-rcots-call-for- further infections until a vaccine has been uk-government-to-prioritise-rehabilitation- found. It is also unclear what the long term for-those-affected-by-coronavirus/ “ health impact (including MH) will be for people who have been on respirators and who have subsequently returned home. Vala Ebrahimi – Clinical Forum Co-Lead for Intermediate Care and Reablement RCOT updates and links: COVID-19 Members survey RCOT wants to hear how the pandemic is impacting the profession and how members are responding to it. By sharing your experiences in the COVID-19 member survey, you will help shape how RCOT supports you and promotes the profession, as we move together through this pandemic and beyond. You have until Friday 10 July to complete the online survey. Take part at: rcot.co.uk/covid-survey RCOT Statement on Diversity https://www.rcot.co.uk/news/rcot-statement-diversity Supporting remote and online supervision during Covid-19 https://www.researchinpractice.org.uk/all/news-views/2020/april/supporting- remote-and-online-supervision-during-covid-19/ Research spotlight: Planning the Scope of the project: In addition, Harmer and Orrell development of a “pub” (2008) identified that residents’ within a care home The need for the project was with dementia found maintaining Chloe Skinner1 and Sarah identified as the residents and previous occupations, social Kantartzis2 family members missed the social interactions with family, listening 1. BSc (Hons) occupational aspect of attending the pub. This to music, and reminiscence therapy student, Queen project aimed to create a pub groups to be a vital part of their Margaret University, Edinburgh within a care home by providing daily lives. Likewise, Kristen and 2. Senior Lecturer occupational therapy, Queen occupations and an atmosphere Peoples (2019) found that Margaret University, associated with a pub. meaningful activities can provide Edinburgh a sense of belonging to residents Introduction: By planning and organising a pub with dementia and can facilitate My name is Chloe Skinner and I within the care home, it was experiences of a home am a level 4 BSc Honours believed this would allow environment. The pub aimed to occupational therapy student at residents to participate in allow the residents an Queen Margaret University in occupations they previously opportunity to engage in what Edinburgh. The final year enjoyed and increase their social were possibly traditional dissertation requires students to interactions. Kelly et al. (2018) occupations for them together conduct a project related to found that older people enjoy with their family and friends. It occupational therapy. My chosen drinking alcohol for the social also aimed to provide a sense of project was to plan the aspect of attending the pub and belonging by increasing residents’ development of a “pub” within a because this was the social norm. social interactions. care home in Scotland. This Similarly, McCabe (2011) found project aimed to meet the needs that drinking is a massive part of of the residents and their family Scottish culture. Residents who members by increasing the previously worked in a bar may residents social interactions and be able to engage in this community connections (RCOT occupation under supervision 2019). Research spotlight continued: Implementation of the project: This project implemented a Co-production was evident as the human-rights approach as this whole community came together To develop the proposed pub empowered the residents to be to provide resources for the pub multiple elements needed to be involved in the development of (SCIE 2015). The pub received considered, these included the project (Alzheimer Scotland various donations such as alcohol, residents’ perceptions and 2017). The residents were able to board games, and a bar (see wishes, organising donations, be involved in the project photos). Risk assessments as well alcohol consumption, development by expressing their as discussion of ethical issues environment and space, staffing, views and experiences, helping around alcohol consumption supplies and catering. The build a stronger community by were undertaken. residents’ focus group and identifying the residents’ needs implementing a co-productive (Alzheimer’s Society 2020). method were two main elements which increased community The principles of co-production connections and collaboration were implemented throughout with the staff, family members the project, including residents, and residents. their families, care home staff, the Initially, a focus group was local community and local conducted with five residents to organisations. The residents’ identify their experiences and participated in designing the pub needs for the pub. Three key environment by expressing their themes emerged from the focus views and needs in the focus group; experiences of pubs, pub group (Palumbo 2016). The care environment meanings and the home manager communicated the needs identified for the pub (see project with the resident’s Table One – p.6). These findings relatives through the care home allowed for the residents’ needs newsletter and asked if they to be considered when would like to give donations for developing the pub. the pub environment. Table One: Key Themes Emerged Key Themes Examples Experiences of pubs - Women did not go to the pub on their own. - Residents would attend the pub with friends or husband. - Single women did not go to the pub they only went if they were married. Pub Environment Meanings - Music - Bands playing - Alcohol - Warm fire - Dominoes - Pub quizzes - Darts Needs identified for the pub - Music-different genres - Darts - Food - Dominoes Conclusions therapy in care homes, The project has also taught me to identifying the previously consider every individual within In conclusion, although the pub meaningful occupations of older an older adult’s life, for example, has only recently opened and so adults, discussing their their relatives, employees’ in formal evaluation has not yet experiences to replicate these their care home as well as been undertaken, this project has within their environment. members of the local community shown the importance of This project has developed my and how co-production bringing increasing older adults’ social skills as I transition from student these people together, can connections within their local to practitioner. I will now influence their occupational lives. community to provide them with consider the importance of a sense of belonging, as well as Note: We are always keen to make implementing a human-rights contact with services, organisations, re-establishing in their lives based approach into practice institutions and community groups traditional and much enjoyed who might be interested to develop ensuring all older adults I work a project with us and our Year 4 or occupations. Master’s students. Please contact with feel empowered to make Sarah Kantartzis at This project provides an example decisions impacting daily lives. SKantartzis@qmu.ac.uk for further of the potential for occupational information. Research spotlight continued: Contact Us: Next time… If you are interested in finding out more about the We look forward to another spotlight planning and development of the “pub” within the on current research, continuing the care home please contact: topic of drinking alcohol as an occupation in later life. Chloe Skinner Occupational Therapy Student Queen Margaret University Edinburgh Based in Highlands of Scotland Email: Chloeskinner17@gmail.com Disclaimer of Liability The resources included in this newsletter are for general information purposes. Inclusion of these resources does not institute endorsement by either the Royal College of Occupational Therapists or Royal College of Occupational Therapists Specialist Section for Older People. The RCOT and the RCOT SS OP shall not be liable for loss or damage either directly or indirectly resulting from the use of these resources and makes no warranties of any kind, express or implied, about the reliability and/or suitability with respect to the resource. Any such reliance you place on these resources is therefore based on your own professional judgement.