Alone we can do so little; together we achieve so much!
Older people deserve better care. A Dignified Revolution is a group of individuals, the majority of whom are nurses, who want to improve the care of older people in hospital. It was launched in January 2008. The impetus to establish the initiative was driven by:
- the distress that these individuals had experienced because of the poor care that their relatives had received whilst in hospital, and their concern that others might find themselves in the same situation
- the realisation that the lack of dignity and respect that older people tolerate when in hospital is not a recent phenomenon. The issue was first publicised in 1997. Ten years on, despite extensive media attention and numerous reports and guidance from government, little has changed
Many nurses provide outstanding care. However, the attitude and behaviour of other nurses when caring for vulnerable older people does not reflect the duty of care that they have towards their patients.
The experience of many of us involved in A Dignified Revolution is that:
- many nurses do not consider that basic nursing care is part of their role. Instead, they consider it is the role of the healthcare assistant
- the public do not appear to be aware that registered nurses are responsible for the supervision and care actions of support workers. They have a duty of care to the patient regardless of who provides the basic nursing care and this duty of care makes them accountable in law
- doctors are seen to be more supportive and caring than nurses
- many of the poor experiences being shared are being reported by health professionals who work in various parts of the NHS. The system seems to inhibit them challenging practices which are demeaning their professions
A Dignified Revolution is calling for the NHS to:train all their staff in dignity and respect train their staff to communicate with older people invest in independent advocacy services for older people and their relatives. This is particularly important for those involved in continuing care assessments develop an independent mystery visitor service to audit practice at ward level provide patient support services in all hospitals and ensure that patients and relatives know how to access them involve service users in hospital staff induction programmes so that staff are educated in what the public expects
The deep-rooted and negative attitudes of professionals must change. Older people are the core users of NHS hospitals. Those aged over 65 account for around 60% of admissions and 70% of bed days in general hospitals. By 2025, the number of people over the age of 65 will have increased by 50% and the number over 80 by 80%, with corresponding increases in physical impairment, dependency or multiple long term conditions.
We would all do well to take heed of the Bombay Hospital motto that has been adapted from a quotation made by Mahatma Gandhi. It reminds us that:
Does your local hospital pass the Gandhi challenge?
If you would like more information about A Dignified Revolution please email: firstname.lastname@example.org or visit their website http://dignifiedrevolution.org.uk
- A Dignified Revolution Newsletter - Dec 2012
- A Dignified Revolution Newsletter - Nov 12
- A Dignified Revolution Newsletter - Oct 12
Includes: End of life care in extra care housing: learning resource pack for housing, care and support staff, Service users play vital role in improvements and A recipe to tackle malnutrition among...
- A Dignified Revolution Newsletter - Sept 12
Including: The village where people have dementia and fun, Peer support in mental health and learning disability and Get some patient power.
- A Dignified Revolution Newsletter: August 2012
Includes: SMILE for Dignity, National Care Quality Forum Launches Call for Evidence for Good Practice, Malnutrition - can you help?
- The Dignified Revolution Newsletter - June 12
Includes: Diamond champions, RCGP caring about carers awards and Helping Hospitals Deliver Better Care: A new toolkit for quality improvement.
- A Dignified Revolution Newsletter May 12
This months newsletter includes: Gwent nurse wins award for outstanding service, Nursing in Practice Respect Campaign, Improving continence care for care home residents
- A Dignified Revolution Newsletter: April 12
This Month's newsletter includes: Improving the patient experience through Transforming Care, New code established to safeguard older people's dignity in care and Improving end-of-life care: professional...
- A Dignified Revolution Newsletter: Mar 12
including: Equal care for learning disabled people, Dignity - Little Things Make a Big Difference and NHS patient experience framework
- A Dignified Revolution Newsletter Feb 12
Includes: Health Minister applauds Hospice's dignity in end-of-life care, innovative new ways of working within care homes and Code of conduct for healthcare managers
- A Dignified Revolution Newsletter Jan 12
including: NHS Retirement Fellowship lobbying for dignified care, Good nutrition for people with dementia and 60 NHS patient outcome measures launched.
- A Dignified Revolution Newsletter: November 2011
Featuring: Implementing a 'Duty of Candour', Helping Patients get help to navigate health services, Good news stories
- A Dignified Revolution Newsletter Oct 2011
This months a Dignified Revolution Newsletter includes items such as: heads of the Royal College of Nursing and the Royal College of General Practitioners called for relatives to help care for elderly...
- A Dignified Revolutiion Newsletter - Sept 2011
News from A Dignified Revolution including - Protecting patients and the public, 2012 Nursing Standard Nurse Awards, Seven steps to end malnutrition in hospital
- A Dignified Revolution Newsletter: Aug 2011
The latest news from The Dignified Revolution including: Safeguarding vulnerable adults - a toolkit for general practitioners, A look back at the Stafford Hospital public inquiry and the Dilnot Commission...
- A Dignified Revolution Newsletter: July 2011
The newletter includes items such as: Reward the dedication and commitment of your community nurse, Guide to reducing the use of anti-psychotic drugs and Wards to be spot checked for dignified care of...
- A Dignified Revolution Newsletter: May 2011
A Dignified Revolution Newsletter - May - including The Florence Nightingale Foundation Scholarships, Older people's fears about end of life care and New guidance to support practitioners...
- A Dignified Revolution Newsletter - March 2011
Attached is the Dignified Revolution newsletter for March 2011.
- A Dignified Revolution Newsletter: January 2011
Attached is the Dignified revolution Newsletter for January 2011
- A Dignified Revolution Newsletter - February 2011
Attached is the Dignified Revolution newsletter for February 2011.