I work as a team leader in a 16 bed unit, a very busy inpatient setting with dementia and end of life care, majority of our staff are nurses and care support worker..I am saddled with the responsibility of assessing middle age and elderly patients with dementia presenting with challenging behaviours that can not be managed else where, following referrals from continue care team and other agencies. We manage patient on short and long term bases, We provide end of life care for the dying patients.. The unit function under a shift pattern system and uncompleted job is to be handed over to the relieving staff.
. Handover is given by the coordinator of each shift to the relieving staff. The clinical problems with our clients is advanced dementia of various types, insidious anxiety, refractive depression and chronic psychosis The type of care the unit provide is based on person centred care planning. Patients care plans and individual need provisions is centred around identified risks, previous history from carers and next of kin. What has worked well in the past, patient hobby and profession. As the team leader I conduct pre-admission assessment, The purpose of this assessment is to determine patient suitability for the type of care we provide. For each patient a mental capacity assessment is done to determine the level of involvement and what multidisciplinary team to contact for holistic care delivery. Patient needs/care plans are based on information on hygiene needs, washing and dressing, individual nutritional needs and mobility assessment as all our patient have cognitive impairment and will depend on staff for all activities of daily living,