Table 4 Educational needs assessment for CARE-DEM case manager’s learning, induction and refresher courses
From: Designing a complex intervention for dementia case management in primary care
Thinking about… | Themes | Confident about this | Need to learn about this |
|---|---|---|---|
1. People who are acquiring or who have just received a dementia diagnosis | Able to establish relationship with the individuals & their family that is at levels and intensity of protocol | ||
Informed about sources of support locally (and beyond), including peer support | |||
Able to inform practice with knowledge of memory aids & techniques | |||
Able to reframe dementia as a disability | |||
Able to assessing individual/family adjustment to and assimilation of the diagnosis, able to set assessments in interprofessional and multi-agency frameworks | |||
Able to reinforce resilience | |||
Aware of how to introduce advance care planning and other possible planning/decisions | |||
Aware of psychosocial interventions and their availability, effectiveness and cost | |||
2. Managing breakdown of support systems | Able to analyse and respond to behavioural & psychological symptoms | ||
Able to support person/carer to access sources of support for crisis and ensure these are as effective as possible | |||
Able to identify and analyse support networks and to develop or sustain support | |||
Know how to advise about incontinence/ aids and | |||
equipment/safeguarding/ housing/community based social care and other opportunities | |||
3. Managing acute illness and hospital admission | Able to command confidence and exhibit negotiation skills in liaison with multi-disciplinary team. Able to advocate on the person’s behalf or support them in self-advocacy. Able to advise on re-ablement. | ||
4. Supporting decisions about relocation | Aware of resources and implications of relocation and able to discuss them with the individual to assist in considered decision making | ||
5. Supporting the PWD and their family at the end of life | Able to command confidence that support will be available and that decision making will be personalised. Able to elicit fears and concerns about management of crisis, distress and pain. Able to offer support to bereaved carers and other members of the support network. |