Prepared by Sian White PhD. Manager, Carer Support Unit. April 2014. TOP5 â ... Staff member gives TOP5 brochure and briefly describes TOP5. â Staff invites ...
TOP5 – Encapsulating carer expertise to personalise patient care Prepared by Sian White PhD Manager, Carer Support Unit April 2014
Carer frustration listened to key tips recorded acted upon
Staff frustration Time poor
Relevant information & strategies Safe work environment Information visible & transferable
Patients at risk - needlessly
Assumptions Patient behaviour – form of communication Carer expertise is essential – personalised care
Staff clinical expertise is greatly enhanced with carer input
What is TOP5? Carer Handover to staff Staff member gives TOP5 brochure and briefly describes TOP5. Staff invites Carer to share care tips/ strategies. Staff member records tips on TOP5 form bedchart and uses stickers
Form access by all staff Carer satisfaction- evidence Patient more settled, better communication
Example: TOP5 Falls prevention
Make sure Dot has her handbag on her lap or beside her pillow. If she can’t see it she’ll look for it under the bed and has fallen like this before.
Example: TOP5 Support behaviour
Mike has poor impulse control, will wander and take items that do not belong to him – in seeing him wander staff say” Hey Mike there is an aircraft in hanger 2 that needs your attention” he will follow you – distract him with the newspaper and he will settle in a chair to read.
Example: TOP5 communication
Ted will make a little whistle sound when he needs the toilet. He’s always done it. If he says “I need to…” and then whistles, it means he needs the toilet. Take him to the toilet as he can become disorientated and may go the toilet in the wrong place if not supervised.
More information?
Carer Support Unit: 4320 5556 Internet: http://www.cclhd.health.nsw.gov.au/Services/CarerSupport/TOP5.html
