I used to want to change the world, now I just want the world to change. The difference is significant, I think – less pressure on me, for one thing! But more that there are so many people who want the same thing. When it comes to the way we care for older adults, I believe the change has already begun, thanks to companies like Meaningful Care Matters where I work as Associate Consultant. I also believe that the concepts we are teaching can be applied on a broader spectrum, especially in leadership.
At Meaningful Care Matters, we have a team of consultants who teach the Butterfly Approach™ to person-centred care in care settings (i.e. long-term care homes) around the world. A favourite (read: cheeky) way I describe what I do is simply that I teach people to be nice to other people. In reality, it’s actually more that we teach already nice people transformative ways to care for each individual (generally older adults, but not always) who lives in their care home.
It almost sounds too fundamental and basic. How do you treat someone as an “individual” that could be any different than has always been done? Henry is Henry, a long-term care resident with a detailed plan of care that will tell you his diagnosis and course of treatment, as per regulatory requirements. Maria is Maria, a team member who was recently recognized as employee of the year, they even gave her flowers and a lovely hand-written note. How are Henry and Maria not being treated as individuals?
The answer can be found in the concept of “Meaningful Engagement”, one of the five types of care taught in the Butterfly Approach™. Meaningful Engagement is a type of Positive Care (positive = being kind and compassionate, providing choice, etc.) with the added element of connecting on a human level through the knowledge of a person’s life story, appropriate physical touch, facilitation of independent occupation, etc. Basically, connecting with the human being and making them feel valued and important.
In other words, Positive Care would be knowing and using Henry’s name. Meaningful Engagement is knowing Henry was named after his father who died in the war and never got to meet his only son. Really good Meaningful Engagement is knowing that Henry was raised by his mother and two older sisters and had to drop out of school at grade eight to help put food on the table so he might get a little belligerent in a care home setting if he doesn’t have something to occupy him, something that gives Henry a sense of purpose.
In leadership, Positive Care would be knowing that Maria has been a nurse for 20 years and loves helping people so much that she won employee of the year last year. Meaningful Engagement is knowing that, at the end of every shift, she goes home to take care of her own mother, who is a widow and has been fighting cancer. Really good Meaningful Engagement is helping Maria adjust her work schedule to accommodate the many doctors appointments she would like to attend with her mom, because Maria can’t miss work and also pay the mortgage.
For the past six months, I have had the uncommon and fortunate privilege of going into long-term care homes across the province to teach and/or audit teams working toward Meaningful Care Matters Accreditation. I’m still new in this work and have a lot to learn, but it seems to me that the teams who have the easiest time learning the Butterfly Approach™ have leaders who approach them the same way, as individuals with value and purpose. Having been in the workforce for enough years that I’m shocked to count, I can confidently say that I have the uncommon and fortunate privilege of having leaders who treat me as an individual with value and purpose. The difference is Meaningful Engagement. And it matters.
