CMO1: Namaste Care provides regular, structured access to social and physical stimulation for people living with advanced dementia | ||
Context | Mechanism | Outcome |
Namaste Care provides access to social and physical stimulation through a routine/structure consisting of:  • Designated space  • Considered timing  • Regular skilled facilitator  • Repetition of intervention  • Social interaction  • Regular drinks and snacks | • Residents: familiarity, consistency, reassurance, recognition • Trust develops between residents and carers • Namaste Care is seen by staff as a core activity • Staff are ‘intentionally present’ with residents • Staff given permission to engage | • Decrease in agitation/behavioural symptoms/anxiety • Improvements in mood • Intervention become part of care home routine • Staff satisfaction |
CMO2: Namaste Care equips staff to work with people with complex behaviours and variable responses | ||
Context | Mechanism | Outcome |
Namaste Care is delivered through a multi-sensory experience (effect) that provides a ‘toolkit’ of activities (resource) for staff | • Residents are soothed and relaxed by multi-sensory experience • Residents feel stimulated through multiple interactions • Staff notice/are more responsive to the needs of residents • Moments of connection are created between staff and residents | • Agitation/behavioural symptoms • Anxiety • Mood |
CMO3: Namaste Care provides a framework for person-centred care | ||
Context | Mechanism | Outcome |
Namaste Care focuses attention on residents’ biography and preferences (person-centred care) | • Resonates with staff’s understanding of person-centred care • Staff notice/are more aware of the needs of residents. • Trust develops between residents and carers | • Agitation • Mood • Engagement • Improved communication between staff and residents • Improved communication between residents and family & staff and family |