Arlian Mallis: Person-centred Health and Care Programme Co-ordinator,Forth Valley Royal Infirmary, Falkirk

She said, “The niece of a lady with dementia reported that she was offered the scheme in A&E. When the porter arrived, she was greatly reassured because he told her he knew what the Butterfly symbol meant and promised to take extra care of her aunt. The wife of a gentleman who had opted into the scheme prior to a hospital procedure called to tell the Lead that her husband’s care had been exceptional. She said, “Even the doctor knew he had dementia before we went in, the nurses seemed sensitive to my husband’s needs and they all had Butterflies on their badges.”
Arlian Mallis, Forth Valley Royal Infirmary

Janet Farnhill: the very first Butterfly Scheme Lead,Harrogate and District NHS Foundation Trust

A lady with dementia who needed a general anaesthetic was known to be unlikely to cope with the process. Using her Butterfly Scheme insights, the nurse worked in partnership with the lady’s daughter, who accompanied her for the anaesthetic. The whole team worked to the nurse’s personalised plan; the daughter held one hand and the nurse held the other (singing “I wanna hold your hand!”). The anaesthetic was delivered without distress and the nurse later said, “I was proud of the care we had given”.”
Janet Farnhill, Harrogate and District NHS Foundation Trust

Barbara Schofield: Nurse Consultant for Older People,Calderdale & Huddersfield Foundation Trust

A very pleasant gentleman with dementia loved to talk about his holidays, but if the person he spoke to appeared disinterested, he could become anxious, which was often perceived as aggression. Because of the whole-team approach, all staff began each interaction in full knowledge of his needs and this promoted positive interactions, avoiding distress. The approach was also used on subsequent admissions and was found to have a positive effect on his potential for falls, his motivation and mood for eating and drinking and his length of stay.
A lady with advanced dementia, who had lost her sweetheart in WW2, believed that he had returned and they had a baby boy. She cuddled a doll and contentedly waited for her husband to return from work. The staff as a whole team knew not to reorientate her into the here and now, but met her in her reality, otherwise she became extremely distressed and agitated. By using the Butterfly Scheme principles, the staff team personalised their care. For example, the team member who cleaned the bathroom was happy to sing as she worked, because she understood that this was the only way the lady would allow her to enter her world..”
Barbara Schofield, Calderdale & Huddersfield Foundation Trust

Fiona Throp: Senior Nurse for Older People,Airedale NHS Foundation Trust

During the early stages of implementing the Butterfly Scheme, a dementia training facilitator who works in A & E was asked to try to stitch the head of a man with dementia who had fallen and had lacerations. Others (who had not yet had Butterfly Scheme training but who were due to have it) had tried, but felt that his distressed behaviour made it too dangerous for him and for the person stitching. The trainer successfully stitched the man’s head but felt that this success was directly due to the Butterfly Scheme training and use of the REACH response.”
Fiona Throp, Airedale NHS Foundation Trust