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ABSTRACT

Objectives: Protected therapeutic Engagement time (PTET) was first used on acute psychiatric wards in Oxford (Kent 2004) and describes a golden hour of uninterrupted service user / nurse contact in which the patient selects the activity they wish to undertake. During this time the ward is closed so that nursing staff engage one to one with the patient�s chosen activity.
A Nurse Consultant has implemented this therapy with patients who have recently been admitted with dementia. People with dementia routinely receive care that meets their physical needs but their needs as a person may not be prioritized in the same way. This therapy offers a different approach to care that if successful can be used in community settings.
The overall aim is to identify whether there are benefits from using PPET with patients with dementia.There is a lack of evaluation of this therapy with patints with dementia so this provides an opportunity for this group of patients to have a voice in their own care.
Methods: A mixed methods design using thematic analysis has been selected to describe the users experiences and give a detailed analysis of the results. Techniques include short tape-recorded interviews with service users and quantitative dementia mapping techniques to evaluate the intervention. Variables include level of wellbeing.There will also be interviews with relative(s) and the nurses involved.
Conclusions: The aim of PPET is to enhance the individual sense of self by providing opportunity for activity the person enjoys. These include having a hand massage, window shopping or writing a birthday card for a family member. PPET meets requirements for person-centred care described in the NICE Guidelines for dementia care, (NICE 42, 2006) and this research will help to determine whether PPET is beneficial.

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