Complex Care Workflow Library – A Sudden Shift

Complex Care Workflow Library – “A Sudden Shift”

This page is used in **Module 4: Digital Technology in Complex Systems** to explore how digital tools support crisis workflows in dementia care.

After watching the video **“A Sudden Shift (Sundown Syndrome Management)”**, add your own short analysis of the workflow and an SBAR-style digital message.

Please **read the instructions** below before adding your entry.

How to Contribute

1. Scroll to the **Learner Entries** section.
2. Copy the **Learner Template**.
3. Paste it **below the template**, then replace the placeholder text with your own work.
4. Use either your **first name + initial** or your **learner ID** as your section heading.
5. Keep resident and workplace information **anonymous**. Do not use real names or identifiers.

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What to Include

For your entry, you will:

• **List 2–3 digital tools** used in the scenario

 (e.g., behaviour tracker, alerts, messaging app, documentation system).

• **Map the workflow in 4–6 steps**, from the first sign of change to the team response.
• Identify **one risk point** where a digital breakdown could create safety concerns.
• Write a brief **SBAR-style message** that could be sent in a secure chat tool

 (Teams, Slack, WhatsApp, etc.).

• Add **one sentence of reflection** on how digital tools helped support person-centred care.

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Example Entry (Do Not Edit)

Example: Jordan PSW01 (Sample Only)

Digital tools observed

1. Electronic behaviour tracker
2. Automated alert to the charge nurse
3. Secure messaging app for team updates

Workflow steps

1. Evening PSW notices Mr. K becoming increasingly restless and pacing near exits.
2. PSW logs the behaviour in the electronic tracker; system flags “wandering / exit-seeking.”
3. An alert is sent to the charge nurse’s device and the unit dashboard.
4. Charge nurse reviews the history, messages the team in the secure chat, and assigns roles.
5. Team adjusts the environment (lighting, noise) and offers a calming activity.
6. Behaviour settles and follow-up is documented in the digital record.

Risk point

If the electronic alert failed or was missed, the team might not respond quickly,

 increasing the risk of exit-seeking and injury.

SBAR-style message for secure chat

S (Situation): Mr. K is increasingly restless and pacing toward the exit near the lounge.

B (Background): History of evening wandering and sundowning; similar episode last week.

A (Assessment): At rising risk for exit-seeking if we do not intervene soon.

R (Recommendation): Request support to redirect Mr. K to a calmer area and start his evening routine; please confirm who can assist at the door and with documentation.

Reflection

The digital tracker and alert helped the team respond quickly and coordinate tasks,

 reducing the risk of Mr. K leaving the unit while still supporting his dignity.

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Learner Template

Copy everything in this box and paste it **below**. Then replace the placeholder text with your own responses.

=== [Your Name or Learner ID] ===

;Digital tools observed
# [Tool 1]
# [Tool 2]
# [Optional: Tool 3]

;Workflow steps
# [Step 1]
# [Step 2]
# [Step 3]
# [Step 4]
# [Optional: Step 5–6]

;Risk point
: [Describe one point in the workflow where a digital breakdown (missed alert, delayed message,
  missing documentation, etc.) could increase risk for the resident or team.]

;SBAR-style message for secure chat
:'''S (Situation):''' [1–2 sentences describing what is happening now.]  
:'''B (Background):''' [One key piece of background information.]  
:'''A (Assessment):''' [Your brief impression of the risk or concern.]  
:'''R (Recommendation):''' [What you are asking the team / on-call provider to do.]

;Reflection
: [In 1–2 sentences, explain how these digital tools support safe, person-centred care in this situation.]

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