NURSE ENTREPRENEUR
Nurse Influencer: Dementia & Mental Health
Rekha Boodoo-Lumbus is an Independent Nurse specialising in Mental Health, with a focus on both dementia and mental health. She is a passionate advocate for mental health nursing professionals and global health. As the founder of Rakhee LB, she provides a support line and online resources for mental health and dementia carers and their families. Her foundational interest in human behaviour, behavioural science (anthropology, sociology, and psychology), and neuroscience has driven her to explore the behavioural and psychological issues related to dementia and the complex challenges faced by families. Rekha offers comprehensive, specialist advice to professionals and those affected by dementia and mental health issues, working in partnership to provide education and opportunities for joint initiatives.
With 25 years of extensive experience in the health, equine, and wellness sectors, Rekha is a talented professional dedicated to humanitarian and philanthropic work. She has successfully established Dementia Mauritius, a Nurse-led Holistic Dementia Clinic, Admiral Nurse Service, Wellbeing & Specialty Clinics, Peer Support Groups, and Post Diagnostic Support Groups. After just over 2 years and in business, Rekha continues to harness her expertise and organisational skills to support local, national, and international communities, stakeholders, and partners.
OUR SERVICES
Values and Ethical based Leadership
Advocacy
Promote, protect and improve access to services and improve supports. Views and experiences are heard and treated with appropriate respect. Individuals affected are fully aware of their rights under current legislation and can make informed decisions based on the advice provided.
“The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.”
(ANA 2022)
Reducing barriers to Compassionate Leadership
Breaking down barriers to better health and care. Reducing health disparities. Sustainable resources, services and outcomes for the benefit of the people & communities. Improve training and continuing education.
Positively valuing difference
Commitment to equity, diversity and inclusion
Shared inspiring vision and purpose
"Working compassionately together across health and social care and "voluntary services" which is the most powerful way we can nurture the health and happiness of the staff who offer care. It is also the most powerful way we can promote the health and happiness of the people and communities now and in the future.”
(West, 2021)
Influencer to Empowerment
Combination of insights driven and dedication, vision, collaboration and creativity can affect change by demonstrating integrity, a dedication to learning, and excellent communication of ideas and information.
In addition to creating change, the influential nurse also spread knowledge and generate empowerment for others.
Clinical supervision, peer supervision & peer support groups.
Values & Ethical based Practice to Partnership working
Set of principles and values for the common good: Integrity, Respect, Trust, Fairness, Transparency, and Honesty.
Partnerships provide strategic advantages for solving multi-faceted problems in complex, fast-paced and rapidly changing community health & care contexts.
Our objectives are to explore partnerships involving stakeholders with an interest in implementing organisational solutions that improve access across sectors (primary, secondary, tertiary health and, social care, and community volunteers - (statutory, non-statutory and third sector) for vulnerable populations (dementia & mental health), and to facilitate the work of these partners through empowerment, engagement and coaching.
Services
We offer specialised services for mental health and dementia, focusing on providing comprehensive and compassionate care for individuals and their families. We work together to create personalised treatment plans that address the unique needs of each person affected by dementia and/or mental health.
Comprehensive Assessments
We conduct thorough evaluations to identify the specific needs and challenges faced by individuals with mental health and dementia-related concerns.
Individualised Treatment Plans
Based on the assessment, we develop a tailored treatment plan that incorporate a holistic approach, e.g. medication advice, cognitive behavioural approach, and other supportive interventions.
Family Support and Education
We provide support and guidance to families and carers, helping them understand the condition and learn effective strategies for managing symptoms and promoting overall well-being.
Community Resources
We connect individuals and families with local resources, support groups, and community programs that can further enhance their quality of life.
Ongoing Monitoring and
Follow-Up
We regularly monitor the progress of each individual and adjust their treatment plan as needed to ensure the best possible outcomes.
With the support of services already involved.
Telemedicine
Digital technologies to deliver services remotely. This can include virtual consultations, remote monitoring, and digital communication between patients, and their families to provide support and advice. It can be used to treat a wide range of conditions, including mental health issues such as depression, anxiety, and stress.
Report on Data Analysis and Visualisation - Complex Cases
November 2023 - September 2024
Introduction
This report provides an analysis of the data represented in three graphs covering the period from November 2023 to September 2024. The graphs illustrate various categories and series, highlighting trends and patterns over time. The effort involved in capturing and visualising this data is also discussed.
Graph 1: 3D Clustered Bar Chart
Description
The first graph is a 3D clustered bar chart displaying data for several categories: Contacts, *Dementia/Mental Health/Physical Health, Support, Signposting, Interventions, Discharge Follow-up, Feedback, and Total. The vertical axis represents quantity, ranging from 0 to 140, while the horizontal axis covers the months from November 2023 to September 2024.
Findings
Contacts and Total: These categories consistently show higher values compared to others, indicating a significant volume of interactions and overall activity.
*Dementia/MH/PH Support: This category shows a steady trend, reflecting ongoing support needs.
Interventions and Feedback: These categories have moderate values, suggesting regular but less frequent activities compared to Contacts, mainly due to less complex cases.
Signposting and Discharge Follow-up: These categories have values, indicating that service users needed different services or interventions, and it was essential that they were directed to relevant services.
Graph 2: Bar and Line Graph
Description
The second graph is a combination of bar and line charts, titled “Nov 2023 - Sep 2024.” It includes eight series, each represented by different colored bars and lines. The vertical axis is labeled “Demand in MH/PH,” with values ranging from 0 to 160.
Findings
Series Trends: Each series shows varying demand over the months, with some series peaking at different times. The lines connecting data points help visualise these trends clearly.
Demand Peaks: Certain months show higher demand for specific series, indicating periods of increased activity or need.
Graph 3: Bar and Categorised
Description
Categories: It includes three categories: Increase, Decrease, and Total. The Increase category is represented in light blue, Decrease in orange, and Total in dark blue.
Vertical Axis: The vertical axis represents quantity, ranging from 0 to 800.
Findings:
Increase and Total: Both categories show consistent growth over time, with the Total category reaching slightly above 700 at point 11.
Decrease: There are no bars for the Decrease category, indicating no recorded decreases during this period.
Data Collection and Visualisation Effort
Data Collection
Sources: Data was collected from various sources, including internal records, surveys, and external databases.
Validation: Ensuring data accuracy involved cross-referencing multiple sources and validating entries.
Frequency: Data was collected monthly to capture trends and changes over time.
Visualisation
Tools Used: Advanced data visualisation tools were employed to create the graphs, ensuring clarity and accuracy.
Design: The design process involved selecting appropriate chart types, colours, and layouts to effectively communicate the data.
Review: Multiple iterations and reviews were conducted to refine the visualisations and ensure they accurately represented the data.
Interventions
The data also reflects a combination of interventions, including:
Active Listening: Engaging with individuals to understand their concerns and needs.
Positive Reinforcement: Encouraging positive behaviour and progress.
Brief Cognitive Behavioural Therapy (CBT): Addressing specific issues through short-term, goal-oriented therapy.
Anxiety Management: Techniques to help individuals manage and reduce anxiety.
Risk Management through Third-Party Interventions: Collaborating with external organisations to manage risks.
Evaluation of Diagnosis and Post-Diagnosis: Assessing and following up on diagnoses to ensure appropriate care.
Benefits and Medication: Providing information and support regarding benefits, CHC, and medication management.
Conclusion
The analysis of the graphs provides valuable insights into the trends and patterns over the period from November 2023 to September 2024. The effort involved in data collection and visualisation was substantial, ensuring the accuracy and clarity of the presented information. These visualizations, along with the detailed interventions, serve as powerful tools for understanding and decision-making.
Nurse-Led Holistic Dementia
Oct 2022 - Oct 2023
Discover the impact of Holistic Dementia on service users from October 2022 to October 2023 through our engaging graphs. Our program focuses on interactions, brief interventions, advice, education, signposting, and leadership to address the diverse needs of both carers and individuals living with dementia.
By adopting a conversational and holistic approach, we delve into the emotions, thoughts, and behaviours that are vital to understanding cognitive impairment, stages of dementia, anxiety, depression, bereavement (culturally appropriate), employment, benefits, CHC, sexuality, inequality, barriers, and other concerns.
Through thorough exploration, we've found that our interventions have been beneficial for many service users, as demonstrated by the bar graph. Our evidence-based, multimodal, and multidimensional approach, which combines various psychosocial interventions, has significantly improved the outcomes for people living with dementia and their carers.
The people of this area and neighboring regions have successfully overcome stigma, embraced positivity, and gained a sense of acceptance and empowerment. Although some prejudices still exist, we can overcome them by fostering empathy, respect, dignity, education, patience, and compassionate care.
Note: The graphs represent an average of 15.5 hours per week offered in specific UK regions/areas for complex cases.
Dementia Mauritius
Building a Psychosocial Education Platform
Since 2020, our mission has been to provide unwavering support to individuals living with dementia, their families, and dedicated carers. Through advocacy, personalised advice, and compassionate care, we’ve fostered a community that champions dignity, safety, and holistic wellbeing. Into the heart of our journey: Our focus is to create a psychosocial education platform that helps people understand Dementia and Alzheimer’s disease. By raising awareness, providing support, and engaging families, we can navigate this challenging journey together.
Compassion and knowledge are our allies in the fight against dementia.
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Advocacy: Amplifying Voices
Advocacy lies at the core of our work. We have tirelessly raised awareness about dementia, dispelling myths and misconceptions. Our campaigns have reached some schools, workplaces, community centres, and charities emphasising early detection and reducing stigma. By amplifying the voices of those affected, we have sparked conversations that matter.
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Dignity: Honoring Personhood
Dementia does not erase identity. We honour each person’s unique history, preferences, and passions. Our “Individualised Life Story” sessions celebrate life milestones, creating connections beyond memory loss. Dignity lies in acknowledging the person behind the diagnosis.
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Empowerment: Nurturing Independence
Dementia need not diminish one’s autonomy. We empower individuals by fostering self-reliance. Our workshops focus on memory-enhancing techniques, adaptive strategies, and maintaining cognitive function. We celebrate small victories - a cherished memory recalled, a familiar face recognised - as steps toward empowerment.
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Palliative Care and End of Life Support
In the twilight hours, we stand by families. Palliative care is not just about symptom management; it is about emotional solace. We facilitate open conversations, respecting individual wishes. Our bereavement support extends beyond loss, celebrating lives well-lived.
Frailty: Navigating Complex Needs
As dementia progresses, frailty becomes a concern. We address nutritional needs, physical activity, and emotional well-being. Additionally, we work alongside palliative care specialists and/or pain clinic to enhance comfort and maintain a high quality of life.
Mrs. X, an 81-year-old woman, was diagnosed with Alzheimer’s disease, along with pre-existing conditions of depression and anxiety. She experienced memory loss, confusion, and difficulty performing daily tasks. Following her dementia diagnosis, her depression and anxiety worsened, leading to increased social isolation and significant stress for her family caregivers.
Early diagnosis and intervention were crucial for managing her symptoms. A collaborative care plan involving her family and healthcare providers was essential. A multidisciplinary approach, including physicians, nurses, social workers, and mental health experts, addressed her needs comprehensively. Effective medication management for both dementia and mental health conditions was vital to enhance her quality of life. Support for her caregivers, through resources and assistance, helped reduce their stress. Social engagement and meaningful activities improved her mental health and overall quality of life. Home safety adaptations prevented accidents and maintained her independence. Advance care planning ensured that her future care preferences were respected.
This case highlights the complexities of managing dementia and mental health issues and underscores the importance of a comprehensive, multidisciplinary approach to care. By addressing the unique needs and challenges of the individual, it is possible to improve their quality of life and provide better support for both the patient and their caregivers
Mental Health and Cancer: Improving Care and Support
Ms. Smith, 56, was diagnosed with breast cancer and has been undergoing treatment for a year. Her pre-existing depression and anxiety worsened after the diagnosis, affecting her overall wellbeing and quality of life. The cancer treatment has been challenging, with side effects impacting her mental health and ability to cope. Consequently, she has become increasingly isolated from friends and family. Her caregivers, primarily family members, are experiencing significant stress and burnout.
Early diagnosis and intervention are crucial for better care and support in such cases. For Ms. Smith, collaboration between her family and healthcare providers is essential to identify symptoms and create an effective care plan. A multidisciplinary team, including physicians, nurses, mental health experts, and oncologists, can provide comprehensive care. Effective medication management for both her mental health and cancer can improve her symptoms and overall health. Supporting her caregivers with resources can help manage her care better and reduce their stress. Encouraging social engagement and meaningful activities can enhance her mental health and quality of life. Home safety modifications can prevent accidents and maintain her independence. Advance care planning ensures her treatment aligns with her values and preferences.
This case highlights the complexities of managing mental health alongside cancer, emphasizing the need for a holistic, multidisciplinary approach. Addressing the unique needs and challenges of individuals can improve their quality of life and provide better support for both patients and caregivers. Nurses play a crucial role in this process, from patient assessment and medication administration to wound care, patient education, emotional support, and collaboration with other healthcare professionals.
Dementia and Mental Health: Improving Care and Support
Case Study
Lewy Body Dementia and Cancer: Improving Care and Support
Mr. Smith, a 72-year-old man, was diagnosed with stage II lung cancer and has been undergoing treatment for the past six months. His pre-existing Lewy body dementia has worsened since the cancer diagnosis, leading to memory impairment, confusion, and difficulties in problem-solving and decision-making. The cancer treatment has been challenging, with side effects impacting his overall wellbeing and quality of life. His mental health has also deteriorated, causing increased anxiety and depression. These issues have led to greater social isolation from friends and family, and his caregivers are experiencing significant stress and burnout.
Early diagnosis and intervention are crucial for optimal care and support. Collaboration between his family and healthcare providers is essential to identify symptoms and create an effective care plan. A multidisciplinary team, including doctors, nurses, mental health experts, and oncologists, can provide comprehensive care. Effective medication management for both dementia and cancer can improve his symptoms and overall health. Supporting his caregivers with resources can help manage his care better and reduce their stress. Encouraging social engagement and meaningful activities can enhance his mental wellbeing and quality of life. Home safety modifications can prevent accidents and maintain his independence. Advance care planning ensures his treatment aligns with his values and preferences.
This case highlights the complexities of managing Lewy body dementia and cancer simultaneously, emphasizing the need for a thorough, multidisciplinary care strategy. Addressing the specific needs and challenges of individuals can enhance their quality of life and provide better support for both patients and caregivers. Nurses play a crucial role in this process, from patient assessment and medication administration to wound care, patient education, emotional support, and collaboration with other healthcare professionals.
MEDIA CENTRE
Here’s What’s Happening
NATIONAL CONTEXT
As of 2024, approximately 944,000 people in the UK are living with diagnosed dementia. This represents a significant portion of the population, with many living in the community. There are around 540,000 carers for people with dementia in England alone. It is estimated that one in three people will develop dementia in their lifetime.
In the 2023/24 period, it is estimated that 2.8 million people were in contact with NHS-funded secondary mental health, learning disability, and autism services. This accounts for about 5% of the population, with variations across age groups: 10.7% of 11-15 year olds, 11.3% of 16-19 year olds, and 2.5% of 65-69 year olds. These figures do not include individuals who are only in contact with IAPT services.
Join Dementia Research:
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2024 NIH Alzheimer’s and Related Dementias Research Progress Report
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Dementia Trials Accelerator
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Drug Development and Biomarker Research
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Lifestyle Interventions
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Care and Caregiving Research
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iSupport for Dementia Carers study
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Great Minds
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Ongoing studies for Ethnic and Minority Community
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Investigating the feasibility, acceptability and impact of an online UK “Dementia Awareness Course” for unpaid caregivers
Booklets summarise findings from study about living with both dementia and cancer from Dementia Research (Funded by NIHR)
https://www.leedsbeckett.ac.uk/research/centre-for-dementia-research/candem-study/
GREAT Cognitive Rehabilitation for people with dementia
https://sites.google.com/exeter.ac.uk/great-cr/home
Wound assessment and management
https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Wound_assessment_and_management/
Independent Projects - Fostering a culture of research, quality improvement and innovation
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Older people with visual impairments experience high rates of mental health problems
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Posterior Cortical Atrophy (PCA) and access to Psychological support and barriers
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A person-centred holistic approach: interdisciplinary & transdisciplinary perspectives
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Exploring post diagnostic support (Mental Health/Dementia) in overseas countries and territories
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Exploring the impact of dementia and mental health globally
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Community initiatives to provide dementia and mental health care to deprived communities
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Policies and programs to reduce the burden of mental and neurological disorders
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Mental health and Dementia Strategic - embracing holistic approach and shaping a mindful future (Nurse-Led Clinic)
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Community-based dementia strategy - from pre-diagnosis to end of life care (palliative care), and beyond
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Networking with nurses and other healthcare professionals globally
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Personal development advocate and reverse mentoring
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Wound Management (Tissue Viability) - Usability characteristics required for wound management
A LOOK AT THE INDUSTRY’S LONG TERM PLAN
TRAINING WELL. •. Develop a training programme for all staff that work with people with dementia.
The NHS Mental Health Dashboard (formerly the Mental Health Five Year Forward View Dashboard) brings together key data from across mental health services to measure the performance of the NHS in delivering our Long Term Plan for mental health.
INTERESTING FINDINGS
Link between mental health and dementia
A large new study finds an association between mental health conditions and dementia later in life. While research has not established a causal link, mental health issues remain a predictor of dementia. Successfully addressing mental health conditions may help reduce the likelihood of dementia for older adults JAMA Psychiatry
Mental health-related quality of life is related to delirium in intensive care patients
Eating and drinking well with dementia - Copyright 2019 © The Ageing and Dementia Research Centre, Bournemouth University.
Arts & Dementia Pocket Guide for Carers
Pet Therapy And Companionship For The Elderly By Carewatch. © 2023 Carewatch. All Rights Reserved
https://www.carewatch.co.uk/pet-therapy-for-elderly/
Mind-body approaches: relaxation techniques, meditation, mindfulness based intervention: Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), help to improve mind and body.
https://www.sciencedirect.com/topics/medicine-and-dentistry/mindfulness-based-stress-reduction
Living well with serious mental illness and dementia
https://www.samhsa.gov/serious-mental-illness
Mental Health and Older Adults Facebook Live Q&A, March 2022
https://www.nia.nih.gov/news/mental-health-and-older-adults-facebook-live
OUR MISSION, VISION AND VALUES
Establishing strong corporate values: The founding values at Rakhee LB are summarised in its signature "Health is Wealth - You Matter. We Care": Health promotion and prevention aim to empower individuals and communities.
① RESPECT - We recognise the uniqueness and dignity of each and consider this human richness as fundamental to working together
② TRUST - We approach long-term relationships in a constructive and balanced way. A core business practice to act in a transparent, trustworthy manner that earns the respect of colleagues, customers, and the public.
③ THE SENSE OF SERVICE - We personalise our services to guarantee the quality and relevance of our actions.
④ SPIRIT OF INITIATIVE - We embody an open, audacious state of mind, inclined to anticipate and innovate.
⑤ COMMITMENT - We engage our individual and collective responsibility to support social and societal changes.
Plans and Pricing
Updated Price Breakdown
Our personalised treatment plans address the unique needs of each person. Recently, we have added a Sitting and Befriending Service, available exclusively in the Bristol area.
Free Consultation
Initial Consultation (30 - 45 minutes): Free
Consultations
Follow-up Consultation (30 minutes): £35
Extended Consultation (60 minutes): £70
Letters and Documentation
Standard Letter: £35
Detailed Report: £50
Comprehensive Assessment Report: £85
Talk-Based Interventions
Brief Intervention (30 minutes): £40
Standard Session (60 minutes): £65
Extended Session (90 minutes): £85
Sitting & Befriending Service (Bristol area only)
Hourly Sitting Service: £35 per hour
Half-Day Sitting Service (4 hours): £130
Full-Day Sitting Service (8 hours): £250
Note: Concessions
Concessions are considered for those who need support. Please contact us to discuss your specific needs.
This addition ensures that potential clients/customers know they can reach out for financial considerations, making the services more accessible to everyone.
OPENING HOURS
Informal Questions
Monday - Friday: Varies
Saturday: 8am - 8pm
Sundays & Bank Holidays: Closed
CONTACT US
We’re here for you when you need us! Call us to schedule an appointment, or send us an email and we’ll get back to you as soon as possible.
Operating Hours Update
While we don't have fixed operating hours due to other work and partnerships starting in December 2024, feel free to contact us via our email anytime, or fill in your details and submit your inquiry. We strive to respond to all inquiries as promptly as possible.
+44 7464100959