Improving the Hospital Environment for People with Dementia

Bray, Jennifer ORCID: https://orcid.org/0000-0002-1315-7643, Evans, Simon ORCID: https://orcid.org/0000-0002-2919-8167, Bruce, Mary, Carter, Christine, Brooker, Dawn ORCID: https://orcid.org/0000-0001-8636-5147, Milosevic, Sarah, Thompson, R., Longden, J. and Robinson, J. (2015) Improving the Hospital Environment for People with Dementia. Nursing Older People, 27 (9). pp. 16-20. ISSN 1472-0795 Online: 2047-8941

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Abstract

The hospital environment is often disorientating for people with dementia and can be particularly distressing when a patient is admitted in an emergency. Subsequent ward moves can also be disruptive and confusing, especially if they take place out of hours. Two NHS trusts aimed to improve the experience for patients with dementia by addressing the physical environment along with practical aspects of care provision at different stages in the hospital journey. The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust in Norfolk enhanced its emergency department environment by redesigning four bays and an observation area to be dementia-friendly. The hospital has supported these changes by providing dementia awareness training for all staff in these areas. Walsall Healthcare NHS Trust focused on minimising ward moves by implementing procedures to identify patients who should not be moved. Since introducing the new process, adherence has been good and there have been fewer ward moves.

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