Session 4Session 4The clinical environment and its impact

on people with dementia

“Getting to Know Me”Enhancing Skills in the Care of People with Dementia

4.1

Aims

To consider what aspects of the clinical environment can be disabling to people with dementia

To explore ideas on practical ways to improve the physical environment

4.2

The hospital environment:What aspects of the clinical environment do you think create problems for people with dementia?

4.3

4.4

Improving the clinical environment

Lighting:• Bright but avoiding glare...• Sensor lights• Natural light where possible

Familiarity:• Avoid unnecessary moves• Familiar items from home for the bed area• Pictures of interest in communal areas

Flooring:• Avoid highly polished, reflective surfaces

4.5

Way-finding:• Signage that is clear and at an appropriate

level and uses pictures as well as words• Objects/pictures/themes that

distinguish/identify areas• Removal of clutter• Handrails with colour contrast to walls• Walls and floors clearly demarcated by

colour contrast

4.6

Occupation/relaxation:• Presence of social areas that are homely, calming and

interesting• Where possible facilitate access to other facilities in

the hospital (shop/cafe) and outdoor space (garden needed!)

Toilets and bathrooms:• Warm, light and offer privacy• Should be clearly signed• Reflect purpose and as “non-clinical” as possible

Eating:• Quiet and conducive to eating• Contrasting colours for plates and cups against the

tableAdapted from Dementia Service Development

Centre (2009)

4.7

Noise:• Aim for reduction in noise where possible

particularly at night• Opportunity for patients to access quieter

areas

Orientation devices:• Calender clocks• Cue cards• Whiteboard or daily planner

4.8

Improving the clinical environment

Your ideas to:1.Improve way-finding and

accessibility2.Create interest / opportunity for

occupation3.Establish points of familiarity4.Promote calm and restfulness

4.9