The hospital environment and its impact on people with dementia

4.1

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4.2

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

To explore ideas on practical ways to improve the physical environment

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4.3

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4.4

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Lighting:◦ Bright but avoiding glare...◦ 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

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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◦ Handrails with colour contrast to walls◦ Walls and floors clearly demarcated by colour

contrast

Noise:◦ Aim for reduction in noise where possible particularly

at night◦ Opportunity for patients to access quieter areas

4.6

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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 table

Adapted from Dementia Service Development Centre (2009) 4.7

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Your ideas to:

1. Improve way-finding and accessibility2.Create interest / opportunity for occupation3.Establish points of familiarity4.Promote calm and restfulness

4.8

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