Opportunities to create connections in hospital
Unexpected hospital stays can be overwhelming for people living with dementia due to an unfamiliar environment that is busy and loud. In these situations, we need to think about taking a little time to develop connections, providing appropriate care and support which can reduce adverse impacts such as behavioural changes.
Challenges in connection
Once out of their familiar setting, people living with dementia may experience increased confusion and anxiety. Establishing early connections with these patients is essential for providing support and reassurance. Care providers should think about sending reports from services like Dementia Support Australia to the hospital where possible as these can continue key insights into the person in a concise and accessible way.
Effective communication strategies
The emergency department is fast paced, so it is important to remember to maintain a calm and friendly manner, avoid lengthy explanations, and use language that the patient can understand. Think about quieter spaces if possible – away from high traffic areas and try to make plans to move people living with dementia to a ward as quickly as possible. Regular reassurance and reintroducing yourself during interactions can help alleviate anxiety and establish trust. Additionally, using visual cues, such as gestures or charades, can aid in comprehension and facilitate communication.
A great addition to every emergency department is an activity trolley. These have been shown to be effective tools to aid connections in the hospital setting. Items on the trolley can be used as a conversation prompt or distraction by hospital staff, including support workers – as well as carers and family. Products with therapeutic benefit such as age-appropriate games, quizzes, objects that are nice to touch and feel, drawing materials like “Colours of Yesterday” and music players can be included. These are not only great for people living with dementia but may help others.
Environmental considerations
Environmental factors play a significant role in the well-being of patients living with dementia in hospitals. In the emergency department this can be more challenging. Bathroom accessibility, hunger or thirst, lighting conditions, and minimizing overstimulation from noise and visual distractions should be considered to reduce agitation and promote a sense of calmness.
One on One support
If someone living with dementia is experiencing high levels of stress or distress, they may experience behaviours that could increase the risk of harm to themselves or others. Sometimes you might need additional supports. In emergency departments this might be a security officer. It is important to think of the impact of that and weigh the benefit against other behavioural impacts. If it is needed use with a plan to replace with other supports as soon as possible. And remember any observations made during these sessions can inform personalised interventions and enable collaborative care planning among the support team.
Finally, remember that DSA can provide brokerage funding for additional 1:1 support within care homes which may mitigate the risk of transfer to hospital.
DSA is here to help 24 hours a day. Call 1800 699 799.