1. Session 4 The clinical environment and its impact on people with dementia “Getting to Know Me” Enhancing Skills in the Care of People with Dementia 4.1

2. 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

3. The hospital environment: What aspects of the clinical environment do you think create problems for people with dementia ? 4.3

4. 4.4

5. 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

6.  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

7.  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

8.  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

9. Improving the clinical environment Your ideas to: 1. Improve way-finding and accessibility 2. Create interest / opportunity for occupation 3. Establish points of familiarity 4. Promote calm and restfulness 4.9