person-centred care in acute hospitals
TRANSCRIPT
Introduction to “person-
centredness” in acute hospitals
Dr Shibley RahmanPhD MRCP(UK) LLM
Arlington Centre
February 4th, 2017
“Dementia friendliness” in hospitals is
more than about the décor
Macfarlane et al. (2013)
Clissett et al. (2013)
Health Foundation (2014)
McBrien (2009)
Example of ‘force field analysis’
McBrien (2009)
Greenwood, Habibi, Smith and
Manthorpe (2015)
Greenwood, Habibi, Smith and
Manthorpe (2015)
Greenwood, Habibi, Smith and
Manthorpe (2015)
McCormack (2004)
Examples of failure in person-centred
care in hospitals
• A&E : 30 hour hospital trolley waits, being
clerked in by different people
• Change of wards : including “boarding”
phenomenon.
• Change of staff : e.g. different consultants and
medical teams.
• No sense of time or place on ward (no clock,
no clues about ‘outside world’).
Examples of failure in person-centred
care in hospitals
• Staff not introducing themselves : e.g. no
introductions, no use of name badges
• Being taken off to investigations without any
warning (or cancelled without notice).
• Hospital meals being dumped on bed tables,
and taken away, without any explanation
• No reasonable adjustment for cognitive
deficits e.g. in memory or attention.