Download - Person-centred care in acute hospitals
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Introduction to “person-
centredness” in acute hospitals
Dr Shibley RahmanPhD MRCP(UK) LLM
Arlington Centre
February 4th, 2017
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“Dementia friendliness” in hospitals is
more than about the décor
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Macfarlane et al. (2013)
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Clissett et al. (2013)
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Health Foundation (2014)
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McBrien (2009)
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Example of ‘force field analysis’
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McBrien (2009)
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Greenwood, Habibi, Smith and
Manthorpe (2015)
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Greenwood, Habibi, Smith and
Manthorpe (2015)
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Greenwood, Habibi, Smith and
Manthorpe (2015)
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McCormack (2004)
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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’).
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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.