A specialised ward for people with dementia in an acute hospital setting, North Bristol

ContactDr Judy Haworth, Speciality Doctor for Dementia Care, North Bristol NHS Trust
Emailjudy.haworth@nbt.nhs.uk
Websitehttps://www.nbt.nhs.uk
AddressFrenchay Hospital, Frenchay Park Road, Frenchay, Bristol, BS16 1LE

What is being done?

The specialised environment within the Malvern ward, Southmead Hospital, includes:

  • 18 beds with 5 side rooms
  • Day room, calendar board, clock, nurse presence to ensure safety, good for Intentional Rounding and activities
  • Dining room which looks onto garden that includes bird feeders
  • High quality lighting to reduce shadows
  • Plain floor throughout
  • Signage is in words and pictures and colours.
  • There is usually free access to the garden, weather permitting

What difference this seems to be making

  • Nurses wear their own clothes
  • Regular activities are provided including; discussion, music, aromatherapy, massage and skittles
  • There is intentional rounding including extra fluid provision
  • People eat together in a dining room and nurses assist with nutrition
  • Medical interventions¬† are routinely reviewed and the use of antipsychotics is kept to a minimum

Plans for taking the project forward

  • A communal and social environment is promoted
  • Patients and staff are mutually engaged
  • Cholinesterase inhibitors are used freely with more rapid titration
  • Junior doctors given training in diagnosing and managing dementia

Download a presentation about Malvern ward, Southmead Hospital