This document discusses person-centered care in acute hospitals. It references several sources that discuss dementia friendliness in hospitals and examples of where person-centered care fails, such as long wait times in the emergency room, being transferred between wards and medical teams without notice, and staff not properly introducing themselves or explaining medical procedures to patients. The document argues that person-centered care in hospitals requires more than just making the physical environment dementia-friendly and should focus on properly communicating with and involving patients in their care.

1. Introduction to “person-
centredness” in acute hospitals
Dr Shibley Rahman
PhD MRCP(UK) LLM
Arlington Centre
February 4th, 2017

4. “Dementia friendliness” in hospitals is
more than about the décor

5. Macfarlane et al. (2013)

6. Clissett et al. (2013)

7. Health Foundation (2014)

8. McBrien (2009)

9. Example of ‘force field analysis’

10. McBrien (2009)

11. Greenwood, Habibi, Smith and
Manthorpe (2015)

12. Greenwood, Habibi, Smith and
Manthorpe (2015)

13. Greenwood, Habibi, Smith and
Manthorpe (2015)

14. McCormack (2004)

15. 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’).

16. 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.