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Table 1 Dementia friendly health-care environments: anticipated outcomes and ways they might be achieved

From: Interventions that support the creation of dementia friendly environments in health care: protocol for a realist review

Outcomesa Achieved through
Skilled staff with time to care • Staff training focused on dementia awareness
• Support and reinforcement of skills in dementia care from clinical dementia leads
• Identifying dementia champions as a resource for staff
• Attention to staffing levels and staff mix
Partnership working with carers • Assessment and communication tools that include carer knowledge and opinion
• Flexible visiting hours for carers
• Assessment of carers’ needs
Assessment and early identification • Use of incentives for staff to complete training identify people in need of assessment
• Screening and assessment tools
• Protocols and pathways
• Clinical reviews of medication
Individualised care (person-centred care) • Assessment and documentation that focuses on the person’s biography, preferences and priorities and retained abilities
• Activities to support social engagement and inclusion in everyday activities
• Access to dementia and palliative care specialists who can guide staff in the provision of good quality care
Environments that are dementia friendly • Environments that promote independence by being safe to walk around and navigate
• Environments that are not confusing to a person living with dementia (e.g. shiny floors can be perceived as water, use of patterns and colour contrast)
• Limiting ward moves during admission to minimise distress
  1. aBased on [15]