Approximately two-thirds of hospital admissions are older adults and almost half of these are likely to have some form of dementia. People with dementia are not only at an increased risk of adverse outcomes once admitted, but the unfamiliar environment and routinised practices of the wards and acute care can be particularly challenging for them, heightening their confusion, agitation and distress further impacting the ability to optimise their care. It is well established that a person-centred care approach helps alleviate some of the unfamiliar stress but how to embed this in the acute-care setting remains a challenge. In this article, we highlight the challenges that have been recognised in this area and put forward a set of evidence-based ‘pointers for service change’ to help organisations in the delivery of person-centred care. The DEMENTIA CARE pointers cover areas of: dementia awareness and understanding, education and training, modelling of person-centred care by clinical leaders, adapting the environment, teamwork (not being alone), taking the time to ‘get to know’, information sharing, access to necessary resources, communication, involving family (ask family), raising the profile of dementia care, and engaging volunteers. The pointers extend previous guidance, by recognising the importance of ward cultures that prioritise dementia care and institutional support that actively seeks to raise the profile of dementia care. The pointers provide a range of simple to more complex actions or areas for hospitals to help implement person-centred care approaches; however, embedding them within the organisational cultures of hospitals is the next challenge.

中文翻译：

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在医院照顾痴呆症患者的新视野：服务变革的 DEMENTIA CARE 指针

大约三分之二的住院患者是老年人，其中近一半可能患有某种形式的痴呆症。痴呆症患者入院后不仅出现不良后果的风险增加，而且不熟悉的环境和病房和急症护理的常规做法对他们来说尤其具有挑战性，加剧了他们的困惑、激动和痛苦，进一步影响了优化他们的能力的能力关心。众所周知，以人为本的护理方法有助于减轻一些不熟悉的压力，但如何将其嵌入急症护理环境中仍然是一个挑战。在这篇文章中，我们强调了这一领域已经认识到的挑战，并提出了一套基于证据的“服务变革指针”，以帮助组织提供以人为本的护理。DEMENTIA CARE 指针涵盖以下领域：痴呆症意识和理解、教育和培训、临床领导者以人为本的护理模式、适应环境、团队合作（不是一个人）、花时间“了解”、信息共享，获得必要的资源，沟通，让家人参与（询问家人），提高痴呆症护理的知名度，并让志愿者参与进来。通过认识到优先考虑痴呆症护理的病房文化和积极寻求提高痴呆症护理形象的机构支持的重要性，这些指针扩展了之前的指导。这些指示为医院提供了一系列简单到更复杂的行动或领域，以帮助实施以人为本的护理方法；然而，将它们融入医院的组织文化是下一个挑战。