Dementia and delirium


We are committed to providing the very best care possible for our patients with dementia and delirium at the RD&E. 

Our staff across the Trust are trained to understand and support people with these conditions, providing kind, compassionate and considerate care. 

We participate in numerous schemes, local and national, to promote and advance the wellbeing of people with dementia in our care. See below for more information. 

Dementia and delirium

Dementia

Dementia is the term for a group of progressive diseases including Alzheimer’s, Vascular, Lew Body and Frontotemporal dementias that affect brain function.

People with dementia may experience symptoms such as memory loss, visual and/or auditory hallucinations, difficulty with co-ordination and movement; they may have difficulty concentrating. They are likely to experience a decline in their cognition meaning they may be unable to process new information, may have visuospatial difficulties and have difficulty with word finding and speech. As the disease progresses they may also experience difficulty expressing their needs; being unable to explain they are in pain for example. They may also experience difficulty with swallowing, walking and other daily tasks.

Some people with dementia may find coming into hospital difficult. Although they may not develop an acute delirium it may make their symptoms worse, the change in environment, not being able to recognise people and being unable to understand what is happening can be frightening for some.

Delirium

Delirium is a sudden onset acute confusion; the person may experience varying consciousness, reduced ability to maintain attention, appear disorientated. Whilst dementia is a slow and gradual onset a person with delirium will develop their symptoms more quickly.

People who are over 80 years old and have already been diagnosed as having some form of dementia are particularly at risk of suffering delirium, but anyone who is unwell can experience some symptoms of delirium. There are many causes of delirium which include infection, cardiac illnesses, respiratory disorders, electrolyte imbalance, surgery/anaesthetic, drugs and drug withdrawal, urine retention, constipation, or being in pain.

Often the change in routine, environment and the fact that there are lots of new people around can increase or cause the symptoms of delirium. They might find it difficult to concentrate. They may be particularly drowsy, or alert and agitated. There may be a complete change in personality, or unusual behaviour.

Usually it gets better. In around half of people the symptoms disappear within six days. Others may still continue to experience some symptoms when leaving hospital. Unfortunately some people may never fully recover from their episode of delirium and will need further support. Delirium is a condition that can be frightening for those suffering from it, their carers and relatives. Not everyone remembers delirium, but those that do may find the memories distressing.

Supporting people with dementia and delirium in hospital

John’s Campaign

People with dementia are often more confused and frightened when in hospital which can be relieved when their carer stays with them. At the RD&E we support John’s Campaign giving open access visiting to carers of people with dementia and the right to stay all day and all night if they wish.

Small reminders of home

If you are unable to visit, it would be appreciated if some small reminders of home could be sent in that may help people feel more comfortable. Photographs that can be laminated- especially if the names of people/pets can be added to allow staff to talk about the pictures, favourite books or magazines could all help to make a person feel more at ease.

We encourage and support the use of ‘This is Me’ created by the Alzheimer’s Society and if you have one of these we would find it really useful if it could come into hospital, or be available to teams who may visit you at home. An online version of 'This is me' can be found here.

Dementia friendly garden

We are lucky to have access to a lovely dementia friendly garden space which provides a tranquil setting for people to be able to sit or walk safely around paths. The garden has benches to sit and sensory areas to enjoy. Please ask staff on the ward about how you can access this.

There is a Matron for Dementia who’s role is to support staff to be able to support people with dementia and delirium across the Trust. She will work alongside staff and provide them with advice. She provides regular training for staff across the whole Trust to ensure we are able to provide a dementia friendly service.

Dementia and Delirium Champions

We have a network of Dementia and Delirium Champions across the Trust who work together to deliver projects that are designed to improve the experience of patients and their families/carers.

Supporting people with dementia and delirium in the community

Admiral Nurse Service

Dementia UK provides specialist dementia support for families through the Admiral Nurse Service, these nurses are hosted by the Trust to provide the specialist dementia support families need.

When things get challenging or difficult for people with dementia and their families, Admiral Nurses work alongside them, giving the one-to-one support, expert guidance and practical solutions people need. The unique dementia expertise and experience an Admiral Nurse brings is a lifeline–it helps everyone in the family to live more positively with dementia in the present, and to face the challenges of tomorrow with more confidence and less fear.

There are currently Admiral Nurses in the following areas; Topsham, Woodbury, Exmouth and Budleigh, Honiton and Sidmouth.

Community Matron for Dementia

We have a Community Matron for Dementia covering Seaton, Axminster and Sidmouth. She helps to prevent avoidable hospital admissions for people living with Dementia with an acute or chronic presentation/confusion; she works with community teams to provide support to patients during times of health difficulties/decline; and she supports people with Dementia following hospital discharge.

Community Centres

The Conybeare & Willow Centre in Axminster and Rowan & Linden Centre in Ottery St Mary provide specialist day assessment services for people living with memory loss and dementia. Our prime focus is on supporting someone to live well with their condition. We offer support and respite to their carers whilst also offering social activity for the person who has dementia. Click here to find out more about these services.

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