Fiona Stanley Hospital (FSH) is one of the newest hospital establishments in Western Australia. In recent years FSH and Fremantle Hospital (FH) have combined to become The Fiona Stanley, Fremantle Hospitals Group (FSFHG). Driven by the national incentive to improve the care of patients with cognitive impairment the FSFHG established a cognitive impairment project in January 2018.
A range of strategies were implemented across Fiona Stanley and Fremantle Hospitals. They included:
With FSH being a newer establishment, there were many competing priorities for patient care and safety. Policies that were developed in the commissioning phase had gaps that were unforeseeable until the hospital was open to patients. After combining with FH it has been identified that each hospital has different processes, priorities and approaches to care provision. The difficulties of identifying and responding to cognitive impairment and delirium need to be addressed across multiple specialties. This needs to be completed on a hospital and a specialty group level to ensure that information and education provided is relevant and useful to all staff.
No formal outcome results are currently available as the project is still in its infancy stages.
Gather pre and post intervention data to assist with:
FSFHG plans to progress project resources into intensive care, into the discharge intervention planning for occupational therapy, and to implement a dementia and delirium specific volunteering program to support patients with cognitive impairment.