Imperial College Healthcare Trust London The Challenge A recent audit in the Division of Medicine, showed that 49% of all inpatients showed signs of cognitive impairment, predominantly dementia and delirium. There was a need to bring activity and cognitive stimulation into these acute environments to ensure that the patients with cognitive impairment have the best experience as inpatients at Imperial. The Solution The units have been used extensively in the Medicine for the Elderly Wards with success. One of the wards at St Mary’s is a 28 Bedded unit that is a step down unit for people following surgery, often orthopaedic surgery. The patients tend to have dementia and complex needs. Initially on the ward, it was a real problem trying to provide the care that these pati

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