Solution
Dr. Vidhya answered on
Jan 12 2021
BSC (HONS) HEALTH AND SOCIAL CARE: ADMINISTRATION AND MANAGEMENT
HSC_6_002
EVIDENCE BASED PRACTICE FOR HEALTH AND SOCIAL CARE
Table of Contents
Introduction 3
Health Building Note (HBN) 08-02: Section 4 (Design Principle One): An Overview 3
The Building of the Dementia Friendly Health and Social Care Environments 5
Hospital Design Principles and HBN 08-02 6
A Formal Review of the Gap in HBN 08-02 Care Environment Design Principles and Ideal 8
Research Based Intellectual Understanding of the Gap 9
Conclusion 11
References 12
Introduction
Dementia is one of the major issues that affect the elderly population at global scale. In fact, the requirements for supporting elderly population expand from healthcare support to the universal design building options that are pursued by the hospitals. The hospital settings are to be used as the places where not only the family but also the friends and family members should be encouraged to participate in the care process. The following is the analysis of the care environment built up through HBN 08-02, which is the UK government’s policy to provide structural support to the patients of dementia (Robillard et al. 2018).
The hospital is a difficult setting for many patients and their families because of the busy, unfamiliar and stressful nature of the community. For an individual with dementia, cognitive impairment and behavioural or psychological symptoms may worsen the hospital experience and can often prove to be a te
ifying, distressing and disorienting location. Study to investigate the dementia-friendly nature of acute care hospitals has been conducted in response to these problems. Robillard et al. (2018) explored how a better experience for people with dementia could be created by the physical hospital environment and how hospitals can be configured to encourage family members and caregivers to provide help for the individual with dementia during their hospital stay. This study underpins these recommendations to provide comprehensive guidance on dementia-specific design concerns and dementia-friendly hospitals' universal design (Robillard et al. 2018).
Evidence Based Practice and Searching Literature
Evidence-based practise is a conscientious, problem-solving clinical practise approach that combines the best evidence from well-designed trials, patient values and desires, and the experience of a clinician in making decisions about the treatment of a patient. It is dependent over the steps like asking question and then, searching various credible databases with a view to gather relevant information. Processing is the next step in the series; the collected information is analysed and processed so that desired outcomes in research can be achieved.
Health Building Note (HBN) 08-02: Section 4 (Design Principle One): An Overview
In terms of examining the various design principles mentioned under HBN 08-02, the core environment building procedure is mainly dependent over the proper functioning of the elderly people suffering from dementia. In fact, as per Dalton (2017), the first principle is guided by the approach that there are three major categories of symptoms, through which the proper identification of dementia in people can be done and at the same time, the process of support can be designed accordingly. These three criteria are related to the sensory, cognitive and physical impairment. The categories are determined by the approach and research done over the provided case study in the policy guidelines as well (Robillard et al. 2018).
To elaborate the same, the problems with the sensory operations of the dementia patients are one of the core issues; they tend to feel it difficult to differentiate between the constant sensory pressure given in the form of touch, sight or taste. It reduces the safety measures taken for them in any hospital or support facility.Fazio et al.(2018) perceived that the process of distinguishing between various kinds of sensory experiences is low in people suffering from dementia. Thus, they have to be given the support over the problems associated with their sensory issues. In other words, when the universal design principles are applied, the sensory part of the observation of patients having dementia should be kept in mind (Griful-Freixenetet al. 2017).
Secondly, a significant contribution towards the onset and development of dementia is seen in the form of cognitive impairment. The patients are consistent in developing the memory loss, which ultimately results in the form of several connected issues (Robillard et al. 2018) .They are not able to frame their routine activities in order in spite of having set of instructions given to them to be followed. This state of loss of memory or having inaccurate perception makes the life of the patient structured closely around the disorientation and reportedly, they complain to leave the facility because of the lack of interest in the various activities conducted at the support centre as they are out of their mental reach (Griful-Freixenetet al. 2017).
The complication related to cognitive impairment category, as mentioned in the HBN 08-02 is that the patients are not permitted to leave the support facility, which makes them wo
ied and more disoriented, towards the process of cure given to them. Kieran and Anderson (2019) viewed that the healthcare workers perceive it as challenging to tackle the problems related to this kind of impairment; it is always complex and quite difficult to reach to a state of resolution with the unwanted situations posed by the patients having severe cognitive impairment (Robillard et al. 2018).
Su
,Griffiths and Kelley(2018) stated that HBN 08-2 also presents the various stages of dementia, which make this criterion wider than before; the initial stage may have minimum possibility of highlighting cognitive impairment but the severe state can have recu
ing condition of it. Thus, dealing with the patients having cognitive impairment is more like confronting an unexpected thing, which can happen anytime during the process of treatment.
Finally, HBN 08-02 mentions the physical impairment as the category, which people having dementia frequently complain; their motor skills are compromised and it distu
s their balance gait as well (Heylighen, Van der Lindenand Van Steenwinkel, 2017). The problems are mostly associated with the hand eye coordination. It results in the loss of gripping, problems in walking and seeing the objects coming into way and at the same time, the patients are weak at avoiding the collusion with other objects. It consequently has another dimensions, which can be perceived as the development of fear at psychological level; the patients have to be convinced to keep their regular walking and other physical exercises with a view to avoid the onset of any other disease like obesity, high BP or diabetes due to the lack of physical activities (Greenhalgh et al. 2019).
The Building of the Dementia Friendly Health and Social Care Environments
As per Greenhalgh et al. (2019), under principle one of the HBN08-02, the applicability of the universal design principles can be seen in order to ensure that the care environments are built with dementia friendly features. There are some remarkable features of these guidelines, which can be...