Introducing Meaningful Activities for Older Adults Admitted in an Acute Hospital Setting

Abstract Background In acute hospital wards across Ireland, older adults often face prolonged stays with limited stimulation. Nearly 50% have dementia and may exhibit symptoms such as agitation and anxiety. National guidelines advocate for non-pharmacological interventions, particularly meaningful activities, to manage these symptoms. Tailored engagement enhances well-being and provides a sense of purpose, yet remains underutilised due to resource constraints. Structured activity programs offer a compassionate, evidence-based approach to improving care and the hospital experience for this population. Methods A multidisciplinary working group—comprising a Dementia Clinical Nurse Specialist (CNS), Assistant Director of Nursing, CMN 3, Practice Facilitator, and Healthcare Assistant—collaborated with ward managers and staff nurses to introduce meaningful activity interventions. Funding was secured for resources, and the CNS adapted the 'Meaningful Activities Guide' for local use. Activity trolleys and the guide were implemented across five wards. A QR code poster, created with the Dementia Services and Information Development Centre (DSiDC), explained the resources to staff, patients, and visitors. A tiered education program was delivered, with trained HCA Champions leading the initiative. Over three months, daily staff training was conducted, and patient engagement data were collected. Results Twenty-four surveys were completed. Most participants engaged in multiple activities. Cognitive (e.g., crosswords, board games) and physical (e.g., balloon play, walking) activities were frequently used, often resulting in increased communication and smiling. No increase in agitation was reported. While causality cannot be established, descriptive trends suggest positive behavioural outcomes were more common when activities were implemented. Conclusion This successful pilot supports person-centred care through meaningful engagement, offering benefits for older inpatients and reducing the risk of inactivity. Funding has been secured to continue and expand the initiative.