Getting to Know Me: Enhancing Person-Centred Care in a Specialist Geriatric Acute Care Setting
Abstract Background Person-centred care has been shown to reduce agitation, delirium, psychotropic use, and falls (Chenoweth et al., 2024). This project aimed to improve care for patients with cognitive impairment or communication difficulties by reintroducing a modified Getting to Know Me (GTKM) form, based on Kitwood’s Person-Centred Care model. The primary goals were to enhance 1:1 patient care interactions, restart a weekly cognitive stimulation group, and increase the use of the Reminiscence and Interactive Therapy Activities (RITA) system. Methods A subgroup of the Delirium Committee streamlined the GTKM form into a single page, gathering information on food and drink preferences, hobbies, life history, communication aids, RITA apps, and care preferences. The form was completed by family members upon admission or by staff within 48 hours for patients with dementia, delirium, or communication difficulties. 26 staff received training and the pilot launched on 14/2/24. Results Over the eight-week period, 73% of eligible patients had GTKM forms displayed at their bedside. There was an 87% increase in RITA use and improved variation of app use to support patient centred care. Staff reported that the forms helped build rapport, were easy to use, and supported settling patients experiencing confusion or restlessness. Barriers included time constraints and patients with advanced cognitive impairment whom have limited family support. Patients reported feeling the ward was friendly and appreciated that staff “make an effort to get to know me.” Conclusion The pilot successfully enhanced person centred care engagement and contributed to a positive care environment. Plans are in place to expand the initiative hospital-wide with management support.
Authors
- Michael Mitchell (ORCID: https://orcid.org/0000-0003-2052-7347)
- J Kingston
- Emma O’ Grady
- Alison Kennedy (ORCID: https://orcid.org/0000-0001-6681-3256)
- Suzanne Dempsey
- Samaila Benedict
- Aine Meehan
- Maurice Carthy
Institutions
- Mater Misericordiae University Hospital (IE)
Publication Details
- Journal
- Age and Ageing
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1093/ageing/afaf318.013
- Primary Topic
- Intensive Care Unit Cognitive Disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00