# data[].attributes.body
What are the main issues you find from this situation?
Does the staff know that Mavis has dementia, if not this is an area that needs to be looked into.. how are patients that come into hospital identified as having dementia.
The issue around the amount of pain Mavis is in needs to be addressed and she needs to be made more comfortable.
Contact needs to be made with Bill!!
Thanks Gary

# data[].attributes.body
-Explaining what has happened/is happening
-Communicate  (make allowances for the fact she has dementia). This can be seen in how the "kind lady" communicates.
-Patient advocacy, who is doing this? Should be all medical professionals.
- contact Bill? Reassure Mavis this has been done.
- Consent for treatment? Capacity issues? "Best interest"
- This is me book, does Mavis have one?

# data[].attributes.headline
Was this a quality experience for Mavis? 

# data[].attributes.subject
Was this a quality experience for Mavis? 

# data[].attributes.body
This experience is not an ideal quality experience for Mavis mainly as it seems like she is being talked over not talked to. The DOH (2012): Compassion in practice states that communication is essential in caring for dementia patients.

Mavis end experience involved her being left behind a curtain be herself. You can argue that a good quality experience is on where patients with dementia feel supported and where families/carers are involved (NICE, 2015). However this did not happen therefore this hospital experience for Mavis is not a  'good' quality experience.

Sumita

# data[].attributes.body
Better communication by professionals introducing themselves, explaining their role in mavis’ care and the intervention they wished to carry out, following gained consent. Speaking to Mavis and assessing her capacity so that she can be involved in the care she receives and also to participate in decisions.

Attending to her psychological and social needs as well as her physical by asking how she was feeling, whether they had been in touched with bill or he was coming to the hospital. Making sure she was comfortable, in pain, if she understood what was happening, better pain management. Involving dementia friends/ advocate/ chaperone

# data[].attributes.headline
group 3, give mavis a voice, abbie bounds

# data[].attributes.subject
group 3, give mavis a voice, abbie bounds

# data[].attributes.body
why is it taking so long for the health care professionals to find out where bill is?, reasure mavis that he will be with her as soon as possible.
as mavis has dementia, maybe allocate her 1 single person to reassure her to listen to what she wants and her worrying concerns she is facing.

# data[].attributes.headline
Further Impacts on the Quality of Experience- Laura Lane

# data[].attributes.subject
Further Impacts on the Quality of Experience- Laura Lane

# data[].attributes.body
Neighbour was not allowed to travel with Mavis leaving her in an unfamiliar scary situation with no help or familiar face. Understanding that Mavis has dementia and would require that familiarity would have been better.
Explain every procedure and why you are touching a patient, if Mavis becomes confused and agitated, strangers touching her without first gaining undertsnading and consent will upset her further.

Shouldn't talk over patients, it can confuse patients in general even if they do not suffer from dementia. Talk about treatments and plans with the patient involved.

Use lay-person terms and don't use terms such as x-ray without explaining the process. Don't assume the patient has previous understanding of procedures that they may not have experienced.

Inform patients of any moves before moving the bed it will help with disorientation and will keep your patient up to date with their care.

# data[].attributes.headline
What are the main issues you find from this situation?

# data[].attributes.subject
What are the main issues you find from this situation?

# data[].attributes.body
Firstly, Mavis shouldn't have been made to go in the ambulance alone. She should have been offered a familiar face to make this less distressing. Mavis is in severe pain as it is, she should't be made to feel scared as well. Secondly, no one here is prioritising Mavis' emotional needs, no one has contacted her husband. She is clearly not in a critical state (unconscious or comatose) some one should be prioritising this. Thirdly, no one is communication with Mavis (apart from the person with a smiley face),  they are all discussing her, and this is making her feel uncomfortable as she does not know what they are talking about. No one has sat down and and explained things through with Mavis. Healthcare professionals here need to be acting as an advocate for Mavis emotion needs here, some one should be sat talking to her and making her feel at ease. Their should be a chaperone while physical assessments are taking place to explain and support Mavis.

Candy Collyer

# data[].attributes.body
Stakeholder Analysis is where people are grouped together and identified by their role in a project. Depending on how crucial they are to the success of the project will depend on the approach needed in order to convince them to be part of the team. The tool helps you prioritise stakeholders and their influence.
In respect to Mavis and her admission to A&E, the tool could be used to improve dementia care in adults with a confirmed diagnosis or in them receiving the appropriate assessment so treatment is not delayed.
Some of the stakeholders identified in this case are the doctors performing the dementia screen, nursing staff in maintaining a safe environment and for a dementia trainer to provide relevant info.