# Ad Hoc Modifications to a High Dependency Psychiatric Unit for People With Dementia During the COVID-19 Period

## TL;DR

This paper describes how a psychiatric unit in Singapore was modified to care for dementia patients during the pandemic when specialized beds were unavailable.

## Contribution

The study presents practical, dementia-friendly modifications to a psychiatric unit during a crisis.

## Key findings

- Environmental and care modifications helped manage dementia patients in a non-specialized unit.
- Person-centered care and training improved patient comfort and safety.
- The approach can be replicated in other hospitals facing similar resource constraints.

## Abstract

The COVID-19 pandemic led to behavioral exacerbations in people with dementia. Increased hospitalizations and lack of bed availability in specialized dementia wards at a tertiary psychiatric hospital in Singapore resulted in lodging people with dementia in the High Dependency Psychiatric Unit (HDPCU). Customizations to create a dementia-friendly environment at the HDPCU included: (1) environmental modifications to facilitate orientation and engender familiarity; (2) person-centered care to promote attachment, inclusion, identity, occupation, and comfort; (3) risk management for delirium; and (4) training core competencies. Such practical solutions can also be implemented elsewhere to help overcome resource constraints and repurpose services to accommodate increasing populations of people living with dementia.