CHUA M.J.1, GIANG T.A.1, CHENG L.J.1, YAP P.1
Khoo Teck Puat Hospital1
Older patients with delirium or dementia often have refusal of care. This causes distress to both healthcare staff and patients, increase burden of care and compromise safety and quality of care.
Humanitude Care© is a compassionate multisensory care approach that based on the 4 care thrusts or pillars: gaze, speech, touch and verticality.
It is hypothesised that Humanitude Care© will improve patient’s acceptance of treatment and care rendered.
In this pilot initiative, Humanitude Care© was introduced to healthcare workers in the intervention group through role-modelling by staff who received training in December 2019. The Humanitude Care© principles were applied during day-to-day care in 2 Geriatrics wards in KTPH. 20 Patients were assessed for refusal and acceptance of care, well-being and ill-being scores.
1) Reduction in refusal of care and increase in acceptance of care
– The reduction in patients refusing care at all time and increase in patients having no refusal of care in Humanitude group is greater than in usual care group
2) Improvement in well-being
– There was a significant improvement in well-being median score within the Humanitude group from admission to discharge (admission: 7.0 [1-15] vs discharge 20.0 [8-26], p=0.002)
3) Decrease in ill-being
– Significant reduction in ill-being median score within the Humanitude group from admission to discharge (admission: 7.0 [4-16] vs discharge 2.5 [0-8], p = 0.002)
Humanitude Care© has evidenced a reduction of refusal of care, ill-being and an increase in acceptance of care and well-being among the patients with cognitive impairment.