Hornsby hospital’s dementia and delirium unit
Innovations in dementia care at Hornsby Dozens of paper sunflowers are pinned
its multidisciplinary collaboration — diversional therapists, physiotherapists, occupational therapists, social workers, and a consulting geriatric team all contribute to patient care. “We have strong links with volunteers who help out with mealtimes or visit twice a week to play piano for our patients,” he said. The ward has a Tovertafel, an interactive gaming system designed specifically for use in aged care settings. Patients are also encouraged to take part in aspects of running the ward, helping them stay engaged during the day. “Our job is to manage behaviours to a level where patients can be safely discharged back to the community,” said Thomas. “What I love about this job is making a difference in somebody’s life, “To be able to reduce distress, find a management plan that works for that person, and then support them to return home or find them a facility that’s able to continue looking after them in the community is a really positive thing.”
to the wall of Hornsby hospital’s dementia and delirium unit, each bearing the name and personal interests of a staff member. The display helps staff share aspects of their lives with patients and generate discussions. “It’s a way for patients to make that human connection and feel a bond with our staff,” said Thomas Fitzsimmons, nurse unit manager of the ward. Across the district, clinicians are introducing new approaches to bring about more patient-centred care. The sunflowers are just one of many tools supporting patients with dementia or delirium who have significant behavioural issues. Thomas said that in 2023, the unit adopted the safewards model of care, originally developed in mental health settings and now adapted for their ward. It teaches staff to identify early non- verbal cues of distress in patients and use a range of de escalation techniques. Another strength of the ward lies in
NSLHDNEWS | ISSUE 23| 19 DECEMBER 2025
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