Building connections and seeing beyond the diagnosis.

Learning from an MSc Physiotherapy Student Placement in a specialist dementia ward in Dumfries.

Hi, my name is Diarmuid and along with my fellow MSc Physiotherapy classmate Chloe, we embarked on a placement experience that would forever shape our perspective on healthcare and human connection. Our time in a specialist dementia ward was a journey filled with challenges, but it was also a profound and enriching experience. In this blog, we will take you through the highs and lows, the lessons learned, and the stories that have left a lasting impact on us.

Initially we didn’t know what to expect but the first step of our journey was to grasp a fundamental understanding of dementia. Dementia is a complex neurological condition that affects memory, cognitive function, and behaviour. The placement was primarily on Cree ward in Midpark Hospital, Dumfries which is a specialist assessment ward specific for people with moderate to advanced dementia. As a result, each patient in the ward had a unique experience of dementia, which meant that tailoring our approach to their specific needs was crucial. We had to develop empathy, patience, and a deep appreciation for the individuals behind the diagnosis. One of the most rewarding aspects of the placement was building connections with the patients. Despite the cognitive challenges they faced, the residents of Cree ward had rich life stories and experiences. By actively listening and engaging in activities that resonated with their past, we were able to connect with them on a personal level. Even small gestures like holding their hand or playing their favourite music could make a significant difference in their well-being.

Physiotherapy in a dementia ward involves customising rehabilitation programs to suit each patient’s unique needs. Initially we performed risk assessments to evaluate mobility and falls risk for each patient.  Many patients had mobility issues, and it was our responsibility to develop exercises and adapt tasks to accommodate their abilities. This required a great deal of creativity and adaptability. We had to continuously assess their progress and adjust the therapy plans accordingly. Additionally, we created a daily group activity class which was open for all to participate. Comprised of simple exercises and incorporating some ball and balloon games the group was accessible for all ability levels. We noticed that this allowed patients time to socialise with each other which often led to joy and laughter. With as many as ten participants in any given session, this was our highlight, seeing such a positive effect from such a simple intervention.

Working in a specialist dementia ward also presented emotional challenges. Witnessing the patients’ struggles and their families’ pain was often difficult. We had to learn to cope with these emotions, seeking support from our supervisors and colleagues and finding healthy ways to manage the stress and sadness that could arise in such an environment. We quickly realised that effective care in a dementia ward is a team effort. Working alongside nurses, occupational therapists, and other healthcare professionals, we saw the power of collaboration in providing the best care possible. It was inspiring to see how a diverse team could come together to support these vulnerable patients.

In a specialist dementia ward, progress might be slower and less noticeable than in other healthcare settings. However, celebrating small victories became a crucial part of our experience. Whether it was a patient regaining a bit of strength, engaging in a meaningful conversation, or simply displaying moments of joy, these small wins were a source of inspiration and motivation. Our placement in Cree ward taught us invaluable life lessons. We learned the importance of patience, compassion, and resilience. It reinforced the idea that every individual, regardless of their condition, deserves dignity, respect, and the best possible care.

Our journey as student physiotherapists in a specialist dementia ward was both challenging and enriching. It allowed us to see the beauty in the human spirit, even when it faces the most significant cognitive challenges. It reinforced our passion for healthcare and the importance of empathy and person-centred care. We are grateful for the experience, the lessons learned, and the lasting impact it has had on our career and personal lives. If you’re considering a career in healthcare or simply interested in the human experience, we highly recommend spending time in a specialist dementia ward. It will change you in ways you can’t imagine.

Thanks for Reading

Contributors

Diarmuid and Chloe

MSc Physiotherapy Students, Queen Margaret University, Edinburgh