Click here to download "This is Me" form

“This Is Me”is a resource, filled out by family members or carers, to help support a person with dementia in an unfamiliar place.

 

It is a simple way of collecting information on the person’s history - events, people and places from their lives, as well as individual preferences, triggers and routines.

 

A completed form helps staff in hospital to understand the person with dementia as an individual. It enables staff to deliver care that is tailored specifically to the person's needs.

 

This can help to reduce distress and anxiety for the person with dementia, and gives them back their voice when communication is difficult.

Please download and complete one of these forms on behalf of your loved one and deliver it to the nursing staff on the relevant ward.

Prof. Cooke's Secretary: 051-842112

Prof. Mulcahy's Secretary: 051-842509

Dr. Pope's Secretary: 051-848501

Dr O'Regan's: 051-848736

Fax: 051-848882

© 2017 by W.I.C.O.P.