%0 Journal Article %@ 1929-073X %I JMIR Publications %V 13 %N %P e49618 %T Ad Hoc Modifications to a High Dependency Psychiatric Unit for People With Dementia During the COVID-19 Period %A Pilunthanakul,Thanita %A Tan,Giles Ming Yee %+ MOH Holdings Pte Ltd, 1 Maritime Square, Singapore, 099253, Singapore, 65 66220980, thanita.pilunthanakul@mohh.com.sg %K dementia %K COVID-19 %K high dependency psychiatric unit %K psychiatric intensive care unit %K caregiver stress %K SARS-CoV-2 %K psychiatric %K psychiatry %K mental health %K health care system %K Alzheimer %K ward %K care facility %D 2024 %7 11.6.2024 %9 Viewpoint %J Interact J Med Res %G English %X 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. %M 38861715 %R 10.2196/49618 %U https://www.i-jmr.org/2024/1/e49618 %U https://doi.org/10.2196/49618 %U http://www.ncbi.nlm.nih.gov/pubmed/38861715