Radiographers’ perceptions of the experiences of patients with dementia attending the radiology department

Abstract

Background: Patients with dementia frequently present to the Radiology Department. However, stigmas have been recorded amongst radiographers surrounding imaging persons with dementia (PwD). This study aimed to investigate the impact of PwD attending the Radiology Department for imaging and the resultant effects to all patients, radio- graphers, and the Department from the perspectives of the examining radiographer. Methods: A paper-based questionnaire of radiographers’ perceptions and experiences of individual examinations ‘termed an interaction form’ was created and made available in a public hospital in Ireland for a period of eight weeks. Radiographers completed the interaction form collecting data regarding individual imaging examinations of PwD. The form comprised sixteen closed and one open-ended question on the radiographers’ individual perspectives of PwDs’ abilities and dis- tress levels, carers and comforters and their role in the examination, what the radiographer found helpful in the interaction, and any ad- verse events. Data were analysed using a combination of descriptive analysis and thematic content analysis. Results: Thirty-three interaction forms were completed by the par- ticipating radiographers. The modality most commonly represented in the survey was general X-ray (58%). Radiographers reported 84% of examinations for PwD required extra time, with 27% of examinations required repeat imaging and 69% of patients appeared distressed. A carer helped facilitate the completion of 77% of examinations. Qual- itative data indicated that distractive and communicative techniques were used by radiographers to make the patient feel more comfortable and help with examination success. Conclusion: PwD often require more time for radiological examina- tions, they often need repeat imaging and re-scheduling of an exam- ination at a more appropriate time. These factors need to be consid- ered when scheduling and performing radiological examinations. Patient distress was frequently encountered, this area may benefit from further research and dedicated practitioner training which could help drive improvements in patient experience.