Authors (including presenting author) :
Ho YL, Chan YF, Chan LW, Lam PL, Cheung KW, Leung WK, Or LY, Lee YY, Mou CP, Fung HY, Lam YT, Tsang CY, Woo LC, Li SYC
Affiliation :
Disabled Unit, Cheshire Home Shatin
Keyword 1: :
Fall prevention
Keyword 2: :
Cognitive Impairment
Keyword 3: :
Behavioral Challenge
Keyword 4: :
Portable Projectors
Keyword 5: :
Mitigate Risks
Introduction :
Cheshire Home Shatin (SCH) is an extended care hospital providing infirmary, convalescent, and rehabilitation services, with 65% of residents being bedridden, fostering connection and cognitive stimulation is essential for enhancing their quality of life. As Ward 7 and Ward 8 transition toward a convalescent rehabilitation service, rising dementia prevalence has led to increased episodes of agitation, aggression, and disorientation. These behaviors compromise patient safety, elevate fall risk, and challenge staff capacity. There is a growing need for innovative, person‑centered, non‑pharmacological interventions that address the root causes of behavioral symptoms. Portable projectors offer a sensory‑based, non‑invasive approach that may reduce agitation, enhance engagement, and improve overall well‑being.
Objectives :
To alleviate psychological distress and reduce behavioral symptoms among patients with cognitive impairment by using of portable projectors, with the goal of achieving a 25% reduction in fall rates by the end of 2025.
Methodology :
Beginning in October 2024, portable projectors were implemented as a structured diversional therapy intervention for cognitively impaired patients, excluding those in isolation rooms. Projectors operated daily from 9 AM to 9 PM, with each cubicle equipped to deliver individualized content tailored to patient preferences. Programming included: - Cognitive and sensory stimulation: movies, concerts, music, and personalized visual content - Health education: fall‑prevention videos for high‑risk patients - Night shift calming strategies: soft music for awake patients to promote relaxation and sleep Nursing staff monitored patient responses and adjusted content and timing to meet individual needs. This flexible, person‑centered approach aimed to enhance engagement, reduce agitation, and support safer ward environments. Through this comprehensive initiative, we aspire to significantly improve the quality of life for patients with cognitive impairment, fostering connection, entertainment, and educational growth while enhancing safety and reducing fall risks through a commitment to person-centered care.
Result & Outcome :
In 2024, four fall incidents were reported in the AIRS reporting system, three of which occurred in the fourth quarter. Following the introduction of portable projectors in October 2024, fall incidents decreased progressively, reaching zero falls by December 2025, representing a 100% reduction. In addition to the positive impact on patient safety, a staff satisfaction survey (n = 26; 86% response rate) demonstrated strong support for the intervention. The results demonstrated unanimous support for the portable projectors, with 96% of respondents agreed projectors aided fall prevention; 96% found them effective for health education and diversional therapy; 92% believed bedridden patients benefited from projected images; 96% found the devices user‑friendly; 100% agreed projectors enhanced cognitive and sensory stimulation; 96% recommended continued use. The use of portable projectors is a feasible, low‑cost, and highly acceptable intervention that enhances cognitive engagement, reduces behavioral symptoms, and contributes to fall prevention in patients with cognitive impairment. The positive outcomes and strong staff endorsement support the continued integration of this technology into person‑centered care models within extended care settings.
