The acute hospital environment can also be adapted to promote independence in finding different places such as the bathroom, the bed space, the dining space or other place. The environment should enhance rather than obstruct patient independence. Consider keeping corridors free from institutional clutter; symbols indicating the function of rooms, clear signage and other landmarks such as changes in colours, paintings, or other symbols have been shown beneficial for orientation (Day et al 2000). Conscientious use of colour and creating effective colour contrast in the environment can together with good lighting aid the older person to move about more confidently (Wijk 2001). If Emmy’s personal history and needs had been known, the environment could then have been adapted to better fit her needs of calmness, staff presence and consolation.