Does a mirror deter wandering in demented older people?

Mayer, Robert; Darby, Stuart

doi:10.1002/gps.930060810

Cited by 47 publications

(36 citation statements)

References 5 publications

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“…The presence of a mirror in front of an exit was found to cue the response not to touch, reducing exit attempts by 50% (Mayer and Darby, 1991), and hiding the latch behind a cloth panel reduced the number of attempts to exit (Dickinson et al, 1995;Dickinson and McLainKark, 1998).…”

Section: Unobtrusive Safety Featuresmentioning

confidence: 99%

Long-term care for people with dementia: environmental design guidelines

Fleming

Purandare

2010

Int. Psychogeriatr.

158

128

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Background: A large and growing number of people with dementia are being cared for in long-term care. The empirical literature on the design of environments for people with dementia contains findings that can be helpful in the design of these environments. A schema developed by Marshall in 2001 provides a means of reviewing the literature against a set of recommendations. The aims of this paper are to assess the strength of the evidence for these recommendations and to identify those recommendations that could be used as the basis for guidelines to assist in the design of long term care facilities for people with dementia.Methods: The literature was searched for articles published after 1980, evaluating an intervention utilizing the physical environment, focused on the care of people with dementia and incorporating a control group, pre-test-post-test, cross sectional or survey design. A total of 156 articles were identified as relevant and subjected to an evaluation of their methodological strength. Of these, 57 articles were identified as being sufficiently strong to be reviewed.Results: Designers may confidently use unobtrusive safety measures; vary ambience, size and shape of spaces; provide single rooms; maximize visual access; and control levels of stimulation. There is less agreement on the usefulness of signage, homelikeness, provision for engagement in ordinary activities, small size and the provision of outside space.Conclusions: There is sufficient evidence available to come to a consensus on guiding principles for the design of long term environments for people with dementia.

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Section: Unobtrusive Safety Featuresmentioning

confidence: 99%

Long-term care for people with dementia: environmental design guidelines

Fleming

Purandare

2010

Int. Psychogeriatr.

158

128

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“…Design solutions to prevent unwanted exiting often do so by exploiting residents' cognitive deficits. For instance, in a study involving nine residents of a psychogeriatric ward, a full length mirror placed in front of the exit door reduced residents' exit attempts by half (Mayer & Darby, 1991). A reverse mirror had a similar, but less significant ef-Vol.…”

Section: General Attributes Of the Environmentmentioning

confidence: 99%

“…4, 2000 fect. Impacts were attributed to residents' loss of memory of personal identities; accordingly, residents may have been distracted from exiting when engaged or frightened by the image of an approaching "stranger" in a mirror (Mayer & Darby, 1991).…”

Section: General Attributes Of the Environmentmentioning

confidence: 99%

The Therapeutic Design of Environments for People With Dementia

Day¹,

Carreon²,

Stump³

2000

The Gerontologist

434

362

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Design of the physical environment is increasingly recognized as an important aid in caring for people with dementia. This article reviews the empirical research on design and dementia, including research concerning facility planning (relocation, respite and day care, special care units, group size), research on environmental attributes (noninstitutional character, sensory stimulation, lighting, safety), studies concerning building organization (orientation, outdoor space), and research on specific rooms and activity spaces (bathrooms, toilet rooms, dining rooms, kitchens, and resident rooms). The analysis reveals major themes in research and characterizes strengths and shortcomings in methodology, theoretical conceptualization, and applicability of findings.

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“…Otros estudios inciden en aspectos conformadores de las condiciones espaciales como: la adecuación lumínica en función de las necesidades que el enfermo requiera (Mishima et al, 1994), la seguridad y control de salida indeseada de la vivienda (Mayer y Darby, 1991) o el estudio sobre medidas de orientación del enfermo en un espacio cerrado (Hanley 1981). Estos trabajos permiten establecer una primera recopilación sistematica de soluciones arquitectónicas con repercusión en la calidad de vida de los enfermos y sus cuidadores.…”

Section: Soluciones De La Arquitectura Como Arte Y Como Técnicaunclassified

Proyectar espacios para habitantes con alzhéimer, una visión desde la arquitectura

Quesada-García

Flores

2017

Arte Individ. Soc.

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Recibido: 30 de noviembre de 2016 / Aceptado: 4 de febrero de 2017 Resumen. Cuando el alzhéimer entra en un hogar, una serie de cambios se desencadenan en la vida diaria de sus moradores, su forma de habitar cambia inevitablemente. Ante algunos comportamientos de usuarios con problemas de memoria cabe preguntarse si están condicionados por su estado o por su entorno; si es esto último, ¿cómo proyectar para la ausencia de memoria? La forma de abordar este problema desde la arquitectura requiere una nueva perspectiva. Supone ver a la persona no como un enfermo con un conjunto de síntomas sino como un habitante que vive en un entorno físico que puede ser proyectado o modificado para adecuarlo a sus peculiares y cambiantes necesidades. El propósito del artículo es exponer cómo la arquitectura, como arte y como técnica, aborda este problema, aportando una metodología de investigación que busca conocer las demandas concretas de estos habitantes en su experiencia diaria del espacio doméstico, desde la seguridad, la accesibilidad y la personalización como estimulación sensorial y estabilizadora emocional; generando además un conocimiento que permita desarrollar mecanismos y elementos de composición necesarios para proyectar, construir y humanizar un entorno que complete carencias del enfermo, se adapte a la evolución de la dolencia y mejore su calidad de vida. Palabras clave: Arquitectura; proyecto arquitectónico; memoria; alzhéimer; demencia.[en] Designing tailored spaces for Alzheimer's patients, an architectural perspective Abstract. When Alzheimers afflicts a person it also has a major impact on the home. This inevitably means that significant changes must be made. As architects, we have pondered how we can better design living spaces for those affected by various degrees of memory impairment. How to design for the absence of memory? The approach to this challenge, from an architectural standpoint, needs a new perspective that requires focusing on the specific necessities of an inhabitant, as opposed to the effects of the disease itself. We are looking more at the specific implications on the living environments and how they could be designed or modified to adapt to the subjects constantly changing conditions. The purpose of this article is to show how architecture, from its duality as an art/technical discipline, is tackling this problem developing research methodology which involves looking at the concrete needs of the users in their daily domestic space, analyzing its security, accessibility and the customization of space as a sensory stimulus and emotional stabilizer. Additionally, we seek to generate a body of knowledge in order to develop composition elements and mechanisms to design, build and humanize the environment to fulfill their necessities, adapting it to the evolution of the disease and improving quality of life.

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Does a mirror deter wandering in demented older people?

Cited by 47 publications

References 5 publications

Long-term care for people with dementia: environmental design guidelines

Long-term care for people with dementia: environmental design guidelines

The Therapeutic Design of Environments for People With Dementia

Proyectar espacios para habitantes con alzhéimer, una visión desde la arquitectura

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