Eight Years of Data on Residents in Small Dementia-Care Settings Suggest Functional Performance Is Maintained

Milke, Doris L.; Leask, James; George, Chelsy; Ziolkowski, Sandra

doi:10.1080/02763893.2015.1055026

Cited by 5 publications

(4 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In turn, this may result in improved outcomes in people with dementia, e.g. in terms of behavioural symptoms, cognition, physical functioning, quality of life, sense of purpose and wellbeing (Day et al, 2000;Smit et al, 2012, Clark et al, 2013Anderiesen et al, 2014;Whear et al, 2014;Milke et al, 2015;Fleming et al, 2016;Kok et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

‘I want to make myself useful’: the value of nature-based adult day services in urban areas for people with dementia and their family carers

et al. 2019

View full text Add to dashboard Cite

Nature-based adult day services (ADSs) in urban areas are relatively new services in the Netherlands. Since knowledge about these services is still scarce, this study aimed to elucidate their value for people with dementia and their family carers in terms of health and wellbeing. We interviewed 39 people with dementia attending nature-based ADSs in urban areas and their family carers, and 17 providers of these services. Respondents indicated that nature-based ADSs in urban areas positively affected the health and wellbeing of people with dementia. According to them, these services support contact with nature and animals, activity engagement, physical activity, structure, social interactions, healthy eating, a sense of meaning in life and a focus on normal daily life. Respondents further indicated that these services stimulate respite, reassurance and maintenance of family carers’ own activities and social contacts. We conclude that nature-based ADSs in urban areas have a wide range of benefits that might affect the health and wellbeing of people with dementia and their family carers. Worldwide, demand is growing for innovative practices in dementia care. It is therefore worthwhile monitoring the development of dementia care innovations, such as nature-based ADSs, and for countries to exchange lessons learned from these services.

show abstract

Section: Discussionmentioning

confidence: 99%

‘I want to make myself useful’: the value of nature-based adult day services in urban areas for people with dementia and their family carers

et al. 2019

View full text Add to dashboard Cite

show abstract

“…These articles described a total of seven distinctive innovative living arrangements: (1) small-scale living [ 15 , 16 , 18 , 29 – 39 ], (2) the green house model [ 40 – 47 ], (3) shared housing arrangements [ 48 – 54 ], (4) green care farms [ 20 , 55 – 61 ], (5) dementia villages [ 40 , 62 – 66 ], (6) group homes [ 67 – 69 ], and (7) intergenerational living [ 70 – 72 ]. Some articles, however, could not be grouped into one overarching living arrangement because they did not describe the same overarching elements (a household model of residential aged care [ 73 ], household model units [ 74 , 75 ], intensive service housing [ 76 ], a non-traditional residential care facility [ 77 ], the Woodside place model [ 78 ], a small-scale homelike unit [ 79 ], and a homelike dementia care facility [ 80 ]) and were described as an ‘other’ category. An overview of the identified types of innovative living arrangements and their characteristics is provided in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

“… Employees initiate spontaneous group activities, instead of planning them. / Woodside place model [ 78 ] Canada 12 residents per Household (Quasi-)experimental quantitative This approach provides a supportive and secure homelike environment, with a focus on supporting autonomy. The environment is a small and homelike setting, with a household with a small dining room, kitchen, and bedrooms as the core component.…”

Section: Resultsmentioning

confidence: 99%

An overview of innovative living arrangements within long-term care and their characteristics: a scoping review

et al. 2023

View full text Add to dashboard Cite

Background Within long-term care, a culture change (e.g. focus on increasing autonomy in everyday life) is leading to the development of innovative living arrangements for older adults. Insight into characteristics of innovative living arrangements, which are described as an alternative to regular nursing homes, is lacking. This review aims to provide an overview of innovative living arrangements and to describe their defining characteristics. Methods A scoping review was performed following the framework of Arksey and O’Malley. The preferred reporting items for systematic reviews and meta-analyses with extension, for scoping reviews (PRISMA-ScR) was also followed. The databases PubMed, PsycInfo, CINAHL, and Web of Science were searched. Articles, published between 2012 and 2023 were included when they presented an innovative living arrangement as an alternative to regular nursing homes. A thematic analysis was performed, describing the physical, social, and organizational environment of the innovative living arrangements. Results Fifty-six articles were identified describing seven types of distinct innovative living arrangements: small-scale living, the green house model, shared housing arrangements, green care farms, dementia villages, group homes, intergenerational living, and an ‘other’ category. The themes included supporting autonomy and creating a small-scale and/or homelike environment, which were emphasized in most innovative living arrangements. Other themes, such as involvement of the community, focus on nature, integration of work tasks, and involvement of family members, were emphasized in a subsection of the described living arrangements. Twenty-eight articles reported on the effects of the innovative living environment on residents, family members, or staff members. Most articles (N = 22) studied resident-related outcomes, focusing mainly on quality of life and aspects of daily life. Conclusion More insight into the mechanisms of the social and organizational environments is needed, which may lead to greater transparency and homogeneity regarding the description of living arrangements. This review shows that more knowledge is needed about the potential key elements of innovative living arrangements, especially related to their social and organizational environment. This may provide a better guide for developers within long-term care.

show abstract

“…[b] Orientation using visual clues can reduce the need for mental maps that rely on memory. Clear pathways, memory boards at entry doors to private spaces, landmarks, and destinations help with spatial orientation [20]. A simple network of visually connected spaces helps mobile residents by giving direct lines of sight between bedrooms and destinations.…”

Section: Design Principlesmentioning

confidence: 99%

Design Lessons from Three Australian Dementia Support Facilities

et al. 2018

View full text Add to dashboard Cite

There is a significant increase in the number of people with dementia, and the demand for residential support facilities is expected to increase. Providing an appropriate living environment for residents with dementia, which can cater for their specific needs is crucial. Residential aged care design can impact the quality of life and wellbeing of the residents. In this investigation, three recently constructed dementia support facilities in Victoria, Australia are selected for evaluation. Through fieldwork observation, design evaluation and space syntax analysis, the aim of this investigation is to consider the design of these three facilities in the context of current evidence on how the built environment can best accommodate residents with dementia.

show abstract

Eight Years of Data on Residents in Small Dementia-Care Settings Suggest Functional Performance Is Maintained

Cited by 5 publications

References 52 publications

‘I want to make myself useful’: the value of nature-based adult day services in urban areas for people with dementia and their family carers

‘I want to make myself useful’: the value of nature-based adult day services in urban areas for people with dementia and their family carers

An overview of innovative living arrangements within long-term care and their characteristics: a scoping review

Design Lessons from Three Australian Dementia Support Facilities

Contact Info

Product

Resources

About