Space, the final frontier: outdoor access for people living with dementia

Argyle, Elaine; Dening, Tom; Βartlett, Peter

doi:10.1080/13607863.2016.1222351

Cited by 21 publications

(32 citation statements)

References 12 publications

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“…people living with dementia is not only a matter of good practice in dementia care but also a matter of human rights and social justice (Argyle et al 2016).…”

Section: Introductionmentioning

confidence: 99%

Connections with nature for people living with dementia

Evans

Barrett

Mapes

et al. 2019

WWOP

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Purpose The benefits of “green dementia care”, whereby people living with dementia are supported to connect with nature, are increasingly being recognised. Evidence suggests that these benefits span physical, emotional and social spheres and can make a significant contribution towards quality of life. However, care settings often present specific challenges to promoting such connections due to a range of factors including risk-averse cultures and environmental limitations. The purpose of this paper is to report on a project that aims to explore the opportunities, benefits, barriers and enablers to interaction with nature for people living with dementia in residential care and extra care housing schemes in the UK. Design/methodology/approach Data were gathered from 144 responses to an online survey by managers/staff of extra care housing schemes and care homes in the UK. In depth-case studies were carried out at three care homes and three extra care housing schemes, involving interviews with residents, staff and family carers. Findings A wide variety of nature-based activities were reported, both outdoor and indoor. Positive benefits reported included improved mood, higher levels of social interaction and increased motivation for residents, and greater job satisfaction for staff. The design and layout of indoor and outdoor spaces is key, in addition to staff who feel enabled to promote connections with nature. Research limitations/implications This paper is based on a relatively small research project in which the participants were self-selecting and therefore not necessarily representative. Practical implications The paper makes some key recommendations for good practice in green dementia care in extra care housing and care homes. Social implications Outdoor activities can promote social interaction for people living with dementia in care settings. The authors’ findings are relevant to the recent policy focus on social prescribing. Originality/value The paper makes some key recommendations for good practice in green dementia care in extra care housing and care homes.

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“…people living with dementia is not only a matter of good practice in dementia care but also a matter of human rights and social justice (Argyle et al 2016).…”

Section: Introductionmentioning

confidence: 99%

Connections with nature for people living with dementia

Evans

Barrett

Mapes

et al. 2019

WWOP

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“…In the field of dementia research, much of the focus has been on wandering and getting lost in public spaces outdoors (Bantry White & Montgomery, 2016; Lai & Arthur, 2003). Research has demonstrated that being active and able to come out to use public spaces in the neighbourhood increases independence, especially for older people and those living with dementia (Argyle, Dening, & Bartlett, 2017;Brittain, Degnen, Gibson, Dickinson, & Robinson, 2017;Brorsson, Ö hman, Cutchin, & Nygård, 2013;Burton & Mitchell, 2006;Nygård, 2006). Nonetheless, questions about accessibility within public spaces have been discussed, including how people living with dementia independently navigate and find their way through local public spaces (Blackman, Van Schaik, & Martyr, 2007;Burton & Mitchell, 2006;Mitchell & Burton, 2010;Mitchell, Burton, & Raman, 2004).…”

Section: Public Spaces In the Context Of Dementiamentioning

confidence: 99%

Neighbourhood nursing : connection, place and meaning in the everyday experience of dementia

Odzakovic

2020

Linköping University Medical Dissertations

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“…39). 11 As Argyle, Dening and Bartlett state, 'social prejudice and stigma towards people with dementia should be addressed, for this not only legitimises their social exclusion, but also influences the process of resource allocation which helps to reinforce this' (Argyle et al 2017(Argyle et al , p. 1006. Indeed, the UN Disability Committee has noted that implementing the rights in Article 19 should extend to tackling stigma and discrimination (UN Committee on the Rights of Persons with Disabilities UN Disability Committee, para.…”

Section: Independent Living and Community Inclusionmentioning

confidence: 99%

“…. rights and social justice' (Argyle et al 2017(Argyle et al , p. 1005. While human rights have legal implications, they also have broader ethical or philosophical possibilities in providing a framework for 'how people (not just governments) treat other people and how human rights connect all of us to each other through shared rights and responsibilities' (Cahill 2018, p. 10).…”

Section: Where To From Here?mentioning

confidence: 99%

“…Separate, and exclusive, 'dementia-care units' (DCUs), whether dementia wards, wings or units within mainstream care homes or 'stand-alone' facilities, segregate people living with dementia from residents without dementia. Additionally, locked doors and fences ('environmental restraint') prevent the movement of people living with dementia beyond (and usually within) the care home, meaning they have little access to social activities, full medical and health services, outdoor space and the broader community (Argyle et al 2017). By reason of these two factors, the care home built environment is demographics of entire populations.…”

Section: Introductionmentioning

confidence: 99%

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Questioning Segregation of People Living with Dementia in Australia: An International Human Rights Approach to Care Homes

Steele

Swaffer

Phillipson

et al. 2019

Laws

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This article explores how care homes—and, specifically, their common features such as dementia care units and locked doors and gates—impact on the human rights of people living with dementia. We suggest that congregation, separation and confinement of people living with dementia by the care home built environment constitute ‘segregation’. In the specific context of residential aged care facilities in Australia, we draw on the United Nations Convention on the Rights of Persons with Disabilities (‘CRPD’) to frame this segregation as an injustice. We focus on the rights to non-discrimination (Article 5), liberty and security of the person (Article 14), equality before the law (Article 12), accessibility (Article 9), and independent living and community inclusion (Article 19). Our analysis shows that addressing segregation must involve structural and resource reforms that are transformative in bringing about new ways of living and relating to each other. Such reforms are directed towards providing meaningful alternatives and appropriate supports to make choices from a range of alternative residency and support options, and building communities that are free from ableism, ageism and other systems of oppression that contribute to confinement and segregation.

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Space, the final frontier: outdoor access for people living with dementia

Cited by 21 publications

References 12 publications

Connections with nature for people living with dementia

Connections with nature for people living with dementia

Neighbourhood nursing : connection, place and meaning in the everyday experience of dementia

Questioning Segregation of People Living with Dementia in Australia: An International Human Rights Approach to Care Homes

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