The Therapeutic Design of Environments for People With Dementia

Day, Kristen; Carreon, Daisy C.; Stump, Cheryl

doi:10.1093/geront/40.4.397

Cited by 434 publications

(415 citation statements)

References 81 publications

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“…[25] A dementia-specific environment may serve as therapeutic instrument [50] as well as a means for orientation and promotion of social interaction. [51] Its deficit-compensating effect can help improve the QoL of PwD. [25] However, insufficient QoL of PwD in long-term care facilities is often caused by a lack of staff resources, insufficient training or insufficient social competencies of the carers.…”

Section: Discussionmentioning

confidence: 99%

Quality of life of people with dementia in nursing homes in Austria: A cross-sectional study

Deufert

Schermann

2017

IJH

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Background: The preservation and promotion of the quality of life (QoL) is a central objective in the provision of nursing care for people with dementia (PwD). Long-term care facilities face the major challenge to promote the QoL of the ever-growing group of PwD by providing adequate nursing care. Objective: The aim of the study was to outline the QoL of residents with dementia in Austrian nursing homes. Methods: A cross-sectional study was carried out. The data were collected through the Quality of Life in Dementia Questionnaire (QUALIDEM) and the Functional Assessment Staging Test (FAST). Results: 147 people with mild to moderately severe dementia and 80 people with severe dementia residing in 23 nursing homes were included in the study. In people with mild to severe dementia, the highest scores were observed in the QUALIDEM-subscales positive affect and feeling at home, indicating a high QoL in these areas. The lowest scores with respect to the QoL were found in the categories restless tense behavior and having something to do. People with a very severe dementia had the lowest scores in the QUALIDEM-subscales social relations, restless tense behavior and having something to do, indicating a low QoL in these areas. The categories with the highest scores were positive self-image and feeling at home. Conclusion: The results of the study provide first data and clues for possible developments or necessary changes in the care of PwD in long-term care facilities in Tyrol/Austria.

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Section: Discussionmentioning

confidence: 99%

Quality of life of people with dementia in nursing homes in Austria: A cross-sectional study

Deufert

Schermann

2017

IJH

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“…The impact of the built environment on dementia care outcomes Previous research has demonstrated: the importance of physical environments on the QoL of people living with dementia (Kovach et al, 1997;Lawton, 1997;Brod et al, 2000;Day et al, 2000;Calkins, 2004;Reimer et al, 2004); and that physical environment design features can be associated with quality of care, and behavioural and clinical outcomes (Kovach et al, 1997;Marshall et al, 1999;Day et al, 2000;Devlin and Arneill, 2003;Gitlin et al, 2003;Zeisel et al, 2003;Calkins, 2009). Research has related the built environment and its design features to most dementia related symptoms.…”

Section: Indirect Costsmentioning

confidence: 99%

A built environment response to the rising costs of dementia

Pantzartzis

Price

Pascale

2016

JFMPC

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Purpose This paper aims to identify costs related to dementia care provision and explore how purpose-built environment investments can help control these costs and improve quality of life and clinical outcomes. Design/methodology/approach This research adopts a multi-method approach where the findings of a literature review drove the analysis of data obtained from the 115 pilot projects funded by the Department of Health England’s National Dementia Capital Investment Programme. Findings Under the UK Government’s new productivity challenge, it is fundamental to identify actions that provide value for money to prioritise policy and practice. This paper identifies healthcare spaces (e.g. bathroom) where the impact of the built environment on healthcare costs are most evident and building elements (e.g. lighting) to which these costs can be directly associated. The paper advocates the development of evidence and decision support tools capable of: linking built environment interventions to the healthcare costs; and helping the healthcare and social care sectors to develop effective and efficient capital investment strategies. Research Limitations/implications Further work needs to develop more systematic ways of rationalising proactive and timely built environment interventions capable of mitigating dementia (and older people) care cost escalation. Originality/value This research takes an innovative view on capital investment for care environments and suggests that appropriate built environment interventions can have a profound impact on costs associated with dementia care provision.

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“…Furthermore, using higher intensity ambient bright light and offering a view outside is very likely to improve the day-night rhythm and orientation in time for residents (Day et al 2000, Thorpe et al 2000, van Hoof et al 2009), especially for those who reside in the central hall. In addition, the staff could look for ways to better delineate structuring activities, such as the organisation of serving the meals.…”

Section: Small and Medium Interventionsmentioning

confidence: 99%

Adjusting an Older Residential Care Facility to Contemporary Dementia Care Visions

Steenwinkel¹,

Verstraeten²,

Heylighen³

2016

Designing Around People

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Older residential care facilities are increasingly confronted with an incongruity between contemporary visions on dementia care and outdated infrastructure. In this context a case study analyses how the architecture of such a facility hampers or supports the implementation of its dementia care vision. Interviews, participant observation and document analysis offer nuanced insights into the interplay between care vision and architecture. The latter's limitations include its spatial organisation, lack of high-quality communal areas, authoritarian character and hospital-like atmosphere, while potential lies in using adaptable lighting, homelike materials and furniture, and small spatial interventions. These interventions can be framed within a major renovation in the long term, which would allow to realize far-reaching improvements in the ward. Since many older facilities display similar features, the case study's approach and outcome can help them in adjusting their outdated infrastructure to increase the autonomy of people with dementia and support their individuality and emancipation.

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The Therapeutic Design of Environments for People With Dementia

Cited by 434 publications

References 81 publications

Quality of life of people with dementia in nursing homes in Austria: A cross-sectional study

Quality of life of people with dementia in nursing homes in Austria: A cross-sectional study

A built environment response to the rising costs of dementia

Adjusting an Older Residential Care Facility to Contemporary Dementia Care Visions

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