September 21, 2017

Dementia friendly communities and spaces

Staying in Life: Paving the Way to Dementia-Friendly Communities

We are constantly growing older, and there are an increasing number of elderly people living with dementia who are merely being taken care of. There is no question that we need alternatives to the established procedures. What can we do to create spaces where we can stay in life, rather than just staying alive? How can we turn the individual environments of people with and without dementia into places of human warmth? In Germany, initiatives attempting to answer these questions are on the rise. Committed individuals from politics, art, churches, and social and volunteer work are creatively working towards dementia-friendly communities. In this book, three authors intimately familiar with the topic explore initial movements, obstacles, and first attempts.

10 helpful hints for dementia design at home : practical design solutions for carers living at home with someone who has dementia 
It provides simple and practical design solutions to adapt the living environment for people with dementia so that they can live independently for as long as possible.
Covering topics such as lighting, interior d├ęcor, sound and use of assistive technology it gives advice on how these elements can be used to their best advantage in the homes of people living with dementia

or for much more detail:

Creating Successful Dementia Care Settings

 DVDs or books
book 1 Creating successful dementia care settings. Volume one: Understanding the environment through aging senses
 Contents: 1. THE SENSES -- Sensory Stimulation -- 2. VISION -- How Vision Changes with Age -- What Staff Can Do-- Before Personal Care -- Keeping Residents Active -- What the Environment Can Do -- Lighting -- Ways to Improve Poor or Inadequate Lighting -- Color and Pattern -- Room Features -- 3. HEARING -- How Hearing Changes with Age -- What Staff Can Do -- Communication Techniques -- Socialization -- What the Environment Can Do -- Excess Noise -- Acoustical Treatments for Hard Surfaces -- 4. SMELL and TAST -- How Smell and Taste Change with Age -- What Staff Can Do -- Incorporating Positive Smells and Tastes -- Using Smells with Personal Meaning -- Minimizing Negative Smells -- What the Environment Can Do -- Reducing Negative Odors -- Using Positive Smells and Tastes as Room Cues -- Using Aromatherapy -- Planting Therapeutic Gardens -- 5. TOUCH -- How Touch Changes with Age -- What Staff Can Do -- Incorporating Touch into Therapeutic Activities -- When Touch Is Not Appropriate -- What the Environment Can Do -- Improving the Textural Environment -- Avoiding Abrasive Elements -- Regulating Temperature.

book 2 Creating successful dementia care settings. Volume two: maximizing cognitive and functional abilities
Contents -- 1. WHAT ARE FUNCTIONAL ABILITIES?-- Functional Abilities in Older People -- A Myth About Aging -- When Functional Abilities Become a Problem at Home -- Moving into Long-Term Care Facilities -- What is Excess Disability? -- Functional Abilities in Older People with Dementia -- Physical Factors -- Cognitive Factors -- Social Factors -- Environmental Factors -- Assessment as a Multidimensional Process -- Assessment of Physical Factors -- Assessment of Cognitive Factors -- Assessment of Social Factors -- Assessment of Environmental Factors -- 2. ORIENTATION -- What Staff Can Do -- Orientation to Time -- Orientation to Place -- Reality Orientation Versus Validation -- What the Environment Can Do -- Spatial Adjacencies -- Cueing -- Rooms -- Where to Find Products -- 3. Mobility -- Mobility in Older People -- Psychological Issues -- Physiological Issues -- Falls -- Mobility in Older People with Dementia -- Apraxia -- Risk of Falling in Residents with Dementia Restraints -- Risk of Falls in Residents with Dementia Restraints -- What Staff Can Do -- Contributors to Resident Falls -- When Mobility Becomes Significantly Impaired -- The Truth About Restraints -- Mobility Aids -- Exercise to Promote and Maintain Physical Conditioning -- Difference Staff Can Make in Successful Rehabilitation -- What the Environment Can Do -- Environmental Aspects that Support Mobility -- Improving Mobility in Specific Areas -- Flooring -- Furniture -- Handrails -- Communication Devices -- Residents’ Rooms and Public Areas -- Where to Find Products -- 4. CONTINENCE -- Incontinence as a Part of Normal Aging -- Incontinence Compounded by Dementia -- Changes in a Resident’s Continence -- What Staff Can Do -- Interventions -- Reducing Embarrassment When Assistance Is Needed -- What the Environment Can Do -- Finding the Bathroom  -- Finding the Toilet -- Transferring to and from the Toilet -- Where to Find Products -- 5. EATING -- How Eating Changes with Age -- Social Issues -- Physical Issues -- How Dementia Affects the Experience of Eating -- Memory Problems -- Problems with Chewing and Swallowing -- When Residents Are No Longer Able to Eat -- What Staff Can Do -- Reasons that Residents May Reject Food -- Creating a Therapeutic Setting for Dining -- Administrative Support -- Interventions to Improve Eating -- What the Environment Can Do -- Finding the Dining Room -- Minimizing Excess Disability -- Where to Find Products -- 6. DRESSING -- When Older Adults Have Trouble Dressing -- Physical Issues -- Difficulties of Dressing for Residents with Dementia -- What Staff Can Do -- Understanding Residents’ Feelings -- Taking a Therapeutic Approach -- Stages of Dressing -- How It Feels to Need Help Getting Dressed -- What the Environment Can Do -- Closet/Wardrobe Modification -- Recognizing the Contents of Closets --  
Closet and Room Lighting -- Grooming Center -- Where to Find Products -- 7. BATHING -- How Important is Bathing? -- Why Do Some Residents Dislike Bathing? -- How Often Should Residents Bathe? -- What Staff Can Do -- Undressing Residents -- Privacy -- Running Water -- Air and Water Temperatures -- What the Environment Can Do -- Using a Tub that Fits Residents’ Needs -- Privacy Issues -- Controlling Air and Water Temperatures -- Creating Pleasant Tub Rooms -- Where to Find Products.

book 3 Creating successful dementia care settings. Volume three: minimizing disruptive behaviors
Contents : the senses and sensory stimulation – vision and changes with age ; lighting ; colours and patterns --   hearing – changes with age ; communication techniques ; socialization ; excess noise – smell and taste – changes with age ; incorporating positive smells and tastes ; minimizing negative smells – room cues and aromatherapy --  touch—abilities – orientation – mobility continence – eating –dressing – bathing – what is a disruptive behaviour – wandering – attempting to leave – rummaging and hoarding – combative behaviours --  socially inappropriate behaviours – overview of home based philosophy of care – personalization --  roles and activities --  privacy --  autonomy and control --  residential design

book 4 Creating successful dementia care settings. Volume four: enhancing identity and sense of home
How do the physical and caregiving environments of a long-term care facility influence the functioning of its residents with dementia? Viewers will learn to appreciate the sometimes insurmountable challenges presented by typical residential facilities when residents have to navigate daily activities with a host of age-related cognitive and sensory deficits. Deteriorating abilities to maintain independence are a hallmark of dementia, but they needn’t lead directly to helplessness. With simple changes to the environment, facility staff can maximize functional independence and minimize excess disabilities. Here is a step-by-step process for identifying barriers and finding respectful, supportive solutions. Through individual profiles of residents, viewers learn to apply this sensible problem-solving method to some of the common challenges presented by toileting, dressing, and mealtime activities in long-term care facilities. The reward for this approach is an enhanced quality of life for residents and staff alike.

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