Tag: design

A tabletop that should never be in a dementia care environment

I’m sitting at the airport, typing on my Kindle Fire, and I spot something out of the corner of my eye. I reach for it, instinctively, to move it—but I cannot. It’s a bowtie, and it’s just a really crisp photograph that’s built into the tabletop. Oddly, I am slightly alarmed by this. I look at the rest of the table that I almost hadn’t noticed before.  The table is covered in pictures of picnic items, musical instruments, and outdoorsy things. This is exactly the type of table that I wouldn’t allow in dementia care. If this weird little bowtie picture appeared real to me, imagine what it would look like to someone with dementia! I have watched my residents lean over their walkers, trying to pick up “string” off the floor, only to find that it is part of the floor. I’ve heard people with dementia talk about “falling leaves outside,” only to notice that what they are talking about is the woman in front of them with the fall-patterned blouse. When you have dementia, your brain changes. Your depth perception is impaired, along with your general understanding and perception of the world around you.  While a table like this is in an airport and not a dementia care community, this table reminds me of some furniture I have seen in dementia care. I’ve worked in communities where they announce proudly that we are “getting new furniture,” only to bring in couches and chairs covered in elaborate patterns. The patterns are confusing and distracting to people with dementia, and the fabrics the design team has chosen get ruined in a matter of weeks by bathroom accidents and drink spills. Dementia care design is a really unique, interesting part of interior design. It’s important to keep little things like this in mind when we are working with people who have dementia.

Senior Care Communities: Just because they look nice, doesn’t mean they are

“I moved my dad into the nicest place ever,” she exclaimed. “They have this beautiful lobby and all of these brand new chairs!” I have heard family caregivers talk about this idea a lot. They think, “Ah, this place looks so fancy, it must be nice.” This could be true, and the dementia care community that you’re looking at could be great…but often, looks are deceiving.  Just because a community looks nice for families doesn’t mean that it is dementia-friendly. Many communities that I’ve been to have been recently developed by architects outside of the industry. Despite the fact that architects have a great sense of design and style, they often lack any clues about what people with dementia really need. When a place looks really nice and pristine, but lacks any real character, you can be sure that it is not actually dementia-friendly.  I recently toured a community with a beautiful exterior and interior. They had nice furniture, a large bird menagerie, and a nice garden. But…that was it.  They didn’t have a place for baby dolls, they didn’t have music playing, and they lacked any sort of organized activities. Why? Because it was designed for families to enjoy, not for residents with dementia. The families are the decision-makers. They decide when and where to move a loved one, and so often they panic when they see things that are actually dementia-friendly. “Well, my mom wouldn’t want to play with a baby doll!” they’ll say, upon seeing a resident pleasantly interacting with what she believes is a real baby. Some communities have unfortunately caught onto this, and will take away or hide anything that makes the place dementia-positive in the hopes of attracting more residents’ family members. Do not fall prey to this. Your loved one with dementia is the one who needs the care—not you.

What is dementia-positive design?

BEFORE: First two photos in the set AFTER: Third photo in the set Dementia-positive design is not a concept that gets talked about frequently enough. It’s the idea that because people with dementia live in a different world than we do, we need to be able to adjust their environment accordingly. I think that the best example of this is Hogeweyk, a “dementia village” in Weesp, Netherlands. Hogeweyk is set up like a little town. There’s a bank, a grocery store, a post office, and more. The people who live there have dementia, and they go about their days in a normal way, because they are treated normally. The caregiving staff actually “work” in the shops and in residents’ homes, but they do not treat the residents as if they have a problem.  I love this concept, and I have done my best—wherever I am working—to use these same principles. I have created nurseries for baby dolls, pet shops for stuffed animals, and, above, a “5 & Dime” soda fountain counter in a skilled nursing facility.  People with dementia do not only need great physical care, they also need an environment that fits where they believe that they are living. The 5 & Dime space  I created fits their world-view: for many of them, it is not 2017. What they see around them now is familiar, comforting, and normal. 

Designing for Dementia

I teamed up with a new friend I met on LinkedIn to create a blog site dedicated to inspiring senior living professionals in dementia care design! Designing for Dementia

A new way to keep residents safe

The first “bookshelf door” went so well at my dementia care community that I bought another one! This was the first one I ordered off of Amazon (see link here) so I was a little worried that it wouldn’t be as good as the one that local students made for us. I am happy to say that it looks great, particularly for a window sticker that was super easy to install and only costed about $40, including shipping. I installed this one yesterday and it worked immediately. One of my residents, Teresa, is “notorious” for going through the exit doors. I watched her walk up to it, look at it, and turn back around a number of times.  My community is considered “secure” but not “locked.” In many places, there is a distinction between locked and secured communities when it comes to state regulations and rules. In my community, the doors leading to Assisted Living are not locked, so we need to use other options to deter residents from walking through them. Because we cannot actually put something in front of the door (this would be considered a violation of fire code) these door stickers work wonders. Many of my residents perceive them as an actual bookshelf, or at least as something that is not a door.

Unreasonably excited about our brand new red bowls and plates for our residents! The color stands out from the food and encourages eating.

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Rachael wrote "16 Things I'd Want If I Got Dementia" in 2014 and it's circulated the globe many times over. Download your free copy here!