Dementia friendly communities_and_intergenerational_working_part2_gwt_nat_conf_2017
Creating a Safe and Friendly Place for a Person with Dementia.
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Transcript of Creating a Safe and Friendly Place for a Person with Dementia.
![Page 1: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/1.jpg)
Creating a Safe and Friendly Place for a Person
with Dementia
![Page 2: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/2.jpg)
Look, Listen & Feel
Looking at the Role the Environment Has on Abilities
& Behavior
![Page 3: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/3.jpg)
Supportive Environments
• Include 2 Factors
– What you LIKE…
![Page 4: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/4.jpg)
Supportive Environments
• Include 2 Factors
– What you LIKE…
– What’s GOOD for you!
![Page 5: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/5.jpg)
Supportive EnvironmentsThe 3 Positive P’s
•Physical Environment
•People—the ways they act and respond
•Programming
![Page 6: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/6.jpg)
Finding Balance
• Support or impair
• Too much or too little
![Page 7: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/7.jpg)
The Supportive Sensory Environment
• What you Hear
• What you See
• What you Smell/Taste
• What you Feel
![Page 8: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/8.jpg)
What you Hear
![Page 9: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/9.jpg)
Supports Impairs
• Quiet
• Purposeful music
• Familiar cues
• Positive human sounds
• Constant background noise
• Intrusive sounds
• Care noise
• Negative human noise
![Page 10: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/10.jpg)
What we See
![Page 11: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/11.jpg)
Can you See?
![Page 12: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/12.jpg)
Supports Impairs
• Bright light
• Non-Glare light
• Directed at work area
• Directed up-diffused
• Dim light
• Inconsistent light
• Glaring light
• Light in eyes
![Page 13: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/13.jpg)
What can you SEE?
• Visual Cues
• Too much
• Too little
![Page 14: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/14.jpg)
Visual Cues
• Where to be
• What to do
• Orienting to place
• Orienting to task
![Page 15: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/15.jpg)
Too Much
• Dangerous items
• Clutter
• Too Busy
• Where’s the focus
![Page 16: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/16.jpg)
Too Little
• Sterile or Cold
• Hidden cues
• Lack of contrast
![Page 17: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/17.jpg)
What we Smell/Taste
• Affects…
– Appetite
– Social interactions
– Quality of life
![Page 18: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/18.jpg)
Support Impair
• Food
• Calming scents
• Stimulating scents
• Waste odors
• Medicinal odors
• Cleaning odors
• Perfumes
![Page 19: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/19.jpg)
What you FEEL
• Temperature
• Surfaces
• Spaces
![Page 20: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/20.jpg)
Temperature
• Very individual
• Older/colder?
• Disease states
• Type of activity
![Page 21: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/21.jpg)
SurfacesSupport Impair
• Safe and stable
• Right height
• Flexible
• Activity based
• Very mobile
• Dangerous to touch
• “Functional”
![Page 22: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/22.jpg)
Spaces
• Familiar
• Friendly
• Functional
• Forgiving
![Page 23: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/23.jpg)
Supportive Environment
• What you LIKE
• What you NEED
• Would you?
![Page 24: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/24.jpg)
Can You See Why….
![Page 25: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/25.jpg)
Environments Can
Support Life!
Use them Wisely
![Page 26: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/26.jpg)
One Story…
• What NEEDED to change in the PHYSICAL ENVIRONMENT…
• 1st - the LIGHTS
• And the EXIT DOOR
![Page 27: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/27.jpg)
How it was… the Activity Room
![Page 28: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/28.jpg)
The Nurse’s Station - The FORTRESS
![Page 29: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/29.jpg)
The ‘Kitchen’...
![Page 30: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/30.jpg)
Why the Lights?
• Because the amount of light needed to see the same amount increases with age
• Because lack of light increases fall risk• Because lack of light keeps people from
using their hands• Because lack of light limits oral intake• Because lack of light is depressing
![Page 31: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/31.jpg)
Add Lights...
BETTER … but still a FORTRESS!
![Page 32: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/32.jpg)
Creating People Space
![Page 33: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/33.jpg)
Why the EXIT?
• It was either a DEAD END and people got stuck there … OR
• People wanted to leave with visitors• People saw the door and tried to go
out• People followed others off the unit• There was nothing else down that hall
but a way out….
![Page 34: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/34.jpg)
Instead … a Bookshelf
![Page 35: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/35.jpg)
Then WHAT????
• What else is NOT working????• What is not helping?• What feels wrong?
![Page 36: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/36.jpg)
What are the MAIN problems?
• Flooring - looks like holes• Glare - from the windows• Lack of definition - what’s this place for?• Work surfaces - what can I do here?• Furniture - Where can I visit?• No conversational spaces - ‘line-up’• On the edges - not the focus of space...
![Page 37: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/37.jpg)
Instead … a Fun ‘to be’ Place
![Page 38: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/38.jpg)
Instead … a Meaningful Place
![Page 39: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/39.jpg)
The fortress comes down...
![Page 40: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/40.jpg)
Better … but a little cold looking
![Page 41: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/41.jpg)
A Dining Space & Place
![Page 42: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/42.jpg)
Activity Space without definition
![Page 43: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/43.jpg)
Making dedicated space...
![Page 44: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/44.jpg)
Look at it NOW!
![Page 45: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/45.jpg)
What does it say?
![Page 46: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/46.jpg)
Environment in USE!
![Page 47: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/47.jpg)
The nurse’s station is in it’s place --- supporting
care NOT being the center of it!
![Page 48: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/48.jpg)
Not a fortress… a Place to be
![Page 49: Creating a Safe and Friendly Place for a Person with Dementia.](https://reader036.fdocuments.in/reader036/viewer/2022062500/56649f155503460f94c2a209/html5/thumbnails/49.jpg)
Now for the GEMS…
DiamondsEmeraldsAmbersRubiesPearls