the design of supportive settings for people with...
TRANSCRIPT
The design of supportive settings for people with dementia
Judith Torrington University of SheffieldKT EQUAL conference 27 January 2011St Marys Conference Centre Sheffield
Extra care housing for people with sight loss
Thomas Pocklington Trust
EVOLVE : Design evaluation of older people’s
extra care housingUniversity of Sheffield, PSSRU, Department of Health Care Services Improvement
Partnership Housing Learning and Improvement Network, Elderly Accommodation Counsel
INDEPENDENT: Investigating Enabling Domestic
Environments for People with Dementia Universities of Liverpool, Bath, Sheffield, Dementia Voice, Northamptonshire County
Council, Sheffcare, Huntleigh Healthcare
Design in Caring Environments (DICE)Universities of Sheffield and Loughborough, Sheffield City Council
Physical environments in relation to
people with dementia
• Universal needs – what everyone needs in the design of the home
• Older people’s needs – support for ageing
• Support for dementia
Design for well-being
• People with dementia have low levels of participation in enjoyable activity
• Interactions between a person, and their social and physical environments are complex and change over time
• Methods are needed to support activity that address this complexity
• Social contact, conversation, communication, relationships• Reminiscence• Activities of daily living• Pottering in the house, or garden• Music (listening, singing, social participation, dancing,) • Getting outside, the natural environment• Community participation• Laughter • Physical activity, walking & exercise• Creative activity• Mental stimulation• Meals & food• Television
Wish list – favourite activities
Barriers to using a computer
communication device in different
living environments
6-Private home
14-Sheltered flat
54-Care home lounge53-Care home bedroom
Supporting social engagement
Private home
Sheltered flat
Care home lounge
‘When there’s about 10 or 15 of you in one room, you can’t suit everybody, can you really?
So you don’t put music on for yourself…‘No.’ Not here. ‘Not here. Oh no, no.’ Why not? ‘I know it’s not my place, is it really’
Ownership and belonging
Meaningful spaces
• Misinterpretation of space can inhibit participation in activity
• Mixed messages often given out in purpose-built settings
Reinforcing meaning
Spatial hierarchy
Light/ dark
Upstairs/ downstairs
Visual processing – ‘what’ and ‘where’ pathways
Physical memory
Behaviour
Physical support and accessibility
Good physical support was associated with better quality of life in the DICE study
Finding the way
Walking routes
Circuit routes
Seating areas
Incidents
Doors – inviting access or not
Gradmann HausHerrmann and Bosch with Demenz Support Stuttgart
‘street’
Safety and health
The DICE study found buildings with high scores for safety and health had low scores for quality of life
Security concerns frequently prevent people from accessing gardens
Daylight and sunlight
Seasonal Affective Disorder and daylight
Circadian rhythms
A diurnal cycle of darkness and bright light
Contact with the natural world
Ownership
Seasonal variation
Access
Changes in vision
Glare and dazzle
Contrast
Colour
Floor finishes
Visual prompts
Colour and texture
Soft colours
Red/orange part of spectrum
Tactile surfaces
Familiar furniture
Guidance to
Activity in
Dementia Care
A checklist and design guide to promote
enjoyable activity for people with dementia
www.atdementia.org.uk
toolkit
http://www.dhcarenetworks.org.uk/IndependentLivingChoices/Housing/Topics/type/resource/?cid=7997