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Creating Safe Dementia Environments: Designing for Comfort and Support

This guide explores factors influencing dementia patients' abilities and behaviors in environments designed for their safety and comfort. It covers sensory elements like light, sound, taste, and touch, emphasizing the importance of balance. The text provides insights into how visual cues, smell, taste, and temperature can support or impair individuals with dementia. It also discusses the significance of appropriate surfaces and the layout of spaces to create a friendly and functional setting. Practical examples and case studies illustrate how small adjustments can significantly improve the quality of life for individuals with dementia.

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Creating Safe Dementia Environments: Designing for Comfort and Support

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  1. Creating a Safe and Friendly Place for a Person with Dementia

  2. Look, Listen & FeelLooking at the Role the Environment Has on Abilities & Behavior

  3. Supportive Environments • Include 2 Factors • What you LIKE…

  4. Supportive Environments • Include 2 Factors • What you LIKE… • What’s GOOD for you!

  5. Supportive EnvironmentsThe 3 Positive P’s • Physical Environment • People—the ways they act and respond • Programming

  6. Finding Balance • Support or impair • Too much or too little

  7. The Supportive Sensory Environment • What you Hear • What you See • What you Smell/Taste • What you Feel

  8. What you Hear

  9. Supports Impairs • Quiet • Purposeful music • Familiar cues • Positive human sounds • Constant background noise • Intrusive sounds • Care noise • Negative human noise

  10. What we See

  11. Can you See?

  12. Supports Impairs • Bright light • Non-Glare light • Directed at work area • Directed up-diffused • Dim light • Inconsistent light • Glaring light • Light in eyes

  13. What can you SEE? • Visual Cues • Too much • Too little

  14. Visual Cues • Where to be • What to do • Orienting to place • Orienting to task

  15. Too Much • Dangerous items • Clutter • Too Busy • Where’s the focus

  16. Too Little • Sterile or Cold • Hidden cues • Lack of contrast

  17. What we Smell/Taste • Affects… • Appetite • Social interactions • Quality of life

  18. Support Impair • Food • Calming scents • Stimulating scents • Waste odors • Medicinal odors • Cleaning odors • Perfumes

  19. What you FEEL • Temperature • Surfaces • Spaces

  20. Temperature • Very individual • Older/colder? • Disease states • Type of activity

  21. SurfacesSupport Impair • Safe and stable • Right height • Flexible • Activity based • Very mobile • Dangerous to touch • “Functional”

  22. Spaces • Familiar • Friendly • Functional • Forgiving

  23. Supportive Environment • What you LIKE • What you NEED • Would you?

  24. Can You See Why….

  25. Environments Can Support Life! Use them Wisely

  26. One Story… • What NEEDED to change in the PHYSICAL ENVIRONMENT… • 1st - the LIGHTS • And the EXIT DOOR

  27. How it was… the Activity Room

  28. The Nurse’s Station - The FORTRESS

  29. The ‘Kitchen’...

  30. 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

  31. Add Lights... BETTER … but still a FORTRESS!

  32. Creating People Space

  33. 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….

  34. Instead … a Bookshelf

  35. Then WHAT???? • What else is NOT working???? • What is not helping? • What feels wrong?

  36. 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...

  37. Instead … a Fun ‘to be’ Place

  38. Instead … a Meaningful Place

  39. The fortress comes down...

  40. Better … but a little cold looking

  41. A Dining Space & Place

  42. Activity Space without definition

  43. Making dedicated space...

  44. Look at it NOW!

  45. What does it say?

  46. Environment in USE!

  47. The nurse’s station is in it’s place --- supporting care NOT being the center of it!

  48. Not a fortress… a Place to be

  49. Now for the GEMS… Diamonds Emeralds Ambers Rubies Pearls

  50. teepas@posapproach.com • Gems slide show

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