DEMENTIA-FRIENDLY ENVIRONMENTAL
DESIGN

Professor Richard Fleming
Director
NSW/ACT Dementia Training Study Centre
MY TASK IS TO PROVIDE SOME
INFORMATION AND COMMENT ON:-

•
•
•

How reduced cognitive capabilities change
how people with ...
www.dtsc.com.au
www.dtsc.com.au
The Ageing Eye*

*Courtesy Debbie De Fiddes, colour and lighting consultant, Debbie@dfdesign.com.au

www.dtsc.com.au
THE AGEING EYE
• By age sixty the amount
of light entering the eye
is reduced by about 1/3
of the light a twenty
year old ...
THE AGEING EYE
• As well as absorbing light the
thickened lens also diffuses
the light as it passes through
the lens.
This...
THE AGEING EYE
•

Contrast sensitivity or the
ability to detect
differences in brightness is
reduced in the ageing
eye.

w...
THE AGEING EYE
•

the ability to adapt from one
level of brightness to another
is slowed.

www.dtsc.com.au
THE AGEING EYE
•

The fluid interior of the
eye becomes cloudy as
we age.
This results in an additional
reduction of contr...
THE AGEING EYE

•

The thickening of the lens surface
can also result in a slight yellowing
condition
www.dtsc.com.au
PEOPLE LIVING WITH DEMENTIA:
Impaired
depth
perception

Altered
colour
perception

Spatial
disorientation

Reduced
contras...
PRINCIPLES OF DESIGN
1. Unobtrusively reduce risks
2. Provide a human scale
3. Allow people to see and be seen

4. Reduce ...
OPTIMISE HELPFUL STIMULATION

www.dtsc.com.au
REDUCE UNHELPFUL STIMULATION

www.dtsc.com.au
www.dtsc.com.au
www.dtsc.com.au
FAMILIARITY

www.dtsc.com.au
www.dtsc.com.au
www.dtsc.com.au
www.dtsc.com.au
ENVIRONMENTS FOR PEOPLE IN THE FINAL
STAGES OF DEMENTIA

• Literature Review
• Focus groups with people with dementia,
fam...
THE ENVIRONMENT FOR PEOPLE IN THE
FINAL STAGES OF DEMENTIA SHOULD :-

•
•
•

Support the continued use of the senses

Prov...
THE ENVIRONMENT FOR PEOPLE IN THE
FINAL STAGES OF DEMENTIA SHOULD :-

•
•

Provide opportunities for engagement with
spiri...
THE ENVIRONMENT FOR PEOPLE IN THE
FINAL STAGES OF DEMENTIA SHOULD :-

•
•
•
•

Provide opportunities for social engagement...
THE ENVIRONMENT FOR PEOPLE IN THE
FINAL STAGES OF DEMENTIA SHOULD :-

•
•

Provide privacy

Foster dignity

www.dtsc.com.a...
THE ENVIRONMENT FOR PEOPLE IN THE
FINAL STAGES OF DEMENTIA SHOULD :-

•
•
•

•

Support safety and security

Enable visual...
THE ENVIRONMENT FOR PEOPLE IN THE
FINAL STAGES OF DEMENTIA SHOULD :• Support the continued use of the senses
• Provide acc...
rfleming@uow.edu.au

www.dtsc.com.au
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Prof Richard Fleming NSW/ACT Dementia Training Study Centre

  1. 1. DEMENTIA-FRIENDLY ENVIRONMENTAL DESIGN Professor Richard Fleming Director NSW/ACT Dementia Training Study Centre
  2. 2. MY TASK IS TO PROVIDE SOME INFORMATION AND COMMENT ON:- • • • How reduced cognitive capabilities change how people with dementia view their world A physical environment can be created that specifically meets their needs Ensuring accommodation meets the needs continuum of early, middle and late stages of dementia www.dtsc.com.au
  3. 3. www.dtsc.com.au
  4. 4. www.dtsc.com.au
  5. 5. The Ageing Eye* *Courtesy Debbie De Fiddes, colour and lighting consultant, Debbie@dfdesign.com.au www.dtsc.com.au
  6. 6. THE AGEING EYE • By age sixty the amount of light entering the eye is reduced by about 1/3 of the light a twenty year old receives. • Perceived brightness or intensity of a colour is also affected. www.dtsc.com.au
  7. 7. THE AGEING EYE • As well as absorbing light the thickened lens also diffuses the light as it passes through the lens. This process increases glare. www.dtsc.com.au
  8. 8. THE AGEING EYE • Contrast sensitivity or the ability to detect differences in brightness is reduced in the ageing eye. www.dtsc.com.au
  9. 9. THE AGEING EYE • the ability to adapt from one level of brightness to another is slowed. www.dtsc.com.au
  10. 10. THE AGEING EYE • The fluid interior of the eye becomes cloudy as we age. This results in an additional reduction of contrast in a perceived image. www.dtsc.com.au
  11. 11. THE AGEING EYE • The thickening of the lens surface can also result in a slight yellowing condition www.dtsc.com.au
  12. 12. PEOPLE LIVING WITH DEMENTIA: Impaired depth perception Altered colour perception Spatial disorientation Reduced contrast perception www.dtsc.com.au
  13. 13. PRINCIPLES OF DESIGN 1. Unobtrusively reduce risks 2. Provide a human scale 3. Allow people to see and be seen 4. Reduce unhelpful stimulation 5. Optimise helpful stimulation 6. Support movement and engagement 7. Create a familiar space 8. Provide opportunities to be alone or with others 9. Provide links to the community 10. Respond to a vision for a way of life www.dtsc.com.au
  14. 14. OPTIMISE HELPFUL STIMULATION www.dtsc.com.au
  15. 15. REDUCE UNHELPFUL STIMULATION www.dtsc.com.au
  16. 16. www.dtsc.com.au
  17. 17. www.dtsc.com.au
  18. 18. FAMILIARITY www.dtsc.com.au
  19. 19. www.dtsc.com.au
  20. 20. www.dtsc.com.au
  21. 21. www.dtsc.com.au
  22. 22. ENVIRONMENTS FOR PEOPLE IN THE FINAL STAGES OF DEMENTIA • Literature Review • Focus groups with people with dementia, family and professional carers • Survey of Australian and UK experts www.dtsc.com.au
  23. 23. THE ENVIRONMENT FOR PEOPLE IN THE FINAL STAGES OF DEMENTIA SHOULD :- • • • Support the continued use of the senses Provide access to the outdoors/natural environment Provide access to nature indoors (e.g. plants, natural light, fresh air) www.dtsc.com.au
  24. 24. THE ENVIRONMENT FOR PEOPLE IN THE FINAL STAGES OF DEMENTIA SHOULD :- • • Provide opportunities for engagement with spiritual aspects of life Promote calmness www.dtsc.com.au
  25. 25. THE ENVIRONMENT FOR PEOPLE IN THE FINAL STAGES OF DEMENTIA SHOULD :- • • • • Provide opportunities for social engagement Provide opportunities to be with family Promote of a sense of familiarity and homeliness Support staff, residents and visitors to find their way around/know where things are) www.dtsc.com.au
  26. 26. THE ENVIRONMENT FOR PEOPLE IN THE FINAL STAGES OF DEMENTIA SHOULD :- • • Provide privacy Foster dignity www.dtsc.com.au
  27. 27. THE ENVIRONMENT FOR PEOPLE IN THE FINAL STAGES OF DEMENTIA SHOULD :- • • • • Support safety and security Enable visual monitoring by staff – via human contact and not through the resident being placed in a public area Reduce physical stress (e.g. provision of appropriate beds/mattresses) Facilitate nursing care (e.g. facilitate bathing, feeding, going to the toilet , lifting) www.dtsc.com.au
  28. 28. THE ENVIRONMENT FOR PEOPLE IN THE FINAL STAGES OF DEMENTIA SHOULD :• Support the continued use of the senses • Provide access to the outdoors/natural environment • Provide access to nature indoors (e.g. plants, natural light, fresh air) • Provide opportunities for engagement with spiritual aspects of life • Provide opportunities for social engagement • Promote of a sense of familiarity and homeliness • Provide opportunities to be with family • Promote calmness • Provide privacy • Foster dignity • Support safety and security • Support staff, residents and visitors to find their way around/know where things are) • Enable visual monitoring by staff – via human contact and not through the resident being placed in a public area • Reduce physical stress (e.g. provision of appropriate beds/mattresses) • Facilitate nursing care (e.g. facilitate bathing, feeding, going to the toilet , lifting) www.dtsc.com.au
  29. 29. rfleming@uow.edu.au www.dtsc.com.au

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