Making an environment more dementia-friendly didn’t necessarily have to involve calling in the builders, and can be as simple as rearranging furniture, says expert.
Dementia-friendly design not only enhances the wellbeing of residents living with dementia but enables aged care providers to create sustainable environments.
That’s according to architect Kirsty Bennett, manager of environmental design education services at the NSW/ACT Dementia Training Study Centre (DTSC), who said it was a myth that providers had to be simplistic when it came to designing dementia-friendly environments.
“Bland, boring, repetitive environments are actually really confusing for a person with dementia,” Ms Bennett told the Leading Aged Services Australia Tri-State conference last week.
Instead, she said providers needed to design environments that were relevant and meaningful for residents living with dementia. A well-designed environment considered resident’s stories – such as their lifestyle, cultural and socio-economic backgrounds and interests, said Ms Bennett.
However, she also stressed that environments needed to keep recognisable characteristics, considering what residents were familiar with.
Often when providers discussed design they talked about capital costs, but Ms Bennett advised not to silo budgets, noting improvements to environmental design could help with long-term operational sustainability.
Making an environment more dementia-friendly didn’t necessarily have to involve a new build – it could be as simple as rearranging furniture, she said.
The DTSC developed 10 design principles to help create dementia-friendly environments, which Ms Bennett said offered a starting point for innovative and sustainable design.
Research had shown these principles reduce negative outcomes for people with dementia, such as agitation, confusion and wandering behaviours, and increase positive outcomes in areas such as mobility, wayfinding and activities of daily living.
The 10 key design principles are:
1. Unobtrusively reduce risk: Safety was important, but it was also key to enable people at the same time. For example, if creating a fence around a facility, using a material such as wire will allow people to see through and enjoy the view beyond the site.
2. Provide a human scale: Group size was important for people with dementia, with more people meaning potentially more distractions, which can affect behaviour.
3. Allow people to see and be seen: It was important to allow people with dementia “visual access” to clearly see where they are in the environment. This might mean setting up a lounge room so people can see through an open door into the hallway or other rooms, and having a window to look outside.
4. Minimise unhelpful stimulation: Unhelpful stimulation may distress and confuse those with dementia, and this includes all of the senses. Solutions to this may include painting murals to hide doors that are not to be used and reducing excessive signage.
5. Optimise helpful stimulation: Environmental cues such as colour, objects or a view enable people with dementia to better find their way around and made environments more meaningful.
6. Support movement and engagement: Arrange environments in ways that encourage people to use them. This might mean rearranging chairs around a table to make a clearer point of interest and better create an invitation to sit down.
7. Create a familiar space: Furniture, finishing, colours and fittings should be selected based on what someone is used to in order to make them feel comfortable.
8. Provide opportunities to be alone own or with others: Provide a range of environments that allow people to have both privacy and social interaction, both inside and outside.
9. Provide links with to the community: This might include a community garden or inviting people to the facility to enjoy a movie night.
10. Respond to a vision for way of life: Facilitate environments that respond to people’s stories and allow them to continue with interests such as sewing or gardening.
Main image: Peak Multimedia
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