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"What happened," says Isabel van Zuthem, Hogewey's information officer, sitting at a cafe table on the home's wide and welcoming piazza, an ornamental fountain playing behind her, "is that back in 1992, when this was still a traditional nursing home for people with dementia – you know: six storeys, anonymous wards, locked doors, crowded dayrooms, non-stop TV, central kitchen, nurses in white coats, heavy medication – two of the staff who worked here unexpectedly lost their mothers.
"Each said to the other: Well, at least it happened quickly, and they didn't end up here; this place is so horrible. Then they realised what they'd just said, and started to think: what kind of home would we like for a relative with dementia? Where might we want to live, maybe, one day? How would we like our life to be; what would we hope to experience?”
Hogewey has 25 clubs, from folksong to baking, literature to bingo, painting to cycling. It also encourages residents to keep up the day-to-day tasks they have always done: gardening, shopping, peeling potatoes, shelling the peas, doing the washing, folding the laundry, going to the hairdresser, popping to the cafe. "Those small, everyday acts are just vital," says Van Zuthem. "They stimulate; give people the feeling they still have a life."
The homes belong to seven different "lifestyle categories": not periods frozen in time, such as the 50s or 60s, but more moods evoked through choice of furnishing, decoration, music, even food. One is gooise, or Dutch upper class – all ornate chandeliers, lace tablecloths, fine dark reproduction furniture, and a kitchen discreetly concealed behind a screen; here, says Isabel, "the carers behave like servants. Many of the people who are here will have had a maid."
'Dementia Village' - as it has become known -- is a place where residents can live a seemingly normal life, but in reality are being watched all the time. Caretakers staff the restaurant, grocery store, hair salon and theater -- although the residents don't always realize they are carers -- and are also watching in the residents' living quarters.
Residents are allowed to roam freely around the courtyard-like grounds with its landscaped trees, fountains and benches -- but they can't leave the premises.
Their two-story dormitory-style homes form a perimeter wall for the village, meaning there is no way a resident can accidentally wander out.
And if they do approach the one exit door, a staffer will politely suggest the door is locked and propose another route.
"Could this innovative model work in other countries?"
Not in the USA, it won't. Here the whole idea behind our health care system, even for the elderly, is maximizing profit for some company, usually multiple companies, in the chain from patient to caregiver. As long as we continue to believe that for-profit health care is a good idea, we're doomed to remain far behind the rest of the industrialized world in quality of health care. In nearly every category, from mortality and infant mortality to cost and effectiveness, the USA ranks behind nearly every European, so-called socialist, health care system.
It's outrageous, but we've been brainwashed since birth here to believe that as long as someone is making a profit, it must be a good thing.
In some ways, this is similar to the manufactured reality depicted in the movie "The Truman Show," where a man played by Jim Carrey discovers his entire life is actually a TV program. Everything he thinks is real is in fact a mirage, created by television producers for the viewing public's entertainment.
Van Amerongen dismisses any accusations that she and her staff are duping their residents. "We have a real society here," she says. "I don't think people feel fooled. They feel fooled if we just tell them a story that's not true and they know it. We're not telling stories."
Originally posted by Akragon
reply to post by jude11
Interesting concept... though I would definitely question his use of the word "severe"
This Idea is much better then the usual facility for dementia care... which is more like a Beautiful Prison ...
S&F
Its nice to see people trying to find solutions to these issues
edit on 13-7-2013 by Akragon because: (no reason given)
The sad part of Dementia and Alzheimer's is that the people who need the help are the caregivers who stay with such.
Originally posted by liveandlearn
S&F OP, this is an excellent article and video.
As an older person with no Alzheimer and minimal dementia in my family I don't expect it to happen to me but from the time I was in my 30's, 40's, not sure, I have advocated that elderly people need to be able to maintain their dignity and feel the respect they deserve for the long life they have lived and the wisdom they have imparted. This seems to be an environment that at least allows the dignity and respect while living a semi normal life.
Originally posted by Skywatcher2011
reply to post by jude11
I wonder if dementia is related to a person not being able to keep up with pressures of life and so the mental thought processes within the brain start to shut down.
Is the world THIS chaotic?
Originally posted by jude11
Originally posted by Skywatcher2011
reply to post by jude11
I wonder if dementia is related to a person not being able to keep up with pressures of life and so the mental thought processes within the brain start to shut down.
Is the world THIS chaotic?
But you make a good point. More and more instability in the World...News pushed at us from the global stage of wars, death, banks, financial, religious, govt, cover-ups like no other....
Maybe some just can't cope as much as others and shut down. Not all at once like a breakdown but maybe in stages.