Improving Person-Centered Care Through Effective Design

This article presents eight design criteria-primarily but not exclusively for residential settings-that support the personhood of people living with dementia by providing them with greater understanding and control over their physical environment. The article describes how each criterion, based in a...

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Published in:Generations (San Francisco, Calif.) Vol. 37; no. 3; pp. 45 - 52
Main Author: Zeisel, John
Format: Journal Article
Language:English
Published: San Francisco American Society on Aging 01.10.2013
Subjects:
Ageing
Aging
Assisted living facilities
Behavior
Brain
Caregivers
Clinical research
Clinical trials
Dementia
Design
Gardens & gardening
Health Care Services
Housing
Institutes
Long term health care
Medical Research
Neurosciences
Nursing Homes
Older people
Original
Person centred approach
Personhood
Privacy
Self concept
Senility
Special care units
Walking
ISSN:0738-7806, 2694-5126
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Abstract This article presents eight design criteria-primarily but not exclusively for residential settings-that support the personhood of people living with dementia by providing them with greater understanding and control over their physical environment. The article describes how each criterion, based in a neuroscience understanding of hard-wired brain function, leads to a greater sense of self, improved relationships among individuals, staff, and family members, and ultimately person-centered care.
AbstractList Person-centered care is a primary goal of designing for dementia. Every environmental characteristic that helps people with dementia be more 'themselves' helps unleash hardwired brain capacities that reinforce a person's sense of self, which improves reciprocal relationships between the person and their partners and caregivers. As such, the two reasons for designing for dementia are to enable the person to be all he or she can be, and to support the most enriching relationships possible. In 2003, a two-year clinical trial funded by the National Institutes of Health and the National Institute on Aging, evaluated the impact of these design characteristics on the behaviors of people with dementia residing in special assisted living residences or nursing home special care units. This article explains some types of design guidelines (exit control, walking paths, common spaces, privacy and personalization, garden access, residential-ness, etc) emphasizing the effects design can have on the personhood of residents and on opportunities for relationships that such effects can have -- the link to person-centered care. Adapted from the source document.
This article presents eight design criteria-primarily but not exclusively for residential settings-that support the personhood of people living with dementia by providing them with greater understanding and control over their physical environment. The article describes how each criterion, based in a neuroscience understanding of hard-wired brain function, leads to a greater sense of self, improved relationships among individuals, staff, and family members, and ultimately person-centered care.
This article presents eight design criteria-primarily but not exclusively for residential settings-that support the personhood of people living with dementia by providing them with greater understanding and control over their physical environment. The article describes how each criterion, based in a neuroscience understanding of hard-wired brain function, leads to a greater sense of self, improved relationships among individuals, staff, and family members, and ultimately person-centered care.
Person-centered care is a primary goal of designing for dementia. Every environmental characteristic that helps people with dementia be more "themselves" helps unleash hardwired brain capacities that reinforce a person's sense of self, which improves reciprocal relationships between the person and their partners and caregivers. As such, the two reasons for designing for dementia are to enable the person to be all he or she can be, and to support the most enriching relationships possible. In 2003, a two-year clinical trial funded by the National Institutes of Health and the National Institute on Aging, evaluated the impact of these design characteristics on the behaviors of people with dementia residing in special assisted living residences or nursing home special care units. This article explains some types of design guidelines (exit control, walking paths, common spaces, privacy and personalization, garden access, residential-ness, etc) emphasizing the effects design can have on the personhood of residents and on opportunities for relationships that such effects can have -- the link to person-centered care.
Author Zeisel, John
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Snippet This article presents eight design criteria-primarily but not exclusively for residential settings-that support the personhood of people living with dementia...
Person-centered care is a primary goal of designing for dementia. Every environmental characteristic that helps people with dementia be more "themselves" helps...
Person-centered care is a primary goal of designing for dementia. Every environmental characteristic that helps people with dementia be more 'themselves' helps...
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SubjectTerms Ageing
Aging
Assisted living facilities
Behavior
Brain
Caregivers
Clinical research
Clinical trials
Dementia
Design
Gardens & gardening
Health Care Services
Housing
Institutes
Long term health care
Medical Research
Neurosciences
Nursing Homes
Older people
Original
Person centred approach
Personhood
Privacy
Self concept
Senility
Special care units
Walking
Title Improving Person-Centered Care Through Effective Design
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