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Dementia-Friendly Design Recommendations in a World of Risk Mitigation

Dementia-Friendly Design Recommendations in a World of Risk Mitigation. Frances Morton-Chang, Design CoP Lead; Health Policy Consultant Sarah Clark, Alzheimer Knowledge Exchange; Canadian Dementia Resource and Knowledge Exchange. We have no conflicts of interest to disclose. Introduction.

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Dementia-Friendly Design Recommendations in a World of Risk Mitigation

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  1. Dementia-Friendly Design Recommendations in a World of Risk Mitigation Frances Morton-Chang, Design CoP Lead; Health Policy Consultant Sarah Clark, Alzheimer Knowledge Exchange; Canadian Dementia Resource and Knowledge Exchange

  2. We have no conflicts of interest to disclose

  3. Introduction • Who are we? • AKE Design and Dementia CoP • What are we here to talk about? • “Knowledge to Practice” recommendations to achieve dementia-friendly environmental design • Who is our target audience? • Long-Term Care Homes (primarily) • Supportive housing • Individuals’ own homes • Adult day programs

  4. Knowledge-to-Practice Opportunity Current Context: design in LTC homes often does not meet the complex needs of person’s with dementia Ideal Practice: person- / relationship-centered care Gap: Flexibility in design; current ministry standards can impede this

  5. Impact of Design • Improved quality of life and dementia care (PWD, staff, volunteers and family) • Reduced misperceptions and responsive behaviours (anxiety, confusion) • Enhanced design for PWD will also have a positive effect on the greater senior population

  6. Purpose of Community of Practice (CoP) Identify topic-specific innovations Translate research and practice-based evidence Help implement changes to improve care of PWD

  7. Design and Facilitation • Members self-select areas of interest • Review evidence / primary literature • Discuss content, highlight themes and identify practical implementation strategies • Adapt Regional Geriatric Program audit tool with dementia specific findings • ‘Living’ knowledge-to-practice recommendations • continually edited and updated by the CoP based on practice-based and experiential knowledge

  8. The Balancing Act Home like environment and safe care environment Client and staff (OHS & other considerations) Persons with Dementia (PWDs) and other clients Building on strengths and risk management

  9. Audience Language reflects both setting and reader

  10. Jurisdictional Differences • Inertia re: best practices • Interpretation of codes, regulations • Interpretation of national building code provincially • Compliance advisors interpretation of regulations • Etc.

  11. Physical Changes Marketing “pretty” and functionality Retrofitting can be expensive Good design features can be undone by poor procedures

  12. Process Changes Who is responsible and for what? Will they remember?

  13. Legislation • Marrying multiple and often contradictory goals • Home-like environment, • Occupational health and safety • Legislation, • Fire codes • Building codes • Etc.

  14. Contact Information • For more about the AKE Design and Dementia CoP, you may contact: • Frances Morton , CoP Leadelder.coach@hotmail.com • 416-422 -1292 • Sarah Clark, Knowledge Brokerclark@dementiaknowledgebroker.ca • 613-548-5567 * 5452 • To see resources, visit http://akeresourcecentre.org/Design • This work is licensed under the Creative Commons Attribution-Noncommercial-Share Alike 2.5 Canada License. • To view a copy of this license, visit

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