Recent research has focused on the design of special care units for residents with dementia, often identifying the social benefits of residentially scaled kitchen and dining areas. This qualitative case study examines how the environmental design features of two dining settings in one special care unit impact residents' patterns of socialization and interaction at meal times. The first setting is a central dining room for 50 to 60 residents. The second setting is a small office with a residentially scaled kitchen, where once a week, the activity director invites six residents for lunch once a week. Within an ecological theoretical framework, the study findings reveal that, while mealtimes in both settings are highly anticipated, it is the complex relational ties between the operational, managerial, and environmental features of the settings which determine residents' social interaction and satisfaction with their mealtime experiences.KEYWORDS special care unit, dementia, dining room environments, place attachment
INTRODUCTIONThe design of the physical environment in long-term care and special care units (SCUs) has been shown to have substantial effects on residents' patterns of social behavior, and it is widely recognized that social and physical environments can profoundly influence quality of life of older adults with Alzheimer's disease and related dementias (Brawley,