“…The natural environment has been shown to have important therapeutic outcomes, it can provide a context for meaningful interactions between people with dementia and their carers, offering opportunities for individuals to engage with nature, and it can improve self-perceived well-being and quality of life (Pulsford, 1997;Lovering et al, 2002). However, many people with dementia, like many older people, have chronic, long-term and multiple conditions, including high levels of mental confusion and impaired sight and hearing, all of which place increasing restrictions on their activities (Froggatt, 2004) and increasing challenges on environmental design (Keen, 1989;Marshall, 1998;Valla & Harrington, 1998;Cohen-Mansfield & Werner, 1998). Access to nature in itself is not always positive as older people experience discomfort from glare, draughts and cold.…”