The Effects of Rearranging Ward Routines on Communication and Eating Behaviors of Psychogeriatric Patients

Melin, Lennart; Götestam, K. Gunnar

doi:10.1901/jaba.1981.14-47

Cited by 96 publications

(47 citation statements)

References 12 publications

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“…There is moderately strong evidence for the beneficial effects of providing people with dementia with an environment that gives them this opportunity (Melin and Gotestam, 1981.;Reimer et al, 2004). However, it is very difficult to differentiate the contribution of the physical environment from that of staff encouragement and support.…”

Section: Social Environment (Homeliness Activities and Outside Space)mentioning

confidence: 99%

Long-term care for people with dementia: environmental design guidelines

Fleming

Purandare

2010

Int. Psychogeriatr.

164

128

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Background: A large and growing number of people with dementia are being cared for in long-term care. The empirical literature on the design of environments for people with dementia contains findings that can be helpful in the design of these environments. A schema developed by Marshall in 2001 provides a means of reviewing the literature against a set of recommendations. The aims of this paper are to assess the strength of the evidence for these recommendations and to identify those recommendations that could be used as the basis for guidelines to assist in the design of long term care facilities for people with dementia.Methods: The literature was searched for articles published after 1980, evaluating an intervention utilizing the physical environment, focused on the care of people with dementia and incorporating a control group, pre-test-post-test, cross sectional or survey design. A total of 156 articles were identified as relevant and subjected to an evaluation of their methodological strength. Of these, 57 articles were identified as being sufficiently strong to be reviewed.Results: Designers may confidently use unobtrusive safety measures; vary ambience, size and shape of spaces; provide single rooms; maximize visual access; and control levels of stimulation. There is less agreement on the usefulness of signage, homelikeness, provision for engagement in ordinary activities, small size and the provision of outside space.Conclusions: There is sufficient evidence available to come to a consensus on guiding principles for the design of long term environments for people with dementia.

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Section: Social Environment (Homeliness Activities and Outside Space)mentioning

confidence: 99%

Long-term care for people with dementia: environmental design guidelines

Fleming

Purandare

2010

Int. Psychogeriatr.

164

128

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“…Research findings from an experiment with 22 residents support noninstitutional dining arrangements. Noninstitutional dining-in which residents dined "family style" at small dining tables in a coffee room, instead of from trays while seated in chairs in the corridorwas linked to increased social interaction and communication during dining and to improved eating behavior among residents (Götestam & Melin, 1987;Melin & Götestam, 1981). Institutional staff practices (e.g., assigned seating, institutional food service) provoked disruption and agitation in dining rooms with homelike design features (Moore, 1999).…”

Section: Specific Rooms and Activity Spacesmentioning

confidence: 99%

The Therapeutic Design of Environments for People With Dementia

Day¹,

Carreon²,

Stump³

2000

The Gerontologist

440

362

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Design of the physical environment is increasingly recognized as an important aid in caring for people with dementia. This article reviews the empirical research on design and dementia, including research concerning facility planning (relocation, respite and day care, special care units, group size), research on environmental attributes (noninstitutional character, sensory stimulation, lighting, safety), studies concerning building organization (orientation, outdoor space), and research on specific rooms and activity spaces (bathrooms, toilet rooms, dining rooms, kitchens, and resident rooms). The analysis reveals major themes in research and characterizes strengths and shortcomings in methodology, theoretical conceptualization, and applicability of findings.

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“…Nevertheless, little is known about the in¯uence of social factors on prognosis. People with dementia are sensitive to social changes made in their routine and environment (Melin and Gotestam, 1981;Stahler et al, 1984). Relocation can lead to disorientation and behavioural disturbance (Anthony et al, 1987) and an increase in mortality (Crank and Zweig, 1980).…”

Section: Introductionmentioning

confidence: 99%