CCM 3rd Week Presentation

8/9/2019 CCM 3rd Week Presentation

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Dont forget theres a person in there.

Memory Care and Memory Support inan Aging Population

www.candymcdowall.blogspot.com


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Design-Directing Behaviors of Alzheimersand other Dementia Related Conditions

Disorientation

Wandering

RummagingIncontinence

Perserveration

Agitation



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Evidence Based Design

EBD is defined by the Center for HealthDesign as the process of basing decisions

about the built environment on credibleresearch to achieve the best possibleoutcomes.



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Examples of EBD

Increased light levels and more visual contrast between the table and plate

increased caloric intake by a statistically significant amount.

Residents experienced 47% to 55% reduction in disruptive behaviors whenin a bright light condition as opposed to a control condition of standardlighting practices.

Large patterned and high contrast flooring materials were associated withgreater problems with ambulation (side-stepping, reaching for handrail,veering while walking)

A view from the bed to the toilet increased toilet use from 37 uses to 285

uses during the same time period.



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Enter the Fuzzy Front End

Design-Research methods can access an entirely new set ofdata by addressing that unknown fuzzy front end.

If we dont know what we dont know,imagine what we could learn.

EBDDesign Research



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Basic Assumptions in Moving Forward

People with varying levels of dementia also havevarying levels of ability to make known their needs anddesires.

Identifying what represents comfort to someone whomay not be able to express it adequately in the momentmay help to reduce anxiety and agitation in that person.



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Research Question

How can design-researchtechniques assess the

meaning of comfort inpatients suffering fromvarious stages of dementia?



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Key Concepts

Alzheimers Disease/Dementia

Evidence-based Design

Culture Change

Memory Support/Memory Care



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Hypothesis

Design research methods can helpresearchers identify what is comfortingto patients suffering from various levelsof dementia in order to alleviate

symptoms of agitated behavior.

Potential Resources: senior care organizations (administrators, care givers,residents, families), AIA Design For Aging, AAHID, multitude of advocacy organizations(Action Pact, Pioneer Network), research organizations (Center for Health Design, Mature

Market Institute, Healthstream Research), Environments for Aging Conference 2010 andbeyond



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Audience

Who participates? Current nursing home elders, staff, families, experts

in the field

Who benefits?

The Senior Living Community

Anyone who is aging.



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MethodBegin with direct observation of Memory Support units from the perspective of both the

residents and caregivers

Lots of contextual research and conversation

Pilot studies using MakeTools with elders of healthy brain function and progressing tosmall groups of elders with symptoms of dementia

Full scale implementation of research study with up to 20 elders displaying various levelsof dementia or memory loss

Goal: to identify what represents comfort tosomeone with dementia or memory loss



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Candy McDowall

Thank you.


CCM 3rd Week Presentation

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Transcript of CCM 3rd Week Presentation