Role of Physical Environment in Quality of Life among Residents in Dementia Care Facilities through a Longitudinal Observational Study - For Facilities in Canada and South Korea -

2021 ◽  
Vol 32 (6) ◽  
pp. 23-32
Author(s):  
Sook-Young Lee ◽  
Lillian Hung ◽  
Hyun-Won Jung ◽  
Habib Chaudhury
2020 ◽  
Vol 32 (S1) ◽  
pp. 170-170
Author(s):  
Sook Young Lee ◽  
Lillian Hung ◽  
Habib Chaudhury

This study explored staff perceptions of the role of physical environment in dementia care facilities in affecting resident’s behaviors and staff care practice. We used focus group method (Krueger & Casey, 2000; Krueger, 1998) to elicit staff’s shared perceptions on the impact of the physical environment on residents’ behaviors and on their own care practice. A total of 24 staff members from four facilities, two in Sweden and two in Canada, participated. Discussions in the focus groups generated rich and inter-subjective accounts via dynamic and interactive exchange among participants. Participants were explained that the researchers were particularly interested in three aspects of the physical environment: architecture or spatial layout of the setting (e.g. corridor length, bath room size, etc.), interior design aspects (e.g. lighting, flooring, furnishing, etc.) and sensory aspects (e.g. noise, smell, tactile properties, etc.). Staff in both countries reported similar physical environmental characteristics that enabled and hindered them from delivering good care. This study yielded three environmental themes that have a substantial effect on the social interaction and care practice: design ambience, space arrangement, and sensory stimuli. The deficits in the physical environmental characteristics prevented staff from providing effective person-centred care. Our findings identified substantial differences between the facilities of the two countries, although it is possible that greater differences might exist between the range of facilities in each country about the quality of environment and care. The quality of environment contributed to a high job satisfaction reported by staff in Sweden. The unsupportive and problematic features of the physical environment seemed to be the primary factor that triggers agitation among the residents with dementia in Canada.


2021 ◽  
pp. 109634802110115
Author(s):  
Seonjeong (Ally) Lee ◽  
Ning-Kuang Chuang

The physical environment plays an essential role in customers’ hotel stay experiences. Hotels offer a differentiated atmosphere that creates favorable customers’ evaluations. Based on the significant role of environmental cues, this study investigates the effects of an expanded servicescape on customers’ evaluations, including customer satisfaction, quality of life, and customer loyalty, in the context of the hotel industry. To test the proposed research framework, this study collects data from previous hotel customers and conducts a self-administered, online survey. Findings identified ambience, interactions with employees, authenticity, and fascination positively influenced customers’ satisfaction, which further influenced customer loyalty. Only ambience and fascination positively influenced quality of life, which in turn influenced customer loyalty. Results contributed to the application of expanded servicescape in the hotel context. Results also suggested practical implications of the holistic approach of servicescape in the hotel industry.


2020 ◽  
Vol 32 (S1) ◽  
pp. 15-16
Author(s):  
William E. Reichman ◽  
L. Bradford Perkins ◽  
Hilde Verbeek

This symposium will review the latest data on the influence of environmental design and its attributes on the cognitive and psychological wellbeing of older adults living with dementia. The presenters will cover the myriad ways in which the physical environment of care can adapt to the changing demands of older adults with sensory, motor and cognitive deficits and foster optimal functioning and quality of life. The role of emerging technologies will also be reviewed as they complement the contribution of the design of the physical environment to the wellbeing of older adults with cognitive impairment. Information will be offered through a review of the existing research literature as well as case studies that illustrate the impact of environmental modification on fostering wellbeing and minimizing the emergence of the behavioral and psychological symptoms of dementia. The presenters will represent and integrate sensibilities that have emerged from the fields of architecture, cognitive neuroscience and psychology.How the Principles of the Culture Change Movement Inform Environmental Design and the Application of Technology in the Care of Older Adults Living with DementiaWilliam E. ReichmanThe culture change movement informs a number of principles that have been applied to more contemporary design concepts for the congregate care of older adults living with dementia. This talk will review the core tenets of the Culture Change Movement as exemplified by the Greenhouse, Dementia Village and other innovative models of congregate long-term care. Specific reference will be made to how these tenets have been operationalized around the world into the design of programming and the creation of residential care environments that foster a better quality of life for older adults and an enhanced work environment for care providers. This talk will also include the emerging role of technologies that complement innovative design of the environment and which foster optimized social and recreational functioning of older adults living with dementia.A Better Life Through a Better Nursing Home DesignL. Bradford PerkinsOver the last 20 years there has been extensive experimentation related to the role of the environment in the housing, care and treatment of persons with Alzheimer’s and other age related dementias. Prior to that time the typical housing and care environment was a locked unit in a skilled nursing or other restrictive senior living facility. In 1991 the Presbyterian Association on Aging in Western Pennsylvania opened Woodside Place on its Oakmont campus. This small 36 bed facility was designed to incorporate the latest research and care experience with persons suffering from these issues. This one small project, as well as the long post occupancy research led by Carnegie Mellon University, clearly demonstrated that individuals with Alzheimer’s and related forms of dementia could lead a healthier, happier, higher quality of life in a more residential, less restrictive environment. Not everything in this pioneering project worked, and five generations of living and care models have followed that have refined the ideas first demonstrated by Woodside Place. Bradford Perkins, whose firm designed Woodside Place and over 100 other related projects, will discuss what was learned from Woodside Place as well as the five generations of projects (and post occupancy research) that followed.Innovative dementia care environments as alternatives for traditional nursing homes: evidence and experiences from the NetherlandsHilde VerbeekKey goals of the dementia care environment focus on increasing autonomy, supporting independence and trying to enable one’s own lifestyle for as long as possible. To meet these goals, innovative, small-scale and homelike care environments have been developed that have radically changed the physical, social and organizational aspects of long-term care in the Netherlands. This presentation discusses various Dutch models that have implemented small-scale and homelike care environments, including green care farms, dementia village and citizen initiatives. The models reflect a common care concept, focusing on residents’ remaining strengths, providing opportunity for choice and aiming to sustain a sense of self and control. A small number of residents (usually 6 to 8) live together in a homelike environment and nursing staff are part of the household. Residents are encouraged to participate in daily household activities, emphasizing normalization of daily life with person-centred care. The physical environment resembles an archetypal home. This talk presents the scientific evidence on the impact and effects of these small-scale, homelike models on residents, their family caregivers and staff. Furthermore, the presentation will highlight working approaches and how these initiatives have positively influenced routine care across the long-term care spectrum.


2007 ◽  
Vol 16 (9) ◽  
pp. 1453-1460 ◽  
Author(s):  
Dirk Heider ◽  
Katharina Kitze ◽  
Margrit Zieger ◽  
Steffi G. Riedel-Heller ◽  
Matthias C. Angermeyer

Author(s):  
Christos Bouras ◽  
Apostolos Gkamas ◽  
Thrasyvoulos Tsiatsos

Broadband deployment is a necessity nowadays. It could help each country, municipality and region to grow and offer better quality of life to the citizens. Today, the emphasis on the development of broadband networks is on fixed Fibre To The Home solutions The lessons learned from countries that are leaders in broadband penetration and Fibre To The Home deployment could be proven very useful for under-served communities, regions and countries where the broadband penetration is low. Therefore, this chapter summarises the lessons learned from implementing (a) country-wide strategies formulated at the national level, and (b) local strategies formulated by the municipalities. Concerning the role of national and local governments, it should be noted that nowadays it is very urgent the involvement of government in the development of broadband infrastructure. Proposed noteworthy remarkable cases are Japan, South Korea and Singapore.


2016 ◽  
Vol 234 ◽  
pp. 106-113 ◽  
Author(s):  
Akehsan Dahlan ◽  
Syamsul Anwar Sultan Ibrahim ◽  
Mohamad Ghazali Masuri

PLoS ONE ◽  
2015 ◽  
Vol 10 (12) ◽  
pp. e0145310 ◽  
Author(s):  
Pablo Martinez-Martín ◽  
Carmen Rodriguez-Blazquez ◽  
Silvia Paz ◽  
Maria João Forjaz ◽  
Belén Frades-Payo ◽  
...  

2019 ◽  
Vol 28 (9) ◽  
pp. 2453-2469 ◽  
Author(s):  
Janet Moeijes ◽  
Jooske T. van Busschbach ◽  
Ruud J. Bosscher ◽  
Jos W. R. Twisk

BMC Cancer ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Renate M Winkels ◽  
Renate C Heine-Bröring ◽  
Moniek van Zutphen ◽  
Suzanne van Harten-Gerritsen ◽  
Dieuwertje EG Kok ◽  
...  

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