Built Environment

Because of impairments associated with dementia, people with dementia need an environment that supports them to optimise their abilities. About one-third of people with dementia on the island of Ireland reside in long stay care settings. Most research conducted on the design of the built environments for people with dementia focuses on long-stay care settings. On the island of Ireland all of the published articles on designing environments for people with dementia between 2010 and 2014 relate to long-stay care settings.  

Night optimised care technology for users needing assisted lifestyles.

AUGUSTO, J., MULVENNA, M., ZHENG, H., WANG, H., MARTIN, S., MCCULLAGH, P., WALLACE, J.
Behaviour and Information Technology
2014

Comparing communal environments using the Assessment Tool for Occupation and Social Engagement: using interactive occupation and social engagement as outcome measures

MORGAN-BROWN, M., CHARD, G., 2014
British Journal of Occupational Therapy
2014

Morgan-Brown and his colleagues have developed and used the Assessment Tool for Occupation and Social Engagement (ATOSE) to evaluate the sitting room experience in two nursing homes for people with dementia in ROI (Morgan-Brown et al 2011a), the levels of social and occ

upational engagement of staff (Morgan-Brown et al. 2011b) and to compare the social engagement and interactive occupation of residents before and after conversion to a household model environment (Morgan-Brown, Newton and Ormerod, 2013Morgan-Brown and Chard, 2014). In the traditionally designed nursing homes, high levels of non-active behaviour and very low levels of social engagement were the norm for people with dementia. Staff were frequently absent from the room and when present spent little time in social engagement or interactive occupation with residents. Conversion to the household model, which included a homemaker permanently allocated to the space, was linked to highly significant changes in the behaviour of residents in both nursing homes. The findings support the hypothesis that providing a household environment provides an opportunity to positively influence the behaviour of the residents with dementia.

An exploration of occupation in nursing home residents with dementia. British Journal of Occupational Therapy (2011 a)

Research Article: Social and Occupational Engagement of Staff in Two Irish Nursing Homes for People with Dementia (2011 b)

Engaging life in two Irish nursing home units for people with dementia: Quantitative comparisons before and after implementing household environments (2013)

Engaging life in two Irish nursing home units for people with dementia: Quantitative comparisons before and after implementing household environments

MORGAN-BROWN, M., NEWTON, R., ORMEROD, M.
Aging & Mental Health
2013

Morgan-Brown and his colleagues have developed and used the Assessment Tool for Occupation and Social Engagement (ATOSE) to evaluate the sitting room experience in two nursing homes for people with dementia in ROI (Morgan-Brown et al 2011a), the levels of social and occ

upational engagement of staff (Morgan-Brown et al. 2011b) and to compare the social engagement and interactive occupation of residents before and after conversion to a household model environment (Morgan-Brown, Newton and Ormerod, 2013Morgan-Brown and Chard, 2014). In the traditionally designed nursing homes, high levels of non-active behaviour and very low levels of social engagement were the norm for people with dementia. Staff were frequently absent from the room and when present spent little time in social engagement or interactive occupation with residents. Conversion to the household model, which included a homemaker permanently allocated to the space, was linked to highly significant changes in the behaviour of residents in both nursing homes. The findings support the hypothesis that providing a household environment provides an opportunity to positively influence the behaviour of the residents with dementia.

 An exploration of occupation in nursing home residents with dementia. British Journal of Occupational Therapy (2011 a)

Research Article: Social and Occupational Engagement of Staff in Two Irish Nursing Homes for People with Dementia (2011 b)

 Comparing communal environments using the Assessment Tool for Occupation and Social Engagement: using interactive occupation and social engagement as outcome measures (2014)

Research Article: Social and Occupational Engagement of Staff in Two Irish Nursing Homes for People with Dementia.

MORGAN-BROWN, M., ORMEROD, M., NEWTON, R., MANLEY, D., FITZPATRICK, M.
Irish Journal of Occupational Therapy
2011

Morgan-Brown and his colleagues have developed and used the Assessment Tool for Occupation and Social Engagement (ATOSE) to evaluate the sitting room experience in two nursing homes for people with dementia in ROI (Morgan-Brown et al 2011a), the levels of social and occ

upational engagement of staff (Morgan-Brown et al. 2011b) and to compare the social engagement and interactive occupation of residents before and after conversion to a household model environment (Morgan-Brown, Newton and Ormerod, 2013Morgan-Brown and Chard, 2014). In the traditionally designed nursing homes, high levels of non-active behaviour and very low levels of social engagement were the norm for people with dementia. Staff were frequently absent from the room and when present spent little time in social engagement or interactive occupation with residents. Conversion to the household model, which included a homemaker permanently allocated to the space, was linked to highly significant changes in the behaviour of residents in both nursing homes. The findings support the hypothesis that providing a household environment provides an opportunity to positively influence the behaviour of the residents with dementia.

 

 An exploration of occupation in nursing home residents with dementia. British Journal of Occupational Therapy (2011 a)

Engaging life in two Irish nursing home units for people with dementia: Quantitative comparisons before and after implementing household environments (2013)

 Comparing communal environments using the Assessment Tool for Occupation and Social Engagement: using interactive occupation and social engagement as outcome measures (2014)

An exploration of occupation in nursing home residents with dementia. British Journal of Occupational Therapy

MORGAN-BROWN, M., ORMEROD, M., NEWTON, R., MANLEY, D.
British Journal of Occupational Therapy
2011

Morgan-Brown and his colleagues have developed and used the Assessment Tool for Occupation and Social Engagement (ATOSE) to evaluate the sitting room experience in two nursing homes for people with dementia in ROI (Morgan-Brown et al 2011a), the levels of social and occ

upational engagement of staff (Morgan-Brown et al. 2011b) and to compare the social engagement and interactive occupation of residents before and after conversion to a household model environment (Morgan-Brown, Newton and Ormerod, 2013; Morgan-Brown and Chard, 2014). In the traditionally designed nursing homes, high levels of non-active behaviour and very low levels of social engagement were the norm for people with dementia. Staff were frequently absent from the room and when present spent little time in social engagement or interactive occupation with residents. Conversion to the household model, which included a homemaker permanently allocated to the space, was linked to highly significant changes in the behaviour of residents in both nursing homes. The findings support the hypothesis that providing a household environment provides an opportunity to positively influence the behaviour of the residents with dementia.

Research Article: Social and Occupational Engagement of Staff in Two Irish Nursing Homes for People with Dementia (2011 b)

Engaging life in two Irish nursing home units for people with dementia: Quantitative comparisons before and after implementing household environments (2013)

 Comparing communal environments using the Assessment Tool for Occupation and Social Engagement: using interactive occupation and social engagement as outcome measures (2014)

Designing dementia nursing and residential care homes

HADJRI, K., FAITH, V., MCMANUS, M.
Journal of Integrated Care
2012

Hadjri et al. (2012) assessed the level of compliance of care homes in NI to dementia design guidelines using a postal questionnaire based on the DSDC Design for Dementia Audit Tool.

The results show that only five essential design criteria were met by all homes and concluded that residential care homes should give more attention to design aspects.