1. The future of care and dementia facilities
April Dobson, Sam Tabiner and Glen Ingleson

2. Focus and review of memorabilia through the decades
Content
The Facts
Focus and review of memorabilia through the decades
Abbeyfield’s current projects
Discussion
“What will future care and dementia facilities look like in the future”

3. (more than population of Spain)
Europe
10.5 million
Predicted to double by 2050
Global picture
World
47.5 million
(more than population of Spain)
Predicted to treble by 2050
USA
5.3 million
Predicted to treble by 2050 UK
850,000
Over 1 million by 2025

4. Dementia-specific changes in orientation strategies
Reasons for Spatial Disorientation in people with dementia
Memory deficits
Visual difficulties
Dementia-specific changes in orientation strategies
Loss of planning abilities

5. Can plan and follow the best route to the destination
Our healthy brains.....
Know where we are
Know where we’re going
Can plan and follow the best route to the destination
Are able to recognise the destination when we get there
Know how to find our way back

6. In order to do this we need
1. Cognitive ability to process spatial information 2. Cognitive ability to process sensory information 3. Physical ability to move around the environment 4. Physical ability to perceive sensory information

7. Memories
Facts & logic
Feelings & senses

8. Why memorabilia works

9. Why memorabilia works
Long-term memories are generally stored safely. Damage to the hippocampus renders the formation of new memories virtually impossible
Brainscapes: An Introduction to What Neuroscience Has Learned about the Structure, Function, and Abilities of the Brain (1995), Richard M. Restak
The stronger the emotions connected to an experience, the stronger the subsequent memory – it’s personal but we can take a best guess.
“Damage to the hippocampus on both sides of the brain deprives the person of the ability to learn new things and thus suspends them in a time warp composed of the distant past” Restak. 1995

10. How ‘vision’ works
Information from the eye processed in occipital lobes
Signals are sent to the parietal lobes, to work out the object's location
Also sent to the temporal lobes, to match up with memories of previous experiences (for example of someone's face or an object)
Dementia can cause disruption of these signals

11. Orientation Cues & Clues
What can we do to help?
Orientation Cues & Clues
Objects to support orientation are helpful
Personal objects on door support successful locating of resident‘s room
Familiar objects
Pictures of resident at younger age on door more supportive than recent photography
Information clutter to be avoided

12. What part can technology play ? -Test the Decades
Even better than that....
Multiple cuing - Environmental cues to be combined and to address different senses, e.g, use of pictures, sound, smell, texture
What part can technology play ? -Test the Decades

13. 2010

14. 1950’s

15. 1980’s

16. 1940’s

17. 2000’s

18. 1970’s

19. 1990’s

20. Abbeyfield the latest thinking in Design and Construction

21. Winnersh – Care Home

22. Winnersh –In construction by Castleoak Care Partnerships
No dead ends
Spa bathroom experience
Light
Interior design
Garden space for people with dementia

25. Winnersh

26. Winnersh

27. Millbay Plymouth Extra Care

28. Millbay – Plymouth – Architects AWW

29. 2nd Floor

30. 5th Floor

31. Flat Layouts

32. Discussion What will future care and facilities look like?

33. Anchor recently published

34. The role of the care worker will have become more professionalised
Thoughts within Abbeyfield
The role of the care worker will have become more professionalised
The facilities should look like typical homes, why stereotype people into a category? 
Dementia villages where everything possible is dementia friendly
Why they have to be separated after all most people marry in sickness and in health
It is  not a  Mental Health disorder but an  organic disease
The idea of dementia villages (Netherlands model) but I like the idea of shared houses with staff living in
People will be able to live in ‘enabled communities’

35. Thank you