1. Dementia Friendly Environment Iona Parkinson Iona Parkinson Head Occupational Therapist Older Adult Mental Health

2. Why does environment matter? Aging Aging sight, mobility, hearing, medication, co-morbidity Experience of dementia Experience of dementia cognition, perception, anxiety Reading the environment Reading the environment

3. www.dementia.stir.ac.uk www.dementia.stir.ac.uk www.dementia.stir.ac.uk “design for people with dementia audit tool” “design for people with dementia audit tool” Website – virtual environemnts Website – virtual environemnts www.kingsfund.org.uk/projects/e nhancing-healing- environment/about-ehed www.kingsfund.org.uk/projects/e nhancing-healing- environment/about-ehed www.kingsfund.org.uk/projects/e nhancing-healing- environment/about-ehed www.kingsfund.org.uk/projects/e nhancing-healing- environment/about-ehed The Evidence

4. Key Design Features Visual Access & Lighting Visual Access & Lighting Enabling Independance Enabling Independance Unobtrusive concern for safety Unobtrusive concern for safety Good signage & multiple cues Good signage & multiple cues Controlled stimuli, noise Controlled stimuli, noise Scope for ordinary activities Scope for ordinary activities

5. Enabling Independance

6. Enabling independence

8. Enabling Independence

11. Old Dining area

12. New dining area

13. Where’s the toilet?

17. Access to outdoors

18. Results from DATIX Patient / patient aggression Patient / patient aggression 46 incidents 27 incidents 46 incidents 27 incidents Patient / staff aggression Patient / staff aggression 65 incidents 36 incidents 65 incidents 36 incidents Falls Falls 63 falls 38 falls 63 falls 38 falls

19. Any Questions?