Description
Book SynopsisAs our understanding of aging and Alzheimer''s, and the cultural changes related to these phenomena, grows so do the implications for interior design. Focus on recent innovations in care environments for the aging with a resource dedicated to this topic. This comprehensive book features:
- Coverage of the emerging building types of adult day care and hospice and the increased use of gardens and outdoor space in environments for the aging.
- Material on sustainable design and environmentally friendly building products.
- Design solutions that extend beyond assisted-living facilities and nursing homes as they can be easily adapted for residential use.
- Photographs, line drawings, and a 16-page color insert that bring the material to life.
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Table of ContentsPREFACE xiii
ACKNOWLEDGMENTS xix
SECTION I Aging and Alzheimer’s Disease:
Implications for Design 1
CHAPTER 1. Aging in the Twenty-First Century: Aging and Age-Related Changes 3
Demographics
Global Aging
Aging, Diversity, and Health
Age-Related Changes
Arthritis
Hypertension
Hearing Impairment
Vision Impairment
Depression
Diabetes
Osteoporosis
Stroke
Exercise and Better Nutrition
CHAPTER 2. Alzheimer’s Disease 17
Memory Loss and Normal Aging
What Is Dementia?
What Is Alzheimer’s Disease?
The Impact of Alzheimer’s Disease
What We Know About Alzheimer’s Disease
What Causes Alzheimer’s?
Mild Cognitive Impairment
The Changing Face of Alzheimer’s Lifestyle
The Nun Study
CHAPTER 3. Environment as Treatment 27
Alzheimer’s Disease Can Be Treated
Naturally Mapped Physical Environments
Therapeutic Activities and Programming Habilitation Therapy
Design Professionals Can Have a Great Impact
SECTION II Good Design for Living— at Any Age 37
CHAPTER 4. Aging Vision and Health 39
Light and Vision
Age-Related Eye Disease
Light and Health
Circadian Rhythms
Light Received Through the Eyes
Sunshine Is a Mood Enhancer
Sleep Disruption
Light Absorbed Through the Skin
Pain Relief
Research and the Circadian System
CHAPTER 5. Lighting and Daylighting 55
Daylighting
Interior Lighting
Strategies for Energy-Efficient Lighting and Daylighting
Lighting Terminology Made Simple
CHAPTER 6. Hearing Loss and Sound Solutions 77
Strategies for Sound Design
Planning
Acoustic Enhancement
Assistive Listening Devices
Group Listening Systems
Create the Best Possible Environment
Lighting, Light Sensitivity, and Hearing Loss
CHAPTER 7. Mobility, Exercise, and Independence 95
Falls
Interventions: What Do We Do About It?
Assessment
CHAPTER 8. Color, Finishes, and Fabric 113
Color
Effective Color Contrast
Color Solutions
Environmental Responsibility and Good Health
Wallcovering
Fabric for Healthcare
CHAPTER 9. Floorcovering 127
Choosing Floorcovering to Support Quality of Life
How Do You Choose the Right Floorcovering for a
Healthcare Environment?
CHAPTER 10. Sustainability and Green Design 141
The Importance of Certification
SECTION III Culture Change:Creating Home and Community 145
CHAPTER 11. What Is Culture Change? 147
Why Change?
Finding a Way Back Home
Culture Change Makes a Difference
Culture Changing Outcomes
National Models of Culture Change
CHAPTER 12. Hearth and Home: Gathering Spaces 165
Building Configuration
Life and Design Are Changing
The “Heart of the Home”: Living Rooms, Great Rooms, and Dens
Country or Farm Kitchens
CHAPTER 13. Private Spaces: Resident Bedrooms, Bathrooms, and Bathing Environments 181
Resident Bedrooms
Bathrooms
Bathe Suites and Bathing Environments
CHAPTER 14. Social Living Spaces 205
Staying Socially Connected Social Activity
Sacred Spaces: Religion and Spirituality
Wayfinding
SECTION IV Innovative Care Models 221
CHAPTER 15. The Green House 223
Warm, Smart, and Green
Smarter Care Delivery
Green and Connected
CHAPTER 16. Adult Day Care 233
What Is Adult Day Care?
The Physical Day Care Setting
CHAPTER 17. The Planetree Model 249
Ten Elements of Patient-Centered Care
The Planetree Alliance
CHAPTER 18. Hospice: End-of-Life Care 263
What Is Hospice?
Care and Comfort
How Hospice Works
Alzheimer’s End-of-Life Care
Palliative Care—A Better End of Life
Hospice: End-of-Life Care
The Physical Environment for End-of-Life Care
A Celebration of Life
SECTION V Gardens and Outdoor Spaces 273
CHAPTER 19. Creating Gardens and Outside Environments 275
Designing Gardens
The Porch
Here’s the Garden—Where Are the People?
Safety and Security
Glare Control
Activity Gets People into the Garden
Simple Pleasures and Sensory Stimulation
Nature’s Chirping Chorus
Horticultural Therapy
Accommodating the Need for Privacy
Indoor Atriums and Gardens: Bringing the Outside
Environment Inside
The Alzheimer’s Memory Gardens
SECTION VI What Does Success Look Like? 297
CHAPTER 20. What Does Success Look Like and How Will You Know? 299
First Impressions Count
Hands-on Learning
Teamwork Pays
Evidence-Based Design
Pebble Project Initiative
Post-occupancy Evaluation
Life-Enhancing Environmental Design—We’ve Come a Long Way
REFERENCES 309
RESOURCES 327
INDEX 341
