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Gerontologist, No known conflicts - Coggle Diagram
Gerontologist
Dementia
Overlaps of impairments
Physical
Sensory
Cognitive
c.80% of PWD have at least one other "Multipmorbidity"
Add age stats re hearing, sight, mobility.
Diverse Experience
Several Types of Dementia
Different experience by individual
Different over time
Different day by day (or moment to moment)
Experience impacted/tempered by:
Physical Environment
Social Environment
Personal Experience/History
Other impairments
Chronic Disease(s) with No Cure
Hidden 'Disability'
Residential Care
PWD >50% (Australia)
PWD >60% (UK)
PWD often >90% (??)
Age profile in RAC
Link to age profile for impairments (sight, hearing etc)
Care Homes
Typical Designed Lifespan = c.40 yrs
Avg 20 beds/home (UK)
Avg 24 beds /home (USA)
Avg c75 Beds/home (Australia)
New typically 60 beds/home
Avg. <2yrs residency/resident (UK) = >20 residents/room/40 yrs
C. 400 residents/home/40yrs (UK)
C. 1500 residents/home/40yrs (Australia)
C. 1200 residents/new home/40yrs (??)
Domestic Comparison
c.20 Yrs/Resident @ 2.1 residents (avg - UK)
= Avg. 4.2 residents/house/40yrs
Public choose a house to suit their needs
+can be adapted where required (e.g. due to change)
Design
Little to no building regs for dementia
[Except: New Regs in Australia (2019)]
Building Regs cover Physical and some sensory
Dementia Design Quality almost unknown
c. 90% Occupancy on Avg (UK)
12,250 Care Homes (UK)
477100 Resident Beds (UK)
(April 2019)
One third of residents die/year:
100,000 die in the Care Home
29,000 (ordinarily resident) die elsewhere
Environment and People change over time
People
Ageing and Dementia
Population
Societal Norms
Environment
Residential Care
Care Model Evolving
Design Evolving
Alms Houses
Geriatric Wards
General Aged Care
'Dementia Units'
Cottage/Greenhouse
But is it getting any better for people living with dementia?
Design Principles
Other Spaces:
Housing
Public Buildings
No known conflicts