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LiberalArkie

(15,719 posts)
Sun Nov 16, 2014, 10:32 AM Nov 2014

The Dutch Village Where Everyone Has Dementia

http://www.theatlantic.com/health/archive/2014/11/the-dutch-village-where-everyone-has-dementia/382195/


When Yvonne van Amerongen received a phone call from her mother two decades ago, relaying that her father had died of a heart attack—sudden and painless—one of the first things she thought was, Thank God he never had to be in a nursing home.


Van Amerongen was working as a staff member at a traditional Dutch nursing home at the time, getting a front-line view of what she never wanted for her parents. That call from her mother spurred Yvonne into action as she became committed to making nursing homes more livable and less of a departure from reality for their residents. She envisioned a setup as far away as possible from the nondescript buildings and polished floors of her workplace, where everything carried the scent of a dentist’s medical cabinet. Over the next 20 years, she worked to secure the funding she’d need to make the idea a reality.

Today, the isolated village of Hogewey lies on the outskirts of Amsterdam in the small town of Wheesp. Dubbed “Dementia Village” by CNN, Hogewey is a cutting-edge elderly-care facility—roughly the size of 10 football fields—where residents are given the chance to live seemingly normal lives. With only 152 inhabitants, it’s run like a more benevolent version of The Truman Show, if The Truman Show were about dementia and Alzheimer’s patients. Like most small villages, it has its own town square, theater, garden, and post office. Unlike typical villages, however, this one has cameras monitoring residents every hour of every day, caretakers posing in street clothes, and only one door in and out of town, all part of a security system designed to keep the community safe. Friends and family are encouraged to visit. Some come every day. Last year, CNN reported that residents at Hogewey require fewer medications, eat better, live longer, and appear more joyful than those in standard elderly-care facilities.

There are no wards, long hallways, or corridors at the facility. Residents live in groups of six or seven to a house, with one or two caretakers. Perhaps the most unique element of the facility—apart from the stealthy “gardener” caretakers—is its approach toward housing. Hogeway features 23 uniquely stylized homes, furnished around the time period when residents’ short-term memories stopped properly functioning. There are homes resembling the 1950s, 1970s, and 2000s, accurate down to the tablecloths, because it helps residents feel as if they’re home. Residents are cared for by 250 full- and part-time geriatric nurses and specialists, who wander the town and hold a myriad of occupations in the village, like cashiers, grocery-store attendees, and post-office clerks. Finances are often one of the trickier life skills for dementia or Alzheimer’s patients to retain, which is why Hogewey takes it out of the equation; everything is included with the family’s payment plan, and there is no currency exchanged within the confines of the village.




Snip


http://www.theatlantic.com/health/archive/2014/11/the-dutch-village-where-everyone-has-dementia/382195/
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The Dutch Village Where Everyone Has Dementia (Original Post) LiberalArkie Nov 2014 OP
K&R...n/t ms liberty Nov 2014 #1
Yvonne van Amerongen is a medical genius. Octafish Nov 2014 #2
You know what happens in isolated villages, right? Helen Borg Nov 2014 #3
Cyborgs? Boom Sound 416 Nov 2014 #6
That, and the evil fog... :) Helen Borg Nov 2014 #8
Do the census takers count there? lonestarnot Nov 2014 #13
Yes...but....over and over and over and..... dixiegrrrrl Nov 2014 #32
Snort. lonestarnot Nov 2014 #40
The kids kill all the parents, plant a bunch of corn, and then Jamastiene Nov 2014 #10
Yes.... daleanime Nov 2014 #36
Nice but never exceeds 3600 dollars a month yeoman6987 Nov 2014 #4
Although... Cirque du So-What Nov 2014 #16
The average price of the crap that this country offers is $7-10,000+ a month. nt adirondacker Nov 2014 #18
I heard of a guy, demigoddess Nov 2014 #20
A friend just got quoted $3300 for assisted living for his mother. Nursing care is more and memory LeftyMom Nov 2014 #27
This article made me want to weep packman Nov 2014 #5
Humanity really shouldn't be hard. GeorgeGist Nov 2014 #7
Bravo to her. Jamastiene Nov 2014 #9
Meanwhile, in the US of A: tanyev Nov 2014 #11
The fabled city on the hill has become more of a Mordor world wide wally Nov 2014 #24
Now there is a concept. lonestarnot Nov 2014 #12
Beacon Hill NJCher Nov 2014 #14
Bethel near Bielefeld, Germany was sort of similar for people with epilepsy, as well as FailureToCommunicate Nov 2014 #15
Brilliant idea, but Republicans will never buy it... Historic NY Nov 2014 #17
"Dubbed “Dementia Village” by CNN" Spitfire of ATJ Nov 2014 #19
LOL !!! alittlelark Nov 2014 #22
And one more keyboard to the junk heap in China. But that was funny. <G> n/t jtuck004 Nov 2014 #29
This story brought tears to my eyes BuddhaGirl Nov 2014 #21
That sounds eerily familiar -- "Where am I?" Codeine Nov 2014 #23
This is the coolest idea ever. DeadLetterOffice Nov 2014 #25
Another cool idea: dixiegrrrrl Nov 2014 #34
They should all be like this, but how will assholes get richer and richer without valerief Nov 2014 #26
"Where everybody knows your name,  jtuck004 Nov 2014 #28
Sounds like the Alzheimer Cafe concept expanded to a village. suffragette Nov 2014 #30
A big, fat K&R! CaliforniaPeggy Nov 2014 #31
k&R What a wonderful idea. nt Live and Learn Nov 2014 #33
K&R.... daleanime Nov 2014 #35
That is so cool. blackspade Nov 2014 #37
Nursing homes are brutal, especially for Alzheimer's patients Warpy Nov 2014 #38
Netherlands...most progressive nation in the world. BlancheSplanchnik Nov 2014 #39

Jamastiene

(38,187 posts)
10. The kids kill all the parents, plant a bunch of corn, and then
Sun Nov 16, 2014, 10:55 AM
Nov 2014

make up a REALLY weird version of religion with one little jerk who looks like he smells something bad controlling half the kids and some ugly ass long haired guy who looks like he smells something bad controlling the rest?

 

yeoman6987

(14,449 posts)
4. Nice but never exceeds 3600 dollars a month
Sun Nov 16, 2014, 10:44 AM
Nov 2014

Is still way out of possibility for the majority of Americans. Nice place though.

Cirque du So-What

(25,941 posts)
16. Although...
Sun Nov 16, 2014, 11:42 AM
Nov 2014

not exorbitant - especially when stacked up against comparable rates for what amounts to abysmally poor care that families already pay for their loved ones' care.

demigoddess

(6,641 posts)
20. I heard of a guy,
Sun Nov 16, 2014, 12:12 PM
Nov 2014

living in his own home who pays probably about 2700-3000 a month for somebody to get him up in the morning and put him to bed at night. Other than that he is independent. This much doesn't sound out of whack.

LeftyMom

(49,212 posts)
27. A friend just got quoted $3300 for assisted living for his mother. Nursing care is more and memory
Sun Nov 16, 2014, 01:32 PM
Nov 2014

care is more than that. The $3300 was basically for an apartment with one meal a day provided (more were extra) and weekly cleaning.

 

packman

(16,296 posts)
5. This article made me want to weep
Sun Nov 16, 2014, 10:45 AM
Nov 2014

lost a mother-in-law in one of those sterile, boxed care facilities. Nothing wrong with it, just that it was empty of every day life experiences. Lost my father also to this terrible affliction, but he was cared for at home and cancer took him.

America can learn a lot from this type of care.

GeorgeGist

(25,321 posts)
7. Humanity really shouldn't be hard.
Sun Nov 16, 2014, 10:47 AM
Nov 2014

Kudos to Yvonne

received on June 30, 2012 in Kuala Lumpur, the Highly Commended Award for Mental Health for her outstanding vision and its predictive concept in the field of nursing care for people with dementia in the Hogeweyk. At the same time, the Hogeweyk (Weesp) was also in the interest of an international dementia conference in Sydney.


NJCher

(35,685 posts)
14. Beacon Hill
Sun Nov 16, 2014, 11:12 AM
Nov 2014

I saw a report on TV about something sort of like this, started out of Boston. Now it's all over the country, I think.

Beacon Hill. The report by Rita Braver is worth watching. I think I saw it on CBS Sunday Morning.

http://www.beaconhillvillage.org

This organization is oriented more to letting older people stay in their homes. I think it's sort of like they take in "roommates" and there's an organizational structure that helps them get the things done that many elderly residents find hard to do.




Cher

FailureToCommunicate

(14,014 posts)
15. Bethel near Bielefeld, Germany was sort of similar for people with epilepsy, as well as
Sun Nov 16, 2014, 11:24 AM
Nov 2014

Last edited Sun Nov 16, 2014, 01:07 PM - Edit history (2)

people with mental health issues, but minus all the camera monitors. People could lead normal lives there knowing that if they had an epileptic episode, people all around them - the bus driver, the store clerk, a passerby - would not be alarmed and would know how to assist. The town had been functioning that way since the mid 1800's.

(We lived in Bethel in the mid sixties while my father was working with thalidimide children and their families all over Europe)

Historic NY

(37,451 posts)
17. Brilliant idea, but Republicans will never buy it...
Sun Nov 16, 2014, 11:44 AM
Nov 2014

because it doesn't turn a profit. Where I live they keep trying to kill the county nursing home which gives some of the finest care to it 360 patients. They want to kill a systen that has functioned for 172 yrs. I will admit a couple Republicans have partnered with the Democrats to save it. The county attaches estates and ues patients SS or Medicare to pay for care and whats left over is paid via taxes. One Rep. shines through calling out the BS the others offer on a platter on costs.

BuddhaGirl

(3,608 posts)
21. This story brought tears to my eyes
Sun Nov 16, 2014, 12:19 PM
Nov 2014

My dear MIL has dementia and resides in assisted living which is fairly nice, and we are grateful for that.

What an amazing story...bravo to this compassionate and wonderful woman!

 

Codeine

(25,586 posts)
23. That sounds eerily familiar -- "Where am I?"
Sun Nov 16, 2014, 12:37 PM
Nov 2014

"In the village."

"What do you want?"

"Information."

"Whose side are you on?"

"That would be telling. We want information… information… information."

"You won't get it."

"By hook or by crook, we will."

"Who are you?"

"The new Number Two."

"Who is Number One?"

"You are Number Six."

"I am not a number! I am a free man!"

Perhaps The Prisoner was an allegory about dementia.

dixiegrrrrl

(60,010 posts)
34. Another cool idea:
Sun Nov 16, 2014, 05:45 PM
Nov 2014

A facility in the US, I believe, put a stop to its elderly wandering away by putting a fake bus stop outside the front door.
the confused person seems to remember basic things like bus stops and stands in the bus shelter, which has a camera, until the staff can get the them.
Just a small step for our normal way of looking at the problem, compared to the OP, but still...

valerief

(53,235 posts)
26. They should all be like this, but how will assholes get richer and richer without
Sun Nov 16, 2014, 01:20 PM
Nov 2014

their overpriced, understaffed, miserable profit centers?

 

jtuck004

(15,882 posts)
28. "Where everybody knows your name, 
Sun Nov 16, 2014, 03:36 PM
Nov 2014

and they're always glad you came. 
You wanna be where you can see, 
our troubles are all the same 
You wanna be where everybody knows 
Your name."

Wonder where such an idea would ever come from.

Cheers. 

suffragette

(12,232 posts)
30. Sounds like the Alzheimer Cafe concept expanded to a village.
Sun Nov 16, 2014, 03:45 PM
Nov 2014
http://www.alzheimerscafe.com/public.html.alzheimersatoz.com/Welcome.html

That originated in the Netherlands as well.

Compassionate care in a thoughtful setting.

Brilliant!

Warpy

(111,273 posts)
38. Nursing homes are brutal, especially for Alzheimer's patients
Mon Nov 17, 2014, 12:48 AM
Nov 2014

People with Alzheimer's deal with stress by wandering and nursing homes have floors, porches, parking lots and rarely a large fenced garden with paths around the perimeter for wandering patients. It wouldn't be that hard to modify them, but they want those asphalt parking lots. Patients with nowhere to go have increased violent episodes as the stress turns into fear.

The "Dementia Village" idea doesn't cost as much as an assisted living tower block does in the US. Small towns on the skids in rural areas would seem to be ideal candidates for specialty Alzheimer's centers here in the US.

Unfortunately, it is unlikely to happen. Nursing homes can be poorly staffed and squashing patients together with too little space to move around is considered "efficient" and "cost effective."

I wish health care in this country would kick the MBAs out and start to adhere to a HUMANE standard, instead.

BlancheSplanchnik

(20,219 posts)
39. Netherlands...most progressive nation in the world.
Mon Nov 17, 2014, 11:31 AM
Nov 2014

Top of the "Happiest Countries" list.

This got me choked up too.

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