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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsThe 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 attacksudden and painlessone 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 dentists medical cabinet. Over the next 20 years, she worked to secure the funding shed 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 facilityroughly the size of 10 football fieldswhere residents are given the chance to live seemingly normal lives. With only 152 inhabitants, its run like a more benevolent version of The Truman Show, if The Truman Show were about dementia and Alzheimers 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 facilityapart from the stealthy gardener caretakersis 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 theyre 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 Alzheimers patients to retain, which is why Hogewey takes it out of the equation; everything is included with the familys payment plan, and there is no currency exchanged within the confines of the village.
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http://www.theatlantic.com/health/archive/2014/11/the-dutch-village-where-everyone-has-dementia/382195/
ms liberty
(8,580 posts)Octafish
(55,745 posts)Thank you for the heads-up, LiberalArkie.
Helen Borg
(3,963 posts)Boom Sound 416
(4,185 posts)Zombies? What? WHAT?!
Helen Borg
(3,963 posts)lonestarnot
(77,097 posts)dixiegrrrrl
(60,010 posts)lonestarnot
(77,097 posts)You bad...
Jamastiene
(38,187 posts)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?
daleanime
(17,796 posts)but as long as you wash your hands after wards it's all good.
yeoman6987
(14,449 posts)Is still way out of possibility for the majority of Americans. Nice place though.
Cirque du So-What
(25,941 posts)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.
adirondacker
(2,921 posts)demigoddess
(6,641 posts)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)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)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)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.
Jamastiene
(38,187 posts)That is absolutely amazing!
tanyev
(42,566 posts)Scott Walker: Denying health care to low-income people helps them 'Live the American Dream'
http://www.democraticunderground.com/108413558
world wide wally
(21,744 posts)lonestarnot
(77,097 posts)NJCher
(35,685 posts)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)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)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.
Spitfire of ATJ
(32,723 posts)It beat out DC?
alittlelark
(18,890 posts)jtuck004
(15,882 posts)BuddhaGirl
(3,608 posts)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)"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.
DeadLetterOffice
(1,352 posts)dixiegrrrrl
(60,010 posts)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)their overpriced, understaffed, miserable profit centers?
jtuck004
(15,882 posts)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)That originated in the Netherlands as well.
Compassionate care in a thoughtful setting.
Brilliant!
CaliforniaPeggy
(149,632 posts)Live and Learn
(12,769 posts)daleanime
(17,796 posts)blackspade
(10,056 posts)And an amazingly humane way of dealing with terrible illnesses.
Warpy
(111,273 posts)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)Top of the "Happiest Countries" list.
This got me choked up too.