Dutch Village Lets Dementia Patients Live in Their Reality
Dutch Village Lets Dementia Patients Live in Their Reality
When asked the last time she saw her parents, Jo (pronounced Yo) Verhoef smiles as she answers. Yesterday, she chuckles as she goes on about going to work every day. She also asks, Do you know Steve Matthew? She is surprised when the interviewer does not know him.
Jo Verhoef is one of 152 residents living in Hogeway, an elder care facility just outside of downtown Amsterdam in the Netherlands. She is suffering from late stage dementia and requires 24 hour care. However, you wouldnt know it as you see Jo sitting on a brightly colored couch in a common room with floor to ceiling windows and open doors. Her home looks just as it would in 1970s Amsterdam.
. . . .
The result was Hogeway. Built on nearly four acres of land in Weesp, Netherlands, it is a completely self-contained village, with only one way out and one way in. Residents are free to leave their rooms and walk around outside. They have communal meals and family members visit daily. The residences form a natural wall around the open grounds, and the one door out is monitored and only unlocked by staff. Within the village there is a park, a beauty salon, restaurant, theater and even a grocery store.
. . .
One of the issues often associated with dementia is irritability and aggression. This is due to the frustration that the world does not make sense to them. With recent memories gone, they get irritated and anxious, confused as to why the house doesnt look the same, like the way it was when they grew up,
or when they were first married.They also get angry because everyone around them is telling them that their reality is a lie.
At Hogeway, they are free to live in their reality and do not face the constant resistance to how they wish to live. The freedom of movement in the secure facility allows them to have a sense of independence, without the dangers of getting lost. Routines are created, whether its going to the grocery store every Wednesday, or listening to their favorite music of the 1960s.
Perhaps not too surprising, residents there tend to require fewer medications for anxiety or aggression.
Read more: http://www.care2.com/causes/dutch-village-lets-dementia-patients-live-in-their-reality.html#ixzz3Kx232n2Y
It costs approximately $8,000 a year per resident to run the facility. While family members pay what they can, no family pays more than $3,600, with the remainder subsidized by the Dutch government via the healthcare system. The facility has run at full capacity since opening in 2009, since the only time an opening occurs is when someone dies.
Read more: http://www.care2.com/causes/dutch-village-lets-dementia-patients-live-in-their-reality.html#ixzz3Kx14AvfH
MADem
(135,425 posts)more comfortable. The "go along, get along" method is much more pleasant (even though it can cause a bit of distress amongst family members who don't want to deal with that particular type of "long goodbye" .
Until there's a cure, that's the way to go, even if you have the patient in an in-home setting, IMO. This village in Holland is several years old, they've exported the concept to Switzerland and Germany and elsewhere.
Article from a few years ago about the place -- w/pics:
http://www.theguardian.com/society/2012/aug/27/dementia-village-residents-have-fun
niyad
(113,513 posts)I have one friend dealing with dementia in someone she cares about, and she has the hardest time understanding why it is NOT in that person's best interests to challenge the reality she experiences. Don't know if I finally got through to her, or she just stopped talking to me about it.
MADem
(135,425 posts)there is a caregiver and the parent thinks the caregiver lives in the house and the child is the guest of the caregiver! It's got to be tough on the child, but that particular reality works well and keeps the parent calm.
Sparhawk60
(359 posts)This is a great concept; I wish we had some thing like this here. What harm is there in letting an old man thinking his world view is correct.
And who knows, maybe some day, medial science will be advanced enough that if some one is diagnosed Republican, they can be gently taken a way to a wonderful facility where they are loving cared for and they talk all about lowering taxes for the rich and how great job creators are.
And at only $8,000/year, it would be cheaper to keep them in the facility than to allow them to run amok in society.
niyad
(113,513 posts)ellenrr
(3,864 posts)depending of course on the situation not being dangerous or threatening to the person.
My step-mother who had dementia used to talk to me and tell me things about her recent life which I knew were untrue. I just listened and asked questions as if what she was saying were true. So we had a pleasant conversation. And what difference does it make if her facts were true or false?
My father was really bothered by that. He would always correct her, "No no Louise, we moved here in 1972, not 1990. don't you remember. I told you that before."
on and on, and both she and he would get upset.
misterhighwasted
(9,148 posts)Guess we won't be seeing this in the US, in that case.
niyad
(113,513 posts). . . .
While other countries in Europe are trying (and in one case in England, failed) to create similar situations, the costs are prohibitive. In the United States, the cost of a private room in a facility costs more than $90,000 per year. Not to mention, we do not have socialized medicine. Dementia professionals are also not completely sold on the idea of creating what is like a Truman Show type of existence, with some considering this dementia village a form of lying to residents.
Van Amerongen disagrees.
Read more: http://www.care2.com/causes/dutch-village-lets-dementia-patients-live-in-their-reality.html#ixzz3L34r52Fp
misterhighwasted
(9,148 posts)and Alzheimers someday, I get to live my last days in a place like this. One that is considerate of where my memories take me.
niyad
(113,513 posts)we find a way to heal these dreadful diseases)