Sustainable Design Strategies to Assist the Elderly with Dementia

Sustainable construction practices that take into account the ecological, social, and financial performance of buildings are gaining acceptance in many areas of the construction industry. As the baby boomers begin to retire, the provision of healthy living environments for the elderly in the community is a growing concern, especially for those suffering from dementia. Because most individuals with dementia are cared for at home until their condition requires medical supervision, healthy living is often a challenge affecting the whole family. This study examines how best to implement sustainable strategies that support healthy and safe living environments for individuals with dementia and their families. After considering how the characteristics and symptoms of dementia can be ameliorated by careful environmental design, relevant familial and community characteristics that support healthy living for the target population are described and ways of incorporating sustainable strategies to provide a healthy living environment explored. Using an evidence-based approach, the interdisciplinary research team conducted an extensive review of both medical and construction journals to develop a set of practical guidelines designed to assist those grappling with these difficult issues.

[1]  Yong Han Ahn,et al.  The Development of Models to Identify Relationships Between First Costs of Green Building Strategies and Technologies and Life Cycle Costs for Public Green Facilities , 2010 .

[2]  K. Day,et al.  The therapeutic design of environments for people with dementia: a review of the empirical research. , 2000, The Gerontologist.

[3]  Gesine Marquardt,et al.  Dementia-Friendly Architecture: Environments That Facilitate Wayfinding in Nursing Homes , 2009, American journal of Alzheimer's disease and other dementias.

[4]  Daniel F. Kripke,et al.  Natural light exposure of young adults , 1986, Physiology & Behavior.

[5]  D. Utton The design of housing for people with dementia , 2009 .

[6]  E. Someren,et al.  MORE THAN A MARKER: INTERACTION BETWEEN THE CIRCADIAN REGULATION OF TEMPERATURE AND SLEEP, AGE-RELATED CHANGES, AND TREATMENT POSSIBILITIES , 2000 .

[7]  Helianthe S.M. Kort,et al.  Supportive living environments: A first concept of a dwelling designed for older adults with dementia , 2009 .

[8]  Sonia Ancoli-Israel,et al.  Poor sleep is associated with poorer physical performance and greater functional limitations in older women. , 2007, Sleep.

[9]  M. Rowe,et al.  Injuries Sustained by Community-Dwelling Individuals With Dementia , 2004, Clinical nursing research.

[10]  E C Brawley,et al.  Environmental design for Alzheimer's disease: a quality of life issue. , 2001, Aging & mental health.

[11]  M. Kivipelto,et al.  Epidemiology of Alzheimer's disease: occurrence, determinants, and strategies toward intervention , 2009, Dialogues in clinical neuroscience.

[12]  Annie R. Pearce,et al.  Green Construction: Contractor Experiences, Expectations, and Perceptions , 2007 .

[13]  Scott S. Campbell,et al.  Exposure to light in healthy elderly subjects and alzheimer's patients , 1988, Physiology & Behavior.

[14]  D. Melzer,et al.  Baby boomers nearing retirement: the healthiest generation? , 2010, Rejuvenation research.

[15]  P. Tregenza,et al.  Lighting for people with dementia , 2007 .

[16]  T. Porkka-Heiskanen,et al.  Sleep-related factors and mobility in older men and women. , 2010, The journals of gerontology. Series A, Biological sciences and medical sciences.

[17]  S. Rubin,et al.  Sleep problems and associated daytime fatigue in community-dwelling older individuals. , 2008, The journals of gerontology. Series A, Biological sciences and medical sciences.

[18]  Emily K. Snell,et al.  The 2030 problem: caring for aging baby boomers. , 2002, Health services research.

[19]  Shelley Peacock,et al.  Light therapy for managing cognitive, sleep, functional, behavioural, or psychiatric disturbances in dementia. , 2009, The Cochrane database of systematic reviews.

[20]  Alan J. Thomas,et al.  Sleep in dementia and caregiving – assessment and treatment implications: a review , 2010, International Psychogeriatrics.

[21]  J. Paquet,et al.  Natural bright light exposure in the summer and winter in subjects with and without complaints of seasonal mood variations , 1998, Biological Psychiatry.

[22]  P. Ebersole,et al.  Toward Healthy Aging , 1981 .

[23]  A. Abbott Restless nights, listless days , 2003, Nature.

[24]  Richard Deitz,et al.  The Demand for Local Services and Infrastructure Created by an Aging Population , 2007 .

[25]  van J Joost Hoof,et al.  Forty years of Fanger’s model of thermal comfort: comfort for all? , 2008 .

[26]  Sonia Ancoli-Israel,et al.  Low illumination experienced by San Diego adults: Association with atypical depressive symptoms , 1994, Biological Psychiatry.

[27]  Michael A. Thomas,et al.  Residential Design for Aging In Place , 2008 .