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Optimal Living Space for People with Alzheimer's Disease

Optimal Living Spaces for Person's with Alzheimer's Disease

1. Cognitive impairment is a growing, wide-reaching, and universal issue that impacts all different cultures and races, and it may be a result of Alzheimer's Disease or it could be due to another factor, like Parkinson’s disease, Down syndrome, traumatic brain injury, or excessive alcohol consumption.

A. True

B. False


2. Studies show that caregivers of people with Alzheimer’s disease suffer from more physical and mental health issues and ______________ than caregivers of people with another disease.    

A. Adverse stress reactions

B. Loss of productivity

C. Premature mortality

D. Social withdrawal


A Brief History of Alzheimer’s Care Facilities

3. From the early 1900s to the late 1970s, people with Alzheimer’s disease were typically admitted to institutional mental hospitals, and then in the 1980s, the shift from mental hospitals to nursing homes began.  

A. True

B. False


Woodside Place: A Model of Residential Care

4. The Woodside Place, a model of residential care to assist those suffering with Alzheimer's Disease, worked to develop a non-institutional, resident-focused model based on each of the following principles EXCEPT:  

A. Enable residents to maintain their independence for as long as possible, without jeopardizing their safety, and respect the dignity of every person

B. Develop spaces that encourage good nutrition, physical fitness, and the maintenance of meaningful roles and responsibilities

C. Acknowledge each person’s need for both privacy and community, and provide individualized care that embraces flexible daily rhythms and patterns

D. Offer focused and appropriate stimulation, avoiding excessive distraction as well as sterile monotony, and find opportunities to engage residents along their walking paths instead of trying to discourage wandering


Design Considerations of Alzheimer's Disease-Households

5. The household model is a current trend in skilled nursing and assisted living environments, where the model of care is focused on a person-centered approach and clear opportunities for older adults to direct their own lives.  

A. True

B. False


Residential Qualities

6. Best practices for senior living recognize that, while offering "home-like" interiors does not necessarily equate to a sense of home, the senior living environment should have a residential appearance.  

A. True

B. False


Wayfinding and Orientation

7. The wayfinding system in any building can be an important aspect of resident and visitor comfort, and it consists of three key components including knowing where you are, how to get somewhere, and:  

A. Realizing the importance of staying put

B. Having an agreed upon exit strategy

C. Understanding the building layout

D. Recognizing when you have arrived


Independence, Control, and Flexible Rhythms

8. While independence and autonomy are important for those with Alzheimer's, it is critical to maintain a formal schedule where routines such as meals and activity plans are regulated, because this helps promote a healthy quality of life.  

A. True

B. False


Safety/Security

9. For individuals with Alzheimer's disease, the perception of being safe and secure in their environment is often as important as actually being free from hazardous situations, as the feeling of security enables them to be more calm and confident in their surroundings.  

A. True

B. False


Entry and Egress

10. Entrances and exits for residents with Alzheimer's and dementia need special considerations, from providing an appropriate level of safety/security to:    

A. Helping prevent anxieties

B. Being easily recognized

C. Creating a homey appearance

D. Preserving a sense of dignity


Secure Outdoor Spaces

11. It is very important to create outdoor settings that are serene and inviting, since older people with memory loss and cognitive difficulties generally don't enjoy going out because of fear and discomfort.  

A. True

B. False


Active Engagement

12. Which of the following is NOT recommended as a means of promoting meaningful engagement for people with Alzheimer's disease?  

A. Activity zones should be familiar, tapping into residents’ long-term memory, and spaces should support activities/programs that act as a continuation of life activities

B. Make sure groups are limited to a few participants and limit activity spaces in order to increase the feeling of security within the environment

C. Activities and related materials should be easy to find and access, so the person will be more inclined to participate in or initiate an activity

D. Residents should be able to preview activities before joining since this may inspire them to join the activity or allow the residents to passively participate by watching from nearby


Engaged Wandering

13. "Needless" wandering is a term used to refer to an incident where an Alzheimer's individual is in search of a destination or object that may be unclear or unknown.  

A. True

B. False


Supporting Family Involvement

14. Features in the physical environment that support and encourage visitation may bolster residents' psychologist and physical health, and may include:    

A. Providing small private or semi-private group gathering spaces so residents can spend time with visitors outside of their bedrooms

B. Placing a sleeper sofa in the den, which may enable a visiting family member to comfortably spend the night

C. Considering ways to engage visiting family members and residents together, such as including some extra seating space so that they can eat or participate in a group activity together

D. All of the above


Supporting Professional Caregiver Involvement-Best Practices

15. Best practices for senior living recognize that staff performs higher quality work when presented with the expectation that every employee has a professional contribution to make and when respect for all people's work is fostered, regardless of their position/department.

A. True

B. False


16. One innovative residential concept is The House of Betty, which is a single-family home for a couple where one individual is showing early symptoms of Alzheimer's disease, and where he or she may receive support, with the goal of delaying or preventing a move to a nursing home.  

A. True

B. False


Conclusion

17. Although living facilities such as The Green House Project small houses can provide many benefits, they tend to create higher Medicare and Medical expenditures, which makes justification difficult.  

A. True

B. False


18. The authors report that many practical factors will contribute to the final decision of choosing which community and residence best fits individual needs, including finances, insurance, location, residential care needs, and:    

A. Family preferences

B. Medical History

C. Availability

D. Social restrictions


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