“hello holly, welcome back!” a new dementia threshold

Name of Presentation

A new Dementia Threshold

Richard Mazuch

ARCC. Sensing through Impairments

10th May 2016

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THiNK – Design Research + Innovation

Initially inspired by the desire to create patient-centred

environments, IBI THiNK now focuses on all sectors,

including places for working and learning.

The work of IBI THiNK highlights the important link

between research and practice. Its activities encompass:

• In-house research to support design projects

• Commissioned research

• Technical research with industry partners

• Guidance, compliance and advice documentation

• Product and furniture design

• Clinical planning innovation

THiNK – Design Research + Innovation

• New Design Tools

• THiNK Tanks + Brainstorming events

• Expert Working Group activity

• Pre and Post Occupancy Evaluation

• Space Syntax Techniques

• Inter-office Design Charettes

• Inter-regional Challenges

• Manufacturer Product

Development

Misplaced Patients - Context

With an ever increasing Dementia population more pressure is being exerted on the National

Health and Social Services. These patients have many problems with wayfinding, legibility,

orientation, and familiarity. Statistics tell us:

• 25% of people who ‘wander’ experience serious or fatal injury (Rader, 1987)

• 40% of people with dementia get lost at some point – 5% of people with dementia get lost

repeatedly (McShane et al., 1998)

Misplaced patients do miss treatment, medication and care, resulting in feelings of fear,

abandonment, anxiety, aggression, stress, and increased morbidity which in turn results in

spiraling NHS/Caregiver costs.

Within this developing scenario, a group of designers developed multiple solutions incorporated

in one innovative and unique design, integrated resolution… The ‘Dementia Threshold’. This

provides a complete, rapid construct, entrance module for individual patient bedrooms. It

incorporates extensive assistive technology and details throughout. The many components

include an interactive stable door, pressure mats, video door entry system, wristband activated

doors, skirting/architrave lighting, welcome voice recording interactive, personalized cabinet,

smell emitters, bogus caller alarm, ergonomic friendly ironmongery, heated seating, activated

sequential lighting to destination, captive walking aid features, etc.

The presentation will then allow Holly to enter the public realm seeing how assistive design and

technology can support her navigation beyond the home and back again.

Holly has gone walkabout

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What does Holly see?

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What are the problems?

A Sense of Place and Arrival

Bedroom Hub

Bedroom

Corridor

Corridor

Supporting Technology

A Front Door

Front Door / Meet / Greet / Respite Alcove

Components

1 Quality stable door

2 Elbow rest and captive walking aid detail

3 User friendly ironmongery

4 Pressure mat > mimic panel / Security

5 Bogus caller alarm

6 Video entry door system

7 Vertical vision panel

8 Wrist band activated door

9 Architrave LED light strip

10 Welcoming ‘Voice Recording’ “Hello Holly,

Welcome Back”

11 Elegant personalized cabinet

12 Heated seating

13 Planter to cleanse ambient air

14 Smell emitter – identify signature

neighbourhood hub

15 Wrist band activated, sequential corridor

lighting to hub

16 Perimeter skirting level night light and

door LED lighting

17 Graphic icons

18 Background colour ways

19 Infection control surfaces

20 Biodynamic Lighting

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4 13

3 2

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9

7 1

10

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8

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‘My Home’

Supportive Smart Home

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Walkabout in the Community

Support and Navigation

Prof. Paul Chamberlain

Phillipe

Stark

Walking

Stick

Fujitsu

Walking

Stick

Smart Technology

Home Navigation Appointment Record

Central Intelligence Operation Centre – Telecare / Telehealth

Spaces Within

Spaces Without

Interconnecting Spaces

Liminal – Inside/Outside Space

• Balconies/Verandas

• Terraces

• Bay windows / Oriel windows

• Sun lounges

• Overhung eaves

• Canopies

• Winter gardens

• Cloister

• Patios

Outside Space

• Healing Garden

• Therapeutic Garden

• Restorative Garden

Journeys Back to Health

Journeys back to the Community and Home Again

Back Home 1

Activates core hub lighting and at-night

skirting lighting is activated. 1

Back Home 2

Activates door / architrave LED

light and memorabilia cabinet. 2

Back Home 3

Wrist band opens door

on contact. 3

Back Home 4

Pressure mat activates hub mimic

panel at nurse base / security. 4

Activation Sequence Completed

Presence detector activates

welcoming voice recording.

“Hello Holly…

Cuppa Tea?”

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Name of Presentation

Thank you