“hello holly, welcome back!” a new dementia threshold
TRANSCRIPT
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Name of Presentation
A new Dementia Threshold
Richard Mazuch
ARCC. Sensing through Impairments
10th May 2016
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2
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
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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
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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.
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Holly has gone walkabout
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What does Holly see?
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What are the problems?
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A Sense of Place and Arrival
Bedroom Hub
Bedroom
Corridor
Corridor
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Supporting Technology
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A Front Door
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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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17
11
18
12
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19
4 13
3 2
14
5
9
7 1
10
6
8
20
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‘My Home’
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Supportive Smart Home
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Walkabout in the Community
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Support and Navigation
Prof. Paul Chamberlain
Phillipe
Stark
Walking
Stick
Fujitsu
Walking
Stick
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Smart Technology
Home Navigation Appointment Record
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Central Intelligence Operation Centre – Telecare / Telehealth
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Spaces Within
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Spaces Without
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Interconnecting Spaces
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Liminal – Inside/Outside Space
• Balconies/Verandas
• Terraces
• Bay windows / Oriel windows
• Sun lounges
• Overhung eaves
• Canopies
• Winter gardens
• Cloister
• Patios
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Outside Space
• Healing Garden
• Therapeutic Garden
• Restorative Garden
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Journeys Back to Health
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Journeys back to the Community and Home Again
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Back Home 1
Activates core hub lighting and at-night
skirting lighting is activated. 1
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Back Home 2
Activates door / architrave LED
light and memorabilia cabinet. 2
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Back Home 3
Wrist band opens door
on contact. 3
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Back Home 4
Pressure mat activates hub mimic
panel at nurse base / security. 4
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Activation Sequence Completed
Presence detector activates
welcoming voice recording.
“Hello Holly…
Cuppa Tea?”
5
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Name of Presentation
Thank you