Dementia-Friendly design for Aging Couples: An Architectural Perspective

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Abstract

With a growing elderly population in the Netherlands, this also challenges our existing housing options and the care system. In particular, the risk of dementia significantly increases with age. About 68 percent of people with dementia in the Netherlands live at home and get care from their family or close social network; often their partner. When an informal caregiver can no longer manage the care of someone with dementia, it becomes a significant reason for considering admission to a nursing home or an assisted living facility. There are currently few options for both partners to continue living together when they wish to do so.
To explore the collective requirements of both partners, the following research question was answered; ‘What living environmental features can support elderly couples who wish to live together while one of them experiences dementia, to maintain their shared living arrangements?’.
Literature research, fieldwork, interviews and case studies show several design guidelines that can be considered when designing for people with dementia, as well as their unaffected partner. For the partner with dementia, ‘wayfinding’, ‘accessibility’, and creating a ‘home-like small-scale environment’ were found to be important to consider while designing for them. For the ‘healthy’ partner, it was found that it is important for them to be able to ‘live a normal life’, to ‘take some pressure off’ of them, to ‘ensure the safety of their partner with dementia’, and to ‘be able to do things together with their partner and separately’.
As the elderly population continues to expand, it is crucial to explore innovative living alternatives to ease the strain on informal caregivers and the healthcare system.