Blog Therapy

Jody Dwyer

Jody Dwyer

Senior Occupational Therapist

Designing A Dementia-Friendly Home with an OT

elderly people enjoying time at home

Dementia, a complex and progressive neurological disorder, can profoundly impact a person’s cognitive abilities, leading to memory loss, disorientation, and challenges in performing daily activities. As dementia progresses, the home environment can become a source of confusion and frustration, or it can be transformed into a haven of safety and familiarity. Occupational therapists (OTs) specialise in helping individuals maintain their sense of independence and engage meaningfully in their homes, even in the face of significant challenges.

When it comes to dementia care, OTs possess a unique skill set to design a home environment that not only supports the physical needs of those living with dementia, but also nurtures their emotional well-being and cognitive function. Through thoughtful assessment, creative problem-solving, and a deep understanding of the impact of dementia on daily living, an OT can identify potential hazards, recommend adaptive equipment, and suggest modifications that promote independence, safety, and quality of life.

Dementia & its Impact on Daily Living

Dementia is more than just memory loss; it’s a multifaceted condition that affects a person’s entire cognitive landscape. As dementia progresses, it can impact a wide range of abilities, from problem-solving and decision-making to language and spatial awareness. Everyday tasks that were once second nature can become overwhelming challenges, leading to frustration, anxiety, and a diminished sense of independence.

Simple actions like navigating a familiar room, remembering where objects are kept, or following a recipe can become disorienting and confusing. This is because dementia can alter a person’s perception of their surroundings, making familiar environments seem unfamiliar and even threatening. In these instances, a supportive and carefully designed home environment becomes not just a convenience but a necessity.

A dementia-friendly home goes beyond aesthetics; it’s a thoughtfully curated space that anticipates the unique challenges of dementia and provides solutions that enable individuals to maintain their independence and dignity. For example, this could include:

  • Clear & consistent signage: Using simple language and visual cues to guide individuals around the home.
  • Contrasting colours: Employing high-contrast colours for walls, doors, and furniture to improve visibility and reduce confusion.
  • Decluttered spaces: Creating uncluttered environments to minimise distractions and promote a sense of calm.
  • Adaptive equipment: Incorporating assistive devices like grab bars, raised toilet seats, and easy-to-use appliances to support independence.

decluttered and organised home

Role of an OT in Designing a Dementia-Friendly Home

Creating a truly dementia-friendly home requires more than good intentions; it demands a deep understanding of dementia and its impact on daily living. OTs possess a unique blend of knowledge and skills that enable them to assess an individual’s abilities, identify potential challenges, and recommend tailored solutions that help them overcome challenges. Through careful observation and consultation, an OT can gain a comprehensive understanding of an individual’s routines, habits, and preferences, as well as the specific ways in which dementia is affecting their daily life.

With this information, an OT can identify potential hazards in the home, suggest modifications that promote safety and accessibility, and recommend adaptive equipment that can enhance independence. They take a holistic approach, considering not only physical needs, but also the emotional and cognitive aspects of living with dementia.

An OT’s ultimate goal is to create a home environment that empowers individuals to navigate their daily lives with confidence and ease, even as dementia progresses. They act as advocates, educators, and problem-solvers, working collaboratively with individuals and their families to design a home that fosters a sense of well-being, dignity, and independence.

Key Aspects of a Dementia-friendly Home

In a dementia-friendly home, safety and accessibility take precedence. The goal is to create a space where individuals can move freely and confidently without fear of accidents or confusion. This might involve removing tripping hazards such as loose rugs and electrical cords, installing handrails in strategic locations, or using non-slip mats in areas prone to moisture.

Lighting also plays a crucial role in a dementia-friendly environment. Bright, even lighting can help reduce confusion and disorientation, particularly in areas like hallways and bathrooms. Additionally, employing contrasting colours for walls, doors, and furniture can make it easier to distinguish between different objects and navigate surroundings.

Clear pathways and clutter-free environments are essential for preventing falls and minimising confusion. Removing unnecessary furniture and personal items can create open, easy-to-navigate spaces, while clearly marking doorways and exits can aid in orientation and reduce anxiety. Signage and labels can also be helpful, providing visual cues and reminders for daily tasks and routines.

In summary, a dementia-friendly home prioritises safety, accessibility, and clear visual cues, achieved through considerations like:

  • Removing tripping hazards
  • Installing handrails and non-slip mats
  • Employing bright, even lighting
  • Using contrasting colors
  • Creating clear pathways and decluttered environments
  • Providing clear signage and labels

hand rails installed in a home

Designing a Dementia-friendly Home: Room-by-Room

Designing a dementia-friendly home involves making thoughtful changes in various rooms, each catering to the specific needs and challenges associated with dementia. The kitchen, bathroom, bedroom, and other living spaces can be transformed into safe and supportive environments through careful planning and implementation. By considering the unique requirements of individuals with dementia, homeowners can create spaces that promote independence, well-being, and a sense of familiarity.

  • Kitchen: Prioritise safety with automatic shut-off appliances and clear food storage containers. Label cupboards and drawers for easy access.
  • Bathroom: Install grab bars, use non-slip mats, and consider a shower chair for added safety and support.
  • Bedroom: Create a restful environment with night lights, a clear path to the bathroom, and clutter-free space.
  • Technology: Utilise automatic medication dispensers, sensors, and GPS tracking devices for added safety and security.

Remember, the home should be adaptable, capable of evolving alongside the changing needs of the person with dementia. Regular assessments by an occupational therapist can ensure the home continues to provide the necessary support and safety as the condition progresses.

2/201 Ron Penhaligon Way, Robina, 4226
Gold Coast, Queensland

Creating a dementia-friendly home is an essential part of dementia care and support. It can significantly improve the quality of life for those living with dementia, promoting independence and reducing frustration. An occupational therapist plays a crucial role in this process, using their expertise to design a home that meets the individual’s needs. If you have a loved one living with dementia, consider seeking the help of an OT to make your home more dementia-friendly. After all, a supportive home environment can make a world of difference for those living with dementia.

Jody Dwyer

Jody Dwyer

Senior Occupational Therapist

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