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Culture Change Training and Education

"Aging in the Designed Environment"

Edited by Ellen D. Taira, OTR/L, MPH
Manager, Rehabilitation Department, Home Health Agency, Montefiore Medical Center, Bronx, New York

Principal author:
Margaret A. Christenson, MPH, OTR
President and Founder, Geriatric Environmental Concepts, Inc., New Brighton, Minnesota

ISBN: 1-56024-031-8
Hardcover, 133pp, $25

Price: $25

About the Book

Aging in the Designed Environment is a key sourcebook for developing and implementing environmental designs for the aging. The physical environment remains one of the most overlooked areas in environmental design. In order to move beyond this status quo, persons responsible for planning elderly environments must develop a new understanding of ways in which their influence can improve the older adultıs physical and mental functioning. Occupational and physical therapists, as well as other health care professionals, will benefit tremendously from the information presented in this unique volume. Designers, developers, and others with minimal health care background will also find a wealth of possibilities within Aging in the Designed Environment.

The first section describes the implications that occur when there are changes in vision, hearing, taste, smell, touch, and the kinesthetic systems. Recommendations for environmental adaptation and modifications which may compensate for the changes in each of these systems are suggested. The second section stresses the relationship between behavior and environment. A variety of environmental attributes--comfort, privacy, accessibility, control, security, dignity--and their impacts are discussed, along with information on ways that attributes can be incorporated into the living settings of older people. In section three the focus is on the older person living independently in his or her own home, and section four covers exclusively the design and selection of chairs for older adults. New ways to assess and evaluate the home to promote independence beyond the traditional activities of daily living are addressed. The last section deals with redesigning the existing long-term care facility. The author examines some of the environmental conditions existing in specific facilities and provides recommendations to compensate for these circumstances.


Contents

  • Introduction
  • Adaptations of the Physical Environment to Compensate for Sensory Changes
  • Designing for the Older Person by Addressing Environmental Attributes
  • Enhancing Independence in the Home Setting
  • Chair Design and Selection for Older Adults
  • Redesigning the Long-Term Care Facility
  • Appendix
  • Reference Notes Included


Reviews

"Presents the environment as the untapped treatment modality that can maximize a person's functional abilities when designed effectively... integrates theory with practice to provide a very coherent and stimulating book."

Canadian Journal of Occupational Therapy

"Provides detailed information on how to adapt the physical environment to compensate for sensory changes common to aging, enhance independence in the home, and redesign long term care facilities. An excellent resource for modifying the environment."

Magic, Mystery, Modification & Mirth: The Joyful Road to Restraint Free Care

"A well-written, positive, upbeat, practical, do-able approach to the issue of living environments (individual home to congregate) for the older population. It will be helpful to occupational therapists, physical therapists, administrators, designers, and families. It is a well-referenced text based on many years of practical experience and research. I highly recommend it."

A. Joy Huss, MS, OTR, RPT, FAOTA, Associate Professor, Program in Occupational Therapy, University of Minnesota

"A welcome and refreshing addition to the field of environmental design. It clearly and concisely pulls together a wide range of information relating to the physical, sensory, and psychosocial needs of the older person in the built environment. It is well-written and provides both practical design guidelines as well as easy to understand research data relating to the elderly that will be valuable to both the professional as well as the nonprofessional."

Evelyn Cohen, MA, Gerontological Design Consultant, Evelyn Cohen & Associates, Santa Monica, California