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A Paradise Village Only For People With Dementia

A Paradise Village Only For People With Dementia

There is a paradise village called Hogeweyk and it is situated just a few kilometres from Amsterdam in Holland. What is so special about this village? It caters for 150 residents who are suffering from severe dementia and/or Alzheimer’s disease. It is usually referred to as dementia village although paradise may be a more apt description. Here the residents are encouraged to lead as normal a life as possible and take part in lots of activities in a protected environment.

This is in stark contrast to the gloomy nursing homes in most countries. Those are sometimes be staffed by disgruntled and cruel staff in white coats. Patients are kept quiet with medication and follow a boring routine where they are rarely allowed out.

An ideal environment.

Living in Hogeweyk is the perfect solution because each resident can choose his/her accommodation and is assisted by two specially trained carers. It is the perfect replica of any neighborhood in that there are supermarkets, barbers and hairdressers, clubs, and gyms. Residents are encouraged to go out and about, do shopping, go for walks, meet socially and generally lead an as normal life as possible with dignity and grace.

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The village was co-founded by Yvonne van Amerongen in 1992. She and some other carers sat down and worked out what would be the best possible environment for people with severe dementia. The results have been gratifying as the residents now generally live longer, calmer and happier lives. They also eat better and need less medication. When interviewed they usually say they are happy in this environment.

Hogedrinks

    The problem of how best to treat dementia patients is an urgent one as the World Health Organisation is convinced that the numbers of people suffering from this debilitating disorder is likely to double by the year 2030.

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    Living in Hogeweyk.

    Every day, the residents go shopping in the supermarkets and shops which have been designed in the 1960s style to provide them with a familiar setting. As most severe dementia sufferers can remember their past perfectly well, this is a comforting ambience. The food is free as this expense is covered by the monthly fee of $5,000. All the staff running the hair salons and shops are fully trained and no money is ever exchanged.

    HogeSuper

      They then have to go back to their apartments and start to cook and prepare food, under the supervision of their carers as they often need round the clock care. They usually live in units which cater for 6 to 8 people although each person has their private accommodation. Carers never wear white coats. Spouses and partners are encouraged to visit the residents. It is hoped that they will be able to live together with them eventually, although the Dutch government does not provide funding for this at the moment.

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      HOGelivingOK

        Music is a very popular activity and there are sing alongs and music practice, together with theatres and other club activities. It is a fact that many people who suffer mental decline lose the power of speech but they still manage to sing and appreciate music. Apparently, the area of the brain which governs our musical capacity is the last to decline when dementia strikes.

        Social workers are on hand to deal with emergencies as sometimes newly arrived residents become aggressive or may barricade themselves inside their units.

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        How dementia needs to be treated.

        Hogeweyk has led the way and some countries and institutions are ready to follow suit. It has provided a lesson in how to treat elderly people in mental health care. The following points should be borne in mind when we have to deal with mental health patients.

        1.  Dementia patients will suffer much less if they are kept active.
        2. They should be allowed to live in a home like environment which is gated.
        3. Pharmacological treatment needs to be combined with providing them with normal activities as far as possible.
        4. Patients should never be kept in bed but encouraged to move about and be engaged with their surroundings.
        5. The care environment needs to be upgraded to reduce the possibility of patients feeling distressed.
        6. People need to be put before profits so that dementia sufferers do not lose their freedom and independence.
        7. Nurses need to be reminded to be people first, rather than mere trained specialists.
        8. People with dementia should still be allowed to make limited choices about what they want to eat and not be bossed around all the time.
        9. Carers need to adhere less and less to being a model custodian. Dementia demands much more tolerance and empathy.
        10. Denmark is leading the way in providing preventive home visits for people over the age of 75 to assess whether they are at risk of dementia. They aim to provide personal assistance wherever possible rather than admit these patients to nursing homes.

        As we can see, there is much to be done to revolutionize elderly mental health care. But at least the paradise village and other similar ventures are blazing the trail.

        Featured photo credit: IMG 0213/Hans Erkelens via flickr.com

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        Robert Locke

        Freelance writer

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        How to Control Your Thoughts and Become the Master of Your Mind

        How to Control Your Thoughts and Become the Master of Your Mind

        Your mind is the most powerful tool you have for the creation of good in your life, but if not used correctly, can also be the most destructive force in your life.

        Your mind, more specifically, your thoughts, affect your perception and therefore, your interpretation of reality.

        I have heard that the average person thinks around 70,000 thoughts a day. That’s a lot, especially if they are unproductive, self-abusive and just a general waste of energy.

        You can let your thoughts run amok, but why would you? It is your mind, your thoughts; isn’t it time to take your power back? Isn’t it time to take control?

        Choose to be the person who is actively, consciously thinking your thoughts. Become the master of your mind.

        When you change your thoughts, you will change your feelings as well, and you will also eliminate the triggers that set off those feelings. Both of these outcomes provide you with a greater level of peace in your mind.

        I currently have few thoughts that are not of my own choosing or a response from my reprogramming. I am the master of my mind, so now my mind is quite peaceful. Yours can be too!

        Who Is Thinking My Thoughts?

        Before you can become the master of your mind, you must recognize that you are currently at the mercy of several unwanted “squatters” living in your mind, and they are in charge of your thoughts. If you want to be the boss of them, you must know who they are and what their motivation is, and then you can take charge and evict them.

        Here are four of the “squatters” in your head that create the most unhealthy and unproductive thoughts:

        1. The Inner Critic

        This is your constant abuser. He is often a conglomeration of:

        • Other people’s words; many times your parents.
        • Thoughts you have created based on your own or other peoples expectations.
        • Comparing yourself to other people, including those in the media.
        • The things you told yourself as a result of painful experiences such as betrayal and rejection. Your interpretation creates your self-doubt and self-blame, which are most likely undeserved in cases of rejection and betrayal.

        He is motivated by pain, low self-esteem, lack of self-acceptance and lack of self-love.

        Why else would he abuse you? And since “he” is actually you– why else would you abuse yourself? Why would you let anyone treat you this badly?

        2. The Worrier

        This person lives in the future; in the world of “what ifs.”

        He is motivated by fear which is often irrational and with no basis for it.

        Occasionally, he is motivated by fear that what happened in the past will happen again.

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        3. The Reactor or Trouble-Maker

        He is the one that triggers anger, frustration and pain. These triggers stem from unhealed wounds of the past. Any experience that is even closely related to a past wound will set him off.

        He can be set off by words or feelings. He can even be set off by sounds and smells.

        He has no real motivation; he has poor impulse control and is run by past programming that no longer serves you, if it ever did.

        4. The Sleep Depriver

        This can be a combination of any number of different squatters including the inner planner, the rehasher, and the ruminator, along with the inner critic and the worrier.

        His motivation can be:

        • As a reaction to silence, which he fights against
        • Taking care of the business you neglected during the day
        • Self-doubt, low self-esteem, insecurity and generalized anxiety
        • As listed above for the inner critic and worrier

        How can you control these squatters?

        How to Master Your Mind

        You are the thinker and the observer of your thoughts. You must pay attention to your thoughts so you can identify “who” is running the show; this will determine which technique you will want to use.

        Begin each day with the intention of paying attention to your thoughts and catching yourself when you are thinking undesirable thoughts.

        There are two ways to control your thoughts:

        • Technique A – Interrupt and replace them
        • Technique B – Eliminate them altogether

        This second option is what is known as peace of mind!

        The technique of interrupting and replacing is a means of reprogramming your subconscious mind. Eventually, the replacement thoughts will become the “go to” thoughts in the applicable situations.

        Use Technique A with the Inner Critic and Worrier and Technique B with the Reactor and Sleep Depriver.

        For the Inner Critic

        When you catch yourself thinking something negative about yourself (calling yourself names, disrespecting yourself, or berating yourself), interrupt it.

        You can yell (in your mind), “Stop! No!” or, “Enough! I’m in control now.” Then, whatever your negative thought was about yourself, replace it with an opposite or counter thought or an affirmation that begins with “I am.”

        For example, if your thought is, “I’m such a loser,” you can replace it with, “I am a Divine Creation of the Universal Spirit. I am a perfect spiritual being learning to master the human experience. I am a being of energy, light, and matter. I am magnificent, brilliant, and beautiful. I love and approve of myself just as I am.”

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        You can also have a dialogue with yourself with the intention of discrediting the ‘voice’ that created the thought, if you know whose voice it is:

        “Just because so-and-so said I was a loser doesn’t make it true. It was his or her opinion, not a statement of fact. Or maybe they were joking and I took it seriously because I’m insecure.”

        If you recognize that you have recurring self-critical thoughts, you can write out or pre-plan your counter thoughts or affirmation so you can be ready. This is the first squatter you should evict, forcefully, if necessary:

        • He riles up the Worrier.
        • The names you call yourself become triggers when called those names by others, so he also maintains the presence of the Reactor.
        • He is often present when you try to fall asleep so he perpetuates the Sleep Depriver.
        • He is a bully and is verbally and emotionally abusive.
        • He is the destroyer of self-esteem. He convinces you that you’re not worthy. He’s a liar! In the interest of your self-worth, get him out!

        Eliminate your worst critic and you will also diminish the presence of the other three squatters.

        Replace him with your new best friend who supports, encourages, and enhances your life. This is a presence you want in your mind.

        For the Worrier

        Prolonged anxiety is mentally, emotionally and physically unhealthy. It can have long-term health implications.

        Fear initiates the fight or flight response, creates worry in the mind and creates anxiety in the body.

        You should be able to recognize a “worry thought” immediately by how you feel. The physiological signs that the fight or flight response of fear has kicked in are:

        • Increased heart rate, blood pressure, or surge of adrenaline
        • Shallow breathing or breathlessness
        • Muscles tense

        Use the above stated method to interrupt any thought of worry and then replace it. But this time you will replace your thoughts of worry with thoughts of gratitude for the outcome you wish for.

        If you believe in a higher power, this is the time to engage with it. Here is an example:

        Instead of worrying about my loved ones traveling in bad weather, I say the following (I call it a prayer):

        “Thank you great spirit for watching over _______. Thank you for watching over his/her car and keeping it safe, road-worthy, and free of maintenance issues without warning. Thank you for surrounding him/her with only safe, conscientious, and alert drivers. And thank you for keeping him/her safe, conscientious, and alert.”

        Smile when you think about it or say it aloud, and phrase it in the present tense; both of these will help you feel it and possibly even start to believe it.

        If you can visualize what you are praying for, the visualization will enhance the feeling so you will increase the impact in your vibrational field.

        Now take a calming breath, slowly in through your nose, and slowly out through the mouth. Take as many as you like!

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        Replacing fearful thoughts with gratitude will decrease reactionary behavior, taking the steam out of the Reactor.

        For example:

        If your child gets lost in the mall, the typical parental reaction that follows the fearful thoughts when finding them is to yell at them.

        “I told you never to leave my sight.” This reaction just adds to the child’s fear level from being lost in the first place. Plus, it also teaches them that mom and/or dad will get mad when he or she makes a mistake, which may make them lie to you or not tell you things in the future.

        Change those fearful thoughts when they happen:

        “Thank You (your choice of Higher Power) for watching over my child and keeping him safe. Thank you for helping me find him soon.”

        Then, when you see your child after this thought process, your only reaction will be gratitude, and that seems like a better alternative for all people involved.

        For the Trouble-Maker, Reactor or Over-Reactor

        Permanently eliminating this squatter will take a bit more attention and reflection after the fact to identify and heal the causes of the triggers; but until then, you can prevent the Reactor from getting out of control by initiating conscious breathing as soon as you recognize his presence.

        The Reactor’s thoughts or feelings activate the fight or flight response just like with the Worrier. The physiological signs of his presence will be the same. With a little attention, you should be able to tell the difference between anxiety, anger, frustration, or pain:

        • Increased heart rate and blood pressure; surge of adrenaline
        • Shallow breathing or breathlessness
        • Muscles tension

        I’m sure you’ve heard the suggestion to count to ten when you get angry—well, you can make those ten seconds much more productive if you are breathing consciously during that time.

        Conscious breathing is as simple as it sounds; just be conscious of your breathing. Pay attention to the air going in and coming out.

        Breathe in through your nose:

        • Feel the air entering your nostrils.
        • Feel your lungs filling and expanding.
        • Focus on your belly rising.

        Breathe out through your nose:

        • Feel your lungs emptying.
        • Focus on your belly falling.
        • Feel the air exiting your nostrils.

        Do this for as long as you like. Leave the situation if you want. This gives the adrenaline time to normalize.

        Now you can address the situation with a calmer, more rational perspective and avoid damaging behavior.

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        One of the troubles this squatter causes is that it adds to the sleep depriver’s issues. By evicting, or at least controlling the Reactor, you will decrease reactionary behavior, which will decrease the need for the rehashing and ruminating that may keep you from falling asleep.

        Master your mind and stop the Reactor from bringing stress to you and your relationships!

        For the Sleep Depriver

        (He’s made up of the Inner Planner, the Rehasher and the Ruminator, along with the Inner Critic and the Worrier.)

        I was plagued with a very common problem: not being able to turn off my mind at bedtime. This inability prevented me from falling asleep and thus, getting a restful and restorative night’s sleep.

        Here’s how I mastered my mind and evicted the Sleep Depriver and all his cronies.

        1. I started by focusing on my breathing—paying attention to the rise and fall of my belly—but that didn’t keep the thoughts out for long. (Actually, I now start with checking my at-rest mouth position to keep me from clenching.)
        2. Then I came up with replacement strategy that eliminated uncontrolled thinking—imagining the word in while breathing in and thinking the word out when breathing out. I would (and do) elongate the word to match the length of my breath.

        When I catch myself thinking, I shift back to in, out. With this technique, I am still thinking, sort of, but the wheels are no longer spinning out of control. I am in control of my mind and I choose quiet.

        From the first time I tried this method I started to yawn after only a few cycles and am usually asleep within ten minutes.

        For really difficult nights, I add an increase of attention by holding my eyes in a looking-up position (Closed, of course!). Sometimes I try to look toward my third eye but that really hurts my eyes.

        If you have trouble falling asleep because you can’t shut off your mind, I strongly recommend you try this technique. I still use it every night. You can start sleeping better tonight!

        You can also use this technique any time you want to:

        • Fall back to sleep if you wake up too soon.
        • Shut down your thinking.
        • Calm your feelings.
        • Simply focus on the present moment. 

        Becoming the Master of Your Mind

        Your mind is a tool, and like any other tool, it can be used for constructive purposes or for destructive purposes.

        You can allow your mind to be occupied by unwanted, undesirable and destructive tenants, or you can choose desirable tenants like peace, gratitude, compassion, love, and joy.

        Your mind can become your best friend, your biggest supporter, and someone you can count on to be there and encourage you. The choice is yours!

        Featured photo credit: Pexels via pexels.com

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