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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

        Author of Ziger the Tiger Stories, a health enthusiast specializing in relationships, life improvement and mental health.

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        Last Updated on January 3, 2020

        The 10 Essential Habits of Positive People

        The 10 Essential Habits of Positive People

        Are you waiting for life events to turn out the way you want so that you can feel more positive about your life? Do you find yourself having pre-conditions to your sense of well-being, thinking that certain things must happen for you to be happier? Do you think there is no way that your life stresses can make you anything other than “stressed out” and that other people just don’t understand?  If your answer is “yes” to any of these questions, you might find yourself lingering in the land of negativity for too long!

        The following are some tips to keep positive no matter what comes your way. This post will help you stop looking for what psychologists call “positivity” in all the wrong places!  Here are the ten essential habits of positive people.

        1. Positive people don’t confuse quitting with letting go.

        Instead of hanging on to ideas, beliefs, and even people that are no longer healthy for them, they trust their judgement to let go of negative forces in their lives.  Especially in terms of relationships, they subscribe to The Relationship Prayer which goes:

         I will grant myself the ability to trust the healthy people in my life … 

        To set limits with, or let go of, the negative ones … 

        And to have the wisdom to know the DIFFERENCE!

         2.  Positive people don’t just have a good day – they make a good day.

        Waiting, hoping and wishing seldom have a place in the vocabulary of positive individuals. Rather, they use strong words that are pro-active and not reactive. Passivity leads to a lack of involvement, while positive people get very involved in constructing their lives. They work to make changes to feel better in tough times rather than wish their feelings away.

        3. For the positive person, the past stays in the past.

        Good and bad memories alike stay where they belong – in the past where they happened. They don’t spend much time pining for the good ol’ days because they are too busy making new memories now. The negative pulls from the past are used not for self-flagellation or unproductive regret, but rather productive regret where they use lessons learned as stepping stones towards a better future.

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        4. Show me a positive person and I can show you a grateful person.

        The most positive people are the most grateful people.  They do not focus on the potholes of their lives.  They focus on the pot of gold that awaits them every day, with new smells, sights, feelings and experiences.  They see life as a treasure chest full of wonder.

        5. Rather than being stuck in their limitations, positive people are energized by their possibilities.

        Optimistic people focus on what they can do, not what they can’t do.  They are not fooled to think that there is a perfect solution to every problem, and are confident that there are many solutions and possibilities.  They are not afraid to attempt new solutions to old problems, rather than spin their wheels expecting things to be different this time.  They refuse to be like Charlie Brown expecting that this time Lucy will not pull the football from him!

        6. Positive people do not let their fears interfere with their lives!

        Positive people have observed that those who are defined and pulled back by their fears never really truly live a full life. While proceeding with appropriate caution, they do not let fear keep them from trying new things. They realize that even failures are necessary steps for a successful life. They have confidence that they can get back up when they are knocked down by life events or their own mistakes, due to a strong belief in their personal resilience.

        7. Positive people smile a lot!

        When you feel positive on the inside it is like you are smiling from within, and these smiles are contagious. Furthermore, the more others are with positive people, the more they tend to smile too! They see the lightness in life, and have a sense of humor even when it is about themselves. Positive people have a high degree of self-respect, but refuse to take themselves too seriously!

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        8. People who are positive are great communicators.

        They realize that assertive, confident communication is the only way to connect with others in everyday life.  They avoid judgmental, angry interchanges, and do not let someone else’s blow up give them a reason to react in kind. Rather, they express themselves with tact and finesse.  They also refuse to be non-assertive and let people push them around. They refuse to own problems that belong to someone else.

        9. Positive people realize that if you live long enough, there are times for great pain and sadness.

        One of the most common misperceptions about positive people is that to be positive, you must always be happy. This can not be further from the truth. Anyone who has any depth at all is certainly not happy all the time.  Being sad, angry, disappointed are all essential emotions in life. How else would you ever develop empathy for others if you lived a life of denial and shallow emotions? Positive people do not run from the gamut of emotions, and accept that part of the healing process is to allow themselves to experience all types of feelings, not only the happy ones. A positive person always holds the hope that there is light at the end of the darkness.  

        10. Positive person are empowered people – they refuse to blame others and are not victims in life.

        Positive people seek the help and support of others who are supportive and safe.They limit interactions with those who are toxic in any manner, even if it comes to legal action and physical estrangement such as in the case of abuse. They have identified their own basic human rights, and they respect themselves too much to play the part of a victim. There is no place for holding grudges with a positive mindset. Forgiveness helps positive people become better, not bitter.

        How about you?  How many habits of positive people do you personally find in yourself?  If you lack even a few of these 10 essential habits, you might find that the expected treasure at the end of the rainbow was not all that it was cracked up to be. How could it — if you keep on bringing a negative attitude around?

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        I wish you well in keeping positive, because as we all know, there is certainly nothing positive about being negative!

        Featured photo credit: Janaína Castelo Branco via flickr.com

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