THE HOGEWEYK® Humanizing Care The Hogeweyk®

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THE HOGEWEYK® Humanizing Care

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The Hogeweyk® world wide known as Dementia Village

an integral care conceptfor people living with severe dementia

A normal life with dementia

Jannette SpieringSenior Advisor Be /

founder – The Hogeweyk® care concept

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DEMENTIA

• It affects memory, thinking, orientation, comprehension, calculation, learning capacity, language, and judgement

• deterioration in emotional control, social behaviour, or motivation.

• Dementia is one of the major causes of disability and dependency among older people worldwide.

• There is often a lack of awareness and understanding of dementia, resulting in stigmatization

• The impact of dementia on carers, family and society at large can be physical, psychological, social and economic.

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IMPACT

85 %

can cope in their own home with the support of day care, relatives and friends

can not cope in their own home and need professional support 24/7

15 %

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DEMENTIA IN RELATION TO THE NURSING HOME

• A traditional nursing home organization confuses the resident with severe dementia on a daily basis

• Dementia causes Our behaviour and the environment can influence symptoms caused by dementia such as fear, depression, restlessness and aggression

• The resident with severe dementia needs situations he can overlook (small-scale)

• The resident with severe dementia needs support to live his life as usual ( do not take over)

• Living together with strangers can gain quality if those

strangers have the same lifestyle

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HOGEWEYK® CONCEPT

Social inclusion

& emancipation

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From the old nursing home Hogewey

INNOVATION & CHANGE

To a neighbourhood The Hogeweyk®

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The social-relational model replaces the medical model

INNOVATION & CHANGE

Focus on possibilities not on disabilities

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De Hogeweyk®

How to rehumanize

PILLAR: ORGANIZATION

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1 De - institutionalize

Transform

Normalize

Guiding principles

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De Hogeweyk®


1 De - institutionalize

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De Hogeweyk®


2 Transform

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De Hogeweyk®


3 Normalize

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• Norms and values form the basis of your lifestyle

• Living according to your lifestyle validates you as a person

• Lifestyle is what you eat, what you read, what religion means to you or how you communicate with others

• Lifestyle is about YOU

• Dementia does not discriminate background or culture

• Therefore clients living in The Hogeweyk® are a reflection of all kinds of (elderly) people in Dutch society

Lifestyle

PILLAR: LIFESTYLE

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4 DIFFERENT LIFESTYLES/ 4 WAITING LISTS

URBAN

• Open• Outgoing• Talkative• Folk music• Beer• Family and friends

COSMOPOLITAN• Art• Culture• Nature• Wine• World kitchen • World focus

FORMAL

• Correct manners• Etiquette• Classical music • High tea • Wine

TRADITIONAL• Traditions • Handicraft • Potatoes • Household work • Family • Local news focus • Introvert

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PILLAR: LIFESTYLE

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PILLAR: LIFESTYLE

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PILLAR: LIFESTYLE

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PILLAR: LIFESTYLE

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Favourablesurrounding

PILLAR: FAVOURABLE SURROUNDING

Living in The Hogeweyk® where confusion is minimized.

• A house with a normal front door, a living room and a kitchen

• A house with your own bedroom

• A house that is furnished in the style of your own home

• A house where the household is done according to your own ideas: cleaning the house, washing and ironing the clothes, preparing the meals

• A house with a daily routine according to your own ideas

• A small group: 6-7 in each house

• Outdoor space: streets and gardens to walk in and to be outside

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• At home: meaningful activities, everyday things, normal life

• Outside the home: participation in social life

Life’s pleasures

&

meaning of life

PILLAR: LIFE’S PLEASURES & MEANING OF LIFE

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Event office / Het Uitbureau

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• Experiencing health and the quality of life are leading

• Medics/ therapists to support quality of life

• Balance in life: wellbeing, living and health

• A social-relational model instead of a medical model

• Quality of life is our goal, as long as the extensive program in search for the cure of dementia is going on

Health

PILLAR: HEALTH

Preserving and improving quality of lifePrimary objective of the Hogeweyk® concept

Qu

alit

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f lif

e (

Qo

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Time

PILLAR: HEALTH

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• Employees and volunteers know the vision and apply it in their work. They work independently on basis of the vision.

• Volunteers are fully fledged and equivalent colleagues.

• A volunteer always works under the direction or the indirect supervision of an employee.

Employees & volunteers

PILLAR: EMPLOYEES & VOLUNTEERS

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The team in the house is responsible for:

• Daily care

• A recognizable, nice and healthy meal

• A cosy and pleasant atmosphere

• Day-to-day shopping

• Cleaning, Washing & ironing

• Budget monitoring

• Etc..


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Daily support for the team in the house when needed:

• a nurse practitioner (level 5)

• a geriatric/GP

• a psychologist

• a physiotherapist

• a social coach (level 5)

• an occupational therapist

All are employed by The Hogeweyk®


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Volunteers


5 profiles

140 volunteers

Coordinator (employee)

Win-winSocial involvement, vibrant and active

life

Work:

• Event office

• Clubs (assisting club leader)

• At home (cooking, laundry, cleaning, nice day, etc.)

• Maintenance, gardening

• Bus driver

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Some results of humanizing nursing home care:

1. Positive effects on residents: Better cognitive and functional capacity

Dignity and pride

Improved social involvement

Reduced use/absence of restraints

Better physical and mental health condition

2. Positive effects on employees: More autonomy

Less stress

Reduced physical strain

3. Positive effects on output: No care home stigma, but a sense of normal life.

Less anti-psychotics

Almost no bedridden residents

4. Decrease in aggression through an increase in: Freedom and space to walk around

Fresh air

Exercise

Really knowing who you are enables individual support

5. High satisfaction score among residents and family

De Hogeweyk®OUTCOME

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IMPACT

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De Hogeweyk®IMPACT The Hogeweyk® care concept

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‘Traditional’

NEW DEVELOPMENTS

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‘The Hogeweyk®’

NEW DEVELOPMENTS

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PILLAR: SOCIAL INCLUSION AND EMANCIPATION

Social inclusion

& emancipation

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Nearby future & our next challenge

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??????

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De Hogeweyk®

• Individual

• Household or apartment

• Neighborhood & amenities

• Infrastructure/organisation

DESIGN PERSPECTIVES

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APPENDIX 4. TEAM BE

LOST IN CONTROL & TRAPPED IN STRUCTURES

PURPOSE

HOW IT SHOULD BE THE CONSTRAINT OFTEN THE REALITY

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De Hogeweyk®

Shoot the bears!!

• Institutionalised nurses, therapists, social workers

• Institutionalised organisation

• Family members have learned to think in medical and care terms

• Inspection and Health Care Officials think institutionally

• Finances

• Traditional nursing home architecture

Explore the boundaries, discuss the intention of the law, find the human scale

LOST IN CONTROL & TRAPPED IN STRUCTURES

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APPENDIX 4. TEAM BE

CONTACT

Jannette [email protected]

The Hogeweyk®Heemraadweg 11382 GV WeespThe Netherlands

i: www.bethecareconcept.comi: www.vivium.nle: [email protected]: [email protected] t: +31 294 210 500

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APPENDIX 4. TEAM BE

DISCLAIMER

Use of the information of this presentation is subject to the following conditions and restrictions. All data shown, including text, photographs, graphics, illustrations are the property of or licensed by Vivium/ Be and are protected by copyright, trademark law and/or another from intellectual property law. These property rights or intellectual property rights are in no way transferable. Nothing may be reproduced, stored in a retrieval system or transmitted in any form or means, electronic, mechanical, photocopying, recording or otherwise. This is possible only with the prior written consent of Vivium.

Vivium 2020

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