CiNii 図書 - Designing a better day : guidelines for adult and dementia day services centers

As the U.S. population ages, adult day services have become an integral component in the continuum of care for elderly people. Providing a variety of social and medical services for cognitively or physically impaired elderly people who otherwise might reside in institutions, these facilities can be found in a variety of building types, from purpose-built facilities to the proverbial church basement. They also vary widely in their philosophies, case mix, funding mechanisms, and services. In this interdisciplinary study, Keith Diaz Moore, Lyn Dally Geboy, and Gerald D. Weisman offer guidance for planning and designing good-quality adult day services centers. They encourage architects, caregivers, and staff members to think beyond the building, organizational mission, and staffing structure to conceive of the place that emerges as an interrelated system of people, programming, and physical setting. Through case studies, thoughtful explanations, and well-crafted illustrations, Designing a Better Day provides caregivers, architects, and administrators tools with which they can make qualitative changes for participants and their families. Organized into three parts-creating awareness, increasing understanding, and taking action-this book will be a key resource for professionals involved in creating and maintaining effective adult day services centers.

Acknowledgments Introduction: Setting the Stage for a Better Day Adult Day Centers: An Emerging Place Type Some Important Terms How This Book Is Organized Part I: Creating Awareness 1. Putting ADCs in Context The Historical and Societal Origins of ADCs Adult Day Services Today Character Profiles of Three Common Day Centers 2. The Social/Spatial Structure Approach: Diagnostic Patterns in ADCs Pattern Seeking Patterns and Places Diagnosing Prevalent ADC Types 3. The Experiential Approach: Attributes of Place Experience A Vocabulary of Place Experience Attributes of Place Experience Experiencing ADCs Conclusion Part II: Increasing Understanding 4. ADCs, Places, and Systems A Model of Place The Placemaking Process Conclusion Part III: Taking Action 5. The Process of Adult/Dementia Day Center Development A Guiding Image: Your Project Vision Where to Operate? Site Criteria Moving from Vision to Project Concept Conclusion 6. Determining Feasibility of an Adult/Dementia Day Center Project Financial Feasibility Statement: The Pro Forma Needs Assessment: If You Build It,Will They Come? 7. Developing an Activity Program Valuing Strengths, Abilities, and Challenges Giving the Activities Program Direction: Strategic Orientations Life as Activity Health and Rehabilitation Choreographing the Daily Program Conclusion 8. Prescriptive Patterns to Facilitate Life as Activity Integrating Program and Setting Realm of Activity: Coming and Going Realm of Activity: Walking and Exploring Realm of Activity: Daily Life Activities Realm of Activity: Cooking and Dining Realm of Activity: Being Outside Conclusion 9. Prescriptive Patterns to Facilitate Health and Rehabilitation Realm of Activity: Personal Care: Toileting Realm of Activity: Personal Care: Bathing Realm of Activity: Physical and Health Support Activities Conclusion 10. Evaluating Adult/Dementia Day Centers as Places Conclusion People Program Physical Setting References Index

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Designing a better day : guidelines for adult and dementia day services centers

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