Creating a dementia-friendly home
A dementia-friendly home is a place where changes have been made that make it easier for someone with dementia to live in. Learn how to make your home more dementia-friendly and safe.
Click one of the topics below. Each one contains a list of simple, inexpensive improvements you can make to your dementia-friendly home.
- Install slip-resistant mats or tiles.
- Use tiles with a matte finish to avoid glare.
- Use a water-safe chair in the shower or bath.
- If you can, install a walk-in shower base.
- Use bathroom-safe heat lamps to keep the room warm.
- Check that the toilet is a comfortable height and easy to use.
- Install a toilet seat that’s a different colour to its surroundings.
- Clearly label “hot” and “cold” on taps, and use accessible cross-head or lever taps.
- Store things you use every day, like your toothbrush, toothpaste, comb and deodorant, in one place so you can easily find them.
- Install handrails beside the bath, shower and toilet.
- Use a hand-held shower hose.
- Add a shower seat or bath seat.
- Check that the floor has a drain, in case the taps are left on.
- Remove or securely store any medications.
- Use night lights or motion-sensor lights.
If you can’t install features in different colours, use coloured tape to mark them.
- Remove unnecessary items.
- Install a motion-sensor light that turns on if anyone gets up in the night.
- Use plain bed covers rather than patterns or stripes.
- Use sheets that are a different colour to the cover.
- If you can, use wall-mounted reading lights rather than lamps that can be knocked over.
- Remove electric blankets and hot water bottles, which can be dangerous.
- Check that the height of the bed makes it easy to get in and out.
- Add a chair to help with balance when dressing.
If you can’t install features in different colours, use coloured tape to mark them.
The National Equipment Database (NED) has more information about technology and aids that can help people with dementia live at home safely and for longer.
- Use cutlery and plates that are a different colour to the place mat or table.
- Use accessible cutlery and cups.
- Use non-slip placemats.
- Use soft lighting over the dining table.
- Use easy-to-clean dining room chairs with good back and arm support.
If you can’t install features in different colours, use coloured tape to mark them. For more information on dining, see Eating.
- Install large light switches in a different colour to the wall.
- Install power plugs in a different colour to the wall.
- Replace long electrical cords with coiled or retractable cords.
- Make sure that electrical connections are located away from water or heat.
- Use a safety iron, which turns itself off if it’s left on too long.
- Check your heaters for possible hazards. Replace bar heaters and other more-dangerous heaters with safer heating options, such as column heaters.
- Replace appliances with similar-looking models you have used before or recognise.
- Use smart home automation systems to pre-program heating and cooling.
If you can’t install features in different colours, use coloured tape to mark them.
- Put clear labels on cupboards and drawers so you can quickly locate things.
- Avoid complex patterns on carpet, tiles, wallpaper and soft furnishings, which can be overwhelming.
- Install accessible D-shaped door handles in a different colour to the door.
- Paint architraves, doors and door frames in a different colour to the wall.
- Put up easy-to-read signs, symbols or photos that show what a room is for.
- Install carpets and tiles in different colours so they’re easy to identify.
- Make sure rooms are well lit.
- Arrange your furniture consistently and don’t move it around too often.
- Make sure there’s plenty of space and that it’s easy to move around.
- Check that chairs are a comfortable height and are easy to get into and out of.
- Keep regularly used items in your line of sight.
- Remove loose rugs and seal carpet edges to reduce the chance of tripping.
- Group items that are often used together, like cups, coffee, teabags and spoons.
- Use open shelving or clear labels on cupboard doors so things are easy to find.
- Add notes and reminders to a whiteboard or corkboard.
- Choose a refrigerator with large handles in a different colour.
- Use automatic cut-offs for kettles and other appliances.
- Check for flammable material, and either remove it or store it securely.
- Keep an easy-to-read list of emergency contact numbers and names in large print where it can always be found.
If you can’t install features in different colours, use coloured tape to mark them.
To make your laundry safe and easy to use for washing:
- Clearly label or colour-code the washing machine and dryer.
- Use open shelving or clear labels on cupboard doors so things are easy to find.
- Store the ironing board and clothes basket somewhere obvious.
- Clearly label “hot” and “cold” on taps, and use accessible cross-head or lever taps.
- Have an overflow drain or water level alarm on the sink.
- Remove or safely store poisons and dangerous substances.
If you can’t install features in different colours, use coloured tape to mark them.
- Put chairs and couches near windows to get natural light.
- Use a chair with a raised or adjustable seat that’s easy to get in and out of.
- Put a stable table beside the chair for books, cups or tv remotes.
- Use a tray that can be safely positioned over a lap.
- Keep games, jigsaw puzzles and photograph albums nearby so there are always things to do.
- Check that paths and steps aren’t worn, uneven or slippery. This can make them a tripping hazard.
- Sweep paths regularly.
- Remove overhanging branches.
- Remove poisonous plants from the garden.
- Remove or securely store poisons and hazardous substances in sheds or garages.
- Use assistive technologies, like personal alarms and timers, calendar clocks, touch lamps and walking sticks.
- Regularly check the battery of your smoke detector.
- Install electrical safety switches and gas leak detectors.
- Install shut-off devices, which turn off a stove’s power or gas if it’s left on.
- Use a thermostat to reduce the temperature of the water from the hot tap.
- Use flood detectors or plugs, which sound an alarm if you accidentally leave a tap running. They can also automatically open when the water reaches a certain point.
- Use a fall detector alarm.
If you can’t install features in different colours, use coloured tape to mark them. For more on safety devices, see our Tools and aids to help at home page.
Try our new interactive video guide, an easy-to-use way to explore simple improvements to make your house more dementia-friendly.
There are a lot of ways to make your home more dementia-friendly, but it can be hard to do it all on your own. Our ‘At Home with Dementia’ program is here to help.
Dementia Expert Webinar: Moving House
In this video, dementia occupational therapists Nerida Turner and Katerina Tsokas speak about moving home, including when and where to move, tips for moving day and settling in.

Transcript
[Beginning of recorded material]
[Title card: Moving Home with Dementia. Dementia Australia.]
Nerida: Welcome to our webinar, Moving Home with Dementia. This webinar includes some helpful hints and ideas about moving home for anyone living with dementia, their families, or care partners. My name is Nerida, and I'm presenting with Katerina. We are both occupational therapists with experience in working with people living with dementia, their families, friends, and care partners. Our role in Dementia Australia is to support people living with changes in their memory and thinking to adjust their home to be more comfortable, safe, and engaging. This also includes supporting people who may be moving home. I'd like to begin by acknowledging the traditional owners of the land on which we meet today. I am joining you from the land of the Wurundjeri people of the Kulin nation, and Katerina is joining us from the land of the Kaurna people, and we pay our respects to Elders past and present, and to our shared futures.
Today, I'm going to talk about what to consider when you are deciding when or where to move, and how to plan for the move. And Katerina is going to share some tips for moving day, and how to settle into your new home. The decision to move home may be made over a long period of time, or there may be events that lead you to make the decision quickly. Staying in a familiar home and in your local community can support a person living with dementia to get around, do the activities that are meaningful or purposeful to them. However, there are many reasons why you may need or choose to move home. Some things you might consider when thinking about moving home are your safety in your current home. Do you feel safe? Are you able to do the things that are important to you in a safe way? And if not, are the safety issues able to be fixed or adjusted, or is moving to a new home going to be safer for you? Some people feel unsafe navigating steps using their appliances, or getting into and out of their shower, or some people feel insecure when they live away from family or friends who can support them, so these are reasons why they may move.
Cost is another factor in moving home. You might be thinking about the cost of living in your current home, and whether you can manage its size. Some people may have had a change in income and need to move, or they want to downsize as the house or garden is getting too large to manage. After a diagnosis of dementia, you may start thinking about how you want to live with dementia. You could think about how you would like to spend your time, and whether your current home supports you to remain independent, safe, and engaged in valued or purposeful activities. The decision to move is a big one, so you may like to talk to other people about it. Katerina, what are some tips when it comes to talking with others about moving home?
Katerina: Thanks, Nerida. Another part of moving home includes talking to the people that you live with about the move. It's important to talk with all people who will be living in the new home, including the person living with dementia. Encourage anyone who wants to be involved to ask any questions that they may have about the move, to express their preferences about a home, and to discuss suitable choices that are currently available. As part of this conversation, you might like to discuss and be honest about why moving home is a suitable option. Some people might want to discuss topics such as responsibilities, like who will help out with medical appointments and caregiving duties. Other possible topics may include identifying tip hazards, concerns with kitchen safety, or security. Some people may seek professional assistance in identifying and addressing these points to make the new home as safe as possible. Some professional help may include an occupational therapist a gas certified plumber, or a locksmith. Finally, allow everyone the chance to express their feelings and emotions about the move, so that they feel seen, heard, and valued. Let's now hear about looking for a new home from Nerida.
Nerida: Thanks, Katerina. When it comes to looking for a new home, whether or not you have definitely decided to move, you can still plan the home that will best suit your needs, and the way you'd like to live. Things you may like to consider are the location of your new home. Do you want to live in your current neighbourhood or are you moving to a new suburb, state, or country? What supports or services do you want to live near? Do you want to stay close to your current doctor, pharmacy, supermarket, or are you okay with finding new ones? And who do you currently live close to? You may have family or friends who support you from afar, and you'd like to move closer to them.
What type of home do you need or prefer? Some people prefer a home on one level with no steps or stairs. How many rooms will you need? This might depend on who you are going to be living with or whether you need a study or a spare room. What style of home is familiar to you? A person living with dementia may feel more at ease in a new home that is familiar to them. If you've always lived in cosy homes with all your belongings on show, you may not be comfortable or at ease in a modern, minimalistic home, with all your possessions hidden away.
What home can you afford to live in? Do some investigation into the cost of housing where you'd like to live. What can you afford and will that home support your needs? Or will there be costs to instal home modifications or renovate? What size home or garden can you maintain? Do you have the money and energy to renovate, or do you prefer a completed home? As Katerina mentioned, are there safety or security features that need installing? Some people look to see if potential homes already have grab rails, ramps, security systems, security lighting, door or gate locks, electricity or gas shutoff systems, hot water temperature limiters, smoke detectors, or CO2 monitors, whatever it is that you are needing. If you currently need grab rails or ramps, then you could consider getting them installed into your new home before you move in.
After you've chosen a home, you'll need to plan for your move. You may like to make a list of what is important to you and your cherished possessions. Make a plan of the new home and how your important things will fit into the new spaces. At this point, you might like to look at Dementia Australia's dementia-friendly home app, which has ideas about adjustments that you can make to a home to support a person living with dementia. Arrange the connection of the electricity, water and gas. Notify your change of address to government agencies, care agencies, medical services, insurance companies, and other important services. You can get quotes from removalist companies or transport companies if you need them to help you move.
If you have decided to have maintenance, safety modifications or home improvements made to your new home, you will need to get quotes and organise any trades during this time. If the noise or dust made by this work is likely to cause distress to anyone living in the home, you may like to consider setting the move in date to after the completion date of these works. Gather together your important documents and find a secure place to store them to avoid misplacing them during the move, such as birth certificates, passports, bank or tax documents, and any other valuable belonging. And finally, arrange respite for the person living with dementia if needed, on moving day or for the period of time while moving is happening.
Now, Katerina, what are some tips for moving day?
Katerina: The following are some tips that may help you on moving day. Firstly, it is important to keep to your routine as much as possible. So, for example, eating at certain times, eating the food you would usually like, and taking part in your favourite activities. This provides a sense of normalcy, which then provides a sense of comfort, and these things decrease stress and anxiety. Schedule the move at a time of day when the person living with dementia is at their best. So this includes concentration, interaction, and energy. For example, some people plan a move later in the day if they're not an early riser, but on the other hand, some people experience sundowning, so avoiding late afternoon moves will minimise confusion and anxiousness.
On moving day, talk about what is going to happen and what has happened. This will help in understanding why the day is so busy, the extra noise or people that may be around. Being included and informed during the process of moving, assist in feeling valued, which contributes to wellbeing. Finally, take some time out and rest in a quiet space throughout the day in order to conserve and maintain energy levels to avoid feeling overwhelmed.
After the move is complete, you may like to consider these tips to create an enabling home. An enabling home helps a person living with dementia to live a full and independent a life as possible. Firstly, setting the new home up in a similar way to the previous home will assist with orientation, as things will look familiar. Set up the environment to stimulate and support participation in valued activity. This may include ensuring that spaces are free of clutter and that items required for activities or tasks that you enjoy participating in are easy to find.
Finally, consider environmental aids such as lighting, signage, and labels to assist in wayfinding and locating items. Nerida, can you tell us more about how to create a familiar home?
Nerida: To create a familiar home, try to set up the new home to accommodate your previous routines. Include your cherished personal objects or anything that gives you a sense of familiarity, stability, or comfort. Place your furniture in a way that supports your automatic patterns of movement. So perhaps you always sleep on the right side of the bed, and the toilet was located next to your side of the bed, so try to replicate this in your new home. If you can't, then you will need to set up some cues to help you reorientate, such as installing some night lights, or putting a sign up to show you the new way. Some people bring their favourite armchair, blanket, plants, photos, or other cherished items, and display them throughout their home. Other ideas are to paint or re-carpet with a familiar colour scheme, or change the window coverings to a familiar choice that is easy to use.
The outdoor areas can also be adjusted with familiar items to your garden, such as a bird bath, or a bench seat. Choose a place in your home where you can spend time doing the hobbies, interests, and purposeful activities that you enjoy. If you are resuming past hobbies, try to set the home in a similar way that you had before. And if you are looking for new activities, you could explore activities that stimulate our five senses: touch, taste, smell, hear, see, such as music, painting, gardening, or polishing furniture. What a familiar home looks like is going to be different for everyone, and it will evolve over time as you start living in your new home.
Katerina is now going to talk about how best to settle into your new home.
Katerina: Settling into the new home may take some time for the person living with dementia as they need to adjust to their new surroundings, and any potential new layout aspects to the home, that do not replicate that of their familiar environment. This might result in asking to leave the new home, but keeping a routine, ensuring comfort and engagement in activities of meaning and purpose can assist with this as you settle in. Finally, reaching out and linking to your community can support your wellbeing now and into the future. Some people get to know their new neighbours. They join social groups or exercise groups, and get out and about to find their local shops, GP and pharmacy.
So, to put all of this theory together, we have come up with an example of a case study, and this couple is Morgan and Ashley. They have decided to move home, and this talks about how they prepared for moving day, and settling into their new home. Morgan and Ashley have decided to move out of their family home that they have shared for the past 20 years. Morgan was diagnosed two years ago with dementia. Morgan and Ashley live in a two-storey home, and Morgan has recently been having some difficulties managing the stairs. All the bedrooms and main bathrooms are upstairs, and the kitchen, living room, and laundry are downstairs.
They have a daughter and grandchildren that live half an hour away. Morgan and Ashley put in a lot of thought into the decision of moving home. They researched the costs of installing a stair lift, or modifying the living room into a bedroom and ensuite. However, they realised the cost of a stair lift and the noise of construction did not suit their needs. Morgan was initially really upset about the prospect of moving home. However, after discussions with Ashley, their daughter, and grandchildren, Morgan was willing to look at new homes in order to plan for the future. Morgan and Ashley wanted to find a home that was on a level block, within 10 minutes of their daughter, and with an ensuite bathroom.
They managed to find a home that fit these criteria, and as a bonus, the yard is easy to maintain. This would allow Morgan and Ashley to plant a veggie garden, which is something that they've always enjoyed, but the size of the lawn is not too much to maintain. Morgan and Ashley made a list of all the important personal belongings that make home feel comfortable and safe. Morgan chose to bring tools for gardening, a favourite recliner chair, and a framed photo of them both from the lounge room.
On the day of the move, Morgan and Ashley decided to move in the morning as Morgan has the most energy earlier in the day. Morgan also decided to be present on moving day, therefore, Ashley did not consider respite options. Ashley had given the removalists clear instructions for where to place Morgan's recliner chair, and to place Morgan's side of the bed closest to the ensuite door. Ashley's daughter bought some nightlights to place in the ensuite, a sign for the ensuite door and labels for where to find cutlery, plates, and cups in the kitchen.
After living in their new home for two weeks, Morgan and Ashley are starting to display more of their cherished belongings that make home feel familiar. They have plans to start their veggie garden after taking the time to settle in. So, in summary, today, we have covered thinking about and deciding when and where to move. Talking with everyone involved in the move, and encouraging the expression of their thoughts and feelings, planning for moving day, including keeping to familiar routines, the time of day for moving, and scheduling rest breaks.
And we've spoken about creating a familiar environment, and how this involves setting up the home layout, displaying personal objects, sticking to a familiar routine, and engaging in activities that bring meaning and purpose. Finally, we've covered that it's important to allow plenty of time to settle in.
If you would like more information on moving homes with dementia, please contact the National Dementia Helpline on 1800 100 500. Nerida and I would like to thank you for joining us today.
[Title card: No matter how you are impacted by dementia or who you are, we are here for you.]
[Title card: Dementia Australia. National Dementia Helpline 1800 100 500. Dementia.org.au]
[END of recorded material]
Dementia Expert Webinar: At Home with Dementia
In this video, occupational therapist Cathy Tippett, discusses ways of creating a home environment that supports the wellbeing and independence of people living with dementia.

Transcript
[Beginning of recorded material]
[Title card: Dementia Australia]
[Title card: At home with dementia – Creating a supportive and enabling environment]
Cathy: Hello, and welcome to the “At Home with Dementia: Creating a Supportive and Enabling Environment” webinar. I'm Cathy, and I'm a dementia support specialist here at Dementia Australia. I'd like to start the webinar with an acknowledgement of country. In the spirit of reconciliation, Dementia Australia acknowledges the traditional custodians of country throughout Australia and their connections to land, sea, and community. We pay our respect to the Elders, past, and present, and extend this respect to all Aboriginal and Torres Strait Islander peoples today. I would particularly like to acknowledge the Ngunnawal people, the traditional custodians of the ACT and surrounding land from which I'm presenting.
So today, I'm going to explore with you how a well-thought-out home environment can help you to live well by supporting independence, engagement, safety, and comfort. The webinar is designed for people living with dementia, and carers, who live in the community. And welcome to those of you who are joining and watching. The aim of this session is to help you to understand what makes a supportive home environment, and to provide some ideas and guidance that you can use to think about, and apply in your own home.
Through watching the webinar, I hope that you develop your understanding of how changes due to dementia can affect the way the home environment is experienced, that you gain awareness and understanding of the environmental design principles. These are evidence-based principles which you can use to help you think about your home, the things that might be difficult, and changes that might be helpful. And I will also provide you with some examples, so that you understand the design principles and how they can be used at home.
Before we launch into the principles and examples, I'd like to take a step back and touch on why this is such an important topic. It's important because in Australia, regular homes in the community are where most people diagnosed with dementia live. In fact, two-thirds of people with dementia live in the community, and the very strong message that we get from our clients is that they want to continue to live at home for as long as possible. And very often, this is for life. Clients identify their homes as very important to them, supporting a sense of identity and belonging, and allowing them to be independent, comfortable, and engaged. Supporting people to continue to live well at home, even with changing cognition and needs, enhances wellbeing and supports choice. And I think we can all agree that that's really important.
The other thing I want to mention briefly is that it's important to note that people living with dementia have an increased risk of falls and accidents at home, either due to dementia, or sometimes due to coexisting conditions. In some cases, structural modifications to the home or more complex equipment are needed to address safety concerns. These might include things such as rails, ramps, and mobility aids. Major and specialised environmental modification is not covered in this webinar. If you have concerns around the physical safety of your home, it's important to get professional advice. And there are a number of programs that support the assessment of home safety, including through My Aged Care and the NDIS. These programs are often heavily subsidised or free, so I would encourage you to follow up through the appropriate system if this is applicable to you.
To understand why the environment is important for you to think about, it's important to understand the changes that are commonly experienced by people living with dementia. These changes will vary depending on the type of dementia. However, there are some that are fairly commonly experienced, and these include changes to both a person's abilities and sensory changes. In terms of abilities, cognitive changes impact how people process, understand, and use information. Changes to things such as memory, planning, initiation, and sequencing of tasks are common, and these make it difficult to do the things that would previously have been easily managed. For example, most people take day-to-day tasks like making a cup of tea or putting on a load of washing for granted, but these tasks involve a lot of steps, and can become challenging. Think about a task around the house that you manage easily, and think about what's involved. You might be surprised at how complex it is when you break it down. Our brains work hard all the time and we don't even realise it. Changes in ability can also include physical changes. For example, to mobility, and this can be either directly due to dementia or due to other factors. This is particularly the case for older people who may be living with coexisting age-related conditions. Both cognitive and physical changes impact your ability to use and make sense of the environment. Simple adaptations to the home, which we'll talk about in a little bit, can make a big difference in supporting independence, safety, and wellbeing. And just to illustrate how many steps simple tasks can involve, here are the steps involved in making a cup of tea. These steps need to be done in order and rely heavily on remembering where things are, being able to put the steps together, and remembering where you're up to in the process. It often surprises people how complex tasks are when they break them down into all the small steps involved. And you can see how much even simple tasks rely on cognitive ability.
As well as changes in cognitive and physical abilities, changes in the way information from our sensors is perceived and interpreted can change. There are two aspects to this. A person's sensors might have less security due to age related factors. In other words, they may not work as well as they used to. For example, hearing or vision may be impaired, making it difficult to get useful information and cues from the environment. The other aspect of sensory change that is important to think about is how dementia impacts on our ability to interpret information from the environment. Information from our sensors is processed in our brain. Our brain makes sense of what we see, hear, feel, touch, and taste, and it understands where we are in our environment. Our brain uses this information to direct how we move around and use our environment.
For people living with dementia, the way sensory information is processed and interpreted changes, and this impacts on the way the environment is experienced. For example, the depth of a step might be misjudged. Pattern surfaces may appear to be moving. It may feel cold even on a warm day, or conversation may be difficult to filter out of background noise. Changes to sensory perception can make a regular home environment confusing and uncomfortable, and can create safety issues. Here are some examples of that; wavy lines or similar patterns, as seen in the first image, can appear to be moving. Dark patches on the floor, as seen in the second image, can look like holes. This can be quite disconcerting and post potential safety risks.
All of these changes impact the way that the environment is experienced, and your ability to do the things that you want and need to do. It can make the experience of home frustrating and uncomfortable. It can also sometimes be difficult to communicate this experience, adding to frustration. Considering this in the context of your home environment is especially important, because it's where we spend most of our time and do lots of things. The home environment can present challenges, but it can also present opportunities, because we know what is supportive, and we have the ability to make small changes that can make a big difference.
So, in thinking about common changes to abilities and sensory information that you might experience, in using research around what causes difficulty in the environment and what's helpful, there are some general principles that have been developed to guide people to create environments that are supportive and to maximise participation in independence. These principles were specifically developed for larger residential care settings, so not all of the most relevant home environments. However, several are very relevant and useful to help you think about your environment, how supportive it is, and how it could be enhanced. These principles have been used for very many years and they're very well recognised within home environments.
It's important in applying the principles to think about the environment generally. For example, good lighting and safe flooring are important to everybody. It's also important to think specifically about areas or tasks that might be difficult for you, and changes that might help. Everyone has different interests and needs, and it's important to think about your situation and what you want to achieve. Here are the principles that are most relevant to residential homes. If you're interested in exploring the principles further, there's more information available through the links on the launch page for this webinar. The first principle is to unobtrusively reduce risk. For example, simple things like organising cords so they are not a trip hazard, and storing medicines appropriately. The principal talks about unobtrusively reducing risk. This is important, because rather than creating obvious barriers, it aims to maintain a very normal, familiar environment. For example, I had a client who was a real handyman and used to chainsaw all his life. However, he was no longer able to safely use the chainsaw. His family might have locked the shed so that he couldn't access it, but this would've created a frustrating barrier, and stopped him from accessing other tools that he could still use safely. Instead, they lent the chainsaw to his son on a permanent basis, removing the safety risk, but supporting access to the shed.
The second principle is to reduce unhelpful stimulation. We talked earlier about sensory changes and changes in abilities. It can be really difficult for a person with dementia to pick out the useful cues and items in the environment if there's too much information to take in and sort out. Some good examples of this principle are reducing clutter, limiting background noise when engaging in conversation, and avoiding patterns on carpets and crockery.
The third principle to think about is optimising helpful stimulation. Providing helpful information and cues in the environment is a really powerful tool to support engagement and independence. Some examples of this principle are grouping items that are used together and storing them in view where they are to be used, using colour and contrast to contrast useful environments from the background, and to help with depth perception, increasing light, using aids for orientation, such as a large face day/night time clock, and a whiteboard with activities listed, and dinner smells at dinnertime.
The fourth principle is supporting movement and engagement. It's important to think about whether spaces in your home are safe and accessible. This includes placing furniture and other items to allow good circulation space and creating lines of sight so that one area can be seen from another. For example, the bathroom from the bed. Supporting movement and engagement is also about supporting engagement with activities and tasks. And we'll have a look at this through some of the examples in the next section of the webinar.
The fifth principle that we're going to consider today is creating a familiar space, and I would add a familiar and comfortable space. It's important to think what makes a space comfortable to you. Familiar objects and smells, furniture, photos, temperature and music might all be a part of this. The principle of creating a familiar space can be particularly useful for people when they're moving house or downsizing, to create familiarity and comfort. It's important to have engaging spaces and places to engage with others in the home, but also, to provide the opportunity for quiet time alone. It can help to create quiet spaces that are still within the line of sight to other areas of the home. So, that's a quick overview of the principles that can guide you to think about the home, and what might be helpful and unhelpful for you. It's important to make the point that using the principles of dementia-friendly design doesn't mean creating a boring cookie cutter a home. One client commented to me that she couldn't live without colour, and this is absolutely key that the things that make a house a home, to you, are central to any changes that you might consider making. Changes have to fit with your lifestyle and preferences. In terms of colour, for example, use thoughtfully, this can be very helpful. As an example of this, here's the very unique purple toilet seat at our north right office. The contrast to the toilet itself is helpful with depth perception. I'm not suggesting that you rush out and change all your bathroom fittings to purple, but hopefully, this gives you an idea that colour can be helpful. It's just important to think about how it's used.
I'd now like to take you through some examples of where the design principles are put into practice, to demonstrate their use. As we go through, think about your home environment, and how some of these ideas might be relevant for you. The examples that I'm using involve really simple, inexpensive changes. Remember that these are just examples, and there's lots more that can be done depending on your needs and situation, including using equipment and aids, or making more significant changes.
The first example is a kitchen. This is a fairly typical kitchen. It's clean and functional, but perhaps you can see how it could be difficult to use? We've talked earlier about the idea that a previously taken for granted task like making a cup of tea can become difficult, and that the environment can contribute to this difficulty. In this example, you can see that the kitchen is a bit cluttered, and this isn’t uncommon. Lots of regularly used items are out and within easy reach, and there's some nice greenery to brighten up the space, but that setup isn't necessarily helpful for people trying to perform particular tasks.
By applying the principles, we can make the space more supportive and useful. So here's the same kitchen set up to facilitate ease of use and activity. In this case, making a cup of tea. You can see that the principles have been applied here. Risks have been reduced by putting away hand cream, medication, and detergent, which didn't need to be on the bench with food items. Other examples of risk reduction in a kitchen might be reducing water temperature, or putting timers or cutoff switches on stoves. Unhelpful stimulation has also been reduced. The bench was quite visually cluttered. Removing items that didn't need to be there makes useful items more visually accessible. You can see how this makes it a much easier environment to understand and use. Helpful stimulation has been increased. The blind in this kitchen was broken and stuck half open, and this was reducing the amount of light available. The blind's now been removed to increase lighting. Swapping light globes for higher wattage globes can also be helpful.
In the new setup, the items on the bench have been limited to those that are required, and they're now grouped by their function. In this case, to create a drink station. Contrast has been introduced through the mat under the tea making items. Labels have also been used on some of the cupboards. Labelling, either with pictures or words, can be really helpful. You don't have to label everything. A good way to use labels is to store high use items together and label that cupboard, rather than labelling multiple cupboards. There are usually limited number of items that are regularly used, so this is quite easy to achieve. And here's just a closeup of the tea station. Going back to when we looked at the steps involved in making a cup of tea, you can hopefully see how simplifying the environment, grouping items, using contrast, and labelling can make this task easier.
Moving on to a second example. This is a living space. I'd like you to squint and look at this image. The squint test helps to illustrate how a space may appear for somebody with changes in sensory perception. You'll probably notice that it's difficult to see that this is a chair, and to use the space. There are a number of unhelpful features here – clutter presents a potential trip hazard and detracts from the usefulness of the space. The lack of light makes it difficult to navigate and access, glare from behind reflecting off the blinds, and the pattern of the blinds are problematic. The pattern that the blinds create could potentially create an illusion of movement. And the chair carpet and background are all similar colours. There's a lack of definition and contrast to help with perception of position and depth. The result of this is that it's difficult to pick out the chair and to safely use it. It's also not a setup that looks comfortable or appealing.
So, here's the same space with a couple of simple changes. The good things about the space are that it's a comfortable outward facing space with a nice window view, and a sturdy chair that's easy to get in and out of. We've enhanced the usability of the space, and maximised those features with a few little changes. We've reduced unhelpful stimulation by moving clutter and distractions, which were also potentially causing trip hazards. We've opened the blinds to reduce glare, visual clutter, and potential visual distortion. We've increased helpful information and cues. The blinds are opened to provide better light. A light-coloured cushion and a throw rug have been added for contrast and to define the chair. A side table with some books of interest, it has been included to make the space more inviting and engaging. Try squinting and looking at the space again. You'll see that even with reduced visual information, it's an easy and inviting space to understand and use.
The final example I'd like to share with you is an outdoor space. This is the view from the back door of a house. You can see that, again, there's a lack of contrast and cues to indicate what the space could be used for. However, we know that spending time outside is beneficial and enjoyable, so it would be great if we could set it up to be more engaging. Here's the same space set up to invite somebody out and to invite use of the space. We've added some plants – sensory plants such as herbs can be particularly good for this purpose. We've also added some gardening tools, and defined the space by simply adding a cushion to the chair. Having spaces around the home that encourage activities of interest can be really helpful in providing a sense of purpose and achievement and enhancing wellbeing. So, those are just some really simple examples, but I hope you get a sense of how small changes in your home might be helpful to you. It's important to note that you need to continually think about and adapt your environment as your needs change. The beauty is that the dementia-friendly design principles apply regardless of the stage of dementia, or the outcome you want to achieve. You might just come up with a different approach or solution depending on your situation.
I hope you've enjoyed the “At Home with Dementia” webinar, and that you now have a better understanding of how changes due to dementia can impact the way you experience, and use your home environment. I hope that through the information I've provided, you understand the principles of good design that can help to make your home more supportive. If you're interested in exploring this topic further, there are links to some really great resources included on the webinar launch page.
Dementia Australia is also very excited to be able to offer a home consultation service, which provides you with access to an occupational therapist, to explore changes that you might make in your own home to best meet your needs. This program's available throughout Australia, so please let us know if you're interested. Thank you very much for your time today. If you would like to talk further about this topic, be referred to the home consultation service, or for further information, please contact the National Dementia Helpline on 1800 100 500. Thank you very much.
[Title card: Together we can reshape the impact of dementia]
[Title card: Dementia Australia. 1800 100 500. Dementia.org.au]
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It’s okay to take care of your own health and happiness. If you're struggling as someone who cares for a person with dementia, contact the free, confidential National Dementia Helpline on 1800 100 500, any time of the day or night, for information, advice and support.
The National Dementia Helpline
Free and confidential, the National Dementia Helpline, 1800 100 500, provides expert information, advice and support, 24 hours a day, seven days a week, 365 days a year. No issue too big, no question too small.