Catering for younger and older residents in the same CH
A local CH I visited has two wings, one for elderly frail residents and one for people with dementia. They don't describe the dementia wing as EMI because the residents are not all elderly. Ages are from mid 60's upwards but they said they have had residents in their 50's.
The manager said that because the residents of that wing are usually younger (than the elderly frail) they are more lively. Those that are able to will go on escorted visits to the pub and the shops, walking down into the town which is about half a mile away. Outings in the minibus apparently include much singing and some moderate drinking. You can see I fell for the glowing account the manager gave!
These more lively residents do not see themselves as pensioners, or elderly. Of course some are older and some are not able to participate in social activities because of challenging behaviour or physical deterioration.
I liked the fact that the staff very clearly saw that wing as providing a lively environment for those who wanted this. Residents can wander around at night, watch TV, ask for a snack or a drink; they don't have to be tucked up in bed at a certain time, whereas the frail residents have a much more structured routine.
The noise level of general chat seemed to me to be normal rather than hushed, whereas the quiet wing had more the feeling of a gentleman's club or rural hotel. [EMI] residents who prefer peace and quiet go to this other wing when they want to.
When I took MIL there for her one and only day care visit, this happened in the quiet wing. She told me it was boring because the place was full of old people, and some of them were hardly able to walk around
"look at that poor old dear, with her sticks" They're not really up to my intellectual level she said. I know what she meant - she wanted lively chat and constant activity - not a nice sit down in an easy chair.
"Ooh, isn't it nice here, it's just like a hotel," followed by,
"what are we waiting for, are we waiting for something? Let's not bother and just go home shall we?"
I did think she would have enjoyed meeting some younger people, but she might have reacted badly to other people being 'odd'. It's hard enough maintaining a grip on normality without having to deal with dementia in others. I think this is the real reason she resists all such activities.
She's 81, BTW, but doesn't think of herself as old, and always prefers the company of young people.