
One man turned nursing home design on its head when he created this stunning facility
The article details an innovative approach to nursing home design, specifically for individuals with Alzheimer's and other forms of dementia, pioneered by Jean Makesh, CEO of Lantern assisted living facilities. Traditional nursing homes often present challenges for dementia patients due to their unnatural environments and rigid schedules, leading to confusion and distress, as exemplified by a 92-year-old resident named Norma who consistently attempted to return home to care for her deceased mother, and Walter, another resident who would demand breakfast nightly. Makesh recognized that common behaviors in dementia patients, such as these instances of confusion, could potentially be minimized through a thoughtfully designed environment.
Makesh's philosophy centers on the idea that our surroundings significantly impact well-being. This led him to conceptualize a facility that simulates an outdoor environment indoors. His vision included a digital sky panel that mimics sunrise and sunset patterns, aiding residents in maintaining their biological clocks. He also integrated nature sounds and aromatherapy, using scents like peppermint and citrus, to enhance the residents' cognitive functioning, drawing inspiration from studies suggesting the benefits of aromatherapy for Alzheimer's patients. Furthermore, the facility features carpet designed to resemble grass, and each resident is provided with a "home" along an indoor street, designed to evoke the familiar neighborhood settings of their youth.
The initiative aims to challenge conventional thinking about managing severe dementia, which often relies on antipsychotic and anti-anxiety medications to address behavioral issues arising from environmental conflicts and unnatural routines. Makesh believes that by strategically altering the environment and focusing on re-teaching essential self-care and hygiene skills, significant improvements are possible. He has tested this concept successfully at Lantern's Madison, Ohio, facility and plans to open two more locations. While acknowledging the ambitious nature of his goals, Makesh expresses confidence that within five years, residents could achieve independence within their environment, with a longer-term aspiration of enabling them to return home within a decade. This innovative model offers a rare sense of hope for individuals living with severe dementia, emphasizing rehabilitation and a supportive environment over mere management of symptoms.
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