As the average lifespan increases, so does the number of
age-related illnesses including dementia. Worldwide, 35 million people have
dementia and according to WHO, 77 million new cases are being diagnosed every
year. At that rate, the number of people with dementia is expected to double by
2030 and triple by 2050. Fortunately, a new solution has been found for
dementia in the Netherlands: Hogewey, i.e. Dementia Village. Hogewey is a place
where residents who are people with dementia can live a seemingly normal life,
but in reality are being watched all the time by caretaker staff at the
restaurant, grocery store, hair salon and theater. Some people think dementia
village is a wonderful idea with the simple goal which is providing the most normal life possible for
people with dementia, however, according to others this idea can only be a new
take on the Truman Show.
Opponents of the idea of Dementia Village point out that the creation
of an illusionary village is immoral. In truth, the immoral thing is not Dementia Village but the fact that in many
parts of the world, people with dementia are ignored and they are living
anonymously in buildings or nursing homes with non-stop television. The majority of people
are not in good enough circumstances to provide their
close relatives 24
hours of
professional attention due to their work, children, chores, and other duties.
On the other hand, in Hogewey, everything is structured as a normal village
considering its special residents'
circumstances. Hogewey provides accommodation for about 150 residents for a reasonable cost
which is the same with any other nursing home and every 2 residents have 1
caregiver. Moreover, the best aspect of Hogewey, contrary to nursing homes, is
that people with dementia are not treated as patients or anonymously but as residents.
They are able to do many activities; they can experience life as they once had,
making their own choices, performing everyday tasks such as gardening,
shopping, going to the cafe, hairdresser, but most importantly, socializing with people who
share similar interests. Social connections are important for those people
because they give people the feeling that they are still alive by stimulating the brain,
instead of waiting to die in their beds while watching TV. Studies also found
that loneliness is
linked to dementia; it is a
kind of trigger for dementia but in Hogewey, there are 25 clubs from
baking to singing to keep residents socially active and prevent the feeling of loneliness. This
being the case, there is no sense in describing this idea which provides a better life for its
residents by giving them what they need as immoral.
Despiteall of its benefits, some critics continue to oppose
the idea of creating a "fantasy" world which is in some ways similar
to the manufactured reality depicted in the movie The Truman Show where a man
discovers his entire life is actually a TV program and everything he regards as
real is in fact a mirage that
is created by television producers. People who consider Dementia Village
as a fantasy world claim that people in Hogewey may feel fooled. Yes, they may
feel fooled, if a member
of staff just tells them a story which is not true but in fact, there is no
such thing; there is a real society.For
example, the supermarket is not a show, it is real with some differences. For
instance, there is no price tag on anything and there is no money demanded by
staff, who are trained specifically to handle people with dementia, because
these people are the residents, who can't even speak or forget what money is, not customers. Furthermore, there are
no directions for residents about what they have to do as if they were in the
TV show, they are free as a bird to choose where, how, and with whom they want
to live. There are even 7 different lifestyle themes for them such as crafts,
culture, religious, and urban. None of these qualities make them feel fooled but, instead, they feel
that they are welcomed in this world with their circumstances. In short, life
in Hogewey is pretty close to normal not to the reality show.
All in all, Hogewey, with all these high grade life
standards which make it
an ideal place for people with dementia, not only helps its residents but also their family members;
it takes an enormous amount of stress off the shoulders of family members who
don't have ample time or proper training to care for their loved ones. So, the
appropriate approach to this ideamust be opening the door to more demetia-friendly
places like that all over the world.
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