Creating a Therapeutic Garden That Works for People Living with Alzheimer's

Abstract

Therapeutic gardens specially designed for people living with Alzheimer's disease can improve the quality of life of those who use them, and can be helpful in reducing what are called “problem behaviors.” This article explores this statement and describes how the design process can best achieve a garden that is truly therapeutic. The article is in three parts, each of which represents a critical step in design: image, present, test. The last section presents eight basic design criteria to apply in therapeutic garden design review. The article is intended to leave the reader with the big idea that inside and outside environments must be designed as one to respond to the needs of the Alzheimer's mind.     

From the English Cottage Garden to the Swedish Allotment: Banal Nationalism and the Concept of the Garden

ABSTRACT

This article considers Billig's concept of “banal nationalism” in relation to a comparative material culture study of ordinary English and Swedish gardens and gardeners. Banal nationalism is about the myriad everyday practices, rather than overt ideologies, by means of which nations reproduce themselves as nations. While Billig's own work considers this solely in terms of linguistic discourses in relation to such matters as political speech and reporting sporting events, this article is concerned with how everyday nationalism may be reproduced through the humble and mundane material practice of gardening, and its relationship to the gardens people both create in reality and imagine.     

A Valued Relationship with Nature and Its Influence on the Use of Gardens by Older Adults Living in Residential Care

ABSTRACT

While there is growing interest in inclusion of gardens and outdoor spaces in residential care facilities for older adults, these spaces are often underutilized despite many identified, evidence-based benefits. A qualitative study of participant observations with behavior mapping, and individual and focus-group interviews, using a grounded theory methodology was used to understand value versus use of outdoor garden spaces. Individual and focus-group interviews were conducted with 32 residents from two facilities. Results revealed that views of nature are fundamentally important to resident well-being, that access to nature influences facility choice, and use of garden spaces is influenced by the way in which individuals prefer to enjoy nature.     

Young and Sexual in Norway and Croatia: Revisiting the Scandinavian Versus Mediterranean Gendered Pattern of Sexual Initiation

ABSTRACT

This article describes and analyzes patterns of first sexual intercourse and contraception use from a bicultural perspective. Study results are based on a 2009–2010 large-scale national probability survey of young adults aged 18 to 24 years in Croatia (n = 1,005) and Norway (n = 871). The findings corroborated the persistence of the dual model of sexual initiation in Europe (Scandinavian vs. Mediterranean), in which Norwegian women and Croatian men reported coital debut at an earlier age than their gender counterparts. Age difference between partners and the prevalence of condom use at first coitus were similar in both countries, with differences in contraceptive choices emerging with time. Young Norwegian men and women switched from using condoms to hormonal contraception when having been coitally active for some time. Interestingly, “the pill” remains rather unpopular among young Croatian women. Controlling for selected variables, using a condom at most recent sexual intercourse was significantly associated with condom use at first intercourse in all groups except Norwegian men, as well as with years of coital activity (except among Croatian men). Additionally, the odds of a condom being used at most recent intercourse were significantly correlated with same-sex sexual experience (only among Norwegian men) and with reporting the most recent intercourse with a casual partner (only among Norwegian participants). Country-specific patterns of contraceptive use are discussed in the context of public health and prevention.     

Designing Successful Gardens and Outdoor Spaces for Individuals with Alzheimer's Disease

SUMMARY

There are many benefits derived from exposure to the outdoors for older adults with Alzheimer's disease, which include exposure to fresh air, sunlight and opportunities for walking and other forms of exercise. There are also opportunities for socialization that can minimize feelings of isolation and vulnerability, improve depression, enhance self-esteem, and simply experience the joys and surprises of nature.

While there seems to be universal agreement of the health and quality of life benefits in getting institutionalized persons into appropriate outdoor settings, in many ways gardens and outside spaces have failed. Time after time visitors stroll through the gardens admiring the landscaped grounds, the abundance of beautiful and fragrant flowers and other features, while noting the absence of residents.

Creditable research studies support the health benefits of exposure to the outdoors and nature. This discussion of design issues, barriers to use, the role of activity, the necessity of staff involvement, and design recommendations supports the urgent need for empirical research to inform the development of effective gardens and outdoor spaces to benefit older adults with Alzheimer's disease.     

Knowledge and perception of female nursing students about human papillomavirus (HPV), cervical cancer,and attitudes toward HPV vaccination

Objective: The researchers aimed to evaluate the knowledge and perceptions of first-year female nursing students about human papillomavirus (HPV), cervical cancer (CC), and HPV vaccination. Participants: The sample included 690 female nursing students from sampled universities between April and June 2015. Methods: Students were surveyed by using a pretested HPV and CC awareness questionnaire. Results: More than half of the students (65.1%) answered questions incorrectly with a mean HPV knowledge score of 6.085?±?3.38. The majority of students (82.6%) did not hear HPV vaccine. Only, 2.8% of the students had been vaccinated. A statistically significant relationship was found between HPV knowledge score and hearing about HPV vaccine (U?=?28280.500, p?=?.015), and believing HPV vaccine protectiveness (χ²?=?14.153, p?=?.001). Conclusions: This study highlights the lack of knowledge and low level of awareness about HPV, CC, and HPV vaccination among first-year nursing college students.     

Outdoor Environments at Three Nursing Homes

Abstract

This study investigated how the outdoor environments at nursing homes for older persons were experienced and used to gain knowledge with implications for design. Focus group methodology was used to explore staff's view of how the residents experienced and used the outdoors. Two main themes and ten sub-themes were the result when the focus group interviews were analyzed. Theme one, being comfortable in the outdoor environment, describe the residents' special needs to be able to and dare to use the outdoors. The theme suggests a precautionary design, which promotes security and safety and protects from disturbance and negative impressions. The second main theme, access to surrounding life, describes the residents' needs for change and variety in the everyday situation and suggests an inspiring design, which promotes stimulation of senses and mind and provides positive impressions.     

Sensory system function and postural stability in men aged 30–80 years

Objective.?To examine age-related changes in postural stability and sensory system functioning in men aged 30–80 years.

Design.?Observational, cross-sectional study.

Methods.?One hundred six healthy men aged 30–80 years participated. Personal characteristics were recorded and outcome measures included: velocity of sway during bilateral stance on a firm and foam surface (eyes open (EO) and eyes closed (EC)), balancing on one leg (EO and EC), lower limb somatosensation (tactile acuity, vibration threshold and joint position error), high-contrast visual acuity (HCVA) and low-contrast visual acuity (LCVA), edge contrast sensitivity and vestibular-ocular reflex (VOR) control.

Results.?Men in their 60s and 70s were found to be less stable than the younger age decades when standing on a firm or foam surface. Reduced stability was evident from the 40s to 50s for one-leg-stance (EC). Lower limb somatosensation and HCVA and LCVA were significantly reduced by the 60s but edge contrast sensitivity reduced by the 50s. Age-related changes in VOR control did not emerge until the 70s in this study cohort.

Conclusions.?The results show reduction in postural stability and sensory system functioning in men by the 60s supporting pre-emptive assessment of workers in industries where falls are frequent.     

Influence of Argentine and coastal brown ant (Hymenoptera: Formicidae) invasions on ant communities in Perth gardens,Western Australia

A survey examined the influence of Argentine (Linepithema humile (Mayr)) and coastal brown ant (Pheidole megacephala (Fabricius)) populations on other ants in the Perth metropolitan area, Western Australia. Twelve gardens (yards) were sampled; four infested by Argentine ants, three infested by coastal brown ants, and five controls where these two tramp ants were absent or collected only as isolated strays. Collection methods used were pitfall trapping and hand collection. A total of 27 species was recorded. Eight of these species, including the above two tramp ants, are non-native to the region. Pheidole megacephala was the most abundant species, comprising 95.4% of ants in P. megacephala–infested gardens. Linepithema humile comprised 92.1% of ants in L. humile–infested gardens. Other common ants were the native Iridomyrmex chasei and the introduced species Tetramorium simillimum and Tetramorium bicarinatum. The cryptic introduced species Cardiocondyla nuda and Tetramorium simillimum appear able to persist in small numbers in L. humile–infested gardens, but virtually no other ant species occurred where the coastal brown ant was well established. Mean richness, diversity, and evenness were significantly different between P. megacephala–infested and control gardens, and significantly different between L. humile–infested and control gardens. Diversity and evenness, but not richness, were significantly different between P. megacephala–infested and L. humile–infested gardens. Ordination analysis revealed that the three types of gardens had very different ant community profiles.     

Homes and Gardens: Documenting the Invisible

ABSTRACT

Melanie Friend's exhibition Homes and Gardens: Documenting the Invisible (Camerawork, London 1996, toured until 2001) used sixteen small color images of innocuous, empty homes and gardens in Kosovo together with voiced testimonies on a soundtrack to convey the 1990s' repression of Kosovars by the Milo?evi? regime, in the period leading up to the war of 1998/99. Her subsequent book No Place Like Home: Echoes from Kosovo (Midnight Editions, USA: 2001), whilst also publishing portraits of refugees in Macedonia and the visual traces left by the war in Kosovo, also continued the theme of invisible trauma. Here she discusses how the work came into being.     

Allodial Land Rights (The Odelsrett) and Early Nineteenth Century Norwegian Nationalism: Propertied Sovereignty as National Sovereignty

The early nineteenth century was a transitional time in western Europe; from the old feudal and imperial order, modern nation states and capitalism emerged. The Norwegian nation state emerged out of the flames of the Napoleonic Wars in 1814. But changes in landed property structures in the eighteenth century lay the ground for Norwegian nationalism in the early nineteenth century. This article explores early nineteenth century nationalism through a focus on property rights and the positive view on the odesrett – an allodial right to land – arguing that an examination of the positive view on the odelsrett can shed new light on Norwegian nationalism in the early nineteenth century. Such an examination suggests that the Norwegian property structure contributed to reinforcing certain property rights element in the Norwegian nationalism where ownership of landed property and national, popular sovereignty were closely interconnected.     

Orgasm Range and Variability in Humans: A Content Analysis

Abstract

Orgasm frequently occurs from sexual and/or genital stimulation but has been documented outside these contexts and may be better conceptualized as a set of neuropsychological processes. Objective: To document a range of orgasm experiences. Methods: A content analysis of 687 anonymously posted online comments related to nonsexual orgasms. Results: Orgasm types include those related to exercise, sleep, drug use, riding in vehicles, breastfeeding, eating, auditory stimulation, and childbirth, among others. Conclusions: Orgasm is experienced in association with varied forms of sensory stimulation. This study provides information about the diversity of human orgasm, informing sex education, therapy, and practice.     

Health Status,Living Arrangements,and Service Use at 100: Findings From the Oporto Centenarian Study

ABSTRACT

This paper describes the sociodemographic characteristics, health status, and service use of centenarians living in the community and centenarians residing in an elder care facility/nursing home and examines their main differences. Participants were 140 centenarians from the population-based Oporto Centenarian Study (M_age = 101.2; SD = 1.6). Main findings revealed that the majority of the centenarians lived at home with their family members (57.9%). Increased health care needs, living alone, and family caregiving constraints were the most common reasons for entering a nursing home. Community-dwelling centenarians were cared for mostly by their children and were less dependent and in better cognitive health than those who resided in a nursing home. Differences were found in the pattern of health service use according to the centenarians’ residence, ability to pay medical expenses, and dependency level. Findings highlight the need for an accurate assessment of caregiving support systems, particularly family intergenerational duties, and of the factors constraining the access and use of health and social services. Policy makers may be guided by the insights gained from this research and work toward improvement of support options and removal of barriers to service access.     

Demographic Characteristics

This article aims to describe the characteristics of and design elements in gardens/patios at 87 residential living homes for older people and to describe and compare residents’ and staff members’ perceptions of outdoor spaces. The aim was also to investigate factors related to residents' satisfaction with and stays in the garden/patio. The result showed that many gardens/patios had several recommended design elements and, at the same time, obvious deficiencies. The residents (n = 415) valued various aspects of the garden/patio more highly than did the staff (n = 667). Managers responsible for residential living homes for elderly people should take measures to ameliorate deficiencies and deficient elements in design and accessibility that are lacking so that the garden/patio can be used as an important health promotion resource in the care of elderly people. Residents and staff are important actors in such development work.     

The Importance of Personal Possessions for the Development of a Sense of Home of Nursing Home Residents

ABSTRACT

Personal possessions of nursing home residents can contribute to their sense of home. This study investigated which of the personal belongings were considered most important, and if these items indeed contributed to a sense of home. A qualitative research was conducted with 27 nursing home residents. Photographs, paintings, and pieces of furniture are objects with sentimental value. The television set is valued for its practical function. Residents of larger rooms have more flexibility in bringing along personal items, including pieces of furniture. The results of this study can be used for the design of nursing homes or for making informed choices during the process of institutionalization.     

Therapeutic Effects of an Outdoor Activity Program on Nursing Home Residents with Dementia

Abstract

Objective: The purpose of this one-year pilot study was to obtain preliminary information on the effects of an outdoor activity program, in comparison to an indoor activity program, on sleep and behavior in nursing home residents with dementia. Structured activity programs have been shown to improve dementia-related behavior problems, and there are some indications that improved behavior is associated with improved sleep. Previous research has shown that sleep disturbance is common in nursing home residents, and that limited exposure to light bright enough to entrain circadian rhythms contributes to their sleep problems. Thus, we expected to see improvements in behavior in both the outdoor and indoor activity groups, but improvements in sleep in the outdoor activity group only.

Methodology: A two-group (outdoor program, indoor program) two phase (baseline, intervention) design was used. Subjects were randomized to the outdoor or indoor program groups. Sleep and behavior disturbance were assessed over a 10-day period at baseline (usual activity conditions, which were expected to include little or no time spent outdoors) and at intervention (daily structured activity program offered outdoors or indoors). Sleep was assessed with wrist actigraphs with photocells, which also allowed for monitoring of light exposure. Behavior disturbance was assessed with the Cohen-Mansfield Agitation Inventory. Both activity programs were offered Monday-Friday over a 2 week period, included similar content and were offered by research project staff. The analytical approach emphasized primary changes between baseline and intervention measures of sleep and behavioral symptoms in the two activity groups. Because this was a pilot study, the significance level was set a priori at p< 0.10.

Findings: The outdoor activity group experienced significant improvements in maximum sleep duration. Both groups showed significant improvements in total sleep minutes. There also was a significant improvement in verbal agitation in the outdoor activity group.