Yvonne van Amerongen: The "dementia village" that's redefining elder care
Yvonne van Amerongen: A "vila da demência" que está redefinindo o cuidado com os idosos
Yvonne van Amerongen is an occupational therapist and a social worker. Full bio
Double-click the English transcript below to play the video.
very near Amsterdam, in the Netherlands.
pertinho de Amsterdã, na Holanda.
for six, seven people each.
a pub, a supermarket, a club room.
um bar, um supermercado, um clube.
there's a theater.
that live with an advanced dementia
com demência avançada
e apoio 24 horas por dia.
a major problem in the world,
um grande problema no mundo,
to be a big problem.
um grande problema.
in the nursing homes.
nos lares de idosos.
with dementia are women.
lares de idosos com demência são mulheres.
are used to taking care of people,
estão acostumadas a cuidar das pessoas,
of their husband with dementia,
do marido com demência,
is not so easy for the gentlemen.
tão fácil para os homens.
that affects the brain.
que afeta o cérebro.
what the time is,
não reconhecem as pessoas.
depressed, aggressive.
deprimidas, agressivas.
was not what we wanted for our parents,
o que queríamos para nossos pais,
nothing is going to change.
Estamos no comando aqui.
to have our parents here."
ter nossos pais aqui".
and what we saw every day
e o que víamos todos os dias
that lived in our nursing home
em nosso lar de idosos
was a hospital-like environment,
era um ambiente hospitalar,
and paramedics in uniform,
e paramédicos de uniforme,
why they lived there.
uma saída para fugir dali.
the door to go home again.
para voltar pra casa novamente.
in this situation
fazendo naquela situação
that already have a confused brain
que já tinham um cérebro confuso,
to deal with that dementia.
para lidar com aquela demência.
in a normal house,
numa casa normal,
on the stove in the kitchen.
o cheiro do jantar no fogão da cozinha.
and grab something to eat or drink.
pegar algo para comer ou beber.
organize for them.
organizar para elas.
organize this like at home,
organizar isso como em casa,
of 15 or 20 or 30, like in a ward.
de 15 ou 20 ou 30, como numa ala.
six or seven, family-like.
seis ou sete, como uma família.
um jeito de agrupar as pessoas
a good chance to become friends,
uma boa chance de se tornarem amigas
all the families of the residents
"what's important for your mother,"
"o que é importante para sua mãe",
"what do they want."
"o que eles querem".
and we call them lifestyle groups.
que chamamos de grupos de estilo de vida.
we found this formal lifestyle.
o grupo do estilo de vida formal.
of interacting with each other,
de interagir umas com as outras,
starts later in the day,
in this lifestyle group
é mais ouvida nesse grupo
than traditional Dutch.
do que a culinária tradicional holandesa.
o estilo de vida do artesão.
muito tradicional:
in the morning, go to bed early,
their whole life, mostly with their hands,
principalmente com as mãos,
family business, a small farm, a shop,
uma fazendinha, uma loja,
to his work every morning
para o trabalho toda manhã
he could afford for himself.
que ele dava conta de sustentar.
he would have that one cigar.
ele fumava aquele charuto.
after lunch, to smoke his cigar.
todos os dias depois do almoço,
in the Hogeweyk six weeks now.
meeting other people, other cultures,
conhecer outras pessoas, outras culturas,
and that's what we did.
e foi isso o que fizemos.
with a group of people,
uma casa com um grupo de pessoas,
your own household.
sua própria vida, sua própria casa.
and a meaningful life.
e ter uma vida com sentido.
and do some shopping,
have a beer with friends.
uma cerveja com os amigos.
to go out every day,
rather go to the restaurant,
ir a um restaurante,
and celebrate life.
com amigos e celebrar a vida.
she takes a walk in the park,
and sit next to her
venha e se sente ao lado dela
of society, that you belong.
que você ocupa um lugar nela.
with advanced dementia.
da janela do meu escritório.
coming from one side,
and they met at the corner.
e elas se encontraram na esquina.
por ali do lado de fora.
to have a conversation with them,
eu tentava conversar com elas,
and I saw them talking,
and each went their own way.
e cada uma seguiu o seu caminho.
meeting other people
encontrar as outras pessoas
dementia can live,
muito avançada podem viver,
and the volunteers working there
e voluntários que trabalham lá
how to do their professional work
como fazer seu trabalho
in the life of our residents.
na vida dos nossos residentes.
has to provide everything
tem de fornecer tudo
para fazer seu trabalho.
that dares to do this.
que se atreva a fazer isso.
than we always have done
do que sempre fizemos
em todos os lugares,
has in our country.
tradicional tem em nosso país.
com o orçamento do governo.
with thinking different,
com pensar diferente
does this person need now.
it's about thinking different,
tem a ver com pensar diferente,
and that costs nothing.
e isso não custa nada.
it's about making choices.
tem a ver com fazer escolhas.
what you spend your money on.
sobre como gastar o dinheiro.
as expensive as gray ones."
quanto cortinas cinza".
ABOUT THE SPEAKER
Yvonne van Amerongen - Dementia-care visionaryYvonne van Amerongen is an occupational therapist and a social worker.
Why you should listen
Before 1983, when Yvonne van Amerongen started working for the nursing home Hogewey, she worked in a hospital for psychiatric diseases and in a rehabilitation center. In 1992 she was the care manager of the traditional nursing home Hogewey when the management team started thinking about the vision of care for people living with severe dementia. In 1993, this vision was the basis for the development of what now is the neighborhood The Hogeweyk, with 27 houses for more than 170 seniors with severe dementia. Van Amerongen was the project leader and one of the founders of the vision for excellent care, living and well-being for people with severe dementia and of neighborhood The Hogeweyk.
Van Amerongen now works as a consultant for Be, supporting and advising healthcare organizations, governments, architects and project starters around the world to improve the quality of life of people living with dementia. Be is part of the Vivium Care group (non-profit), also the owner of The Hogeweyk.
Yvonne van Amerongen | Speaker | TED.com