Yvonne van Amerongen: The "dementia village" that's redefining elder care
Yvonne van Amerongen: A "aldeia da demência" que está a redefinir o tratamento de idosos
Yvonne van Amerongen is an occupational therapist and a social worker. Full bio
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very near Amsterdam, in the Netherlands.
próxima de Amesterdão, 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
em estados avançados de demência
24 horas por dia.
a major problem in the world,
no mundo,
to be a big problem.
num grande problema.
in the nursing homes.
nos lares.
with dementia are women.
com demência são mulheres.
are used to taking care of people,
estão habituadas a cuidar dos outros,
of their husband with dementia,
quando eles sofrem de demência,
is not so easy for the gentlemen.
para os homens.
that affects the brain.
que afeta o cérebro.
what the time is,
quem as pessoas são.
depressed, aggressive.
deprimidas, agressivas.
was not what we wanted for our parents,
queríamos para os nossos pais,
nothing is going to change.
nunca nada vai mudar.
to have our parents here."
and what we saw every day
e o que víamos todos os dias
that lived in our nursing home
relativamente ao seu ambiente,
was a hospital-like environment,
o ambiente de um hospital,
and paramedics in uniform,
e paramédicos de farda,
why they lived there.
the door to go home again.
a porta para voltar para casa.
in this situation
a fazer nesta situação
that already have a confused brain
que já estavam confusas
à confusão existente.
to deal with that dementia.
para lidar com a demência.
in a normal house,
numa casa normal,
on the stove in the kitchen.
no fogão da cozinha.
and grab something to eat or drink.
comer ou beber qualquer coisa.
organize for them.
organize this like at home,
isto como uma casa,
of 15 or 20 or 30, like in a ward.
de 15, 20 ou 30, como nas enfermarias.
six or seven, family-like.
seis ou sete, como uma família.
uma forma de selecionar pessoas
a good chance to become friends,
de elas se tornarem amigas,
all the families of the residents
"what's important for your mother,"
o pai", "o que é importante para a mãe",
"what do they want."
"o que é que eles querem".
and we call them lifestyle groups.
a que chamámos grupos de estilos de vida.
we found this formal lifestyle.
of interacting with each other,
starts later in the day,
in this lifestyle group
than traditional Dutch.
cozinha tradicional holandesa.
in the morning, go to bed early,
e deitam-se cedo,
their whole life, mostly with their hands,
toda a vida, principalmente com as mãos,
family business, a small farm, a shop,
de família, uma quinta, uma loja,
trabalhador agrícola.
to his work every morning
todas as manhãs
que ele se permitia.
he could afford for himself.
he would have that one cigar.
ele fumava aquele charuto.
after lunch, to smoke his cigar.
depois do almoço, fumar o seu charuto.
in the Hogeweyk six weeks now.
há seis semanas.
meeting other people, other cultures,
conhecer outras pessoas e outras culturas,
and that's what we did.
e foi o que fizemos.
with a group of people,
com um grupo de pessoas,
your own household.
a sua própria vida, a sua própria casa.
and a meaningful life.
e ter uma vida com sentido.
and do some shopping,
have a beer with friends.
beber uma cerveja com amigos.
to go out every day,
que gosta de sair todos os dias,
e recebe-os.
rather go to the restaurant,
and celebrate life.
e celebrar a vida.
she takes a walk in the park,
de dar passeios no parque,
and sit next to her
e se sente ao lado dela
of society, that you belong.
da sociedade, que pertencemos.
with advanced dementia.
avançado de demência.
do meu escritório.
coming from one side,
and they met at the corner.
e encontraram-se na esquina.
to have a conversation with them,
and I saw them talking,
e vi-as falarem
and each went their own way.
e cada uma seguiu o seu caminho.
meeting other people
encontrar outras pessoas
dementia can live,
em estados muito avançados de demência,
and the volunteers working there
e os voluntários que lá trabalham
how to do their professional work
como fazer o seu trabalho
in the life of our residents.
com a vida do nossos residentes.
has to provide everything
tem de fornecer tudo aquilo
precisam para trabalhar.
that dares to do this.
que se atreva a fazer isto.
than we always have done
do que sempre fizemos
pode ser feito em todo o lado,
has in our country.
com o orçamento estatal.
with thinking different,
de forma diferente
does this person need now.
precisa neste momento.
it's about thinking different,
and that costs nothing.
it's about making choices.
what you spend your money on.
o nosso dinheiro.
as expensive as gray ones."
custam tanto como as cinzentas."
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