environments for elderly

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ENVIRONMENTS FOR ELDERS
Housing & Design for an Aging Population
DEA 472
http://instruct1.cit.cornell.edu/courses/dea472/
Spring 2007 Mon, Wed, Friday 12:20 – 1:10 MVR Room 155
Nancy M. Wells
nmw2 254-6330, MVR E220
OBJECTIVES
 Break your own stereotypes of “the elderly”
 Become familiar with the physical and sensory challenges of late life
 Become acquainted with elders in our community
 Gain insight & sensitivity regarding appropriate design solutions for older adults
 Learn about innovative housing options for late life
 Envision new models of physical environments for elders of the future
 Join intergenerational teams to improve local environments for elders
Fay Gillis Wells, 1920’s pilot
OVERVIEW
This course is rooted in environmental psychology, human factors/ ergonomics, and gerontology. DEA 472 provides
an opportunity to learn about older adults and their housing needs & options. Through discussion, lecture, readings,
site visits, guest panels and speakers, and personal contact with elders, students learn about the social, cognitive, and
physiological needs of older adults, as well as the design implications of those needs. You will gain knowledge about
the range of housing types available to older adults and begin to envision the future of elder housing.
Service learning is an important component of the course. In addition to 15 required hours of elder-related service
learning in the community. In addition, the LEAP project (see below) involves service learning.
REQUIREMENTS -- The course requirements are outlined below:
Discussion Leadership, Mini- Assignments & Class Participation
throughout semester
15%
In addition to preparing for class, students will periodically be asked to summarize articles, help lead discussion, and
present information to the class. Because this is a small class your participation and involvement is critical. Occasional,
short mini-assignments will also be required.
Elder- Friendly Design Evaluation
20%
CHOOSE: A) Restaurant Evaluation OR B) Grocery Store Evaluation due Thursday March 8 @ 5pm
Evaluate either TWO restaurants OR TWO grocery stores in terms of design for older adults. Both options will allow you to
interact with elders and apply your knowledge of sensory and physiological changes and human factors / ergonomics to an
environment for elders. (see handout).
Living Environments Aging Partnership (LEAP) Project (Interim report due Tues April 10) due Thursday May 3 5:00 25%
DEA 472 is part of L E A P … Living Environments Aging Partnership, a program that creates opportunities for
students to engage in elder-related service learning and involves community elders in Cornell classes. Through LEAP, older
adults will join our class for several sessions. Students and elder community consultants will form intergenerational
community design planning teams to improve a local environment for elders. Final products are: improved environment and
a poster describing process, research-basis, and final product (provide poster as hardcopy and electronically)
Three Site Visit Reports ( ~4-5 pages each)
due within 1 week of each site visit
15%
Please write site visit reports for three of the facilities that we visit. You may choose the three. Each report should be
about 5 pages long. Include: 1.) Your observations, reactions and impressions of the place 2.) A critique of the physical
environment including pros and cons and 3.) the application of three concepts or theories from readings / lecture, etc.
DEA 472: Environments for Elders
Spring 2007
Quizzes
There will be occasional (approximately 2 – 4 total) pre-announced quizzes.
10%
Service Learning
- throughout semester
log & reflective journal due Thursday May 10
15%
A minimum of 15 service learning hours with elders is required, in addition to time spent on LEAP. You may choose to join
weekly trips to Lakeside Nursing Home though Cornell’s Elderly Partnership (CEP), be matched to visit a local elder
through the Tompkins County Office for the Aging or avail yourself of another opportunity. Keep a journal of your activities
as well as your reflections or insights throughout the semester. I will ask you to periodically hand-in your log and journal.
Finally, summarize + reflect on experiences. Hand-in both your log and journal (including summary).
Contacts / Ideas for Service Learning Hours
Office for the Aging, Trina Schickel, 274-5491, http://www.tompkins-co.org/cofa/voluntee.html
Through the Tompkins County Office for the Aging, you can be matched with an elder in the community to visit weekly,
provide respite for a caregiver, help with light housekeeping, or assist with errands. Typically, a visitor commits to 1-2
hours per week. Contact Trina Schickel for more information. You will need to meet with her and provide one reference.
Bridges of Cornell Heights, Theresa Nix, 257-5777, TNix@bridgescornellheights.com
http://www.bridgesofmendon.com/basics.html
Bridges is an innovative, upscale, relatively small scale facility in a residential setting. Located at 403 Wyckoff Road,
Bridges is very walkable from the Cornell Campus. Contact Theresa Nix to identify ways that you might contribute to the
quality of life of Bridges’ residents by visiting during meals, reading to residents, joining group outings, etc.
Cornell Elderly Partnership (CEP), Public Service Center (PSC) pscelderly@cornell.edu
The CEP typically coordinates weekly trips to visit elders in local nursing homes. The CEP often (~weekly) visits residents
of Lakeside Nursing Home where they visit, read, garden, or create crafts and projects.
Lakeside Nursing Home, Suzanne Bakert, 273-8072
In addition to visiting Lakeside Nursing Home residents with the Cornell Elderly Partnership, you may choose to
independently make arrangements to visit residents. Contact Suzanne Bakert to identify roles you might full. Lakeside is
at 1229 Trumansburg Road (follow signs to the hospital) on the West side of the Lake. TCAT bus #21 goes to Lakeside.
Beechtree Care Center (formerly The Reconstruction Home), Beth Pittman, 273-4166
Beechtree is another local nursing home that welcomes volunteers. Located at 318 S. Albany Street, Beechtree is an easy
walk from the Ithaca Commons.
READINGS:
On Electronic Reserve: Coursepack
[R] On Reserve in Mann Library & in DEA Resource Room:
Friedan, B. (1993). The Fountain of Age. New York: Simon & Schuster.
ON-LINE RESOURCES: See course website for more… http://instruct1.cit.cornell.edu/courses/dea472/
1. Elders Health and the Built Environment Centers for Disease Control and Prevention
http://0-www.cdc.gov.mill1.sjlibrary.org/healthyplaces/healthtopics/elders.htm
2. The Institute on Aging and Environment at the University of Wisconsin-Milwaukee, School of Architecture and Urban Planning
(http://www.uwm.edu/Dept/IAE/) Promotes research, scholarship
3. Environmental Geriatrics Weill Cornell Medical http://environmentalgeriatrics.org/multimedia_course/index.html
4. Home Modifications http://www.homemods.org/library/
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DEA 472: Environments for Elders
Week 1
(M) January 22
Spring 2007
INTRODUCTION – Who are Older Adults?
“Environments” and “Elderly”
Tues (Optional, FYI) Guest Lecture: Health, Aging, and the Built Environment
Habib Chaudhury, Ph.D. 4:30 – 6:00 MVR 157
(W) January 24
Images, Stereotypes, Stigmas
What is your “Aging IQ”?
Wilhelmina Pier, Age 109
[R] Friedan, B. (1993). The Fountain of Age. New York: Simon & Schuster. Chapter 1: Denial and the
"problem" of age. pp. 35-70.
Nelson, T.D. (2005). Ageism: Prejudice against our feared future self. Journal of Social Issues, 61 (2),
207 – 221. [Read 207 – 214; peruse 215 - 218 ]
Optional Readings:
Special Issue on Ageism. (2005). Journal of Social Issues, 61 (2)
Waskel, S.A., Dubes, M. and Reviere, R. (1997). Black and white college students’ choices of descriptors for older
women and older women relatives. Journal of Women & Aging, 9, (1-2), 165-175.
(F) January 26
Service Learning / LEAP Intro – Soliciting community project ideas
Seperson, S.B. (2002). Student, Teaching, Mentor and the Service-Learning Classroom Experience.
Pp.73 – 83, Chapter 8. In: Seperson, S.B. and Hegeman, C. (Eds.) (2002). Elder care and
service learning. Westport, CT: Auburn House.
Week 2
M Jan 29
Mini Assignment DUE – “THE FUTURE YOU” in class
(M) January 29
Environmental Geriatrics (Introduction and Tutorial)
Mitka, M. (2001). Home Modifications to make older lives easier. Journal of the American Medical
Association, 286, (14), 1699 - 1700
In-class introduction to the Environmental Geratrics on-line training course by Rosemary Bakker at Weill
Cornell Medical Center in New York City. http://environmentalgeriatrics.org/ The training is oriented
toward physicians but has wide applicability. Later, I will assign modules from this training course.
(W) January 31
GUEST SPEAKER Brad Edmondson - Demographics of Old Age
Edmondson, B. (2005). Trends. The Milken Institute Review. (Fourth Quarter 2005). 8 – 12.
Seperson, S.B. (2002). Demographics about Aging Chapter 4 In: Seperson, S.B. and Hegeman, C.
(Eds.) (2002). Elder care and service learning. Westport, CT: Auburn House.
Optional Readings:
Administration on Aging. U.S. Dept of Health & Human Services. A profile of older Americans 2005.
http://assets.aarp.org/rgcenter/general/profile_2005.pdf
(F) February 2
Begin Service Learning – NO CLASS
Week 3
Physiological Issues: Anthropometrics and Ergonomics
(M) February 5
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DEA 472: Environments for Elders
Spring 2007
Torrens, G., McDonagh-Philip, D. & Newman, A. (2001). Getting a grip. Ergonomics in Design,
Santa Monica, CA: Human Factors and Ergonomics Society. pp. 7-13.
Kroemer, K.H.E. (1997). Anthropometry and biomechanics. (Ch. 5) In: A.D. Fisk and W.A. Rogers (Eds.)
Handbook of Human Factors and the Older Adult. NY: Academic Press. pp. 87-124.
Faletti, M.V. (1984). Human factors research and functional environments, Chapter 7. In: I. Altman, M.P.
Lawton, and J.F. Wohlwill (Eds.) Elderly People and the Environment. Vol 7. Human Behavior and
Environment: Advances in Theory and Research. New York: Plenum. Excerpt pp. 220-231.
Kiyota, E. (no date). My life as a nursing home resident.
Optional Readings:
Schieber, F., J.L. Fozard, S. Gordon-Salant, J.M. Weiffenbach (1991). Optimizing sensation and perception in older
adults. International Journal of Industrial Ergonomics, 7, 133-162.
Czaja, S. (1990). Human factors research needs for an aging population. Chapter 2: Human factors problems
associated with aging. Washington D.C.: National Academy Press. Excerpt: pp. 7-13 and 31-42.
(W) February 7
[ In-class Ergonomics Assessment]
Harootyan, R.A. (1993). Aging, functional abilities, and life-span design. Proceedings of Life-Span Design
for Residential Environments for an Aging Population. Washington D.C.:AARP. pp. 29-38 (also
available at http://www.homemods.org/library/life-span/)
Environmental Geratrics http://environmentalgeriatrics.org/ Module 1: Aging, Environment + Excess
Disability
(F) February 9
SITE VISIT – Bridges, Cornell Heights
Week 4
Access, Usability and Universal Design
(M) February 12
Mace, R.L. (1999). Barrier-Free Design. In: van Vliet, W. (Ed.) The
Encyclopedia of Housing. Thousand Oaks, CA: Sage. Pp. 29-30
Mace, R.L. (1991). The Accessible Housing Design File. New York, NY: Van
Nostrand Reinhold (Barrier Free Environments Inc.), excerpts: pp. 48, 49,
52, 53, 134-137.
Optional Readings:
Grayson, P.J. (1991). Chapter 7, the best of design for the elderly, pp. 121-154. In:
Preiser, W. et al. (Eds.). Design Intervention. NY: van Nostrand Reinhold.
Leibrock, C. (1993). Beautiful and Barrier-free: a visual guide to accessibility. New York: Van Nostrand
Reinhold.
(W) February 14
GUEST SPEAKER Larry Roberts, Finger Lakes Independence Center
Mace, R.L., Hardie, G.J., and Place, J.P. (1991). Chapter 8: Accessible Environments: toward universal
design. In: Preiser, W. et al., (Eds.). Design Intervention. NY: Van Nostrand Reinhold. 155-176.
(F) February 16
DISCUSSION – Service Learning Progress/ Reflection
Ladrigan, P.M. and DiCarlo, R.H. (2002). Service learning and the art of reflective journaling. Pp. 8491. Chapter 9. In: Seperson, S.B. and Hegeman, C. (Eds.) (2002). Elder care and service
learning. Westport, CT: Auburn House.
Page 4 of 11
DEA 472: Environments for Elders
Week 5
Sensory Changes and Design Implications
(M) February 19
Vision Changes in Late Life
Spring 2007
Sanders, M.S. & E.J. McCormick (1987). Human Factors in Engineering and Design. New York:
McGraw Hill Publishing. Excerpts: “Process of Seeing” pp. 79-85; “Lighting and Elderly” pp. 416418.
Koncelik, J. (1977). Human factors and environmental design for aging: Physiological changes, sensory
loss and design criteria. In: Environmental Context of Aging. T. Byerts, S. Howell, and L. Pastalan
(Eds.). New York: Van Nostrand Reinhold. pp. 107-117.
(W) February 21
Sensory Change and Design Intervention
Environmental Geratrics http://environmentalgeriatrics.org/ Module 3: Environmental Geriatric
Interventions
Fozard, J., F. Schieber, S. Gordon-Salant, and J.M. Weiffenbach (1993). Sensory and perceptual
consideration for designing enviroments for the elderly. Proceedings of Life-Span Design for
Residential Environments for an Aging Population Washington D.C.: AARP pp. 75-85. (also at
http://www.homemods.org/library/life%2Dspan/sensory.html
(F) February 23
Service Learning – NO CLASS
Week 6
(M) February 26 – LEAP ELDERS VISIT – review of applications and initial project development
(W) February 28
Hearing Changes in Late Life
Weinstein, B.E. (2003). A primer on hearing loss in the elderly. Generations, 27 (1) pp.15 – 19
Davis, J.L. (2003). Hearing Loss: many elderly not treated. WebMD, October 20, 2003.
http://www.webmd.com/content/article/75/89822.htm.
Optional Readings:
Dalton, D.S., Cruickshands, Klein, B.E.K., Kelin, R., Wiley, T.L., and Nondahl, D.M. (2003). The impact of hearing
loss on quality of life in older adults. Gerontologist, 43 (5), 661-668.
(F) March 2
SITE VISIT - TBA
Week 7
Mon Mar. 5 - FYI, Optional: ABSTRACT DUE for
STATE SOCIETY ON AGING STUDENT CONFERENCE to be held March 31, Ithaca College
(M) March 5
Introduction to Environmental Gerontology Theory
From these and /or other readings, please prepare to present TWO Aging & Environment Theories to the
class. For each theory, describe the theory including key concepts, when it was developed and by whom
and discuss how you think the theory is helpful or useful, or not, and provide two examples of how it might
be used to describe a specific interaction between an actual older adult and the environment. These
readings will introduce you to Aging and Environment Theory as well as some of the key contributors,
including Kurt Lewin, M. Powell Lawton, and Rudolph Moos. Some of the key theoretical ideas include
Page 5 of 11
DEA 472: Environments for Elders
Spring 2007
Lewin’s B=f(P, E), Lawton’s Competence-Press Model, and the Environmental Docility Hypothesis. In
addition, Hill & Gregg present gerontological theory.
Hill, R.D. & Gregg, C. (2002). Older adults in residential care: A population at risk. In: R.D. Hill, B.L.
Thorn, J. Bowling & A. Morrison (Eds.) Geriatric Residential Care. Mahwah, NJ: Erlbaum.
Lawton, M.P. (1998). Environment and Aging: Theory Revisited. Ch. 1. In: R.J. Scheidt and P.G. Windley
(Eds.) Environment and Aging Theory: A Focus on Housing. Westport, CT: Greenwood Press.
excerpt: pp. 1-6
Scheidt. R.J. (1998). The social ecological approach of Rudolph Moos. Ch. 5. In: R.J. Scheidt and P.G.
Windley (Eds.) Environment and Aging Theory: A Focus on Housing. Westport, CT: Greenwood
Press. pp. 111-120.
Calkins, M. & G. Weisman (1999). Models for environmental assessment. In: B. Schwarz & R. Brent
(Eds.) Aging, Autonomy and Architecture: Advances in Assisted Living. Baltimore, MD: Johns
Hopkins University Press. pp. 130-139.
Optional Reading:
Goland, S.W. (2003). Conceptualizing time and behavior in environmental gerontology: a pair of old issues
deserving new thought. The Gerontologist, 43 (5), 638-648.
Parmalee, P. (1998). Theory and Research in housing for the elderly: The legacy of Kurt Lewin. Ch. 7. In: R.J.
Scheidt and P.G. Windley (Eds.) Environment and Aging Theory: A Focus on Housing. Westport, CT:
Greenwood Press. pp. 161-185.
Wahl., H.W. and Weisman, G.D. (2003). Environmental gerontology at the beginning of the new millennium:
Reflections on its historical, empirical, and theoretical development. The Gerontologist, 43 (5), 616-627.
(W) March 7
The Role of Familiarity & Personalization
These readings explore the relevance of familiarity and personalization. The Kaplan & Kaplan excerpt
describes a tension between preferring the familiar and desiring variety. Note the preferences
matrices presented in Tables 4.1 and 4.2. While these concepts might most readily be applied to
cognitive mapping and wayfinding, could they also be relevant to environments for elderly more
generally? Hunt provides some insight as to how familiarity might ease relocation. How would you
characterize the relationship between familiarity and personalization? Do you think the relationship
between familiarity and preference changes over the life course?
Kaplan, S. & Kaplan, R. (1989). Cognition and Environment. Ann Arbor, MI: Ulrich’s. pp. 77-88.
Hunt, M.E. (1993). Environmental simulation research for an aging society: familiarizing older people with
the unknown. In: R. W. Marans and D. Stokols (Eds.) Environmental Simulation: Research and
Policy Issues. New York: Plenum Press. pp. 87-112
Küller, R. (1991). Familiar design helps dementia patients cope. In: Preiser, W. et al. (Eds.) Design
Intervention: toward a more humane architecture. NY: Van Nostrand Reinhold. Excerpt: pp. 258260.
Optional Readings:
Hunt, M.E. (1981). Simulated site visits: an environmental learning strategy for older people. Doctoral Dissertation,
University of Michigan
Gifford, R. (1997). Environmental Psychology. New York: Allyn & Bacon. Chapter 6: Territoriality, excerpt:
"territoriality and environmental design", pp. 136-137.
Thursday March 8
(F) March 9
Elder-Friendly Design Evaluation DUE 5:00 pm
DISCUSSION - Service Learning reflection + LEAP updates
Page 6 of 11
DEA 472: Environments for Elders
Spring 2007
Week 8
(M) March 12 – ELDER CONSULTANTS VISIT – further project development
(W) March 14
The meaning of “home”… Homeyness + Institutionality
Marsden, J. (1997). Assisted living housing for the elderly symbolic and physical properties of homeyness.
Chapter 3: homeyness. Doctoral Dissertation, University of Michigan. pp. 18-37.
Pastalan, L.A. & Schwarz, B. (1992). The meaning of home and ecogenic housing: A new concept for
elderly women. In H.C. Dandekar (Ed.) Shelter, Women and Development: First and Third World
Perspectives. Proceedings of an International Conference. May 7-9. 1992. The University of
Michigan, Ann Arbor, MI. pp. 402-407.
Optional Readings:
McCraken, G. (1989). Homeyness: A cultural account of one constellation of consumer goods and meanings. E.
Hirschman (Ed.) Interpretative consumer culture (pp. 168-181). Provo, UT: association for consumer
research.
Marsden, J.P. & R. Kaplan (1999). Communicating homeyness from the outside: elderly people’s perceptions of
assisted living. In: B. Schwarz & R. Brent (Eds.) Aging, Autonomy and Architecture: Advances in
Assisted Living. Baltimore, MD: Johns Hopkins University Press. pp. 207-228.
Pastalan, L.A.& Schwarz, B. (1994). Emergent themes. Journal of Housing for Elderly, 11(1), excerpt, p. 177.
(F) March 16
Service Learning – NO CLASS
Week 9 - SPRING BREAK
Spring Break assignment. Read this article and consider the role of the Medical Model in
physical design of long term care settings. If you have not yet visited a nursing home, do so.
Wells, N.M. (unpublished). Is the medical model effective with respect to long term care? Unpublished
Manuscript. Excerpt: pp. 1-6.
Week 10
Housing Options
(M) March 26
This set of readings provides an overview of housing options for
older adults. The types of facilities described include Continuing
Care Retirement Communities (CCRC), Assisted Living
Facilities, ECHO Housing, LORC’s and NORC’s. CCRC’s
provide a unique model of living for older adults, with a
continuum of care and independence options in one setting.
What are the unique design challenges of this setting? To what
extent do you agree with the pros and cons presented by Golant (1992)?
Pynoos, J. (1998). Elderly. In: van Vliet, W. (Ed.) The Encyclopedia of Housing. Thousand Oaks, CA:
Sage. pp. 131-135
Golant, S. (1998). Continuing Care Retirement Communities. In: van Vliet, W. (Ed.) The Encyclopedia of
Housing. Thousand Oaks, CA: Sage. pp. 86-88
Golant, S. (1998). Assisted Living. In: van Vliet, W. (Ed.) The Encyclopedia of Housing. Thousand Oaks,
CA: Sage. pp. 25-26
Hare, P.H. (1998). ECHO Housing. In: van Vliet, W. (Ed.) The Encyclopedia of Housing. Thousand
Oaks, CA: Sage. pp. 129-130
Marans, R. W. (1998). Retirement Communities. In: vanVliet, W. (Ed.) The Encyclopedia of Housing.
Thousand Oaks, CA: Sage. pp. 489-491
Page 7 of 11
DEA 472: Environments for Elders
Spring 2007
Folts, W.E. & G.F. Streib (1994). Leisure-oriented retirement communities. In W.E. Folts & D.E. Yeatts
(Eds.) Housing and the Aging Population: Options for the New Century. New York: Garland
Publishing, Inc. pp. 121-144.
Golant, S. (1992). Continuing care (life care) retirement facilities: multiple levels of shelter and care.
Ch. 11. In: S.M. Golant Housing America’s Elderly: many possibilities/ few choices. Newbury
Park: Sage Publications. Pp. 260-285.
Brown, P.L. (2006). Growing old together, in a new kind of commune. February 27, 2006. New York
Times.
Durrett, C. (Fall2002). Cohousing:A neighborhood that works.Seniors’ Housing News, 18. 20-21, 25.
Optional Readings:
Masotti, P.J., Fick, R., Johnson-Masotti, A., and MacLeon, S. (2006). Healthy naturally occurring retirement
communities: A low-cost approach to facilitating healthy aging. American Journal of Public Health, 96
(7), 1164 - 1170
(W) March 28
Housing Transitions & Relocation in Late Life
Frank, J. (1999) “I live here, but it’s not my home” Residents’ experiences in assisted living. In: B.
Schwarz & R. Brent (Eds.) Aging, Autonomy and Architecture: Advances in Assisted Living.
Baltimore, MD: Johns Hopkins University Press. pp. 166-182.
Tobin, S. S. (1996). Cherished possessions: The meaning of things. Generations, pp. 46-48
Oswald, F., Schilling, O., Wahl, H.W. and Gang, K. (2002). Trouble in paradise? Reasons to relocate
and objective environmental change among well-off older adults. Journal of Environmental
Psychology, 22, 273 – 288.
Erickson, M.A., Krout, J., Ewen, H. and Robison, J. (in press). Should I stay or Should I Go? Moving
plans of older adults. Journal of Housing for the Elderly, 20 (3).
Optional Readings:
Waldron V.R., et al., (2005). Gender Differences in Social Adaptation to a Retirement Community: Longitudinal
Changes and the Role of Mediated Communication. The Journal of Applied Gerontology. 24 (4): 283298.
Pastalan, L. (1983). Environmental displacement: A literature reflecting old-person-environment transactions. In D.
Rowles and R.J. Ohta (Eds.) Aging and Milieu: Environmental Perspectives on Growing Old. New York:
Academic Press. pp. 189-203.
Eshelman, P. E. & Evans, G.W. (date). Home again: environmental predictors of place attachment and self-esteem
for new retirement community residents. Unpublished manuscript. Cornell University.
[R] Friedan, B. (1993). The Fountain of Age. New York: Simon & Schuster. Chapter 11: To Move or To Stay? pp.
346-380.
Thompson, B. (1989). Preparing elderly people for life in a “home”. British Journal of Occupational Therapy,
52, 103-104.
(F) March 30
NO CLASS – Attend State Society on Aging Conference SATURDAY
(Sat) March 31
State Society on Aging STUDENT Conference, Ithaca NY
BE SURE TO ATTEND – Keynote speaker: Dr. Bill Thomas
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DEA 472: Environments for Elders
Week 11
M April 2
Spring 2007
Aging, Gender, and Culture in Housing
Mini Assignment DUE – 2-3 page summary + reaction to Dr. Thomas’ talk
(M) April 2
Gender and Housing Arrangements
Gregory, S. and Pandaya, S. (2002). Women and Long term care. AARP Fact Sheet.
http://www.aarp.org/research/longtermcare/trends/aresearch-import-679-FS77R.html
Keigher, S.M. (1992). In search of “The Golden Girls”: Why is affordable, adaptable, and assisted
housing for older women so hard to find? In: H.C. Dandekar (Ed.) Shelter, Women and
Development: First and Third World Perspectives. Proceedings of an International
Conference. May 7-9. 1992. The University of Michigan, Ann Arbor, MI., pp. 377-395.
Saegert, S. and McCarthy, D.E. (1998). Gender and Housing for the Elderly: sorting through the
accumulations of a lifetime. Chapter 3 In: R.J. Scheidt and P.G. Windley (Eds.) Environment
and Aging Theory: A focus on housing. Westport, CT: Greenwood Press. Pp 61-87
Optional readings:
Miller. B, Kaufman, J.E. 91996). Beyond Gender Stereotypes: Spouse Caregivers of Persons With Dementia.
Journal of Aging Studies. 10(3): 189-204.
Russell, R. (2001). In sickness and in health: A qualitative study of elderly men who care for wives with
dementia. Journal of Aging Studies. 15. 351–367
(W) April 4
Cultural Roles in Housing Arrangements
Cohen, U. and Moore, K. D (1998 ). Integrated Cultural Heritage into Assisted-Living Environments. In: B.
Schwarz & R. Brent (Eds.) Aging, Autonomy and Architecture: Advances in Assisted Living.
Baltimore, MD: Johns Hopkins. Pp 90-109
Sethi, R. (1998 ). Crossing Oceans: A Cross-Cultural Look at Elderly Immigrant Women in the United
States and Elderly Women in India. In: H.C. Dandekar (Ed.) Shelter, Women and
Development: First and Third World Perspectives. Proceedings of an InternationalConference.
May 7-9. 1992. The University of Michigan, Ann Arbor, MI., pp 408-413.
Optional readings:
Mahoney, D.F., et al. (year) African American, Chinese, and Latino Family Caregivers’ Impressions of the Onset
and Diagnosis of Dementia: Cross-Cultural Similarities and Differences. The Gerontologist. 45(6):783792.
Harris, P.B., Long, S.O. (1999). Husbands and Sons in the United States and Japan: Cultural Expectations and
Caregiving Experiences. Journal of Aging Studies. 13 (3): 241-267.
(F) April 6
ELDERS CONSULTANTS VISIT (LONGER SESSION 12:20 – 1:30)
Week 12
Green Spaces & Restoration
(M) April 9
Theory + Evidence
Kaplan, R. & Kaplan, S. (1995). The Experience of Nature: a psychological perspective. Ann Arbor, MI:
Ulrich’s. Chapter 6: The restorative environment. pp. 177-200.
Kweon, B., Sullivan, W.C.,and Wiley, A.R. (1998). Green common spaces and the social integration of
inner-city older adults. Environment and Behavior, 30 (6), 832-858.
Austin, E.N., Johnston, Y.A.M. and Morgan, L.L. (2006). Community gardening in a senior center: A
therapeutic intervention to improve the health of older adults. Therapeutic Recreation Journal, 40 (1),
48 – 56.
Optional readings:
Page 9 of 11
DEA 472: Environments for Elders
Spring 2007
Thomas, W. H. (1996). Living: How Someone You Love Can Still Enjoy Life in a Nursing Home. Acton, MA.
VanderWyk & Burnham. Chapter 3-9. pp. 23-98.
Wenjun, L, Keegan, T.H.M., Sternfeld, B., Sidney, S., Quesenberry, C.P. and Kelsey, J.L. (2006). Outdoor falls
among middle-aged and older adults: A neglected public health problem. American Journal of Public
Health, 96 (7), 1192 – 1200.
Tuesday April 10
LEAP Project Interim Report Due 5:00 pm
(W) April 11
Design + Practice
Tyson, M.M. (1995). The Therapeutic Garden: Outdoor Environments for People with Alzheimer’s Disease
– one page summary.
Stoneham, J. & Thoday, P. (1996). Landsape Design for Elderly and Disabled People. Suffolk: Garden Art
Press. Chapter 5: Site use and implications for design. Pp. 32-46
LeClaire, J. (Oct. 2002). The Evolution of Eden. Metropolis, p. 54
Optional Readings:
Marcus, C.C. and Barnes, M. (Eds.) (1999). Healing Gardens: therapeutic benefits and design
recommendations. New York: John Wiley & Sons. [sample chapters: ]
Chapter 1: Introduction: Historical and cultural overview. Marcus, C.C. and Barnes, M.
Chapter 8: Nursing Home Gardens. McBride, D.L.
Chapter 9: Alzheimer’s Treatment Gardens. Zeisel, J. and Tyson, M.M.
(F) April 13
Week 13
(M) April 16
SITE VISIT – TBA
Design for Dementia
Introduction to Alzheimer’s Disease
Video - Alzheimer’s : A multicultural perspective.
(W)April 18
Design for People with Alzheimer’s Disease
Zeisel, J. (1999). Life-quality Alzheimer Care in Assisted Living. In: B. Schwarz & R. Brent (Eds.) Aging,
Autonomy and Architecture: Advances in Assisted Living. Baltimore, MD: Johns Hopkins
University Press. pp. 110-129.
Day, K. and Calkins, M. (2002). Design and Dementia. In R.B. Bechtel and A. Churchman (Eds.)
Handbook of Environmental Psychology, NY: Wiley, pp. 374 - 393
Optional Readings:
Day, K., Carreon, D. & Stump, C. (August, 2000). The therapeutic design of environments for people with
dementia: A review of the empirical research. The Gerontologist, 40(4), 397-416
Hoglund, D.J. & Ledewitz, S.D. (1999). Designing to meet the needs of people with Alzheimer’s disease. In: B.
Schwarz & R. Brent (Eds.) Aging, Autonomy and Architecture: Advances in Assisted Living. Baltimore, MD:
Johns Hopkins University Press. 229-261
Cohen, U. & Day, K. (1993). Contemporary environments for people with dementia. Baltimore, MD: Johns Hopkins
Univ. Press.
Calkins, M. (1991). Design for dementia. In: Preiser, W. et al. (Eds.) Design Intervention: toward a more humane
architecture. NY: Van Nostrand Reinhold.
Page 10 of 11
DEA 472: Environments for Elders
Spring 2007
Zeisel, J., Silverstein, N.M., Hyde, J., Levkoff, S., Lawton, M.P. and Holmes, W. (2003). Environmental correlates to
behavioral health outcomes in Alzheimer’s special care units. The Gerontologist, 43 (5), 697-711.
(F) April 20
GUEST SPEAKER Alice F. Bonner, MS, APRN, BC (Tentative Date)
Gerontological Nurse Practitioner, Grad. School of Nursing, U. Mass Medical
Kane, R.A. (2001). Long-term care and a good quality of life: bringing them closer together. The
Gerontologist, 41 (3), 293 – 304.
Week 14
(M) April 23
ELDER CONSULTANTS VISIT
(W) April 25
DISCUSSION - Service Learning reflection + LEAP updates
(F) April 27
GUEST SPEAKER Bill Thomas, M.D. (Tentative Date)
Geriatrician and Long Term Care Visionary
Week 15
(M) April 30
TBA
(W) May 2
SITE VISIT – TBA
Thursday May 3
LEAP Final Project Posters Due
(F) May 4
5:00 pm
CONSULTANTS VISIT – LEAP PROJECT PRESENTATIONS/ POSTER SESSIONS
Thursday May 10
Service learning Logs and Reflective Journals Due
5:00 pm
Page 11 of 11
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