Wednesday, June 6, 2018

France starts work on revolutionary 'Alzheimer's village' where patients roam almost free

The "Alzheimer village" in Dax, France, is designed to give residents with Alzheimer's the best chance of living a normal social life Credit: Telegraph

Henry Samuel, Paris

4 June 2018

The Telegraph

Work has begun on France’s first "Alzheimer's village” where patients will be given free rein without medication in a purpose-built medieval-style citadel designed to increase their freedom and reduce anxiety.

Residents of the village in Dax, southwestern France, will be able to shop in a small supermarket, go to the hairdressers, local brasserie, library, gym and even a little farm.

They will live in small shared houses designed to reflect their personal tastes and in four districts reminiscent of the southwestern French region between forests and the seashore.

While it may sound similar to a typical residential complex, the inhabitants are all men and women suffering from Alzheimer’s, the commonest cause of dementia. It is an irreversible, progressive brain disorder that slowly destroys memory and thinking skills and, eventually, the ability to carry out the simplest tasks.

Allowing them to live in an almost normal village helps “maintain (patients’) participation in social life,” said professor Jean-Fran├žois Dartigues, neurologist at the Pellegrin university hospital in Bordeaux.

“The brain is the organ of human relations par excellence," he said.

The village is the brainchild of the late Henri Emmanuelli, a former Socialist minister and local MP who launched the project after reading about a Dutch gated model village in Weesp, Netherlands, seen as a pioneering care facility for elderly people with dementia.

Residents are confined to the village for their own safety but are allowed to move around freely inside and are watched over by plain-clothed medical staff. The staff don't treat patients, they care for residents, they say.

Some have described the set-up as reminiscent of The Truman Show, the film in which Jim Carrey plays a man living in a fake town that unbeknownst to him is a vast reality TV set.

Its proponents say that compared to traditional nursing homes, residents are more active, require less medication, and are quite simply happier.

The French version will seek scientific proof that this is the case, as young researchers will “cohabit” with the 120 residents with Alzheimer’s, along with 100 live-in carers and 120 volunteers who will stage activities.

The researchers will conduct a comparative study with traditional nursing homes and examine “the impact of new therapeutic approaches on patients, carers and medical staff,” Prof Dartigues told Le Monde.

Rather than opting for modern architecture, the village has been designed to look like the traditional historic centre of a medieval “bastide”, or fortified town, commonplace in the Landes area, so that patients don’t feel disorientated.

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