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Medicine

The Dutch Village Where Everyone Has Dementia 231

HughPickens.com writes Josh Planos writes at The Atlantic that the isolated village of Hogewey on the outskirts of Amsterdam has been dubbed "Dementia Village" because it is home to residents who are only admitted if they're categorized as having severe cases of dementia or Alzheimer's disease. "There are no wards, long hallways, or corridors at the facility," writes Planos. "Residents live in groups of six or seven to a house, with one or two caretakers. Perhaps the most unique element of the facility—apart from the stealthy "gardener" caretakers—is its approach toward housing. Hogeway features 23 uniquely stylized homes, furnished around the time period when residents' short-term memories stopped properly functioning. There are homes resembling the 1950s, 1970s, and 2000s, accurate down to the tablecloths, because it helps residents feel as if they're home."

In Holland, everyone pays into the state health care system during their working years, with the money then disbursed to pay for later-in-life expenses — and that means living in Hogewey does not cost any more than a traditional nursing home. The inspiration came about in 1992, when Yvonne van Amerongen and another member of staff at a traditional nursing home both had their own mothers die, being glad that their elderly parents had died quickly and had not had to endure hospital-like care. A series of research and brainstorming sessions in 1993 found that humans choose to surround and interact with other like-minded people of similar backgrounds and experiences; the arrangement at Hogewey provides this by ensuring that residents with similar backgrounds continue to live closely together. On a physical level, residents at Hogewey require fewer medications; they eat better and they live longer. On a mental level, they also seem to have more joy. "The people here keep their independence, as much as they can have of it, and they stay active," says Theo Visser. "Here they still have a life. It's not the sort of slow, quiet death you get in other places. Here everyone feels at home."
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The Dutch Village Where Everyone Has Dementia

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  • by Anonymous Coward on Monday November 17, 2014 @06:08PM (#48406625)

    We call it "Washington".

    • by Anonymous Coward

      Incorrect. Washington is not for dementia patients, it's for people with incurable narcissistic sociopathy. Oddly enough, the afflicted are not the people who suffer as a result of the disease, it's everyone else who suffers.

    • by PPH ( 736903 )

      Yeah. An entire state.

    • AC is complaining about washington. Meanwhile, if the government tried to do this, there'd be some dude ranting about death panels and socialism. I get that my cry of hypocracy isn't entirely accurate. We're all fed up with Washington (Meanwhile, how many independants were elected this midterm cycle? Oh, none?) and we all understand that Washington is filled with crony capitalists and bought politicians, with a few minor exceptions that I can count on one hand.... But that doesn't automatically mean we can
    • Well, quoting from the original summary " and they live longer. ". That is against the basic concept of Obamacare. And D.C. isn't for those with Alzheimers, it is for the criminally insane.

      • by gtall ( 79522 ) on Tuesday November 18, 2014 @06:37AM (#48409707)

        What is it specifically you object to about the ACA? Covering more people? You do realize the whole idea behind any health insurance is that healthy people support the unhealthy. My main objection to it is that it let the health insurance companies and their "death panels" ("actuaries" to you) live. It has only been since the 1960's that insurance companies have gotten into health insurance in a big way. And we can mark the cost rises for health care to them.

        • What is it specifically you object to about the ACA? Covering more people? You do realize the whole idea behind any health insurance is that healthy people support the unhealthy. My main objection to it is that it let the health insurance companies and their "death panels" ("actuaries" to you) live. It has only been since the 1960's that insurance companies have gotten into health insurance in a big way. And we can mark the cost rises for health care to them.

          My objections to the ACA? It raised my premiums 200% for similar coverage. It forces everyone to have health insurance (or pay the tax penalty), meaning that insurance companies can charge what they want. No one knew what was in the 2000+ pages before it was passed (with the promise they could read it later).

          I like that insurance companies can't deny coverage based on preexisting conditions.

          • by dywolf ( 2673597 )

            200%? I dont believe you. Flat out. I'll state you are lying.

            Forcing everyone to have insurance doesnt mean they can charge what they want. Thats only true if there is no competition, ie, nonly one insurance company, which is tue only in a couple fo states. If anything the ACA fosters a free market approach and better enables competition by making the product and what you get for your money more transparent enabling you to make a better choiuce as a consumer, which will have the effect of forcing comapnies

      • by dywolf ( 2673597 )

        im quite sure you dont know what you're talking about, but not compeltely sure.

        So please enlighten me.
        How is it against the basic premise of the ACA? What specifically in the ACA is counter to the concept of living longer?
        Because I know its not the part where more people get insurance and thus more people get medical care, casuse that part is pretty clearly tied living longer, healthier lives.
        We even have scientific studies and charts that prove that proper medical care, and access to it, helps people live

    • They rarely have altzheimer. It's more a case of selective amnesia every time some reporter asks about something they'd rather not want to be remembered.

    • We call it "Washington".

      No: In the article I distinctly remember it saying they too *fewer* drugs.

  • by Circlotron ( 764156 ) on Monday November 17, 2014 @06:11PM (#48406651)
    When my time comes I hope they provide a (then) retro version of Slashdot.
  • by Anonymous Coward on Monday November 17, 2014 @06:49PM (#48406983)

    I have been giving this a fair bit of thought recently. I have a number of co-morbid conditions that are rapidly going to cause me to no longer be able to take care of myself. Example: I have woken up in the floor after fainting several times in the past few months. Often I am injured, but as of yet have not hit my head. Further, I suffer from conditions that make it effectively impossible to leave my dwelling on a regular basis and I have PTSD flashbacks routinely.

    However, in my early 40's there are no establishments I am aware of for persons like myself. Instead I must resort to a nurse who visits occasionally. I would think a group home would work better and be less expensive.

    • by Anonymous Coward on Monday November 17, 2014 @07:14PM (#48407151)

      I have woken up in the floor [...] in the past few months

      Often I am injured

      effectively impossible to leave my dwelling on a regular basis

      I have PTSD flashbacks routinely

      there are no establishments I am aware of for persons like myself

      I'm almost 100% positive you have lycanthropy.

    • by antdude ( 79039 )

      I am almost 40. When I live in Christian college dorm(itorie)s, I had room and suite mates. Same for neighbors, outdoor access, and easy access to near by. I loved it, but I don't have that anymore because everyone moved out to get married, have their own families, etc. :( Of course no female mates want to marry me (still never had a date and a virgin). :(

      • Of course no female mates want to marry me (still never had a date and a virgin).

        Maybe if you got outside once in a while and learned how to interact with the rest of society this problem would take care of itself.
    • by AmiMoJo ( 196126 ) *

      Your symptoms don't sound like dementia or other common old age problems. Does your country have free healthcare? You should get it investigated, chances are there is some kind of acute problem that can be fixed.

  • by future assassin ( 639396 ) on Monday November 17, 2014 @06:51PM (#48407007)

    There's an old abbandoned sanitarium town near Kamloops BC https://www.google.ca/search?q... [google.ca]

    It was on the tv show called After People

    Its pretty awesome when you drive by it and quite a creepy feeling.

  • ... who read the village's name as "Hogwarts"?

  • "I am not a number!" (Score:4, Interesting)

    by swell ( 195815 ) <jabberwock@poetic.com> on Monday November 17, 2014 @08:05PM (#48407491)

    Shades of another quaint and serene Village from 1967, where The Prisoner (- a Secret Agent, played by Patrick McGoohan) was kept in a surreal setting among people who sometimes behaved as though brain dead. The quote reflects the prisoner's anger that nobody in the Village would call him by name; only his assigned number 6.
    http://en.wikipedia.org/wiki/T... [wikipedia.org] [Wikipedia]

    Still, everything was provided to the inmates. If The Prisoner wasn't so stubborn he might have enjoyed it. (Youngsters rejoice; if you missed the original Prisoner TV series, you may have another chance- director Christopher Nolan may be planning a movie version.)

  • In Holland, everyone pays into the state health care system during their working years, with the money then disbursed to pay for later-in-life expenses

    The Dutch health care system never worked like that. They might be confused with the pension system, where people save for their generation's retirement. While heavily regulated, the pension system is not run by the state.

    The Dutch health care system is actually a lot like Obamacare, with private insurance companies which are not allowed to turn down people who apply. The system was redesigned in 2006: before that, people with low to moderate salaries were insured via their employer, while now all people pi

    • Rising costs are no surprise. There doesn't appear to be direct collusion between insurers, but there is no real competition either. Do you think an insurer would prefer to charge a €100 monthly premium to cover a €1000 average yearly medical bill, or charge €200 premium for a €2000 bill? And prices are further inflated by empire building, ie. setting up and staffing a bunch of auxiliary functions and services that are not directly related to healthcare (and in practise do not work to b
  • Residents live in groups of six or seven to a house, with one or two caretakers.

    Even the caretakers?

  • ... so that won't fly here in the for-profit US.

If all else fails, lower your standards.

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