• No results found

Our expectations as we age should be to age in the community we

In document World Alzheimer Report 2020 (pagina 76-84)

choose, not to be consigned to a

‘specialised’ micro-community of a perceived homogeneous population.

This is often reflected in the areas being studied being selected for a cultural uniformity. Many communities reflect many different cultural backgrounds that result in practices from one culture being adopted across other culturally diverse groups in a community. This mix would likely be different in each community and would shift or expand over time. Nevertheless, there are likely practices that may be common across many different communities and scales of community, such as the observance of specific events or holidays.

Change will naturally occur in all communities in response to many causes. There are many agents causing this change. They include such diverse elements as climate change, changes in population demographics, economic change. It is also important to realise that these changes while affecting any given community are dynamic and on global scale their interplay is different in each community.

One consequence of this dynamic is that a solution that works in one community may not work elsewhere.

What may work is the methodology that derives an approach and solution that is applicable to the community where it is used.

Finally, it is important to realise the need to have as many people living with dementia involved in all aspects of assessing an environment and designing change. Without the involvement of the lived experience, change risks being tokenistic.

Figure. 1 Introducing time into design domains

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