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Alzheimer's housing and environments

The cognitive impairments of degenerative disease rob people of the ability to function independently. Individuals with Alzheimer's disease and other dementing illness require a great deal of understanding, assistance, and specialized care. This creates the challenge of providing housing for this population and a growing demand for housing options. Nursing homes have changed dramatically in recent years. They are serving residents of all ages with complex medical care needs. Today people with Alzheimer's disease are not only the severely impaired residents living in nursing facilities, but also, are to a much greater extent, less impaired people with needs for supportive and appropriate living environments. Assisted living, residential care homes and facilities that offer promising alternatives to traditional nursing homes are attractive options for people with dementia. These residential living environments range in size from small private homes of up to four residents, to congregate care facilities accommodating anywhere from 24 to over 1.00 residents. Serving the growing numbers of people with Alzheimer's disease and other dementias who have a greater variety of needs in a residential setting, raises many contemporary challenges. Whether large or small, the available services and care are critical considerations for families dealing with dementia. Special care units for residents with dementia must assure comprehensive programs ofappropriate Alzheimer services and trained staff. A large part of the appeal of assisted living, rather than a medically-oriented skilled nursing facility, is the less