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Alzheimer's disease and the home: Issues in environmental design

The home or family residence presents a unique challenge in environmental design for persons with Alzheimer's disease. Imbued with memories and deep emotions, the home can represent security and comfort. The familiar surroundings, however, can also act as apersistent reminder of frustration and lost skills or can stimulate activities that are no longer appropriate or even safe for the individual with Alzheimer's disease. Beneficial adaptations in the home can be made in the interests of preserving the functional ability, safety and emotional well-being of those with Alzheimer's disease. It is particularly important that consideration also be given to the needs of the caregiver. No matter how ideal the physical setting may be, its effectiveness as a domicile for the person with Alzheimer's disease usually depends upon the health and emotional integrity of the caregiver.