How Innovative Designs Can Help Ease Ethical Tension in Good Dementia Caregiving and Decision-Making

Internationally, there is a long history of improving dementia care quality by focusing on patients' strengths and supporting environments that normalize their daily routines. The European dementia village is a pioneering health care site: 4 acres of integrated housing and amenities that include large exterior walkways around gardens, restaurants, and shops. A US-based conceptual model is the dementia friendly city center, which integrates health care service delivery into adaptive reuse and urban revitalization. This article discusses how these models envision structures and spaces of caregiving and habitation.