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Philip Y. Kao PhD thesis - Research@StAndrews:FullText

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Figure 6<br />

Care plans and Point-of-Care laptop station<br />

Each neighbourhood is electronically locked. Residents looking to leave Memory Care<br />

for a medical appointment, or even to the beauty salon just downstairs need a caregiver<br />

escort. For many of the residents with severe dementia this is a safety requirement.<br />

Most of the residents in Memory Care were labelled wander risks in their care plans.<br />

Every now and then, a resident managed to escape Tacoma Pastures. This happened<br />

when a resident was left unattended after the conclusion of an activity or some kind of<br />

social function downstairs. Sometimes, the caregivers lost track of the residents,<br />

especially when they were in the midst of taking residents back to their respective<br />

rooms and neighbourhoods. In the neighbourhoods, and when the residents are not in<br />

their rooms lying down or being taken to the toilet, some of them sit in the living room.<br />

The residents who are in the living room, however, do not usually pay attention to the<br />

television. Unlike the nursing home stereotype, where residents are portrayed as falling<br />

asleep in their chairs with their heads propped up with the palm of their hand, the<br />

residents in Memory Care did not appear bored nor did one get the impression that they<br />

were waiting eagerly for a family visitor to come by. They sat and exchanged short<br />

words and one-liners with each other. Some of these exchanges amounted to nothing<br />

but a confirmation of some situation or simple commentary. For instance, when<br />

Christine who is able to navigate back to her room using her walker, gets up out of the<br />

76

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