These Settings Aren’t Real. But for Dementia Patients, What Is?

Fake nurseries and town squares seem to comfort patients. But some experts wonder whether they are patronizing, even infantilizing.

Wilma Rosa smiles as she holds a baby doll and plays with its wrist in a nursery setting, which includes strollers and a crib.
Wilma Rosa, a memory care resident in assisted living at RiverSpring Residences in the Bronx, with a baby doll in the nursery.Credit…James Estrin/The New York Times

By Paula Span in the NYT (thanks to Put B.)

The nursery at RiverSpring Residences in the Bronx is a sunny, inviting space outfitted with a bassinet, a crib with a musical mobile, a few toys, bottles, picture books for bedtime reading and a rack of clothing in tiny sizes.

The other morning, Wilma Rosa was there trying to soothe one of its cranky, small charges. “What’s the matter, baby?” she crooned, patting the complainer’s back. “You OK? I want you to go to sleep for a little while.”

Ms. Rosa, 76, a memory care resident in assisted living, visits the nursery daily. She has had plenty of experience with babies.

She was the oldest girl of eight children, so she handled lots of family responsibilities, she told Catherine Dolan, the facility’s director of life enrichment, who was asking questions to help the memories flow. Later in life, Ms. Rosa worked in a bank and a store; the stories emerged as she cuddled the doll.

No actual babies live in this immersive environment, where the fragrance blend includes a talcum scent. Just as no actual sales were taking place at the store down the corridor, another new RiverSpring undertaking.

Amid its wooden shelves of clothing, accessories and tchotchkes, the sales clerks were, like Ms. Dolan, staff members trained to interact effectively with residents with dementia.

“Great choice,” said the cheerful cashier — Andre Ally, the engagement coordinator — to a 91-year-old who had selected a plaid muffler. “Perfect for this weather.”

The shopper handed over a plastic card that residents had been issued, which had no monetary value, and headed out with his walker, pleased about his new scarf. “It’s very warm,” he said. “And a nice size, so you can wear it with any coat.”

Ms. Rosa raises her wrist to her nose to smell a perfume sample. She stands next to a rack of clothes and a store attendant who is holding a perfume spray bottle.
Ms. Rosa tried out perfumes at RiverSpring’s clothing store.Credit…James Estrin/The New York Times

David V. Pomeranz, president and chief executive of RiverSpring Living — its campus includes independent and assisted living, memory care, rehab and a nursing home — sees such efforts as ways “to restore normalcy to people who’ve been stripped of so much.” (continued)

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