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Table 2 Psychological needs, palliative care and environmental requirements

From: ‘I want to feel at home’: establishing what aspects of environmental design are important to people with dementia nearing the end of life

Psychological Needs [8] WHO definition of palliative care [45] Aspects of the Addington-Hall approach to palliative care [46] Environmental needs identified from this study
Attachment Support to person and family Importance of sensitive communication Promote of a sense of familiarity and homeliness
Comfort Symptom control Quality of life Support of the continued use of the senses
Provide access to the outdoors/natural environment
Provide access to nature indoors (e.g. plants, natural light, fresh air)
Promote calmness
Support safety and security
Enable visual monitoring by staff – via human contact
Reduce physical stress
Facilitate nursing care
Identity Integration of psychological, social and spiritual Whole person approach Provide opportunities for engagement with spiritual aspects of life
Provide privacy
Foster dignity
Occupation Affirmation of life Respect for autonomy Provide opportunities for social engagement
Inclusion Support to person and family Care of the person and family Provide opportunities to be with family
Support staff, residents and visitors to find their way around
  1. (Adapted from Hughes [44], Tables 1 and 2)
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