ABSTRACT
In this chapter, the author discusses the complexity of the nursing home as a place and how the Culture Change (CC) movement has hoped to transform. She suggests that CC has been realized only partially because many nursing homes have succeeded in changing inert physical spaces, but neglected the importance of significant intersubjective ones. In 1997 proponents of Culture Change convened to discuss ways to improve the quality of life of elders residing in nursing homes. The author focuses on the concept of therapeutic landscapes and her research in dementia caregiving and ethics to discusses the contours of those intersubjective spaces. Senile dementia is a cognitive and behavioral disorder affecting persons age 65 and older. It results from neuropathic changes in the brain, attributed mainly to Alzheimer's disease and vascular dementia. Common symptoms include cognitive, linguistic, behavioral, and mood impairments, and disorientation to time and place.
