ABSTRACT

Evidence-based knowledge gained over the last forty years on how to design well for people living with dementia is well established. It’s application in nursing homes and other long-term care institutions has been patchy but is on the upswing. Dementia care regulations, including a high proportion of National Dementia Plans, reflect little or no awareness of this knowledge. While there is a high level of agreement on the basic principles among those who are aware of how to design well for people living with dementia, there are challenges in widening knowledge awareness; consistent application of the knowledge in built and occupied environments; and the incorporation of this knowledge in legislative and regulatory frameworks. This chapter uses Pathman’s knowledge translation framework to structure a description of some of the ways the authors have moved evidence-based design knowledge through the stages of awareness, agreement, adoption, and adherence.