Name: TED】Yvonne van Amerongen:重新定義老年人護理的 "痴呆村"（The "dementia village that's redefining elder care | Yvonne van Amerongen）。 (【TED】Yvonne van Amerongen: The "dementia village" that's redefining elder care (The "dementia village" that's redefining elder care | Yv
Uploaded: 2021-01-14T08:14:11.000Z
Duration: 10 min 31 s

譯者: Lilian Chiu 審譯者: Bruce Sung

It's a neighborhood in a small town very near Amsterdam, in the Netherlands.

There are 27 houses for six, seven people each.

它是荷蘭一個小鎮上的鄰里， 非常靠近阿姆斯特丹。

There's a small mall with a restaurant, a pub, a supermarket, a club room.

那裡有 27 間房子， 每間有 6~7 人。

There are streets, alleys, there's a theater.

有一個小型購物中心，內有餐廳、 酒吧、超級市場、俱樂部房間。

那裡有街道、巷弄， 也有一間戲院。

A nursing home for people that live with an advanced dementia

這間療養院所住的是 重度失智症患者，

他們一天 24 小時，一週七天 都需要照護和支持。

It's getting to be a major problem in the world,

它漸漸成為世界上的 一個重大問題，

for the world -- it's getting to be a big problem.

We see that we have waiting lists in the nursing homes.

對世界來說—— 它漸漸成為一個大問題。

Most people that come to the nursing homes with dementia are women.

我們知道，在療養院有等候名單。

And that's also because women are used to taking care of people,

大部分到療養院的 失智症患者是女性。

so they can manage to take care of their husband with dementia,

那也是因為女性很習慣照料人，

but the other way around is not so easy for the gentlemen.

所以她們的先生若得了失智症， 她們也能負責照顧，

Dementia is a disease that affects the brain.

但在相反的情況中， 對男性而言就沒這麼容易了。

失智是一種會影響大腦的疾病。

People don't know anymore what the time is,

患者不再知道現在是什麼時間、

有什麼事有發生，也認不得人了。

they get to be anxious, depressed, aggressive.

And we often spoke together about the fact

that what we were doing there was not what we wanted for our parents,

說我們在那裡所做的事， 並不是我們希望我們的父母、

\"When we keep on saying this, nothing is going to change.

我們的朋友、我們自己 若失智時會得到的照護。

「我們一直說這些， 什麼都改變不了。

so that we do want to have our parents here.\"

We talked about that, and what we saw every day

was that the people that lived in our nursing home

做到讓我們也希望 我們的父母住到這裡。」

我們談了這件事， 以及我們每天所看到的

because what they saw was a hospital-like environment,

with doctors and nurses and paramedics in uniform,

對於他們的環境感到非常困惑，

因為他們看到的是 一個像醫院的環境，

And they didn't understand why they lived there.

都是穿著制服的醫生、 護士、急救護理人員，

And they looked for the place to get away.

They looked and hoped to find the door to go home again.

他們不了解為什麼他們住在那裡。

And we said what we are doing in this situation

is offering these people that already have a confused brain

他們會尋找並希望 能找到回家的那扇門。

我們說，在這個 情況下我們所做的事

是帶給這些頭腦已經 非常困惑的病人

And that was not what these people needed.

and the help, our help, to deal with that dementia.

These people wanted to live in a normal house,

想要得到協助，我們的協助， 來處理失智的問題。

這些人想要住在一般的房子裡，

where they would smell their dinner on the stove in the kitchen.

Or be free to go to the kitchen and grab something to eat or drink.

在這個家庭裡，能聞到 廚房的爐子傳來晚餐的香味。

And that's what we should organize for them.

或者他們能夠自由進入廚房， 隨手抓些東西來吃或喝。

And we said we should organize this like at home,

so they wouldn't live with a group of 15 or 20 or 30, like in a ward.

那才是我們應該為他們安排的。

No, a small group of people, six or seven, family-like.

我們說，我們應該 把環境安排成像家一樣，

讓他們不用和 15、20，或 30 個人 住在一起，像住病房一樣。

And we should find a way to select people

不要，應該一小群人就好， 6 或 7 個人，就像個家庭。

so that they did have a good chance to become friends,

我們得要想出一種方式來挑選人，

依據他們對於人生的想法來挑選，

And we interviewed all the families of the residents

這麼一來，當他們住在一起時，

about \"what is important for your father,\" \"what's important for your mother,\"

\"what is their life like,\" \"what do they want.\"

我們和所有居民的家人進行面談，

And we found seven groups, and we call them lifestyle groups.

談「你父親重視什麼」、 「你母親重視什麼」、

And for instance, we found this formal lifestyle.

「他們的人生是什麼樣子的」、 「他們想要什麼」。

我們分出了七種族群， 被我們命名為生活方式分組。

people have a more formal way of interacting with each other,

比如，我們發現了 一種正式生活方式，

Their daily rhythm starts later in the day,

人們和彼此互動的方式比較正式，

Classical music is more heard in this lifestyle group

他們每天的日常節奏 開始得比較晚，

比起其他生活方式分組， 在這種生活方式分組中

well, is more French cuisine than traditional Dutch.

比較多是法國菜 而不是傳統荷蘭菜。

and they get up early in the morning, go to bed early,

相對的分組則是工匠生活方式。

because they have worked hard their whole life, mostly with their hands,

very often had a very small family business, a small farm, a shop,

他們早上很早起床， 很早上床睡覺，

因為他們一生中都辛勤工作， 大部分都是要動手去做，

And he told me that he would go to his work every morning

很常見的是經營小型 家族事業、小農場、小店，

他告訴我，他每天早上去工作時，

That one cigar was the only luxury he could afford for himself.

And after lunch, he would have that one cigar.

And until the day he died in the Hogeweyk,

那根雪茄是他唯一能 負擔得起的奢侈品。

he was in this little shed, every day, after lunch, to smoke his cigar.

午餐之後，他就會抽那根雪茄。

到他在霍格威過世的那一天之前，

每天午餐後他都在這間小屋抽雪茄。

she's been living in the Hogeweyk six weeks now.

And that lifestyle is about traveling, meeting other people, other cultures,

現在她已經在霍格威住了六週了。

TED】Yvonne van Amerongen:重新定義老年人護理的 "痴呆村"（The "dementia village that's redefining elder care | Yvonne van Amerongen）。 (【TED】Yvonne van Amerongen: The "dementia village" that's redefining elder care (The "dementia village" that's redefining elder care | Yv

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TED】Yvonne van Amerongen:重新定義老年人護理的 "痴呆村"（The "dementia village that's redefining elder care | Yvonne van Amerongen）。 (【TED】Yvonne van Amerongen: The "dementia village" that's redefining elder care (The "dementia village" that's redefining elder care | Yv

rhythm

aggressive

anxious

applause