[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.66,0:00:02.61,Default,,0000,0000,0000,,This is the Hogeweyk.
Dialogue: 0,0:00:02.98,0:00:07.36,Default,,0000,0000,0000,,It's a neighborhood in a small town\Nvery near Amsterdam, in the Netherlands.
Dialogue: 0,0:00:07.88,0:00:11.35,Default,,0000,0000,0000,,There are 27 houses\Nfor six, seven people each.
Dialogue: 0,0:00:11.82,0:00:16.34,Default,,0000,0000,0000,,There's a small mall with a restaurant,\Na pub, a supermarket, a club room.
Dialogue: 0,0:00:16.90,0:00:21.22,Default,,0000,0000,0000,,There are streets, alleys,\Nthere's a theater.
Dialogue: 0,0:00:22.43,0:00:24.43,Default,,0000,0000,0000,,It actually is a nursing home.
Dialogue: 0,0:00:25.09,0:00:30.73,Default,,0000,0000,0000,,A nursing home for people\Nthat live with an advanced dementia
Dialogue: 0,0:00:30.75,0:00:34.21,Default,,0000,0000,0000,,and that need 24-7 care and support.
Dialogue: 0,0:00:35.23,0:00:38.50,Default,,0000,0000,0000,,Dementia is a terrible disease,
Dialogue: 0,0:00:38.52,0:00:41.74,Default,,0000,0000,0000,,and we still don't have any cure for it.
Dialogue: 0,0:00:42.21,0:00:45.84,Default,,0000,0000,0000,,It's getting to be\Na major problem in the world,
Dialogue: 0,0:00:45.86,0:00:47.71,Default,,0000,0000,0000,,for the people, for the politicians,
Dialogue: 0,0:00:47.73,0:00:50.70,Default,,0000,0000,0000,,for the world -- it's getting\Nto be a big problem.
Dialogue: 0,0:00:51.23,0:00:54.47,Default,,0000,0000,0000,,We see that we have waiting lists\Nin the nursing homes.
Dialogue: 0,0:00:55.09,0:00:58.89,Default,,0000,0000,0000,,Most people that come to the nursing homes\Nwith dementia are women.
Dialogue: 0,0:00:59.86,0:01:04.82,Default,,0000,0000,0000,,And that's also because women\Nare used to taking care of people,
Dialogue: 0,0:01:04.84,0:01:08.69,Default,,0000,0000,0000,,so they can manage to take care\Nof their husband with dementia,
Dialogue: 0,0:01:08.72,0:01:13.12,Default,,0000,0000,0000,,but the other way around\Nis not so easy for the gentlemen.
Dialogue: 0,0:01:14.63,0:01:18.96,Default,,0000,0000,0000,,Dementia is a disease\Nthat affects the brain.
Dialogue: 0,0:01:18.99,0:01:21.13,Default,,0000,0000,0000,,The brain is confused.
Dialogue: 0,0:01:21.92,0:01:24.68,Default,,0000,0000,0000,,People don't know anymore\Nwhat the time is,
Dialogue: 0,0:01:24.71,0:01:27.45,Default,,0000,0000,0000,,what's going on, who people are.
Dialogue: 0,0:01:27.47,0:01:28.94,Default,,0000,0000,0000,,They're very confused.
Dialogue: 0,0:01:28.97,0:01:31.18,Default,,0000,0000,0000,,And because of that confusion,
Dialogue: 0,0:01:31.20,0:01:37.25,Default,,0000,0000,0000,,they get to be anxious,\Ndepressed, aggressive.
Dialogue: 0,0:01:38.73,0:01:41.11,Default,,0000,0000,0000,,This is a traditional nursing home.
Dialogue: 0,0:01:41.13,0:01:43.19,Default,,0000,0000,0000,,I worked there in 1992.
Dialogue: 0,0:01:43.64,0:01:45.15,Default,,0000,0000,0000,,I was a care manager.
Dialogue: 0,0:01:45.69,0:01:48.70,Default,,0000,0000,0000,,And we often spoke together about the fact
Dialogue: 0,0:01:48.73,0:01:53.73,Default,,0000,0000,0000,,that what we were doing there\Nwas not what we wanted for our parents,
Dialogue: 0,0:01:53.75,0:01:57.06,Default,,0000,0000,0000,,for our friends, for ourselves.
Dialogue: 0,0:01:57.82,0:01:59.60,Default,,0000,0000,0000,,And one day, we said,
Dialogue: 0,0:01:59.62,0:02:02.38,Default,,0000,0000,0000,,"When we keep on saying this,\Nnothing is going to change.
Dialogue: 0,0:02:02.40,0:02:03.78,Default,,0000,0000,0000,,We are in charge here.
Dialogue: 0,0:02:03.80,0:02:06.30,Default,,0000,0000,0000,,We should do something about this,
Dialogue: 0,0:02:06.32,0:02:09.68,Default,,0000,0000,0000,,so that we do want\Nto have our parents here."
Dialogue: 0,0:02:10.77,0:02:13.78,Default,,0000,0000,0000,,We talked about that,\Nand what we saw every day
Dialogue: 0,0:02:13.80,0:02:17.50,Default,,0000,0000,0000,,was that the people\Nthat lived in our nursing home
Dialogue: 0,0:02:17.52,0:02:19.89,Default,,0000,0000,0000,,were confused about their environment,
Dialogue: 0,0:02:19.91,0:02:23.46,Default,,0000,0000,0000,,because what they saw\Nwas a hospital-like environment,
Dialogue: 0,0:02:23.48,0:02:27.59,Default,,0000,0000,0000,,with doctors and nurses\Nand paramedics in uniform,
Dialogue: 0,0:02:27.62,0:02:29.28,Default,,0000,0000,0000,,and they lived on a ward.
Dialogue: 0,0:02:30.07,0:02:32.90,Default,,0000,0000,0000,,And they didn't understand\Nwhy they lived there.
Dialogue: 0,0:02:32.93,0:02:36.24,Default,,0000,0000,0000,,And they looked for the place to get away.
Dialogue: 0,0:02:36.62,0:02:41.55,Default,,0000,0000,0000,,They looked and hoped to find\Nthe door to go home again.
Dialogue: 0,0:02:42.02,0:02:45.85,Default,,0000,0000,0000,,And we said what we are doing\Nin this situation
Dialogue: 0,0:02:45.87,0:02:50.91,Default,,0000,0000,0000,,is offering these people\Nthat already have a confused brain
Dialogue: 0,0:02:50.93,0:02:52.22,Default,,0000,0000,0000,,some more confusion.
Dialogue: 0,0:02:52.24,0:02:55.78,Default,,0000,0000,0000,,We were adding confusion to confusion.
Dialogue: 0,0:02:56.18,0:02:58.63,Default,,0000,0000,0000,,And that was not what these people needed.
Dialogue: 0,0:02:59.08,0:03:01.85,Default,,0000,0000,0000,,These people wanted to have a life,
Dialogue: 0,0:03:01.87,0:03:05.43,Default,,0000,0000,0000,,and the help, our help,\Nto deal with that dementia.
Dialogue: 0,0:03:05.96,0:03:10.69,Default,,0000,0000,0000,,These people wanted to live\Nin a normal house,
Dialogue: 0,0:03:10.71,0:03:11.86,Default,,0000,0000,0000,,not in a ward.
Dialogue: 0,0:03:12.48,0:03:15.31,Default,,0000,0000,0000,,They wanted to have a normal household,
Dialogue: 0,0:03:15.33,0:03:20.03,Default,,0000,0000,0000,,where they would smell their dinner\Non the stove in the kitchen.
Dialogue: 0,0:03:20.97,0:03:25.23,Default,,0000,0000,0000,,Or be free to go to the kitchen\Nand grab something to eat or drink.
Dialogue: 0,0:03:25.61,0:03:27.84,Default,,0000,0000,0000,,That's what these people needed.
Dialogue: 0,0:03:27.86,0:03:30.36,Default,,0000,0000,0000,,And that's what we should\Norganize for them.
Dialogue: 0,0:03:31.27,0:03:35.99,Default,,0000,0000,0000,,And we said we should\Norganize this like at home,
Dialogue: 0,0:03:36.01,0:03:40.97,Default,,0000,0000,0000,,so they wouldn't live with a group\Nof 15 or 20 or 30, like in a ward.
Dialogue: 0,0:03:41.43,0:03:45.65,Default,,0000,0000,0000,,No, a small group of people,\Nsix or seven, family-like.
Dialogue: 0,0:03:47.07,0:03:48.94,Default,,0000,0000,0000,,Like living with friends.
Dialogue: 0,0:03:50.71,0:03:53.79,Default,,0000,0000,0000,,And we should find a way to select people
Dialogue: 0,0:03:53.81,0:03:56.57,Default,,0000,0000,0000,,based on their ideas about life
Dialogue: 0,0:03:56.59,0:03:59.69,Default,,0000,0000,0000,,so that they did have\Na good chance to become friends,
Dialogue: 0,0:03:59.71,0:04:01.28,Default,,0000,0000,0000,,when they lived together.
Dialogue: 0,0:04:02.22,0:04:06.38,Default,,0000,0000,0000,,And we interviewed\Nall the families of the residents
Dialogue: 0,0:04:06.41,0:04:10.10,Default,,0000,0000,0000,,about "what is important for your father,"\N"what's important for your mother,"
Dialogue: 0,0:04:10.13,0:04:12.88,Default,,0000,0000,0000,,"what is their life like,"\N"what do they want."
Dialogue: 0,0:04:12.90,0:04:17.14,Default,,0000,0000,0000,,And we found seven groups,\Nand we call them lifestyle groups.
Dialogue: 0,0:04:17.71,0:04:21.37,Default,,0000,0000,0000,,And for instance,\Nwe found this formal lifestyle.
Dialogue: 0,0:04:21.85,0:04:23.08,Default,,0000,0000,0000,,In this lifestyle,
Dialogue: 0,0:04:23.10,0:04:26.52,Default,,0000,0000,0000,,people have a more formal way\Nof interacting with each other,
Dialogue: 0,0:04:26.55,0:04:27.84,Default,,0000,0000,0000,,a distant way.
Dialogue: 0,0:04:27.86,0:04:30.11,Default,,0000,0000,0000,,Their daily rhythm\Nstarts later in the day,
Dialogue: 0,0:04:30.13,0:04:31.86,Default,,0000,0000,0000,,ends later in the day.
Dialogue: 0,0:04:31.88,0:04:34.90,Default,,0000,0000,0000,,Classical music is more heard\Nin this lifestyle group
Dialogue: 0,0:04:34.93,0:04:36.63,Default,,0000,0000,0000,,than in other lifestyle groups.
Dialogue: 0,0:04:36.66,0:04:38.14,Default,,0000,0000,0000,,And their menu,
Dialogue: 0,0:04:38.16,0:04:41.94,Default,,0000,0000,0000,,well, is more French cuisine\Nthan traditional Dutch.
Dialogue: 0,0:04:41.97,0:04:43.56,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:04:43.58,0:04:47.19,Default,,0000,0000,0000,,In contrary to the craftsman lifestyle.
Dialogue: 0,0:04:47.22,0:04:49.36,Default,,0000,0000,0000,,That's a very traditional lifestyle,
Dialogue: 0,0:04:49.38,0:04:51.96,Default,,0000,0000,0000,,and they get up early\Nin the morning, go to bed early,
Dialogue: 0,0:04:51.98,0:04:55.98,Default,,0000,0000,0000,,because they have worked hard\Ntheir whole life, mostly with their hands,
Dialogue: 0,0:04:56.00,0:05:00.61,Default,,0000,0000,0000,,very often had a very small\Nfamily business, a small farm, a shop,
Dialogue: 0,0:05:00.63,0:05:04.77,Default,,0000,0000,0000,,or like Mr. B, he was a farmhand.
Dialogue: 0,0:05:05.47,0:05:08.97,Default,,0000,0000,0000,,And he told me that he would go\Nto his work every morning
Dialogue: 0,0:05:08.99,0:05:11.19,Default,,0000,0000,0000,,with a paper bag with his lunch
Dialogue: 0,0:05:12.01,0:05:13.50,Default,,0000,0000,0000,,and one cigar.
Dialogue: 0,0:05:14.82,0:05:18.89,Default,,0000,0000,0000,,That one cigar was the only luxury\Nhe could afford for himself.
Dialogue: 0,0:05:19.42,0:05:22.55,Default,,0000,0000,0000,,And after lunch,\Nhe would have that one cigar.
Dialogue: 0,0:05:23.46,0:05:26.79,Default,,0000,0000,0000,,And until the day he died in the Hogeweyk,
Dialogue: 0,0:05:26.81,0:05:32.72,Default,,0000,0000,0000,,he was in this little shed, every day,\Nafter lunch, to smoke his cigar.
Dialogue: 0,0:05:35.20,0:05:36.39,Default,,0000,0000,0000,,This is my mother.
Dialogue: 0,0:05:36.41,0:05:38.02,Default,,0000,0000,0000,,She's of the cultural lifestyle,
Dialogue: 0,0:05:38.05,0:05:40.51,Default,,0000,0000,0000,,she's been living\Nin the Hogeweyk six weeks now.
Dialogue: 0,0:05:41.24,0:05:46.48,Default,,0000,0000,0000,,And that lifestyle is about traveling,\Nmeeting other people, other cultures,
Dialogue: 0,0:05:46.50,0:05:49.50,Default,,0000,0000,0000,,interest in arts and music.
Dialogue: 0,0:05:50.07,0:05:51.80,Default,,0000,0000,0000,,There are more lifestyles.
Dialogue: 0,0:05:52.82,0:05:56.55,Default,,0000,0000,0000,,But that's what we talked about,\Nand that's what we did.
Dialogue: 0,0:05:57.77,0:06:02.62,Default,,0000,0000,0000,,But that's not life in a house\Nwith a group of people,
Dialogue: 0,0:06:02.64,0:06:06.02,Default,,0000,0000,0000,,like-minded people, your own life,\Nyour own household.
Dialogue: 0,0:06:06.43,0:06:07.76,Default,,0000,0000,0000,,There's more in life,
Dialogue: 0,0:06:07.79,0:06:11.09,Default,,0000,0000,0000,,everybody wants fun in life\Nand a meaningful life.
Dialogue: 0,0:06:11.69,0:06:13.11,Default,,0000,0000,0000,,We are social animals --
Dialogue: 0,0:06:13.13,0:06:15.40,Default,,0000,0000,0000,,we need a social life.
Dialogue: 0,0:06:15.82,0:06:17.62,Default,,0000,0000,0000,,And that's what we started.
Dialogue: 0,0:06:18.82,0:06:22.29,Default,,0000,0000,0000,,We want to go out of our house\Nand do some shopping,
Dialogue: 0,0:06:22.32,0:06:23.78,Default,,0000,0000,0000,,and meet other people.
Dialogue: 0,0:06:24.70,0:06:28.44,Default,,0000,0000,0000,,Or go to the pub,\Nhave a beer with friends.
Dialogue: 0,0:06:28.46,0:06:33.44,Default,,0000,0000,0000,,Or like Mr. W -- he likes\Nto go out every day,
Dialogue: 0,0:06:33.47,0:06:36.08,Default,,0000,0000,0000,,see if there are nice ladies around.
Dialogue: 0,0:06:36.11,0:06:38.10,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:06:38.46,0:06:40.02,Default,,0000,0000,0000,,And he's very courteous to them,
Dialogue: 0,0:06:40.04,0:06:42.54,Default,,0000,0000,0000,,and he hopes for smiles and he gets them.
Dialogue: 0,0:06:42.86,0:06:45.20,Default,,0000,0000,0000,,And he dances with them in the pub.
Dialogue: 0,0:06:46.01,0:06:47.53,Default,,0000,0000,0000,,It's a feast every day.
Dialogue: 0,0:06:47.55,0:06:50.77,Default,,0000,0000,0000,,There are people that would\Nrather go to the restaurant,
Dialogue: 0,0:06:50.79,0:06:52.47,Default,,0000,0000,0000,,have a wine with friends,
Dialogue: 0,0:06:52.49,0:06:56.16,Default,,0000,0000,0000,,or lunch or dinner with friends\Nand celebrate life.
Dialogue: 0,0:06:56.18,0:06:58.97,Default,,0000,0000,0000,,And my mother,\Nshe takes a walk in the park,
Dialogue: 0,0:06:58.99,0:07:00.67,Default,,0000,0000,0000,,and sits on a bench in the sun,
Dialogue: 0,0:07:00.70,0:07:03.82,Default,,0000,0000,0000,,hoping that a passerby will come\Nand sit next to her
Dialogue: 0,0:07:03.85,0:07:06.41,Default,,0000,0000,0000,,and have a conversation about life
Dialogue: 0,0:07:06.43,0:07:09.67,Default,,0000,0000,0000,,or about the ducks in the pond.
Dialogue: 0,0:07:10.36,0:07:12.62,Default,,0000,0000,0000,,That social life is important.
Dialogue: 0,0:07:12.100,0:07:17.57,Default,,0000,0000,0000,,It means that you're part\Nof society, that you belong.
Dialogue: 0,0:07:17.97,0:07:20.04,Default,,0000,0000,0000,,And that's what we people need.
Dialogue: 0,0:07:21.01,0:07:24.56,Default,,0000,0000,0000,,Even if you're living\Nwith advanced dementia.
Dialogue: 0,0:07:25.48,0:07:28.35,Default,,0000,0000,0000,,This is what I see from my office window.
Dialogue: 0,0:07:28.37,0:07:32.58,Default,,0000,0000,0000,,And one day, I saw a lady\Ncoming from one side,
Dialogue: 0,0:07:32.60,0:07:36.22,Default,,0000,0000,0000,,and the other lady from the other side,\Nand they met at the corner.
Dialogue: 0,0:07:36.25,0:07:38.60,Default,,0000,0000,0000,,And I knew both ladies very well.
Dialogue: 0,0:07:38.93,0:07:42.28,Default,,0000,0000,0000,,I often saw them walking around outside.
Dialogue: 0,0:07:42.62,0:07:46.100,Default,,0000,0000,0000,,And now and then, I tried\Nto have a conversation with them,
Dialogue: 0,0:07:47.02,0:07:49.78,Default,,0000,0000,0000,,but their conversation was ...
Dialogue: 0,0:07:50.59,0:07:53.07,Default,,0000,0000,0000,,rather hard to understand.
Dialogue: 0,0:07:53.84,0:07:57.50,Default,,0000,0000,0000,,But I saw them meeting,\Nand I saw them talking,
Dialogue: 0,0:07:57.52,0:07:59.40,Default,,0000,0000,0000,,and I saw them gesturing.
Dialogue: 0,0:07:59.43,0:08:01.16,Default,,0000,0000,0000,,And they had fun together.
Dialogue: 0,0:08:01.55,0:08:04.63,Default,,0000,0000,0000,,And then they said goodbye,\Nand each went their own way.
Dialogue: 0,0:08:05.33,0:08:08.57,Default,,0000,0000,0000,,And that's what you want in life,\Nmeeting other people
Dialogue: 0,0:08:08.59,0:08:10.64,Default,,0000,0000,0000,,and being part of society.
Dialogue: 0,0:08:11.09,0:08:13.23,Default,,0000,0000,0000,,And that's what I saw happening.
Dialogue: 0,0:08:14.15,0:08:16.16,Default,,0000,0000,0000,,The Hogeweyk has become a place
Dialogue: 0,0:08:16.18,0:08:19.86,Default,,0000,0000,0000,,where people with very advanced\Ndementia can live,
Dialogue: 0,0:08:19.88,0:08:21.82,Default,,0000,0000,0000,,have freedom and safety,
Dialogue: 0,0:08:21.84,0:08:26.33,Default,,0000,0000,0000,,because the professionals working there\Nand the volunteers working there
Dialogue: 0,0:08:26.35,0:08:28.58,Default,,0000,0000,0000,,know how to deal with dementia.
Dialogue: 0,0:08:29.09,0:08:32.43,Default,,0000,0000,0000,,And the professionals know\Nhow to do their professional work
Dialogue: 0,0:08:32.45,0:08:37.48,Default,,0000,0000,0000,,in a way that it fits in a natural way\Nin the life of our residents.
Dialogue: 0,0:08:38.83,0:08:43.51,Default,,0000,0000,0000,,And that means that the management\Nhas to provide everything
Dialogue: 0,0:08:43.53,0:08:45.86,Default,,0000,0000,0000,,those people need to do their work.
Dialogue: 0,0:08:46.87,0:08:50.71,Default,,0000,0000,0000,,It needs a management\Nthat dares to do this.
Dialogue: 0,0:08:50.73,0:08:53.87,Default,,0000,0000,0000,,To do things differently\Nthan we always have done
Dialogue: 0,0:08:53.90,0:08:56.03,Default,,0000,0000,0000,,in a traditional nursing home.
Dialogue: 0,0:08:58.99,0:09:00.89,Default,,0000,0000,0000,,We see that it works.
Dialogue: 0,0:09:02.01,0:09:05.17,Default,,0000,0000,0000,,We think this can be done everywhere,
Dialogue: 0,0:09:05.20,0:09:07.40,Default,,0000,0000,0000,,because this is not for the rich.
Dialogue: 0,0:09:07.86,0:09:12.21,Default,,0000,0000,0000,,We've been doing this with the same budget
Dialogue: 0,0:09:12.24,0:09:16.32,Default,,0000,0000,0000,,as any traditional nursing home\Nhas in our country.
Dialogue: 0,0:09:16.34,0:09:19.12,Default,,0000,0000,0000,,We work only with the state budget.
Dialogue: 0,0:09:20.22,0:09:27.09,Default,,0000,0000,0000,,(Applause)
Dialogue: 0,0:09:28.23,0:09:31.80,Default,,0000,0000,0000,,Because it has to do\Nwith thinking different,
Dialogue: 0,0:09:31.82,0:09:34.55,Default,,0000,0000,0000,,and looking at the person in front of you
Dialogue: 0,0:09:34.58,0:09:38.26,Default,,0000,0000,0000,,and looking at what\Ndoes this person need now.
Dialogue: 0,0:09:39.35,0:09:42.59,Default,,0000,0000,0000,,And it's about a smile,\Nit's about thinking different,
Dialogue: 0,0:09:42.62,0:09:46.66,Default,,0000,0000,0000,,it's about how you act,\Nand that costs nothing.
Dialogue: 0,0:09:47.82,0:09:51.49,Default,,0000,0000,0000,,And there's something else:\Nit's about making choices.
Dialogue: 0,0:09:51.90,0:09:55.64,Default,,0000,0000,0000,,It's about making choices\Nwhat you spend your money on.
Dialogue: 0,0:09:56.86,0:09:58.13,Default,,0000,0000,0000,,I always say,
Dialogue: 0,0:09:59.32,0:10:04.07,Default,,0000,0000,0000,,"Red curtains are\Nas expensive as gray ones."
Dialogue: 0,0:10:04.09,0:10:05.47,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:10:05.49,0:10:08.02,Default,,0000,0000,0000,,It's possible, everywhere.
Dialogue: 0,0:10:09.26,0:10:10.42,Default,,0000,0000,0000,,Thank you.
Dialogue: 0,0:10:10.45,0:10:15.08,Default,,0000,0000,0000,,(Applause)