® with windows looking out on a natural scene

®    Natural EnvironmentDementia increases aperson’s sensitivity to environmental stimuli because cognitive impairmentlimits her or his ability to understand the implications of sensory experience,and to effectively process that information. (Cohen & Weisman, 1991)A classic study by RogerUlrich (1984) also supported the idea that the view of natural elements itselfwas powerful providing health benefits. Records on recovery after surgery ofpatients in suburban Pennsylvania hospital between 1972 and 1981 were examinedto determine whether assignment to a room with a window view of a naturalsetting might have restorative influences. Other studies have shown that surgicalpatients assigned to rooms with windows looking out on a natural scene hadshorter post-operative hospital stays, received fewer negative evaluativecomments in nurses’ notes, and took fewer potent analgesics than matched patientsin similar rooms with windows facing a brick building wall.®    Air pollutionWhile air pollution isoften thought of as harmful mainly to the lungs, a large body of evidenceindicates that the cardiovascular system is also vulnerable to the effects of airpollution.9 Emerging evidencesuggests that air pollution contributes to brain inflammation and the risk ofAlzheimer’s-type neurodegenerative disease as well. 9, 10 (Brook RD.

Air Pollution. What is bad for the arteries might be bad for the veins. Arch Int Med.

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2008;168(9):909-911.)     Though the full extent of the consequences of air pollution arestill uncertain, known adverse impacts on health already place the particulatecomponent alone as the thirteenth leading cause of global mortality, causingapproximately 800,000 deaths per year.10 ®    Sound pollutionNoise pollution maylead to overstimulation in people with dementia. They have trouble processingwhat is going on in their environment and decreasing stimuli can decreasecertain behaviors.

 The majority of older people would not be used to continuousnoise associated with movement going on around them in their own homes.As the brain is trainedto pay attention to loud and unwanted sounds, a noisy environment can lead tolowered concentration levels followed by agitation in people with dementia.Research suggests, a noisy environment affects sleeping patterns and foodhabits in people with cognitive disorders. Thus, in an adult care community, itis critical to lowering the noise levels in order to curb overstimulation andsleep disturbances and create a quiet and a comfortable living environment.IGATPURIIgatpuri is a town and a Hill Station in Nashik District in the Indian state of Maharashtra. This hillstation covers a large part of the Western Ghats and is situated at a height of1900 feet above main sea level. The rugged terrain and dense forests add to thescenic view of this hill station. As it is untouched byurbanization, there is less room for air and noise pollution.

Thus, it couldprove to be a perfect environment for a nursing home community which aims toheal people with dementia by incorporating therapeutic roles of architectureand reduce their dependence on pharmaceuticals. The climate at Igatpuriis majorly pleasant and salubrious throughout the year. The short period ofsummer can be hot. The Monsoons that follow are a welcome change from the heat.During this time, Igatpuri transforms into a green paradise enriching theentire experience of sight-seeing.

The climate not being too hot or too coldmay be favourable for the residents making them feel comfortable all year long.