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tv   Sanjay Gupta MD  CNN  November 9, 2014 4:30am-5:01am PST

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states and the only one that can't be prevented, cured or even slowed. >> so we got a rare look inside the small village that he said what the future of dementia care looks like. >> welcome to a little village just minutes from downtown amsterdam. the first glance, it looks like any other small touchdown. but look closer. outsiders are not allowed in here. everyone that lives within these walls has something in common. it's the last place any of them will ever call home. >> so this is a neighborhood? >> yes, it's a neighborhood. >> a neighborhood for people with dementia? >> yes. yes.
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>> this is one of the founders of this new age eldercare facility. it was built in 2009 and is the only one of its kind anywhere in the world. i think one of the things that are very important to people with dementia is they don't understand what is happening. they don't understand the world anymore. let them feel that it's okay. >> for corey visser, everything is okay. she seems happy here. even more so when theo, her husband of nearly 60 years, comes to visit. >> you come to visit here every day? how do you describe this place to your friends? >> perfect. >> translator: it's perfect. i wouldn't know a better place
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for her. it's 100% good. before she came here, i visited five other places and i definitely saw that this was the best place for her. >> what makes this place better? >> translator: it is open. this place is open. people can enjoy the seasons. they can really feel if it's keld or warm. they can visit a restaurant. they can drink a cup of tea and they are free to go wherever they want to go. >> wherever they want to go. except back into the real world. these sliding glass doors are the only doors that lock here. this is the only way in and the only way out. >> this is the site where there used to be a previous nursing home, right? >> yes. >> you worked at that nursing
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home. >> yes. >> you had a trance formation if you will yourself where you basically decided that wasn't good enough. was there a moment or was there some particular event that really sparked that for you? >> for me personally that, was the moment that my mother called me and told me that my father had passed away suddenly. nothing was wrong with him. he just had a heart attack. and he died. and one of the first things i thought was thank god he never got to be in a nursing home. that's crazy. i have to think that. i'm in management of nursing home an i don't want my father to come there. that's crazy. my colleagues in the management team had similar houthoughts. we said let's talk about this. this very important. we sat down one day in november 1992 and said let's take one day and decide on what to do to make
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nursing homes worth while living. and we did. >> a four acre complex, home to 23 housing units and seven different lifestyle themes. such as crafts, culture, religious, and urban. take a look over here. the colors, the art work, even the choice of dishware specific to this particular lifestyle. >> and those people you live with should be people that could be your friends. people you would pick to live with and not just the first coming around. those people probably have the same ideas on life. the same values. >> that sounds like a pretty good life. >> actually, it's quite normal. >> a normal life. that's the key. >> it's normal. but it's very hard to be normal.
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>> creating a sense of normalcy is the number one goal here at the center. oftentimes, that means creating a routine and sticking to it. if you walk in here, this looks like any other grocery store to you. i want to point out a few things that are different. you do see the same products. juices, you can buy just about anything you want, cleaning products. but you notice quickly there is no prices on anything. and as you're about to see, there is no money that is exchanged hands either. the customers, as you might guess, are very different type of clientele here. they are residents of this village. they all have severe dementia, oftentimes they come here with their caregivers. ultimately, when they come to the front desk for buying all of their products, they don't exchange any money. and trud quloi is the staff member is trained sefk specifically to handle people with dementia. and in case i don't see you, good afternoon. good evening and good night.
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some compare this manufactured reality to the movie "the truman show." a man played by jim carrey discovers his entire life is actually a tv program. everything he thinks is real is a mirage. created by television producers. do the people here ever feel -- i mean do you ever get the impression that they feel like they're being fooled or duped in any way? >> why should they feel they are fooled? we have a society here? a supermarket is not a show. it's a real supermarket. maybe we're fooling them an say it's okay when you're doing. but that's because we want to help people enjoy life and feel that they are welcome here on this earth.
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>> for the rest of their lives, because here a vacancy only becomes available whether a current resident passes away. evolve function, and reinvent a category, you attract a lot of attention. chevrolet. the most awarded car company of the year. find new roads.
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ada has been making music with her husband ben for as long as they've been together. >> how did you meet? >> in a pub. >> in a pub? >> yes. >> did someone introduce you or you just saw each other in the pub? >> no. it was just a pub and i went
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with a friend of me. we went there. and they were playing cards. but then after he offered me a drink and we fell in love to this moment. >> do you remember that, ben? do you remember the playing of the cards and the buying of the drink? [ speaking dutch ] >> yeah. >> in comparison with the other residents, ben is a lucky man. these days he can still manage to get a few words out here and there. the doctors warn his alzheimer's disease is rap rapidly progressing. i hear a lot of music here. singing, piano playing. how important is music? >> music is very important. people with dementia, we see the people with dementia and scientifically shown also that music is part that in the brain
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that is -- that functions the longest. i've even seen people that can't talk anymore, they don't have the words to talk but this he can sing songs. i've seen people playing instruments. music is wonderful. ♪ >> what was the hardest part of all of this for you? >> the communication. you can see, you lost -- losing so many things. but he still a kind man. he's not aggressive. and that's wonderful. ♪ >> unfortunately, aggressive behavior is not uncommon in late stage alzheimer's. oftentimes triggered by confusion or frustration.
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it can occur suddenly. that's where residents social worker comes in. >> there you go, my darling. >> you never leave your phone, do you? what happens? how many calls a day are you getting? >> well, it depends. for now, we have a sir in here and he is really nervous and gets agitated and aggressive sometimes. so i have to pick up and go there and try to calm him down. >> is that the most common -- what is most common sort of call you get? >> people are nervous and restless. every person we have sort of a trick book. >> you have a trick book? >> yeah. >> so for this person that you're worried about who is aggressive, what is your -- what are your tricks? >> well, sometimes i go there and i say i was looking for you and be really enthusiastic so he thinks she knows me. >> so you have to sort of be creative. >> yeah, really creative.
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yeah. >> creativity usually come at a higher cost. but here that's not the case. in the never lantherlands, it'se run system. >> how is it paid for? >> well, it's a dutch system. and we have the same budget as any other nursing home in the netherlands. we have no more, no less. >> you take anybody? what about mild? mild dementia? what is the criteria? >> we're we have different indications and you need the indication for severe dementia to come here. if you have mild dementia, then you don't have the indication to come here. >> i mean i'm sure there is specific clinical criteria. can you describe generally what that means? >> generally, it's that somebody needs attention and support for 24 hours a day. >> and 152 people living here? >> yes. you say people come here and then they also die here. we just saw it today.
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>> yes. >> how is that for you? >> well, you know, with a lot of people you think well they've had their life and they're ready to die. you see that some people are relieved that they can die. ♪ >> up until that moment, they're watched over and comforted by full and part time caregivers who outnumber the residents 2-1. you see, every single worker and volunteer working in the supermarket, restaurant. >> hello. >> even the hair salon has been especially trained to take care of people with severe dementia. >> so part of having a normal society is being able to get your hair done as well. >> yes. >> how busy are you? >> i'm very busy. but i think it's also a very special work.
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>> is she telling you to hurry up? >> no. she do it. just let her. >> the simple act of brushing her hair seems to have a calming effect. ina looks like ina. and hopefully still recognizes herself in the mirror. the same, sadly, cannot be said for everyone i met. >> translator: it's here in the flo ♪
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spending a few days here at hogewey opened my eyes to a world of possibilities of what growing old could look like. but all the comforting stories couldn't soften the blow that came with meeting the toughest cases. how old are you? >> i have been born in -- >> hard to remember. >> 1926, i mean. >> 1926? >> yeah. >> i mean. i don't know exactly. >> i don't know exactly. you hear that a lot around here. as time goes by, the grasp on reality fades. for residents like this one. so you say you have a job? >> yes. >> what do you do?
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>> i don't know. i know it's when i have to go to it. >> are there absolute no-nos, i mean, things that you should never do when you're dealing with someone with dementia? >> yeah. correct them. say, no, don't do this. don't do that. they won't remember it so why would you? they are not childs or something. >> are you happy here? >> oh, yes. yes, yes. i am a happy people. i like, i have children. i have a father and a mother. >> when is the last time you saw your parents? >> my parents? >> yeah. >> oh, yesterday. >> you saw them yesterday? >> yes. >> do you try and jog people's memory, refresh their memory, or do you just let them -- do you redirect them? what is your strategy?
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>> it depends on the face of dementia. for example, very often people ask me where are my parents. that's a daily question. and in the beginning you can if the person is not so far in their dementia, well, how old are you? someone says 84. and you say how old would your parents be. and then they can think and, well, oh, that doesn't make sense. >> her dementia has progressed too far to process that kind of logic. but if it bothers her at all, you can't tell. and with so many other residents just like her, there are special modifications here to keep everyone safe. while sometimes it's the small things that make a difference in a village like this. take an elevator, for example. maybe you don't know what this does exactly but there's a sensor over there, turns on that button over here. that calls the elevator. i didn't have to touch anything
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because perhaps i didn't know what this door was going to do but now when i walk into the elevator, again, without touching anything, from my weight alone it has sensed that someone is here and is now going to take me up to the next floor. study after study shows that stimulating the mind is the best way to slow the brain's decline. at hogewey there are 25 clubs including this one, for example, baking just to help keep the residents active. >> when i ask someone to finish the table, i won't ask them, oh, do the table because that would be like asking you, well, make me a puzzle of 1,000 pieces and i give them the last plate will you do it for me. thank you. because of you we can eat. >> you say there are results? >> yes. >> do you think people are physically healthier living in this environment?
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>> yes, we see people are invited to exercise more because everybody can go outside, walk in the sun. social contacts are very important for people with dementia. it helps different parts of the brains to connect and we see that people meet others here. this life helps people to live a healthy life. that helps people to get strong. >> and that's -- and that's been shown now? i mean, in terms of eating? they eat better? >> yeah. >> in terms of getting off medications, living longer. >> yes. >> do you actually see that? >> well, we haven't had scientific research on living longer. we haven't done that yet. but in 1992 when we started this, people came in with the same indication, and they would stay an average of 2, 2 1/2 years with us and now it's 3, 3 1/2 years. it's not scientific, but i can count. >> in here people can still be
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themselves. they can be human. they're not just a person with dementia or they're still a person and they can do whatever they like. my line. hi. okay. >> duty calls? >> yeah. bye. >> one of the most difficult residents has barricaded himself inside his home. it's happened before. and just like that, mary lane is on her way. where does -- where does this go from here for you? because right now you have this neighborhood. again, a normal neighborhood as you put it. 152 residents. what would you want it to be in five or ten years? >> what we're looking at is that we want it to be possible for people, for the partners of our residents, to live here, too.
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but that's -- in the system we have here in the netherlands at the moment that's not possible. not with the budget we have. >> could this work in other countries? you've traveled around the world. could this work in other cultures? other countries? >> the concept could work. this is dutch. we have dutch design. we have the dutch cultures. dutch groups. lifestyles. actually, what it means this concept is that you value the person, the individual, and that you support them to live their life as usual and you can do that everywhere. >> on a physical level, people here require fewer medications. they eat better. and, yes, they live longer. but on a mental level, they also seem to have more joy. it's a difficult thing to measure, but it's the most important thing according to the leadership here in hogewey. now, could this work in other parts of the world? that's the next question.
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good sunday morning to you. so glad to have you. i'm christi paul. >> i'm martin savidge. it's 8:00 and terrific to be with you. the story of two manner detainees released by north korea. this morning they are waking up on u.s. soil. >> there were smiles. there was a lot of joy, a lot of hugs. these are the first pictures that you are seeing here that we're getting of kenneth bae and todd miller as they stepped off that plane in washington

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