The Thousand Mile Stare

A true story of one Midwestern family’s discovery, The Thousand Mile Stare combines factual medical research, intriguing family genealogy, and the emotional challenges of the Reiswigs as they experience the devastating effects of Early Onset Alzheimer’s and act out their desires to understand the science behind the illness.

"In a style best called Midwestern conversational, Reiswig’s memoir reckons his family history, one riddled with loony aunts and absent-minded grandfathers.

Once upon a time, his Depression-era relatives had no reason for or explanation of why so many of their kin seemed to become progressively more addled during the years beyond their fortieth birthdays.

Hardscrabble Dust Bowl farmers didn’t need explanations. But as Reiswig’s parents’ generation aged, an aunt began to read about something called Alzheimer’s disease. And even though Aunt Ester May felt this could explain her husband’s memory loss and perhaps help him, the rest of the family preferred to deny any familial pattern. She persisted. Supported by Reiswig and a few of his siblings, she and the rest of the family eventually learned about and participated in studies exploring the existence of an early-onset Alzheimer’s gene. As they did, they all wrestled with the thorny issues of whether to test for the gene or not, and whether or not to have children." --Donna Chavez

Building Type Basics for Senior Living

Building Type Basics for Senior Living, Second Edition is your one-stop reference for essential information you need to plan and successfully complete the design of residential care environments for seniors on time and within budget.

Primary authors Bradford Perkins and J. David Hoglund and their Perkins Eastman colleagues—all experts in senior living design—share firsthand knowledge to guide you through all aspects of the design of senior living communities, including independent living and assisted living apartments, and skilled nursing facilities.

This edition features new examples of completed projects and is up to date with the latest developments in senior living design, including coverage of sustainable design, renovation and reinvention, international opportunities, operations, and project financing.


Design for Aging Review

This book provides - the best examples to date - of therapeutic environments for the elderly that have purpose in mind with respect to the quality of life of those who live and work in them.

Implementing Culture Change in Long Term Care

This text offers a strategic approach for promoting an active culture of change in long-term care facilities for older adults and people with disabilities. It discusses the philosophical framework for the delivery of care in these settings and addresses the changing landscape of our long-term care population. With the aim of transforming these facilities from institutional settings to person-centered, homelike environments, the book offers administrators and practitioners numerous strategies and benchmarks for culture change, and addresses tools and resources to support the culture change process. The text describes how these benchmarks have been met and provides ways to address not just knowledge, but also attitudes and behavior, important components of a culture change strategy.

Key Features:

  • Elucidates benchmarks that can be implemented in long-term care settings, using the Centers for Medicare/Medicaid's "Long Term Care Artifacts" assessment tool as an intervention
  • Focuses on care practices, the environment, the inclusion and integration of family and community, leadership benchmarks, and workplace practices
  • Includes robust examples of best practices within each of the main artifact arenas
  • Incorporates tools and strategies for assessing the philosophical paradigm of a long- term facility that can help or hinder the culture change process
  • Provides discussion and reflection questions and websites for additional resources

The Silverado Story: A Memory-Care Culture Where Love is Greater than Fear

Life doesn't have to end when Alzheimer's dementia or other memory-eroding diseases take hold. At least that's what Alzheimer's futurists Loren Shook and Steve Winner believed. But it wasn't until these two men, from widely divergent backgrounds and living three thousand miles apart, came together that their ideas were put into action and their theories were put to the test - with stunning results. They brought living back to people stricken with memory impairing ailments, and loving back to families who thought they had lost a precious part of themselves.

The "Silverado Story" is about uniquely vibrant and active care for those with memory impairment. It is about two men who had the courage to follow their own hearts. Even more, it is about hope and happiness - and how to achieve it - for those who have all but given up. It is the eye-opening and inspirational story of what can happen when love replaces fear.

Live Long, Die Short: A Guide to Authentic Health and Successful Aging

This book is a guide for the reader of any age to rediscover the healthy lifestyle lessons of ancestors, to evaluate her own lifestyle, and to follow the road map of this knowledge to better health, robust resilience, and a more successful aging experience.

But it is much more. This book is a call to action. Because we’ve learned that what we need to be healthy is not determined by the next new machine, or diet, or pill, but by the experience and lifestyle of eons of our ancestors; that these authentic needs are basic and should be easily met but are becoming rare in our fast-moving, high stress world. And because we’ve learned that so much more is possible as we age; that decline does need not define our aging experience.

Because of all this new knowledge, we have a moral imperative, we must act: to bring these authentic lifestyle elements back into our individual lives; to reboot our living environments to ensure that all who live in them are more likely to continue to grow as they age, and reduce the time they are sick, impaired, or dehumanized (compression of morbidity); and to commit to a public policy that facilitates rather than impedes our likelihood of living long and dying short.

Culture Change in Elder Care

Edition: Volume 1 in Leading Principles & Practices in Elder Care series

Part of the series Leading Principles & Practices in Elder Care, the first volume provides the history and rationale behind the 'culture change' movement and examines current trends and future directions needed to keep providers and policymakers focused on the industry-wide and facility-specific changes still needed. This volume 'makes the case' for the ideals of culture change, selling out for readers the why of person-centered care from economic, practical, and moral perspectives. Long-term care leaders and change advocates articulate the values and goals, the government standards, and the education and training that are essential for the full realization of care setting and practices that normalize the experience of frail elders and provide suitable dignity, choice, and comfort in their day-to-day lives.

Applying the ADA

Greg Hunteman contributed to the recent guide for designing buildings for the 2010 code. Preview taken from Chapter 6, Healthcare and Senior Living Communities

"Most existing healthcare infrastructure, especially nursing homes, was built prior to ADA regulations and does not meet the needs of users. Innovations in care and technology, lack of accessibility, and changing attitudes have rendered existing buildings technically outmoded and socially undesirable.  

As owners update existing buildings, the scope of work required for alterations is dependent on the type of areas being renovated." 

 Applying the ADA helps architects and developers understand better how the rules for eliminating barriers in the built environment apply to everyday life and how to best implement them in the design and construction of a broad variety of buildings and facilities.

By showing how The 2010 Americans with Disabilities Act Standards for Accessible Design have been applied in various contexts and building types, this extensively illustrated guide helps readers quickly understand the requirements of the standards and how to apply them to both new construction and renovation. Written by an architect who consults regularly on accessibility issues for design professionals, building owners, and facility managers, this user-friendly guide features 100 photos and 150 drawings that take the guesswork out of applying the standards to real-world projects. Building types covered include:

  • Healthcare and senior living facilities and hospitals
  • College and university facilities
  • Elementary and high schools
  • Hotels and other transient lodging facilities
  • Amusement parks and play areas
  • Historic preservation and remodels
  • Retail and office spaces

Applying the ADA is an indispensable resource for architects, interior designers, owners, developers, and facility managers. It is also important reading for students of architecture and interior design.

A guide to real-world applications of The 2010 Americans with Disabilities Act Standards for Accessible Design

Rhoads, Marcela, Et. Al. Applying the ADA: Designing for The 2010 Americans with Disabilities Act Standards for Accessible Design in Multiple Building Types. Hoboken: Wiley, 2013. Print.

Design Innovations for Aging and Alzheimer's

As our understanding of aging and Alzheimer's, and the cultural changes related to these phenomena, grows so do the implications for interior design. Focus on recent innovations in care environments for the aging with a resource dedicated to this topic. This comprehensive book features:

  • Coverage of the emerging building types of adult day care and hospice and the increased use of gardens and outdoor space in environments for the aging.
  • Material on sustainable design and environmentally friendly building products.
  • Design solutions that extend beyond assisted-living facilities and nursing homes as they can be easily adapted for residential use.
  • Photographs, line drawings, and a 16-page color insert that bring the material to life.