Baycrest

It is also now commonplace to see more flexible therapy modalities being delivered by different specialties, such as adapting occupational and recreational therapy programs to address isolation through remote video interventions. BUILDINGS OF THE FUTURE We are beginning to see the benefits of constructing congregate and long-term care homes using "intelligent design" principles. We know, for instance, that a nursing home that consists of all private rooms (like Baycrest) provides a critical advantage in being able to control outbreaks. Managing and caring for older adults with cognitive impairments or dementia in these times has been remarkably challenging — particularly so in facilities that aren't equipped to separate residents sufficiently to reduce risk of contagion. Dementia patients tend to wander into other peoples' spaces; and they might not understand what is being done with personal protective equipment. Contemplating these realities in new and retrofitted design will be imperative for optimizing residential care. Long- term care facilities in the future will be designed with larger common spaces, private rooms and more resident access to secure, outdoor areas. They will be equipped with next-generation surface materials for flooring, handrails, walls and furniture that are better able to be treated with stronger disinfectants. INCLUSIVENESS & OUTREACH We are hopeful that the pandemic has highlighted the need to substantially revise the present-day approach to long-term care. This will include offering more choices for older adults and their families to receive care in the setting they prefer, developing and scaling novel methods to deliver healthcare and other supports by leveraging technology, and equipping congregate care facilities with architectural and related design approaches that better support the safety and well-being of residents and staff. With these measures, we can make important inroads to continue reducing the fears that may otherwise accompany the aging journey. RENEWED HOPE & POSSIBILITIES In the face of the hardships collectively experienced throughout the pandemic, we have seen the dawn of a new vision for aging care: one that embraces technology and networks of best practices to help us pave the way for better outcomes. Research currently underway in our own Rotman Research Institute will help us to better understand the long-term neurocognitive and psychological effects of COVID-19. As sector leaders, we remain resolute in finding every available path to better aging by helping older adults enjoy a life of purpose, inspiration and fulfilment. BrainMATTERS SPRING|SUMMER 2021 7 Dr. William Reichman, President & CEO, Baycrest

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