1. Situated Activities
Environments:
- Dementia care centers in The Netherlands
- Home
Activities:
- Socializing
- Physical activity by dancing
- Listening to music
Activity: Daily dancing session
Goal: 15 minutes of safe light dancing between 14:30 and 16:30 to counter afternoon lethargy.
Preconditions: Resident not in pain, vitals stable, space clear, quiet hours not in effect, fall-risk band present, mobility aid nearby.
Artifacts: Portable speaker or robot audio, playlist of preferred songs, gait belt if needed, hydration cup visible.
Context constraints: Quiet hours are 13:30–14:30 and after 19:30.
Staffing ratio: 1 nurse per 6 patients in the afternoons. Shared lounge noise threshold is 55 dB.
Nominal steps: Detect window and ask permission with one-click yes or voice yes. Play priming snippet of a favorite track for max 15 seconds.
Offer two options: seated sway or standing steptouch. Mirror one simple move and slow counts if confusion detected. Insert hydration cue at track change. Log duration and resident affect markers.
Breakdowns and refusal handling: If resident says “I already did that,” show today’s simple visual timeline. If mood low or confusion high, pivot to seated option or reminiscence talk about the song. After two refusals in a row, back off and retry after 30 minutes. If agitation cues appear, stop, switch to calming playlist, notify caregiver.
Frequency and duration: Target 1–2 sessions per day, 10–20 minutes each, 5 days per week.