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ArgumentNo. 13/2021

Memory Anchors in Dementia-Friendly Architecture and the Limits of Spatial Versatility in the Context of the Covid-19 Pandemic

  • / lecturer PhD arch., “Ion Mincu” University of Architecture and Urbanism, Bucharest, RO
  • / PhD scient. researcher III, biol., „Elias” Emergency University Hospital, Bucharest, RO
  • / PhD. cl. psych., „Elias” Emergency University Hospital, Bucharest, RO
  • / assist. prof. PhD MD, „Carol Davila” University of Medicine and Pharmacy, Bucharest, RO


The current trend of population ageing leads to a significant increase in age-related conditions, including in the number of people with neurocognitive disorders (NCDs) of which Alzheimer's disease being one of the best known cause for NCDs. In this context, dementia-friendly architecture (DFA) / for people with NCDs occurs. The current COVID-19 pandemic brings new challenges in caring for people with NCDs, in maintaining an optimal quality of life and a reasonable well-being, challenges to which architecture can respond through specific architectural tools.

Starting from the limitations that Alzheimer's disease brings, namely from a damaged, ambiguous mental map, sometimes disconnected from reality, superimposed over the challenges of the COVID-19 pandemic that often meant the need for more space, whether the elderly are at home or institutionalized, the paper aims to investigate the limits of spatial versatility in dementia-friendly architecture.

The study focuses on the concept of "memory anchor" transposed into the DFA for people with NCDs through the constant need for spatial stability, routine and benchmarks. This paper investigates interdisciplinary, both in the case of home care and in institutionalized centers, the relationship between two types of multifunctionality: by merging-concomitance and by polyvalence-adaptability. The exploratory interview with open-ended questions is used as a research method.

DFA emphasizes user safety and comfort, compensating for memory deficits and temporal-spatial orientation, and managing affective and behavioral symptoms such as agitation, depression, or anxiety. Stability, spatial inertia in relation to function is a priority, versatility as a process remaining rather subordinate. The COVID-19 pandemic and the recommended physical / social distancing have often led to the need to restrict activities in a private area and thus to the need for versatility at home or in the institutionalized older person's accommodation unit.

The challenges of the COVID-19 pandemic for DFA can be managed through an interdisciplinary approach.


dementia-friendly architecture, memory anchor, spatial versatility, quality of life, COVID-19 pandemic, interdisciplinarity



  1. Allen, W. (11 Ianuarie 2021). Making Your Home Dementia Friendly. .
  2. Alzheimer Europe. (2019). Dementia in Europe Yearbook 2019. Accesat în 2021.05.11 la
  3. (n.d.). Alzheimer's Respite Centre. FIRM Niall McLaughlin Architects. Accesat în  2021.05.12 la
  4. Bianchetti, A., Bellelli, G., Guerini, F., Marengoni, A., Padovani, A., Rozzini, R., & Trabucchi, M. (2020). Improving the care of older patients during the COVID-19 pandemic. Aging Clinical and Experimental Research, 32, 9, 1883-1888.
  5. Brittain, K., Degnen, C., Gibson, G., Dickinson, C., & Robinson, L. (2017). When walking becomes wandering: representing the fear of the fourth age. Sociology of Health & Illness, 39, 2, 270-284.
  6. Divo, M. J., Martinez, C. H., & Mannino, D. M. (2014). Ageing and the epidemiology of multimorbidity. The European Respiratory Journal, 44, 4, 1055-1068.
  7. Estaji, H. (2017). A Review of Flexibility and Adaptability in Housing Design. International Journal of Contemporary Architecture ”The New ARCH“. Vol. 4, No. 2.
  8. Evans, S., Waller, S., Bray, J., & Atkinson, T. (2019). Making Homes More Dementia-Friendly through the Use of Aids and Adaptations. Healthcare, 7, 1, 43.
  9. Fernando, E., Fraser, M., Hendriksen, J., Kim, C. H., & Muir-Hunter, S. W. (2017). Risk Factors Associated with Falls in Older Adults with Dementia: A Systematic Review. Physiotherapy Canada. Physiotherapie Canada, 69, 2, 161-170.
  10. Javed, B., Mashwani, Z.-U.-R., Javed, B., Sarwer, A., Sarwer, A., & Soto, E. B. (2020). The coronavirus (COVID-19) pandemic's impact on mental health. International Journal of Health Planning and Management, 35, 5, 993-996.
  11. Jheng, S. S., & Pai, M. C. (2009). Cognitive map in patients with mild Alzheimer's disease: a computer-generated arena study. Behavioural brain research. 200(1), 42–47.
  12. Kim, K., Han, J. W., So, Y., Seo, J., Kim, Y. J., Park, J. H., Lee, S. B., ... Kim, T. H. (2017). Cognitive Stimulation as a Therapeutic Modality for Dementia: A Meta-Analysis. Psychiatry Investigation, 14, 5, 626-639.
  13. Markowitz, A., Paulin, E. (3 Mai 2021). AARP Answers: Nursing Homes and the Coronavirus. The latest on evolving rules, visiting loved ones, your rights and more. .
  14. Marquardt, G., Viehweger, A. (2015). Architecture for people with dementia: Planning principles, practices and future challenges. .
  15. Marquardt, G., Schmieg, P. (2009). Dementia-Friendly Architecture: Environments That Facilitate Wayfinding in Nursing Homes. American Journal of Alzheimer's Disease and Other Dementias, 24, 4, 333-340.
  16. McDonald W. M. (2017). Overview of Neurocognitive Disorders. Focus (American Psychiatric Publishing), 15(1), 4–12.
  17. Mehrabian, S., Schwarzkopf, L., Auer, S., et al. (2019). Dementia care in the Danube Region. A multi-national expert survey. Neuropsychiatric disease and treatment, 15, 2503–2511.
  18. Mok, V., Pendlebury, S., Wong, A., et al. (2020). Tackling challenges in care of Alzheimer's disease and other dementias amid the COVID-19 pandemic, now and in the future. Alzheimer's & dementia : the journal of the Alzheimer's Association16(11), 1571–1581.
  19. National Collaborating Centre for Mental Health (UK). (2007). Dementia: A NICE-SCIE Guideline on Supporting People With Dementia and Their Carers in Health and Social Care. British Psychological Society.
  20. (n.d.) RiverWoods Exeter Retirement Community. Accesat în 2021.05.14 la
  21. Song, J., Lindquist, L. A., Chang, R. W., et al. (2015). Sedentary Behavior as a Risk Factor for Physical Frailty Independent of Moderate Activity: Results From the Osteoarthritis Initiative. American Journal of Public Health, 105, 7, 1439-45.
  22. Sorbara, M., Graviotto, H. G., Lage-Ruiz, G. M., et al. (2021). COVID-19 and the forgotten pandemic: follow-up of neurocognitive disorders during lockdown in Argentina. Neurologia, 36, 1, 9-15.
  23. Soril, L. J., Leggett, L. E., Lorenzetti, D. L., et al. (2014). Effective use of the built environment to manage behavioural and psychological symptoms of dementia: a systematic review. PloS one9(12), e115425.
  24. Tuijt, R., Frost, R., Wilcock, J., et al. (2021). Life under lockdown and social restrictions - the experiences of people living with dementia and their carers during the COVID-19 pandemic in England. Bmc Geriatrics, 21, 1.)
  25. Utton, D. (2009). The design of housing for people with dementia. Journal of Care Services Management, 3, 4, 380-390.
  26. World Health Organization, 2007. WHO Global reporton falls Prevention in older Age. Geneva, WHO press.
  27. Zamfir, M., Ciobanu, I., Marin, A., et al. (2021). Smart dwellings. Architectural perspectives opened by COVID-19 pandemic. Smart Cities and Regional Development Journal (
  28. Zamfir, M. (2016). Multifunctional space related to the scale of community centers. From merging-concomitance to polyvalence-adaptability. In Panait, A, (Ed), EURAU 2016 - In between scales - European Symposium on Research in Architecture and Urban Design. ABSTRACTS. EUIM, București

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