One of the most radical aspects of the Village Landais, in France, is its insistence that a person with Alzheimer’s is not just diminishing into the sum of her symptoms, but flourishing and evolving as a human being until the end.
, and I had to learn to make her couscous on my own, before she forgot how to do it herself. That day, I recorded a video of her on my phone. She was sitting in a familiar kind of woodenchair that you have probably sat on before and that I will always associate with her. As she gazed out the window, a thought occurred to her, and she turned to me and asked, “Yes, I told her. I was returning to the United States, where my parents moved our family when I was eighteen months old.
Anyone who has cared for someone with Alzheimer’s is likely to be familiar with this transaction. We cede their freedom to gain a sense of security—theirs, but also ours. We attempt to resize their world, removing the choices that might pose a danger to them. But I often wonder whether the standard approach of a nursing home—the constant surveillance, the rigid schedules for waking, bathing, eating, socializing, and sleeping—is the best that we can offer to loved ones with dementia.
In the Village’s restaurant, which is supposed to open to the public in 2023, I met Nadine Zoyo, who began baking as a child during the war and spent many years as a homemaker, catering the baptisms and weddings of loved ones. “She never stopped,” her daughter Béatrice, who was dining with her, told me. As her Alzheimer’s progressed, Nadine struggled with words, and repeatedly fell and injured herself.
A bright-green train car sits in the Village library, hitched to nothing in particular. A therapeutic tool, its interior is realistic, with metal racks for baggage and a flat-screen television, which plays footage shot from a train as it rolls through a forest.
Bonnet asked again how Claudine was doing. Sensing that something was wrong, she rose out of her seat and took the woman’s hand.“Excuse me,” Claudine said sorrowfully, unable to explain.Time and intimacy are especially precious in understaffed nursing homes, and in families that care for those with dementia. Despite myself, I’d often felt irritated when I had to stop the clock in my world in order to accompany my grandma in hers. In Bonnet, I saw no sign of irritation.
In the U.S., where one in four nursing homes faces employee shortages, experts were skeptical that such a model could ever be implemented on a large scale. “That kind of staffing is not even there in our I.C.U.s,” Joe Verghese, a neurologist and the chief of geriatrics at Montefiore Health System, told me.
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