low wall. At Trois Fontaine, a therapeutic train for improvement

Unique in the region, the train intended for residents with behavioral disorders, should make it possible to slow down an excess of potentially dangerous treatments (dizziness, falls).

“I’m so worried about my mother, she’s sick,” challenges Denise (1). “Ah, but come to Denis, we are going on a journey, come, the train is already there,” answered the psychologist from the “protected unit” service at the new Ehpad Les Trois Fontaines in Moreres. Here, when the Edenis collective retirement home was designed, we thought a little more about the more difficult residents, those with Alzheimer’s-type behavioral disorders, but not only. “We envisioned a tool that would create non-drug treatments along with the range of anxiolytics that this population is often exposed to,” says Elsa Esteri, director of Trois Fontaines. She carried out this project in the company of Marion Balducci, the health director, and Dr. Michele Bismuth, the coordinating physician for the newly opened nursing home.

Already 126 flights!

The door to the antique cabin opens slightly for a maximum of 8 people on leather chairs. Everything has been rebuilt from the inside to give the impression that it is a real train and that we are on a journey. Reactions vary of course when the train starts (videos of real trips in France and abroad), and the idea is to encourage exchange using memories that these residents often age. And we know, when it comes to these brain diseases, that the most distant and buried memories can happily resurface at any time. “These residents often took the train in their youth, you know. For them, the therapeutic train is an animation that represents real luck. And for us, it allows you to give a pharmacological response to a symptom, as kindly as possible,” confirms Dr. Bismuth.

Since operating the “Therapeutic Train”, it has already made 126 trips spread over 14 residents of the unit. With already encouraging results because in 75% of cases there is sedation in this population. It should be noted that those, with a percentage of 55%, go to the “station” to take the train sometimes and consider this a concern for them, i.e. from 5 pm to 8 pm. It should be noted – which is exceptional in local authorities – that meal times, such as restrooms and even wake times, are left free to residents, with almost a dedicated service dedicated to them!

(1) It assumes the first name.

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