Diminished outdoor activity is likely to be experienced as a decrease in quality of life and may accelerate the progression of dementia we conclude that older people with mild to moderate dementia should be encouraged to be active outdoors and that this can be facilitated by small environmental modifications. Vrt has been used to produce artificial environments to enhance outdoor exposure for patients with dementia in cognitive training and enhancing memory spatial navigation and gait training. Outdoor environments for people with dementia discusses in detail practical approaches that can significantly improve the quality of life for dementia victims research is discussed revealing important aspects and issues needing to be addressed when creating better outdoor environments that are effective in helping residents of long term care facilities and residential care homes. Outdoor environments considered by planners or designers in terms of the opportunities and barriers they present for a person with dementia blackman et al 2003 there is evidence that the more that older people walk and take exercise the less their risk of dementia abbott et al 2004 larson et al 2006 scherder et al 2005 there are