Ancient & Modern: Intersecting Traditional Health & Present-Day Healthcare
The Kayenta Health Center embodies Wellness on multiple levels and couples traditional cultural perspectives of healing with current wellness trends. The 182,000sf hospital serves the local Diné community, integrating the community’s significant cultural perspective of “Hozho iina”, translated as “balanced and good life”, and providing a spectrum of outpatient and inpatient care. To support the Indian Health Service’s mission to keep people healthy rather than focusing on disease treatment, the Wellness Center, community health, physical therapy, and health education functions are located at the main entrance. This placement contradicts the perceived hierarchy of medicine and inpatient care, and instead, emphasizes cultural traditions as well as current trends and theories of healthcare that put Wellness first, emphasize preventative care, and view staying healthy as the first line of defense. This presentation shares how a cultural understanding of wellness combined with state-of-the-art healthcare is affecting patient outcomes. Originally presented at the 2017 Healthcare Facilities Symposium & Expo in Austin, TX. Speakers: Bill Sabatini, FAIA, FACHA Principal, Dekker/Perich/Sabatini Max Parrill, ACHA, LEED AP BD+C, WELL AP Principal, Dekker/Perich/Sabatini Deswood Etsitty Healthcare Facilities Planner, Indian Health Services
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Ancient & Modern: Intersecting Traditional Health & Present-Day Healthcare
Editor's Notes
- Bill: Relevance to healthcare industry today; population health initiative; increasing rural health care access, consideration of cultural traditions in health care delivery; integration of People, Place and Program
- Deswood: Who are the Navajo; culture, beliefs, connection to the place, healing traditions this
- Deswood: Who are the Navajo; culture, beliefs, connection to the place, healing traditions Give a sense of orientation in the southwest -
- Deswood: Who are the Navajo; culture, beliefs, connection to the place, healing traditions Describe people, imagery of west/setting that is 20 miles from our project site
- Deswood: Who are the Navajo; culture, beliefs, connection to the place, healing traditions Remind people a glimpse of life on the reservation, traditions still alive and well with elders and children
- Deswood: Who are the Navajo; culture, beliefs, connection to the place, healing traditions Explaining connection on the land, understanding of place in the world and influence on spirituality and how it affects health and ideals End with connections to land and how it relates to health and wellness Point out the story of their own creation/evolution
- Deswood: Who are the Navajo; culture, beliefs, connection to the place, healing traditions
- Deswood: Who are the Navajo; culture, beliefs, connection to the place, healing traditions Notion of healing/wellness, the setting of a healing environment – surrounding by family/community Practices still done today
- Deswood: Who are the Navajo; culture, beliefs, connection to the place, healing traditions Images all about what happens inside and outside of hoogan, spirituality and praying
- Example of Kinaalda, promoting wellness from a cultural standpoint, involves family, corn, handing down teachings,
- Deswood: Who are the Navajo; culture, beliefs, connection to the place, healing traditions
- Placing an organizational priority on Wellness upended the typical hierarchy of service lines that prioritize immediate access into the Outpatient Clinics or Inpatient Units. The primary organization of the building distinguishes between “sick” and “well” areas. the building is organized to put Wellness first. This is the Physical Therapy and Wellness center, accessible for patients and staff- the first thing you see on arrival
- Wellness wings
- Outcomes for primary care Intersecting ancient and modern. Up to us to make deliberate decisions to blend the two. Path should always run through culture first.