Planetree Roz Lindheim 06 17 08

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Summary of pioneering research on patient-centered care

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Planetree Roz Lindheim 06 17 08

  1. 1. <ul><ul><li>Roslyn Lindeim, </li></ul></ul><ul><ul><li>Architect and Social Scientist </li></ul></ul><ul><ul><li>Angelica Thieriot </li></ul></ul><ul><ul><li>Victoria Fay </li></ul></ul>How it All Began…
  2. 2. <ul><li>Planetree design theory is a synthesis of social-science research findings and original research with patient focus groups </li></ul>How it All Began…
  3. 3. <ul><ul><li>Member of The Institute of Medicine of the National Academy of Science </li></ul></ul><ul><ul><li>Tenured Professor at the University of California, Berkeley </li></ul></ul><ul><ul><ul><li>&quot;Environmental Design, Stress and Disease&quot; Interdisciplinary class at UC Berkeley </li></ul></ul></ul><ul><ul><li>Children's Hospital at Stanford. </li></ul></ul><ul><ul><li>Montefiore Hospital, Bronx, New York </li></ul></ul>Roslyn Lindheim
  4. 4. <ul><ul><li>Publications (prior to Planetree) : </li></ul></ul><ul><ul><ul><li>Uncoupling and regrouping the hospital system (CSU Center for Planning and Development Research. 1967  </li></ul></ul></ul><ul><ul><ul><li>Uncoupling the radiology system (Health services monograph series) 1971 </li></ul></ul></ul><ul><ul><ul><li>Changing Hospital Environments for Children (Commonwealth Fund Publications) 1972 </li></ul></ul></ul><ul><ul><ul><li>Changing Hospital Environments for Children 1972  </li></ul></ul></ul><ul><ul><ul><li>Neighborhood health center project 1975 </li></ul></ul></ul><ul><ul><ul><li>Birthing centers and hospices: Reclaiming birth and death 1981   </li></ul></ul></ul>Roslyn Lindheim
  5. 5. <ul><li>ENVIRONMENTS, PEOPLE, AND HEALTH </li></ul><ul><li>Annual Review of Public Health 1983 </li></ul><ul><li>Collaboration with Leonard Syme, Epidemiologist </li></ul><ul><li>Focus in this paper is on those factors that affect host resistance rather than on disease agents. </li></ul><ul><li>All of the findings have as a common element the importance to health of being &quot;connected&quot;: </li></ul><ul><ul><ul><ul><ul><li>with others </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>with one’s biological heritage . </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>with one’s cultural heritage </li></ul></ul></ul></ul></ul>Planetree Beginnings:
  6. 6. Findings: basis of Planetree <ul><ul><li>The Importance of: </li></ul></ul><ul><ul><li>Social Relationships </li></ul></ul><ul><ul><li>Hierarchial Status: </li></ul></ul><ul><ul><ul><ul><li>Living and Working Conditions, </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Stigmatization, </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Participation and Control </li></ul></ul></ul></ul><ul><ul><li>Connection to Biological Heritage </li></ul></ul><ul><ul><ul><ul><li>Biological Rhythms, </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Artificial Light, </li></ul></ul></ul></ul>
  7. 7. Findings: basis of Planetree <ul><ul><li>Connection to Biological Heritage (cont’d) </li></ul></ul><ul><ul><ul><ul><li>Connection to Nature, </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Connections to the Life Cycle </li></ul></ul></ul></ul><ul><ul><li>Connection to Cultural Heritage </li></ul></ul><ul><ul><li>Connections to Place </li></ul></ul>
  8. 8. <ul><li>NEW DESIGN PARAMETERS FOR HEALTHY PLACES </li></ul><ul><li>Places, Vol 2, No. 4 1985 </li></ul><ul><li>Published after first Planetree Model Hospital completed. </li></ul><ul><li>Explores implications for environmental design based on new findings of importance of social factors . </li></ul>Planetree beginnings:
  9. 9. <ul><ul><li>Significance to health of: </li></ul></ul><ul><ul><li>Social Connectedness </li></ul></ul><ul><ul><li>Hierarchy, Self-Esteem, and Meaning </li></ul></ul><ul><ul><li>Participation and Control </li></ul></ul><ul><ul><li>Connection to the Natural Order </li></ul></ul><ul><ul><li>Contact with Nature </li></ul></ul><ul><ul><li>Connection to the Life Cycle </li></ul></ul><ul><ul><li>Connection to Place </li></ul></ul>Findings: basis of Planetree
  10. 10. Initial Planetree Design
  11. 11. Initial Planetree Design
  12. 12. <ul><li>Human Interaction </li></ul><ul><li>Family, Friends, & Social Support </li></ul><ul><li>Information & Education </li></ul><ul><li>Nutritional & Nurturing Aspects of Food </li></ul><ul><li>Architectural & Interior Design </li></ul><ul><li>Arts & Entertainment </li></ul><ul><li>Spirituality </li></ul><ul><li>Human Touch </li></ul><ul><li>Complementary Therapies </li></ul><ul><li>Healthy Communities </li></ul>Planetree Model Components
  13. 13. <ul><li>Touch </li></ul><ul><li>Spirit </li></ul><ul><li>Personal </li></ul>Planetree Hospital Model <ul><li>Emotional </li></ul><ul><li>Caring </li></ul><ul><li>Humane </li></ul>
  14. 14. First Planetree Model “ At Pacific Medical Center in San Francisco an important new experiment is taking place influenced by the experience of Norman Cousins. Planetree, an organization dedicated to humanize health care, is restructuring a hospital nursing unit physically, socially, and organizationally to increase the control patients have over their own health and to reduce the traditional hierarchical attitudes of staff.”
  15. 15. First Planetree Model “ To reinforce these changes the physical form of the nursing station was altered. The nurses are no longer separated from patients and families by a high counter. Instead the workspace is opened up, making charts available to patients and families as well as to physicians and nurses. To motivate patients to greater mobility and personal control, a lounge has been located directly adjacent to patients' beds.” Families will be encouraged to participate in patient care. There is a place for them to stay overnight, and even a small kitchen has been constructed so that patients can have their own favorite foods on their own schedules.”
  16. 16. First Planetree Model
  17. 17. First Planetree Model
  18. 18. To personalize and deinstitutionalize the environment and create a more familiar and relaxed atmosphere, careful attention has been given to the quality of light, the use of natural woods, and the selection of paintings, plants, and fabrics.
  19. 20. Design Matters <ul><li>Environment is significantly related to recovery rates </li></ul><ul><li>Patients behave better in well designed rooms. </li></ul><ul><li>Design of a hospital makes a difference to staff morale. </li></ul><ul><ul><li>2003 CABE/ICM Survey (Great Britain) </li></ul></ul><ul><li>Physical improvements may improve patient’s perceptions of care. </li></ul><ul><ul><li>Swan JE, Richardson LD, Hutton JD Health Care Manage Rev . 2003 </li></ul></ul><ul><li>Physical improvements may shorten length of patient stay and reduce need for analgesics </li></ul><ul><ul><li>Lawson B, Phiri M. Health Serv Journal. 2000 </li></ul></ul>
  20. 21. Can Design be a Complementary Therapy?

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