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“VULNERABLE SENIOR CITIZEN HOUSING PROVIDED BY THE STATE OF CHILE,
RISK EVALUATION AND IMPROVEMENT THROUGH ARCHITECTURE AND DESIGN ”
                 Marcela Pizzi - John Chalmers - Viviana Fernández - Daniel Bunout -
                Paulina Osorio - Valentina Avendaño - Macarena Cusato - Karen Rivera


                                  University of Chile
Hypothesis
Seniors autonomy in performing Basic Activities of Daily Living, (BADL)
and risk is directly related with architectural and equipment design.

In these terms functionality depends not only on physiological aspects
but is also is affected by the formal characteristics of the environment.

With an adequate diagnosis it is posible to develop guidelines for more
aproppriate designs for this age group.
Objectives

Contrast dimensional characteristics of the built environment and
performance of BADL in representative cases of housing provided
by the State of Chile to autonomous seniors.
Senior Public Policies in Chile
1990    Needs are acknowledged for the first time

    Special Attention
    Programs
  sets aside 2% of social
  housing stock from
  government programs.
  Does not include special
   design conditions


1997

   Senior
   Condominiums
   1 level housing (25m2)
   with some adaptions
                             plus common spaces.



2007
  for independent
  seniors
  (Condominiums)
  for dependent seniors
  (Long stay
  establishments)



2012
LOCATION




1990 Special Attention Program

1997 Condominiums for Seniors

2007 Supervized Housing
1990 Special Attention Program
1. “El Refugio”, Puente Alto 8 cases
1997 Condominiums for Seniors
“La Primavera” 8 cases
2007 Supervized Condominiums
“Tuteladas San Ramón“ 8 cases
Based on the Katz Scale which considers self-care tasks
Personal Hygiene and grooming
Dressing and undressing
Self feeding
Functional transfers (getting into and out of bed or wheelchair,
getting onto or off toilet, etc.)
Bowel and bladder management
Ambulation (walking without use of an assistive device
(walker, cane, or crutches) or using a wheelchair




Katz, S; Ford, A.B.; Moskowitz, A.W.; Jackson, B.A.; Jaffe, M.W; 1963
We identified de spaces and equipment directly related to the activity
describing in detail the operations needed for each of them, and
identify risk during performance.

Operations
  Dressing and                             Functional           Personal Hygiene        Use of Toilet
                     Self feeding
   Undressing                               Transfers            and grooming

Open closets     Reach Cutlery                                                     Sit on toilet
Unhang clothes   Reach pots and Pans
                                       Open Main Door             Bathing          Raise from toilet
                                       Enter house
Open Drawers     Reach Food
                                       Close Main Door      Heat Water
Close Drawers    Wash Utensils
                                       Move Between rooms   Enter or get out
                                       Enter Bedroom        shower or tub
                                       Enter Bathroom       Open water taps
                                       Enter Kitchen        Reach Shower
                                       Go to patio          Reach soap
                                                            Reach towels


                                                              Hand Washing

                                                             Heat Water
                                                             Open water taps
                                                             Reach soap
                                                             Wash hands
                                                             Wash body
                                                             Wash hair
                                                             Reach towels
E R   Requirements   Imposed to the senior by the activity




D D   Disfunctions   Incoherencies between the housing design
                     and senior’s functionality



I I   Impacts         Consequences on senior’s autonomy



MM    Morphology     Relation between housing design and Impacts
                     on seniors
We developed data collection instruments

Identification
Valued Impact for activity performance
Fear                     1

Discomfort               1


Difficulty               1

Pain                     1

Chooses not to perform   5
Methodology

Objective       Professionals   Based on Knowledge



Subjetive     Seniors     Based on his/her life experiences



Based on      References Based on disciplinary knowledge and
Documents                codes
In a first level analysis of the data from the point of how many operations
present problems in their preformance, we can tell the most conflictive
actions
In a second level of analysis, looking for the presence of Requirements ,
we find out those most relevant related to Height – Equilibrium –
Strength – Mobility and Clenching
In a third level of analysis, we search for the Impacts, (Consequences)
such as Fear - Discomfort - Difficulty Pain and Inhibition (Chooses or
cannot perform).
Major Findings
Exterior Spaces
Need of Outdoor Spaces Related to the Unit
Exterior Spaces: Security
Height
Layout
Size
Size
Furniture and appliances
Furniture and appliances

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5 pizzi-praga--

  • 1. “VULNERABLE SENIOR CITIZEN HOUSING PROVIDED BY THE STATE OF CHILE, RISK EVALUATION AND IMPROVEMENT THROUGH ARCHITECTURE AND DESIGN ” Marcela Pizzi - John Chalmers - Viviana Fernández - Daniel Bunout - Paulina Osorio - Valentina Avendaño - Macarena Cusato - Karen Rivera University of Chile
  • 2. Hypothesis Seniors autonomy in performing Basic Activities of Daily Living, (BADL) and risk is directly related with architectural and equipment design. In these terms functionality depends not only on physiological aspects but is also is affected by the formal characteristics of the environment. With an adequate diagnosis it is posible to develop guidelines for more aproppriate designs for this age group.
  • 3. Objectives Contrast dimensional characteristics of the built environment and performance of BADL in representative cases of housing provided by the State of Chile to autonomous seniors.
  • 4. Senior Public Policies in Chile 1990 Needs are acknowledged for the first time Special Attention Programs sets aside 2% of social housing stock from government programs. Does not include special design conditions 1997 Senior Condominiums 1 level housing (25m2) with some adaptions plus common spaces. 2007 for independent seniors (Condominiums) for dependent seniors (Long stay establishments) 2012
  • 5. LOCATION 1990 Special Attention Program 1997 Condominiums for Seniors 2007 Supervized Housing
  • 6. 1990 Special Attention Program 1. “El Refugio”, Puente Alto 8 cases
  • 7. 1997 Condominiums for Seniors “La Primavera” 8 cases
  • 9. Based on the Katz Scale which considers self-care tasks Personal Hygiene and grooming Dressing and undressing Self feeding Functional transfers (getting into and out of bed or wheelchair, getting onto or off toilet, etc.) Bowel and bladder management Ambulation (walking without use of an assistive device (walker, cane, or crutches) or using a wheelchair Katz, S; Ford, A.B.; Moskowitz, A.W.; Jackson, B.A.; Jaffe, M.W; 1963
  • 10. We identified de spaces and equipment directly related to the activity describing in detail the operations needed for each of them, and identify risk during performance. Operations Dressing and Functional Personal Hygiene Use of Toilet Self feeding Undressing Transfers and grooming Open closets Reach Cutlery Sit on toilet Unhang clothes Reach pots and Pans Open Main Door Bathing Raise from toilet Enter house Open Drawers Reach Food Close Main Door Heat Water Close Drawers Wash Utensils Move Between rooms Enter or get out Enter Bedroom shower or tub Enter Bathroom Open water taps Enter Kitchen Reach Shower Go to patio Reach soap Reach towels Hand Washing Heat Water Open water taps Reach soap Wash hands Wash body Wash hair Reach towels
  • 11. E R Requirements Imposed to the senior by the activity D D Disfunctions Incoherencies between the housing design and senior’s functionality I I Impacts Consequences on senior’s autonomy MM Morphology Relation between housing design and Impacts on seniors
  • 12. We developed data collection instruments Identification
  • 13. Valued Impact for activity performance Fear 1 Discomfort 1 Difficulty 1 Pain 1 Chooses not to perform 5
  • 14. Methodology Objective Professionals Based on Knowledge Subjetive Seniors Based on his/her life experiences Based on References Based on disciplinary knowledge and Documents codes
  • 15.
  • 16. In a first level analysis of the data from the point of how many operations present problems in their preformance, we can tell the most conflictive actions
  • 17. In a second level of analysis, looking for the presence of Requirements , we find out those most relevant related to Height – Equilibrium – Strength – Mobility and Clenching
  • 18. In a third level of analysis, we search for the Impacts, (Consequences) such as Fear - Discomfort - Difficulty Pain and Inhibition (Chooses or cannot perform).
  • 19. Major Findings Exterior Spaces Need of Outdoor Spaces Related to the Unit
  • 22.
  • 24.
  • 25. Size
  • 26. Size